title: Pregnancies beyond the human biological fecundity.
abstract: The maternal age at first delivery constantly rises in developed countries due to a social trend to postpone the age of parenting. Assisted reproduction technologies do extend the age of fecundity to some limit, but their success rate is inversely related to the patients' age. The major factor limiting human fecundity in the fifth decade of life is the quality of the human oocyte. This problem can be readily bypassed using oocytes from young donors thus significantly extending the age limit in which conception and delivery are possible well into menopause. The ability to become pregnant and deliver at such an age raises serious medical, moral, social and legal concerns regarding the health and welfare of the mother, child and oocyte donor, which will be presented and discussed here.
authors.affiliation: Department of Obstetrics & Gynecology, Hadassah University Hospital, Jerusalem 91120, Israel. yoelsh@ekmd.huji.ac.il
authors.forename: Yoel
authors.initials: Y
authors.lastname: Shufaro
authors.forename: Joseph G
authors.initials: JG
authors.lastname: Schenker
mesh_terms: D000328:Adult; D000367:Age Factors; D005260:Female; D059247:Fertility Preservation / Q000941:ethics*; D006304:Health Status; D006801:Humans; D007247:Infertility, Female / Q000628:therapy*; D007316:Insemination, Artificial, Heterologous / Q000941:ethics*; D008423:Maternal Age; D008875:Middle Aged; D009865:Oocytes; D011247:Pregnancy; D018566:Pregnancy, High-Risk; D012938:Social Perception; D016387:Women's Health / Q000941:ethics*