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      WIDENING THE HORIZON OF THE PHENOMENON OF INFERTILITY WITH CLARITY AND COMPASSIONATE ACCOMPANIMENT Translated title: AMPLIAR EL HORIZONTE DEL FENÓMENO DE LA INFERTILIDAD CON CLARIDAD Y ACOMPAÑAMIENTO COMPASIVO Translated title: AMPLIANDO O HORIZONTE DO FENÔMENO DA INFERTILIDADE COM CLAREZA E ACOMPANHAMENTO COMPASSIVO

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          Abstract

          ABSTRACT Infertility is a global health issue affecting many in the recent population. Struggling with infertility is a great burden for couples who have a deep desire to live out their vocation to welcome the gift of children from God. Many treatment options offer real hope for the infertile couple. Still, some treatment procedures pose serious moral problems by failing to respect the dignity of life and the dignity of marital relationships. Here needs a compassionate accompaniment to infertile couples with clear guidance and help them to approach infertility in a way that protects the dignity of the human person and respects God's divine plan for their vocation to assume spiritual parenthood.

          Translated abstract

          RESUMEN La infertilidad es un problema de salud mundial que afecta a muchos en la población reciente. Luchar contra la infertilidad es una gran carga para las parejas que tienen el profundo deseo de vivir su vocación de acoger el don de los hijos de Dios. Muchas opciones de tratamiento ofrecen una esperanza real a la pareja estéril. Sin embargo, algunos procedimientos de tratamiento plantean graves problemas morales al no respetar la dignidad de la vida y la dignidad de las relaciones conyugales. Aquí se necesita un acompañamiento compasivo a las parejas infértiles con orientaciones claras y ayudarles a abordar la infertilidad de un modo que proteja la dignidad de la persona humana y respete el plan divino de Dios para su vocación de asumir la paternidad espiritual.

          Translated abstract

          RESUMO A infertilidade é um problema de saúde global que afeta muitos na população recente. A luta contra a infertilidade é um grande fardo para os casais que têm um profundo desejo de viver sua vocação de acolher o dom dos filhos de Deus. Muitas opções de tratamento oferecem esperança real para o casal infértil. Ainda assim, alguns procedimentos de tratamento apresentam sérios problemas morais por não respeitarem a dignidade da vida e a dignidade dos relacionamentos conjugais. É necessário um acompanhamento compassivo dos casais inférteis, com orientações claras, para ajudá-los a abordar a infertilidade de uma forma que proteja a dignidade da pessoa humana e respeite o plano divino de Deus para sua vocação de assumir a paternidade espiritual.

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          Diagnosis and Management of Infertility : A Review

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            The biology of infertility: research advances and clinical challenges.

            Reproduction is required for the survival of all mammalian species, and thousands of essential 'sex' genes are conserved through evolution. Basic research helps to define these genes and the mechanisms responsible for the development, function and regulation of the male and female reproductive systems. However, many infertile couples continue to be labeled with the diagnosis of idiopathic infertility or given descriptive diagnoses that do not provide a cause for their defect. For other individuals with a known etiology, effective cures are lacking, although their infertility is often bypassed with assisted reproductive technologies (ART), some accompanied by safety or ethical concerns. Certainly, progress in the field of reproduction has been realized in the twenty-first century with advances in the understanding of the regulation of fertility, with the production of over 400 mutant mouse models with a reproductive phenotype and with the promise of regenerative gonadal stem cells. Indeed, the past six years have witnessed a virtual explosion in the identification of gene mutations or polymorphisms that cause or are linked to human infertility. Translation of these findings to the clinic remains slow, however, as do new methods to diagnose and treat infertile couples. Additionally, new approaches to contraception remain elusive. Nevertheless, the basic and clinical advances in the understanding of the molecular controls of reproduction are impressive and will ultimately improve patient care.
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              International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) revised glossary of ART terminology, 2009.

              Many definitions used in medically assisted reproduction (MAR) vary in different settings, making it difficult to standardize and compare procedures in different countries and regions. With the expansion of infertility interventions worldwide, including lower resource settings, the importance and value of a common nomenclature is critical. The objective is to develop an internationally accepted and continually updated set of definitions, which would be utilized to standardize and harmonize international data collection, and to assist in monitoring the availability, efficacy, and safety of assisted reproductive technology (ART) being practiced worldwide. Seventy-two clinicians, basic scientists, epidemiologists and social scientists gathered together at the World Health Organization headquarters in Geneva, Switzerland, in December 2008. Several months before, three working groups were established as responsible for terminology in three specific areas: clinical conditions and procedures, laboratory procedures, and outcome measures. Each group reviewed the existing International Committee for Monitoring Assisted Reproductive Technology glossary, made recommendations for revisions and introduced new terms to be considered for glossary expansion. A consensus was reached on 87 terms, expanding the original glossary by 34 terms, which included definitions for numerous clinical and laboratory procedures. Special emphasis was placed in describing outcome measures, such as cumulative delivery rates and other markers of safety and efficacy in ART. Standardized terminology should assist in analysis of worldwide trends in MAR interventions and in the comparison of ART outcomes across countries and regions. This glossary will contribute to a more standardized communication among professionals responsible for ART practice, as well as those responsible for national, regional, and international registries.
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                Author and article information

                Journal
                pebi
                Persona y Bioética
                pers.bioét.
                Universidad de la Sabana (Chia, Cundinamarca, Colombia )
                0123-3122
                2027-5382
                June 2024
                : 28
                : 1
                : e2819
                Affiliations
                [1] Tennessee orgnameSeminary Extension Independent Study Institute United States binoycdavies@ 123456gmail.com
                Author information
                https://orcid.org/0009-0006-7273-7919
                Article
                S0123-31222024000100005 S0123-3122(24)02800100005
                10.5294/pebi.2024.28.1.9
                bfbf031c-2f16-4827-89eb-1a02af74057a

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 27 June 2023
                : 17 August 2024
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 170, Pages: 0
                Product

                SciELO Colombia

                Categories
                Review Articles

                acompanhamento,tecnologia de reprodução assistida,NaProTECHNOLOGY,embrião,unitivo e pro-criativo,adoção,paternidade,Infertility,assisted reproductive technology,embryo,unitive and procreative,adoption,parenthood,accompaniment,infertilidad,tecnología de reproducción asistida,embrión,unitivo y procre-ativo,adopción,paternidad,acompañamiento,Infertilidade

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