Single woman seeks child: when reproductive medicine becomes the facilitator of the desire to be a mother
With or without future project to expand the family, there are not a few women who decide to go into motherhood without a partner. How science responds to new parental models and what are the alternatives to carry it out
Single motherhood and new family models are a reality. There are not a few women who, between the ages of 35 and 40, consult a fertility specialist to find out about the options that medicine offers them to fulfill their dream of becoming mothers.
In general, there are two types of “candidates” defined to face motherhood in solitude: most are those women who come from a love break and are past 38 years without having managed to have a baby and decide not to delay it further. Then there is the group of those who always intended to be single mothers; This is a minor segment and they are a little younger.
The situations that these women face are different and have different connotations. “In the former, the delay in achieving the objectives and ideals that the person focuses on in their lives alters the stages of human growth, which leads to the disparity in the personal growth of each of the members of a couple. which often causes ruptures and leads the woman to make the decision to face motherhood alone because the biological clock threatens and does not give up “, began to analyze for Infobae the degree in Psychology Patricia Martinez.
Women who tackle motherhood alone, in general, achieved their goals in the labor and economic field and perceive as distant the ideal family model they longed for
In general, women say they do not want to wait, time is the fundamental axis in this issue. “They achieved their goals in the professional / labor and even economic and on the other hand they begin to perceive that the chances of building a family model like the one they idealized are becoming more and more extinct, so the idea of facing motherhood alone presents as an increasingly viable alternative, “observed the specialist of Halitus Medical Institute, who considered that” in most cases they face this as an alteration of factors that does not modify the final product, which is the family “.
Many, according to the specialist, act on the premise that only alter the “order of things”, first the child and then the couple will come to “paternar” to that child.
In the case of women whose decision is to have a single-parent family, outside the framework of a couple, the medical advice always aims not to postpone the decision to not find later complications related to maternal age.
Now, in many opportunities, those who approach the consultation do so with the desire to be single mothers, but they would like a couple. In this case, the option that is always possible is vitrification, in order to preserve their fertility without feeling that the biological clock hurries them. And in case of not establishing a couple, then would they have a single child? Not many times the answer is so obvious. In a survey carried out in Halitus on 188 women who approached with the intention of vitrifying ovules, 52% answered that they would look for a pregnancy in the future alone, although they preferred to do it, in the great majority, as a couple.
Where to start
As explained by the fertility doctor and scientific director of Halitus Medical Institute Sergio Pasqualini “first, the fertility of women is evaluated, especially in relation to their age and medical history. treatment is more in line with your situation. “
In addition to analyzing the health of women who seek to face a pregnancy in solitude, the specialists analyze the environment that accompanies it, in pursuit of the future welfare of that baby
But, in addition, it evaluates what environment accompanies the woman in this project, always thinking about the welfare of the child. In this way, the conformation of her family is taken into account, if she has close friendships, that is, it is not the same for a single woman of 44 years whose only family are the older parents, than another one of less age with siblings, cousins and a United family. “Above all, we analyze this in the case of ovodonation along with the bank semen, which allows older women to face the search for a child.” The welfare of that child is what should be taken as a premise. Raising a child alone and at a mature age brings conflicts, “said Pasqualini.
What are the therapeutic options
Intracytoplasmic sperm injection (ICSI) with bank semen
It is a variant of conventional in vitro fertilization, in which the difference lies in the way to perform the fertilization of the ovule: instead of incubating the sperm with the ovules, a single sperm is injected into each ovule through the use of a Very thin crystal capillary. Although it can be said that the way of presenting the sperm with the ovules is less “natural” than that which occurs in a culture medium, in both cases the post-penetration fertilization will occur naturally if all the nutrients are given. conditions for this to happen.
It refers to the technique of assisted reproduction that uses the ovules of a donor woman to help another woman to conceive. “In this process, the donated ovules are fertilized with sperm from the semen bank, to achieve the embryo that will be transferred to the uterus of the recipient woman,” Pasqualini explained. How is the treatment for the donor? The ovaries are stimulated with hormonal medication and ultrasound controls are performed to evaluate the growth of the follicles where the ovules will mature. Once the follicles reach the preovulatory size, the follicular aspiration is programmed to obtain the ovules, which will be donated.
Then the same IVF or ICSI procedure already detailed is performed.
The donation of ovules is indicated when the woman can not produce her own that allows her to achieve pregnancy. Also in cases of early ovarian failure or the inability to produce ovules suitable for an in vitro fertilization procedure (IVF / ICSI), the use of chemotherapy or radiotherapy and some genetic disorders. In turn, it increases the chances of pregnancy and decreases the genetic risk associated with maternal age or a chromosomal disorder since it is a method of preference in women over 40 years of age.
The donation of semen is anonymous, that is to say that the donor does not know to whom it donates and the recipient does not know who the donor was
Subrogation of uterus
It is a manifestation of wills where a woman carries a pregnancy for another person or partner. It is applied as therapy for all people who wish to have a child and who do not have the possibility of carrying out the pregnancy, due to the absence of the uterus, because of being affected or because of the risk of life to carry out the pregnancy.
Broadly speaking, the procedure includes a first contact with a professional who explains to the woman the operative issues of the treatment, and then a psychological evaluation will take place, both for her and for the woman carrier. With the psychological apt, all the medical evaluation is done and once the carrier is suitable, the treatment that will depend on each case is started.
Once all the participants agree, the legal terms will be established, to give rise to the fertilization treatment itself, which will consist of an IVF or ICSI, only that the transfer of the selected embryos will be made to the carrier woman.
Three local cases
Juana Repetto decided to be a single mother at age 27, through an artificial insemination procedure with a sperm donor.
“It was a mega responsible decision and I took it alone, I’ve been thinking about it since I was 20. I always wanted to have a baby, beyond the question of having a relationship with someone, I always felt like something very much my own. I made three attempts, in the last one I got pregnant, “the actress told her in an interview in which they consulted her about the reason that had led her to make the decision.
Toribio, who is already a year and a half old, was born at 41 weeks of gestation, and her mother does not rule out the idea of giving her a little brother. “I would like to give a couple a chance to love and to feel a bit like a woman beyond my mother, which I do not intend to hurry, but it will come at some point,” she said recently.
A few weeks ago, the entertainment journalist Débora D’Amato counted in the program where she works as a panelist (Intruders) who is three months pregnant after doing an artificial insemination treatment, and decide to be a single mother.
“I always liked boys a lot, I dreamed of having a very big family, with my former partner, we were together for 10 years, we tried everything, in a thousand ways, and it did not happen,” he said.
At 45, the woman will become Lola’s mother in November.
The most controversial, and perhaps questioned, was the decision of Luciana Salazar, who at age 37 chose the surrogate belly method to become a mother.
“She did a treatment in which she had ovules removed, part of them were frozen to use in the future and others were fertilized with sperm and were frozen until the decision was made to transfer the embryo into the womb of the surrogate mother” , had explained his doctor to the media when the news was known.
Matilda’s mother has 15 ova and five fertilized female embryos, which she froze in the fertility clinic. In any case, she did not rule out taking a pregnancy herself to give a baby brother to her five-month-old baby: “I would have liked to have Matilda in my womb … That’s why a pregnancy is something I do not rule out. tomorrow, my body responds and my affective framework is the right one, why not? “he said recently in an interview.
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