The Bar Mitzvah ceremonial is a rite of transition into manhood and coming of age. It is conducted when the male child reaches the age of 13 to demo that the male child has become a adult male in the eyes of the Synagogue and are now responsible for themselves. The male child is seen as an grownup after this ceremonial. The male child is now come ining pubescence ( and therefore in the procedure of going fertile ) . This is a jubilation of the start of pubescence and therefore birthrate.

Some sedating medicine is given to the adult female ; nevertheless, general anesthesia is non required. The sawbones so inserts a needle into the adult female ‘s ovary via the vagina in order to take the eggs. The liquid collected is so examined in order to guarantee eggs are present. The adult male, who has been instructed to non hold sexual intercourse before the sample must be given, so provides a semen sample. This is usually done by onanism. The sperm is so removed from the seeds and are mixed with the eggs. Fertilization can be detected after 18 hours or so. The embryos are the
incubated for 2 to 3 yearss before being inserted into the adult female ‘s womb. This is done via the neck utilizing a catheter. The adult female must stay in the resting place for about an hr. Certain endocrines are given to the adult female. The gestation trial consequence will be positive if nidation occurs.

Sperm is either collected through onanism or is surgically removed from a testis though an scratch. The female must have day-to-day hormonal injections and be monitored for two hebdomads before the process. FSH is injected to excite the production of multiple eggs. If follicles develop, a human chronic gonadotrophin ( human chorionic gonadotropin ) is injected into the female to do the follicles to maturate. These eggs are so collected about 36 hours after the follicles have matured utilizing a laparoscopy. Under high magnification, a keeping pipette is used to keep the egg in topographic point while the individual sperm cell is injected into the egg utilizing an injection pipette ( this is done to multiple eggs to guarantee fertilisation ) . The eggs are incubated nightlong and so checked to find whether fertilisation has occurred or non. If the eggs have been successfully fertilized, the eggs will be left to develop for another 3 to 5 yearss. Two to four of these embryos are so placed into the uterus utilizing a catheter which is inserted through the neck. The fresh embryos may be frozen for future usage.

Advantages:

Can be done even if the adult male has a low sperm count

Can be used where the adult male has had an irreversible vasectomy

Can be used when the adult male has no sperm in his seeds due to barricade tubings or obstructions. If IVF was non successful this process can be tried

Immature sperm cell can be used

Disadvantages:

The endocrine intervention can do ovarian hyperstimulation syndrome

Increased opportunity of multiple births

There are possible birth defects ( e.g. Heart and internal urinary/genital defects )

Relatively new process so non all side effects are known

Slight increased opportunity of abnormalcies in offspring

hypertext transfer protocol: //www.healthlinkbc.ca/kbase/topic/detail/other/tn8214/detail.htm

hypertext transfer protocol: //www.babycentre.co.uk/preconception/fertilitytreatments/icsi/

Gamete Intrafallopian Transfer ( GIFT )

Basic Overview:

Very similar to the IVF process, except the gametes are transferred into the adult female ‘s fallopian tubing. This means that fertilisation occurs in the organic structure. The embryo hence develops inside the organic structure of course.

How is this technique carried out?

The adult female is given endocrines before the process to excite the ovaries to bring forth more than one egg. Some sedating medicine is given to the adult female ; nevertheless, general anesthesia is non required. The sawbones so inserts a needle into the adult female ‘s ovary via the vagina in order to take the eggs. The liquid collected is so examined in order to guarantee eggs are present. The adult male, who has been instructed to non hold sexual intercourse before the sample is given, so provides a semen sample. This is usually done by onanism. The gametes are instantly inserted in the adult female ‘s fallopian tubing. This is done via the neck utilizing a catheter. The adult female must rest for a piece after the process. Natural fertilisation and nidation so take topographic point. A Lipo-Lutin injection is given to the adult female to fix the liner of the womb for nidation.

Advantages:

Can be used if there are jobs when infixing the fertilized ovum through the neck into the womb

Fertilization and nidation occur of course, therefore this process may be preferred to IVF due to spiritual grounds

Does non increase the opportunities of ovarian malignant neoplastic disease

Disadvantages:

It is more complicated than the IVF process

If no gestation occurs, you can non state whether fertilisation took topographic point or non. This means you can non state whether the sperm was able to perforate into the egg

You are more likely to hold multiple births ( can increase hazard of abortion )

Fertility drugs can hold side-effects

You have an addition opportunity of an ectopic gestation

More invasive process than IVF

hypertext transfer protocol: //www.gettingpregnant.co.uk/GIFT.html

hypertext transfer protocol: //www.pregnancyquickstart.com/fertility-conception/gamete-intrafallopian-transfer-gift.html

hypertext transfer protocol: //www.babycenter.ca/preconception/ref/gift/

Zygote Intrafallopian Transfer ( ZIFT )

Basic Overview:

The egg is fertilized outside the adult female ‘s organic structure and so inserted into the fallopian tubing of the adult female.

How is this technique carried out?

Medicines are given to the adult female to excite the maturing of the adult female ‘s follicles. The eggs are so removed while the adult female is under anesthesia. The eggs are so assorted with the adult female ‘s spouse ‘s sperm and left overnight to fertilise. Once the eggs have been fertilized, they are placed back into the adult female ‘s fallopian tubings through laparoscopy. 1 to 4 embryos are inserted and so left to engraft into the uterus of course.

Advantages:

Fertilization occurs outside the organic structure. This means that Idaho no gestation occurs ; the physicians know that it is non due to the fact that the sperm did non fertilise the egg.

Reasonably invasive

Implantation occurs of course

Disadvantages:

Womans with a history of ectopic gestations should avoid this process

A nice sperm sample is needed

Multiple gestations can happen

Increased hazard of ectopic gestations

Expensive

Requires two surgical processs

hypertext transfer protocol: //www.womens-health.co.uk/infertility/ZIFT.html

hypertext transfer protocol: //www.fertilityfactor.com/infertility_medical_options_zift.html

hypertext transfer protocol: //www.emedicinehealth.com/script/main/art.asp? articlekey=12411

Ethical issues environing Art:

Child is non seen as a sort gift of nature

Women undergoes medical and psychological hazards

Allows individual adult females or sapphic twosomes to hold a kid

Some believe that surrogacy is the development of the adult female as an brooder

Recommended technique:

I believe that one can non merely urge any technique to every individual, as each individual ‘s fortunes are different. First, the ground for sterility demands to be considered. Is it due to a blocked or damaged fallopian tubing? If so, neither GIFT nor ZIFT can be carried out as the gametes/embryo needs to be inserted into the adult female ‘s fallopian tubing. Another cause could be a low sperm count, in which instance either GIFT or IVF would likely be most effectual as a individual sperm cell can be used in GIFT. IVF, nevertheless, seems to be the most popular method of ART, it is less invasive on the organic structure, is less expensive and has a comparatively high success rate with small or no complications in the ensuing kid ‘s wellness subsequently on in life. GIFT would be the best option for person who is spiritual and does non believe in fertilisation outside the organic structure as with the GIFT process, fertilisation and nidation occur of course inside the organic structure.