Limiting access to assisted reproductive technologies for males of advanced age—Pros and cons from a Nordic perspective

Author:

Hanevik Hans Ivar12ORCID,Bergh Christina34,Laivuori Hannele5678ORCID,Spangmose Anne Lærke9,Magnusson Åsa34,Pinborg Anja910,Piltonen Terhi11

Affiliation:

1. Fertility Department Sor Telemark Hospital Trust Porsgrunn Norway

2. Centre for Fertility and Health National Institute of Public Health Oslo Norway

3. Department of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy Gothenburg University Gothenburg Sweden

4. Sahlgrenska University Hospital Gothenburg Sweden

5. Medical and Clinical Genetics University of Helsinki and Helsinki University Hospital Helsinki Finland

6. Institute for Molecular Medicine Finland, Helsinki Institute of Life Science University of Helsinki Helsinki Finland

7. Department of Obstetrics and Gynecology Tampere University Hospital, The Wellbeing Services Tampere Finland

8. Centre for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology Tampere University Tampere Finland

9. Fertility Clinic, Department of Gynecology, Fertility and Obstetrics Copenhagen University Hospital ‐ Rigshospitalet Copenhagen Denmark

10. Department of Clinical Medicine University of Copenhagen Copenhagen Denmark

11. Research Unit of Clinical Medicine, Department of Obstetrics and Gynecology, Medical Research Center Oulu University of Oulu and Oulu University Hospital Oulu Finland

Abstract

AbstractIt is not controversial to state that parental age is increasing in several countries. But how to deal with this increase might be. Some Nordic countries have set an upper age limit for females seeking assisted reproduction in their national legislation, but none have done so for males. There are also recommendations in place that restrict access to publicly funded assisted reproduction for both females and males of advanced age in some Nordic countries. As recent data now show somatic and psychiatric health risks related to advanced paternal age, we ask if the time has come for countries to set an upper age limit for males seeking assisted reproduction like there already is for females, and summarize some of the risks and rewards involved in treating couples with advanced age in fertility clinics.

Publisher

Wiley

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