scientific program • symposia - American Society for Reproductive ...

POSTHUMOUS REPRODUCTION IN THE MALE AND FEMALE:
LEGAL, ETHICAL AND MEDICAL ISSUES
Presented by the Society for Reproductive Endocrinology Infertility and
the Legal Professional Group
Mark V. Sauer, M.D. (Chair)
Columbia University
Gary S. Nakhuda, M.D.
Columbia University
Judith Daar, J.D.
Whittier Law School
Robert L. Klitzman, M.D.
Columbia University
SCIENTIFIC PROGRAM • SYMPOSIA
Monday, October 17, 2011 4:15 pm – 6:15 pm
Symposium
Room 222
Needs Assessment and Description
Refinements in the cryopreservation of reproductive tissues,
gametes and embryos allow for children to be conceived
after the death of their genetic parents through the use of
assisted reproduction. Although the techniques are routine,
numerous medico-legal, ethical and psychosocial dilemmas
often arise from these requests, and a multidisciplinary
approach to treatment is required. The increasing demand
for these procedures necessitates ASRM members to be
updated on the practice and standard of care related to
posthumous reproduction.
FIBROIDS - NEW INSIGHTS AND EMERGING TREATMENT
OPTIONS
Presented by the Fibroids Special Interest Group
Elizabeth A. Stewart, M.D. (Chair)
Mayo Clinic
Erica E. Marsh, M.D., M.S.C.I.
Feinberg School of Medicine – Northwestern University
Donna Day Baird, Ph.D.
National Institute of Environmental Health Sciences
Needs Assessment and Description
New uterine fibroid research is emerging that highlights the
variability in biologic behavior of this disorder. This variability
has implications for clinical care. The goal of this symposium
is to present new information on uterine fibroids that directly
impacts clinicians in the field.
69
Learning Objectives
At the conclusion of this session, participants should be able
to:
1. Describe the various techniques used in posthumous
reproduction and recommend a standardized approach
for their clinical implementation.
2. Restate the legal and ethical concerns related to
procuring or using reproductive tissues after death.
ACGME COMPETENCY
Medical Knowledge
Patient Care
TEST QUESTION:
After participating in this session, I will do the following in my
practice:
A. Consider gametes, reproductive tissues and embryos
to be the property of the patients and leave the final
disposition of such property up to them or their surviving
spouses.
B. Require all parties to provide an advance written and
witnessed directive prior to the banking of gametes,
reproductive tissues and embryos that includes the
disposition of the material in the event of the patient’s
death.
C. Mandate that all cryopreserved material be destroyed
upon the death of one or both of the parties involved.
D. Not address posthumous reproduction, knowing that the
local judicial system will rule on any request to use
banked tissue, gametes or embryos.
E. Not applicable to my area of practice.
Monday, October 17, 2011 4:15 pm – 6:15 pm
Symposium
Room 224 A/B
Learning Objectives
At the conclusion of this session, participants should be able
to:
1. Summarize new information on clinical variability and
racial differences in uterine fibroids.
2. Formulate an individualized approach to treatment of
women with uterine fibroids based on current research.
ACGME COMPETENCY
Medical Knowledge
Patient Care
TEST QUESTION:
After participating in this session, I will do the following in my
practice:
A. Use age but not race in determining treatment options
for fibroids.
B. Counsel women that uterine fibroid shrinkage is rare
before menopause.
C. Recommend surgery to remove all fibroids which more
than double in size in a 6 month period of time.
D. Counsel women that intramural fibroids appear to impair
fertility, but myomectomy does not significantly eliminate
that impairment.
E. Consider symptomatic uterine fibroids a contraindication
for a levonorgestrel IUD.
F. Not applicable to my area of practice.