title: Selecting barrenness: the use of preimplantation genetic diagnosis by congenitally infertile women to select for infertility.
abstract: Congenitally infertile women such as those with Turner syndrome or Mayer Rokitansky-Kuster-Hauser syndrome have available the technologies of oocyte harvesting, cryropreservation, in-vitro fertilization, and gestational surrogacy in order to have genetically related offspring. Since congenital infertility results in a variety of experiences that impacts on nearly every aspect of a person's life, in the future it is possible that these women might desire a congenitally infertile child through the use of preimplantation genetic diagnosis so as to share this common bond. While infertility results in a relatively normal quality of life, it is morally wrong to necessitate the future use of infertility services with its variable success rate on a child. Also, whereas the woman has fundamental reproductive autonomy, she lacks the substantive autonomy regarding the specific characteristics of her child. Finally, the infertile community does exhibit a strong presence, but it lacks characteristics that define it as a culture.
authors.affiliation: Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois, USA. K.R.Shah09@gmail.com
authors.forename: Kavita R
authors.initials: KR
authors.lastname: Shah
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000150:complications; D000015:Abnormalities, Multiple; D002755:Choice Behavior / Q000941:ethics*; D000013:Congenital Abnormalities; D026689:Ethical Analysis; D005260:Female; D005307:Fertilization in Vitro / Q000941:ethics*; D006801:Humans; D007247:Infertility, Female / Q000151:congenital / Q000175:diagnosis / Q000453:epidemiology / Q000235:genetics; D007348:Insurance, Health; D007668:Kidney / Q000002:abnormalities; D009095:Mullerian Ducts / Q000002:abnormalities; D026684:Personal Autonomy; D019836:Preimplantation Diagnosis; D027724:Reproductive Techniques, Assisted / Q000191:economics / Q000941:ethics; D019170:Somites / Q000002:abnormalities; D013131:Spine / Q000002:abnormalities; D014424:Turner Syndrome / Q000150:complications; D014481:United States / Q000453:epidemiology; D014599:Uterus / Q000002:abnormalities; D014621:Vagina / Q000002:abnormalities; D014933:Women's Rights / Q000941:ethics*