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[Assisted reproductive technology for male patients with end-stage renal disease: A case-based discussion on
Jiao-Jing Liu1, Lian-Bing Sheng1, Xiao-Hui Liu2
1Center of Reproductive Medicine / Key Laboratory of Birth Regulation and Control Technology of the Health Commission of China / Key Laboratory of Eugenic Technology of Shandong Province, Maternity and Child Healthcare Hospital of Shandong Province, Jinan, Shandong 250021, China.
Objective:
To explore normalized and reasonable strategies of assisted reproductive technology (ART) for patients with end-stage renal disease (ESRD) under ethical supervision based on the experience with a case of ART for an ESRD male.
Methods:
A male patient with ESRD successfully fathered a child through in vitro intracytoplasmic sperm injection (ICSI) in our center. We performed an epidemiological analysis, reviewed the relevant literature and explored the feasibility, ethical issues and strategies of ART for male patients with ESRD.
Results:
ESRD affected the reproductive hormone levels, sperm quality and erectile function of the patient. Considering the contradictions between the reproductive right and the uncertainty of disease prognosis of the patient and the health of the offspring and his wife, we comprehensively evaluated the physical and mental conditions of the patient, obtained the informed consent, submitted the case to the Ethics Committee of Reproductive Medicine.
Conclusions:
With respect to ART for ESRD patients, importance should be attached to their rights of reproduction and choice of reproductive technology. In the process of ART, the physical conditions of the patient ought to be evaluated comprehensively and rigorously, and the related ethical principles followed strictly.
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