There are no clear medical answers. Experts hold differing opinions about all aspects of treatment. There are no firm guidelines regarding when it should be recommended, what diagnostic tests mean, and when treatment should be ended.
The treatment is expensive. Infertility treatments can cost hundreds to tens of thousands of dollars, depending on the procedures used. Insurance does not generally cover all treatments. In addition, some fertility programs advertise money-back guarantee programs that are unique in medical treatment.
Complications can harm people who were in good medical condition before treatment began. When a donor provides the eggs, or a pregnancy is carried by a gestational surrogate, treatments with significant risks may be performed on people who will have no direct medical benefit.
Resulting children must be considered. If it works, treatment results in the conception and birth of children with rights and interests of their own.
Many patients will not have a successful outcome despite treatment. Others will become pregnant without treatment.
Laboratories have unique responsibilities. Infertility programs sometimes have long-term custody of embryos.
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