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Taken from: 

Begotten Not Made

Steve Bozza, MA

Artificial Insemination 

A method of achieving pregnancy in which sperm is  procured, washed of the seminal fluid and inserted into the uterus with the hope that the sperm will migrate and fertilize the egg.

  •  Moral Evaluation

    • This process may be moral or immoral depending upon the method of procuring the sperm and whose gametes are being used.

  •  What is Morally Acceptable?

The sperm must be procured using a perforated silastic condom during the normal lovemaking between husband and wife. This will not separate the unitive and the procreative aspects of the marital act. Insemination must take place as soon as possible after lovemaking. The sperm must not be frozen and stored for later use.           

  • Guidelines

  1. The man and woman must be married to each other.

  2. The egg and sperm must be of the spouses.

  3. The sperm must be procured using a silastic condom during normal  lovemaking.

  4. Insemination must take place within the normal life span of the sperm which is 48 to 72 hours after ejaculation.

Assisted Reproductive Technology (A.R.T.)

Technology which seeks to effect pregnancy through the meeting of egg and sperm previously taken from a man or a woman.

  •  Moral Evaluation

 This process may be moral or immoral depending upon:

  1. The method of procuring the sperm

  2. Were conception takes place

  3. Whose gametes are being used

  4. (See Guidelines on Artificial Insemination)

  •  What is Morally Acceptable?

The child must be conceived in the fallopian tube, where conception normally takes place or in the uterus. The child must not be conceived in a petri dish, nor is he or she to be frozen for implantation at a later date nor experimented upon for scientific purposes.

  • Guidelines

In addition to the guidelines on Artificial Insemination the following apply:

  1. Conception must take place within the woman’s body.

  2. The role of the physician is to assist the couple conceive not to replace the marital act as the means of the generation of new life.

A.R.T. cycle 

A process in which (1) an ART procedure is carried out, (2) a woman has undergone ovarian stimulation or monitoring with the intent of having and ART procedure.

  Atrophy

The wasting away or withering of tissue, organs or body parts through lack of use or poor nourishment.

  Basal Body Temperature

Waking body temperature.

  Biphasic Body Temperature

 Two level body temperature. The basal body temperature of women will reflect a lower temperature in the beginning of her menstrual cycle and an upward shift of approximately 1 degree during the last 11 to 14 days of the cycle which represents the presence of progesterone.

  Cervix

 A narrow part of the base of the uterus which extends slightly into the vagina.

  Cervical Mucus

A fluid secreted by glands in the cervix in response to the presence of estrogen. It becomes watery and stretchy before and at the time of ovulation.  The purpose of the cervical mucus is to “wash” the sperm of the seminal fluid, to nourish the sperm and aid in sperm migration.

  Corpus Luteum

The name given to an ovarian follicle after it has released the egg. Its purpose is to secrete progesterone for 11-14 days after ovulation.

  Cryopreservation

The preservation of human’s embryo’s by freezing.

Dialation and Curatege (D&C)

The scraping of the lining of the uterus with a sharp instrument inserted through the vagina. This removes tissue which may block implantation of a fertilized egg.

Donor Gametes

Eggs and sperm of a man and a woman to be sold or donated to a couple seeking to conceive a child.

Doppler Stethoscope

An instrument used to detect sounds generated by flow of blood in the seminal vein indicating the presence of a vericocele.

Ectopic pregnancy     

                                    - A pregnancy in which the fertilized egg implants in a location outside the uterus usually in the fallopian tube, the ovary, or the abdominal cavity. Ectopic pregnancy is a dangerous condition that must receive prompt treatment.

Egg        

A female reproductive cell, also called an oocyte or ovum.

Egg retrieval (also called oocyte retrieval)

A procedure to collect the eggs contained in the ovarian follicles.

Egg transfer (also called oocyte transfer)

The transfer of retrieved eggs into a woman’s fallopian tubes through laparoscopy. This procedure is used only in GIFT (see definition).

Electroejaculation

This process involves an electrical stimulation or shocking of the muscles and organs involved in ejaculation. Electrodes are inserted in the perineal area, the area between the anus and the scrotum. Through the process of electrical shock, the ejaculatory ducts are stimulated to contract and a semen specimen is produced.

  •  Moral Evaluation

 This process is immoral because it is masturbation.

  Endocrine System

The glands and hormones they secrete into the bloodstream which control metabolism, reproduction and other bodily functions.

Embryo

           An egg that has been fertilized and that has undergone one or more divisions.

Embryo transfer (E.T.)

 Placement of embryos into a woman’s uterus through the cervix after IVF (see definition) or, in the case of ZIFT (see definition), into her fallopian tubes.

Endometriosis

 The presence of tissue similar to the uterine lining in locations outside the uterus, such as the ovaries, fallopian tubes, and abdominal cavity.

  Epididymus

Long, narrow tubes which is part of the spermatic duct system. They lie on top of each teste and serve as a maturation center for sperm.

  Fallopian Tubes

 The pairs tubes that conduct eggs from either ovary to the uterus.

Follicle

Any one of thousands of tiny ovarian structures that contains a developing eggs. Upon release of the egg it becomes the Corpus Luteum.

Gamete

 A reproductive cell, either a sperm or an egg.

Gestational sac

A fluid-filled structure containing the developing child    

  G.I.F.T. (Gamete Intrafallopian Transfer)

An ART procedure that involves removing eggs from the woman’s ovary, and sperm procured from the man in a morally acceptable fashion and washed of its seminal fluid. The gametes are placed in a laparascope with an air bubble separating the eggs from the sperm, which is placed in the woman’s fallopian tube where conception will take place through a small incision in her abdomen.

Moral Evaluation

This method may be moral or immoral depending upon:

  •  The method of procuring the sperm and whose gametes are being used. (See guidelines on Artificial Insemination)      

  • Where the conception takes place and the role of the physician. (See guidelines on Assisted Reproductive Technology)

I.C.S.I. (Intracytoplasmic Sperm Injection)

 A procedure in which a single sperm is injected directly into an egg; this procedure is most commonly used to overcome male infertility problems. This procedure is also the preferred method of Invitro Fertilization because it has a greater effectiveness rate than IVF.

  •  Moral Evaluation

This method is intrinsically evil and thus it is immoral.

  • Why is it immoral?

Along with the reasons listed under Invitro Fertilization, ICSI is also immoral because it tampers with the natural selection process which insures that the strongest and most genetically fit sperm penetrate the egg for fertilization.

The normal ejaculate contains on the average 100 million sperm. Only one of them succeed in fertilization. One of the functions of the cervical mucus is to weed out defective sperm. Those that make it to the egg must be chemically able to penetrate the shell of the egg with speed.  This is natural selection, the process that insures the survival of the fittest.

During the ICSI process, the physician chooses a sperm which looks to him to be healthy, bypassing the natural selection process, thus playing God. Since, in nature, this sperm has a very slim chance to fertilize an egg on its own, it is more likely that genetic defects are likely to appear in ICSI children and/or descendants in effect, eroding the human gene pool.

I.V.F. (In Vitro Fertilization)

 An ART procedure that involves removing eggs from a woman’s ovaries and fertilizing them in a petri dish. Some of the resulting embryos are then transferred into the woman’s uterus through the cervix, others are destroyed or frozen for later use.

  • Moral Evaluation

This method is intrinsically evil and thus it is immoral.

  •  Why is it Immoral?

  • It separates the unitive and procreative aspects of sexual intercourse.

  • A child is conceived impersonally in a petri dish violating his or her right to be born under his or her mother’s heart.

  • The marital act is replaced by the physician as the means of the generation of new life.

  • Cryopreservation of the embryo’s violates the child’s rights to be born after the normal gestational period and to flourish in society. He or she lives in suspended animation indefinitely.

  • There is a greater chance these children may be destroyed, another method of abortion.

  • IVF leads to genetic manipulation and eugenics, the weeding out of undesirable genetic traits and designer babies.

Intrinsic Evil

An act which is evil in and of itself in which no circumstance can make it correct.

Luteal Phase

The postovulation phase of the menstrual cycle under the influence of progesterone secreted by the Corpus Luteum.

Laparoscopy

A surgical procedure in which a fiberoptic instrument (a laparoscope) is inserted into the pelvic area through a small incision in the abdomen.

  Male factor

Deficiencies in sperm quantity, function, or mobility (ability to move) that make it difficult for a sperm to fertilize an egg under normal conditions.

 Multifetal pregnancy reduction

A procedure in which the number of gestational sacs is reduced. This procedure is used to decrease the number of fetuses a woman carries and thereby improve the chances that the remaining fetuses will survive and develop into healthy infants. This is abortion.

Natural Family Planning

A process which uses a woman’s body signs to determining the fertile and infertile times of the menstrual cycle so the couple can plan intercourse according to their desire to achieve or avoid pregnancy.

Oocyte

 The female reproductive cell, also called an egg or ovum.

  Ovarian factor

A cause of infertility related to problems with egg production by the ovaries.

Ovarian Hyperstimulation Syndrome (OHSS)

Ovarian hyperstimulation syndrome is a medical condition which is different from ovarian enlargement and may very quickly progress to a serious health problems. OHSS causes the vascular system to become permeable which results in a rapid accumulation of fluid in the abdominal cavity, the chest cavity and potentially the pericardium, which will cause heart problems.

  Ovarian Monitoring

The use of ultrasound and/or blood or urine tests to monitor the development of ovarian follicles.

Pregnancy, Chemical

Pregnancy documented by a blood or urine test that shows a rise in the level of the human chorionic gonadotropin (hCG) hormone.

Pregnancy, Clinical

Pregnancy documented by the presence of a gestational sac on ultrasound.

Pregnancy test

A blood or urine test that determines the level of the human chorionic gonadotropin (hCG) hormone. Elevated levels of this hormone are chemical evidence of a pregnancy.

Semen Analysis

 A male factor infertility test. The semen is analyzed for:

  1. Volume of ejaculate

  2. Sperm count

  3. Sperm motility

  4. Sperm shape (morphology)

  5. The presence of white blood cells

  6. The chemical make-up of the semen.

Surrogate

 A woman who carries an embryo that was formed from the egg of another woman; the surrogate is expected to return the infant to its genetic parents.

Tubal fa

A cause of infertility related to structural or functional damage to one or both fallopian tubes

T.O.T.S. (Tubal Ovum Transport with Sperm)

An ART procedure which removes eggs from the upper fallopian tube area and inserts them into the uterus along with sperm. This is done primarily if there is a blockage in the fallopian tube

  • Moral Evaluation

This method may be moral or immoral depending upon:

  1. The method of procuring the sperm and whose gametes are being used. (See Guidelines on Artificial Insemination)

  2. Where the conception takes place and the role of the physician. (See GuideIines on Assisted Reproductive Technology)

Ultrasound

 A noninvasive technique for visualizing the follicles in the ovaries and the gestational sac or fetus in the uterus.

  Unexplained cause of infertility

Infertility for which no cause has been determined despite a comprehensive evaluation.

Unstimulated cycle

An ART cycle in which the woman does not receive drugs to stimulate her ovaries to produce more follicles. Instead, follicles develop naturally.

Uterine factor

 A cause of infertility related to defects in the uterus.

Vas Deferens

Part of the ejaculatory system which carries sperm from the epidymus to the ejaculatory duct.

Varicocele

A condition whereby the one way value of the spermatic vein becomes incompetent, allowing a backward flow of blood which causes a low sperm count.

Z.I.F.T. (Zygote Intrafallopian Transfer)

An ART procedure that involves removing eggs from a woman’s ovaries and fertilizing them in a petri dish. They are allowed to grow into multi-celled zygote. Some of the resulting zygotes are then transferred into the woman’s uterus through the cervix. Others are destroyed or frozen for later use.

  • Moral Evaluation

This method is intrinsically evil and thus it is immoral.

  • Why is it Immoral? (See corresponding section of I.V.F.)
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