Why should patients experience infertility or poor outcomes before using assisted reproductive technologies?


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Volume 107, Issue 4, Pages 878–879


Carlos Simon, M.D., Ph.D.


The conception of a new human life is more relevant in terms of the medical future for the unborn baby than the delivery. If deliveries are often performed in hospitals under strict medical supervision and care, why shouldn't conception, a fundamental first step for a healthy newborn, be conducted with similar care?

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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. 


Go to the profile of Vanessa Genro
almost 5 years ago
We have read with curiosity and caution this letter written by Simon. Simón proposes that by doing PGD in everybody we would prevent natures mistakes and avoid suffer and struggle of having a problematic baby. World Health Organization defines health as a state of complete physical, mental and or social well-being and one of medicines principles is to do no harm and treat the patient and not the disease. Submitting healthy patients to IVF and PGD treatments sounds to us as strange as prescribing chemotherapy to prevent a potential future cancer. It is time for the scientific community to discuss reproductive medicine as a treatment of an infirmity such as infertility or recurrent abortion or even as a way to prevent serious or mortal diseases such as hemophilia and cystic fibrosis or as an instrument in the search for the perfect human being. In the limit very few embryos would be allowed to implant and would they be free of all the It not too much to say that trying to correct “mother natures“ imperfections by medicalizing human reproduction in fertile couples we might be selecting other diseases that are polygenic or with more complicated mechanisms of transmission. Or in the limit very few perfect embryos would be allowed to implant? Vanessa Genro Carlos Souza João Sabino Cunha-Filho Insemine - Center of Fertility Care - POA -Brazil