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What Ethical Issues Surround Advanced IVF and Genetic Screening?

What Ethical Issues Surround Advanced IVF and Genetic Screening?

The field of assisted reproductive technology has seen remarkable advancements in recent years. With innovations in IVF, genetic screening, and procedures such as egg freezing, hopeful parents now have greater opportunities to conceive and ensure the health of their children. However, these advancements also raise complex ethical concerns.

As one of the leading IVF clinics, Milann Fertility Centre is committed to helping individuals and couples navigate the IVF process while addressing the ethical implications that come with these cutting-edge technologies. Here, we explore some of the key ethical issues surrounding advanced IVF and genetic screening.

1. Genetic Selection and the Ethics of "Designer Babies"

One of the most debated topics in reproductive medicine is preimplantation genetic testing (PGT), which allows doctors to screen embryos for genetic conditions before embryo transfer. While this technology helps prevent hereditary diseases, it also raises concerns about the possibility of selecting embryos for non-medical traits, such as physical characteristics or intelligence.
Many experts worry that the increasing use of genetic selection could lead to social inequalities, where only those who can afford advanced IVF treatment and screening might benefit. This creates ethical dilemmas about access to care and the moral boundaries of genetic selection.

2. Embryo Disposition: A Moral Dilemma

During the IVF process, multiple embryos are often created, but not all are used. Some may be frozen for future use, while others might be discarded or donated for research. This brings up questions about the moral status of embryos.
Should unused embryos be considered potential lives? Who has the right to decide their fate? These are deeply personal and often philosophical concerns that patients must navigate with the guidance of medical professionals at a trusted IVF centre.

3. Access to IVF and Genetic Screening

The IVF treatment cost varies widely, making it more accessible to some than others. Additionally, comprehensive genetic screening can add to the expense, raising ethical questions about whether wealthier individuals have an unfair advantage in ensuring healthier pregnancies.
At Milann, we believe that fertility care should be accessible to all, and we strive to make treatments available at our IVF centre near you with transparent pricing and financial options.

4. The Role of Egg Freezing in Reproductive Choices

Egg freezing has become a popular option for women who wish to delay childbearing due to career, personal circumstances, or medical reasons such as cancer treatments. While it provides more autonomy in family planning, ethical concerns arise when it is promoted as an "insurance policy" against infertility without a guarantee of success.
Moreover, there is debate about whether companies should offer egg freezing as an employee benefit, as this may place pressure on women to delay childbirth for professional reasons rather than personal choice.

5. Gender Selection: Ethical or Problematic?

While gender selection is prohibited in India for non-medical reasons, the practice remains a global ethical concern. In some cultures, a preference for male children can contribute to gender imbalances and reinforce discrimination against women.
At Milann, our focus is on providing ethical, patient-centred care that aligns with national regulations and best medical practices.

6. Parental Rights and Legal Considerations

Advanced IVF treatments have also led to legal challenges regarding parental rights. For example, if a couple undergoes IVF but later separates, who has the right to the frozen embryos? Should they be implanted, donated, or discarded?
Additionally, surrogacy and the use of donor eggs or sperm introduce further legal complexities. Patients must have clear agreements in place before beginning fertility treatments to avoid disputes later.

7. Ethical Considerations in Anomaly Scans and Pregnancy Termination

An anomaly scan is an essential part of prenatal care, helping detect developmental abnormalities in the fetus. If a severe condition is diagnosed, parents may face the heart-wrenching decision of whether to continue the pregnancy.
Ethical concerns arise over the extent to which medical professionals should influence this decision. The role of counselling is crucial in ensuring that parents receive unbiased information to make an informed choice based on medical facts and personal beliefs.

8. Male Infertility and Ethical Treatment Approaches

Discussions about IVF and fertility often focus on female reproductive health, but male infertility causes are equally significant. While treatments such as hysteroscopy treatment address uterine conditions in women, men may require specialised care.
Ethical concerns arise when clinics do not offer adequate male fertility support or when sperm donors are used without proper counselling. Ensuring that both partners receive equal attention in fertility treatments is key to ethical medical practice.

9. Religious and Cultural Perspectives on IVF

Different religious and cultural beliefs shape how individuals view IVF and genetic screening. Some faiths oppose the creation of embryos outside the womb, while others accept IVF but reject certain aspects such as embryo freezing or genetic selection.
At Milann, we respect diverse perspectives and provide patient-centred care that aligns with ethical medical standards while honouring individual values and beliefs.

Striking a Balance: Science, Ethics, and Compassion

The advancement of IVF and genetic screening offers hope to many, but it also brings ethical challenges that must be carefully considered. As a leading IVF clinic, Milann Fertility Centre is dedicated to ensuring that fertility treatments are conducted ethically, transparently, and with the utmost care for our patients.
If you are considering IVF and have concerns about the ethical aspects of treatment, our team is here to guide you. With some of the best obstetricians in Bangalore, expert embryologists, and experienced andrologists, we provide compassionate and responsible fertility care tailored to your needs.
For more information on IVF treatment costs, and ethical fertility treatments, or to consult with the one of the best hospitals in Bangalore, contact Milann Fertility Centre today.

Reviewed by Dr. Shilpa Ellur - Senior Consultant - Reproductive Medicine & High-Risk Obstetrician Bengaluru, Whitefield.


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