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Infertility - what the future holds

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Blastocyst transfer is not a new technique but is being used to try and reduce the risk of twins and triplets. Instead of placing two or three embryos into the uterus three days after egg collection, the embryologist can culture them within a specialised medium until day five. At this stage some of the embryos will have formed a blastocyst. This is the final stage of development just prior to implantation. It is hoped that by extending this culture period, the embryo with the greatest potential will be selected; a ‘survival of the fittest’ philosophy.

At the moment this technique is reserved for couples who have had several failed attempts in the past, or for those who can only contemplate becoming pregnant with one baby and therefore want a single embryo transfer. Further studies are needed before this technique can be introduced more widely.

In January 2000 the HFEA decided to allow the use of frozen eggs in fertility treatment in the UK. A world wide report commissioned by the authority confirmed the increase in the number of healthy babies recently born from frozen eggs. At the moment this technology is mainly used in this country to help young women who have cancer and need chemotherapy or radiotherapy, which will probably render them sterile. Freezing their eggs allows them to ‘bank’ them for later use, so that they have a chance of giving birth to their own genetic children.

In the future – who knows? – this same technology could be used to allow young women who want to postpone starting a family, to store their eggs for later use. Clearly the ethical implications of these techniques have to be considered and legislated for but future generations might well see this as a solution to the career women’s dilemma about when to start a family.

For more information see other related articles:

The cost of IVF
IVF - what you need to know.
Age and fertility.

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Created: 08/01/2002  Updated: 04/09/2007

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