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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

SunshineAfterStorms · 03/11/2023 10:06

I interpreted the post differently.
Same sex couples and single women presumably have the same issue - no male to fertilise the egg. So, if same sex couples need assistance to conceive, why shouldn't single women have that same assistance?
I’m guessing the OP didnt think through that actually hetero couples may also have exactly the same issue if the man is sterile.

Thsts how I interpreted it too I presumed OP hadn’t thought about straight couples sometimes using donors. That’s why I agreed with a pp that I only think IVF should be available to couples who can use their own eggs and sperm.

Papyrophile · 03/11/2023 10:06

Like a few other posters, I don't think the NHS should be doing IVF at all.

Tandora · 03/11/2023 10:06

Tandora · 03/11/2023 10:04

Should the nhs fund abortions in cases where there is no medical justification (eg danger to health/ life of mother or foetus?)

Edited

What about contraception?

Londonscallingme · 03/11/2023 10:07

AlmostAJillSandwich · 03/11/2023 08:52

Nobody should get IVF on the NHS. Having a child isn't a right, or a medical need, it is a want/desire, it's not life threatening physically to be infertile. If conception cannot be achieved without intervention and it's something you desperately want, you save up for the treatment.
I'm mid 30's and childless with PCOS, so i'm not unsympathetic to fertility struggles, but the NHS isn't in a state to be paying for none essential treatments when there's people dying of treatable conditions due to lack of funding.

on the flip side though - we do loads of things on the NHS which would be categorised in a similar way. Knee replacements or hip replacements, for example. Not life threatening just a preference to be able to walk further with no discomfort. I’m not arguing as I don’t have a settled view on this (more exploring your argument) but do you think your argument still stands when we consider the other things we find on the nhs?

LuluBlakey1 · 03/11/2023 10:08

MrsBennetsPoorNerves · 03/11/2023 08:01

I'm not sure. I don't think it's reasonable to discriminate against women just because they're single, but I wonder if it's ultimately about the rights of the child rather than the prospective parents(s)?

Does a child have a right to two parents? (Obviously, some kids will lose a parent due to bereavement, abandonment etc, but in most cases, the starting point is two parents, even if they aren't both listed on the birth certificate.)

I'd need to see more detail regarding the arguments on both sides before I could come down firmly on one side or another.

Children conceived by IVF have two parents - how is it different to a child who never knows their father for whatever reason. A single woman choosing IVF has really wanted that child.

I have, what is no doubt, a very unpopular opinion on all of this which is IVF should not be available on the NHS. It's another example of the sense of 'entitlement' that exists across our society. Having your own child isn't a right. There are many children who need homes but remain unwanted in care.

kikisparks · 03/11/2023 10:08

unofpr · 03/11/2023 09:53

@CateB78 it is offered where there is a medical problem. Being blunt, a single woman could, with no medical issues, get pregnant by a one night stand if she was happy to be a single parent. And really, that’s not much different to IVF, is it, but it’s free?

Well it’s hugely different. Firstly she’d need to have a number of one night stands either each month around the time of ovulation or every 2-3 days and would have to find someone willing to not use protection each time. She would be opened up to the risk of STDs (including some which may be life threatening and/ or pass on to her child) or even potential violence or sexual violence at the hands of these men she does not know. The man she conceived with would, if they found out about the child, have the possibility of asserting parental rights. Plus she’d potentially be having sex she did not want and why should any woman have to do that?

By contrast with IUI she’d be safely using a screened donor in a controlled medical setting, fully consenting to the process and at a far far lower risk to her health. Her child could, if a UK donor was used, contact them at 18 but the donor would not be able to come into her child’s life before that and try and take an active parenting role.

I’m not a single parent by choice and I’m not 100% sure how I feel about donor conception as far as the rights of the child go but I can fully understand why women don’t want to just have lots of unprotected sex with strange men.

LiquoriceAllsorts2 · 03/11/2023 10:09

SunnieShine · 03/11/2023 07:55

Do you also think it's unfair that mixed sex couples can get IVF but single women can't? Why just say same sex couples?

I think there is a difference to be fair. With a mixed sex couple they need ivf due to fertility issues with a single woman or same sex couple they don’t necessarily need ivf due to fertility issues but because they are lacking the sperm and need a donation.

Scalottia · 03/11/2023 10:10

@Londonscallingme I would say a hip replacement is more of a medical need than having a child!

Having kids is a want, not a need.

NugatoryMatters · 03/11/2023 10:11

All this whataboutery is infuriating.

This isn’t abortion or immunisation or knee replacements or whatever.

It’s ’should the state fund fertility treatment for people who simply just don’t want to have sex?’

It is not discrimination to decide that the state simply should not.

It doesn’t matter whether the NHS funds completely different stuff or whether it’s life threatening or whatever. That’s all a distraction.

Chris002 · 03/11/2023 10:11

Fernsfernsferns · 03/11/2023 08:16

@CateB78

yes. At least for fertility treatment (doesn’t have to be IVF).

The original NHS approach was treatment for couples with a medical difficulty conceiving.

that was extended to same sex couples who may well be able to conceive naturally but of course don’t want to have heterosexual sex to do so.

so the same should be offered to single women on the same basis. Want a child, don’t want to have sex with someone you are not in a sexual relationship with to do so.

disagree on the single parents are bad point.

Many men are awful parents. Read about their neglect and abuse on here constantly.

better a baby by choice and no rubbish man in the background messing up the mother and her kids with his behaviour.

though if I was going down this road I’d consider finding a parenting partner to do it with (eg I have some close gay friends, though the one I’d have willingly parented with didn’t want kids).

" no rubbish man in the background messing up the mother and her kids with his behaviour"
You might go through ivf at the expense of the tax payers on the NHS and give birth to a little boy ! Would you be disappointed then ?

FrustatedAgain · 03/11/2023 10:12

I believe IVF should only be available on the NHS to those who have a medical issue preventing them getting pregnant. Not having a partner, or not having a partner equipped to get you pregnant is not an medical issue in my opinion. It is just not how people get pregnant, pregnancy requires a man and sperm, choosing not to have that present is not a medical issue regardless of your sexuality or relationship status.

If someone without a medical need chooses to acquire some sperm and pay for their IVF that is their choice and absolutely fine. I just don't believe the NHS should fund it.

Halllooo · 03/11/2023 10:13

But okay for the straights?
For what it’s worth I don’t know ANY same-sex couples who got IVF on the NHS apart from one couple who were able to prove that there were fertility issues with the woman who would be carrying the child because of cancer treatment she’d had.

nutellacreppe · 03/11/2023 10:13

FrustatedAgain · 03/11/2023 10:12

I believe IVF should only be available on the NHS to those who have a medical issue preventing them getting pregnant. Not having a partner, or not having a partner equipped to get you pregnant is not an medical issue in my opinion. It is just not how people get pregnant, pregnancy requires a man and sperm, choosing not to have that present is not a medical issue regardless of your sexuality or relationship status.

If someone without a medical need chooses to acquire some sperm and pay for their IVF that is their choice and absolutely fine. I just don't believe the NHS should fund it.

Edited

'Not having a partner equipped to get you pregnant'

... So if a man has a medical issue that prevents him getting a woman pregnant, should he and his wife be entitled to fertility treatment?

VanityDiesHard · 03/11/2023 10:14

No, because single parent families are a bad thing, broadly speaking. I'm not knocking those who are in that situation through no fault of their own, but it absolutely shouldn't be something to aspire to. If you can't afford IVF, you can't afford a child (I actually don't think IVF should be funded by the NHS at all, so there's that)

00100001 · 03/11/2023 10:14

Nobody should get IVF on the NHS.
Nobody should have IVF full stop

Londonscallingme · 03/11/2023 10:14

Scalottia · 03/11/2023 10:10

@Londonscallingme I would say a hip replacement is more of a medical need than having a child!

Having kids is a want, not a need.

I think I would agree but no one died from not having a hip replacement (the the poster I was responding to talked about people dying from life threatening conditions due to lack of funding), and I suppose my broader point is that nhs provision is not wholly aimed at keeping people alive, it’s often also aimed at improving quality of life, which I suppose could extend to helping people have children.

LuluBlakey1 · 03/11/2023 10:14

FrustatedAgain · 03/11/2023 10:12

I believe IVF should only be available on the NHS to those who have a medical issue preventing them getting pregnant. Not having a partner, or not having a partner equipped to get you pregnant is not an medical issue in my opinion. It is just not how people get pregnant, pregnancy requires a man and sperm, choosing not to have that present is not a medical issue regardless of your sexuality or relationship status.

If someone without a medical need chooses to acquire some sperm and pay for their IVF that is their choice and absolutely fine. I just don't believe the NHS should fund it.

Edited

I thought IVF was only given to those who have a medical need. If you just need sperm isn't that called artificial insemination?

rainingsnoring · 03/11/2023 10:15

I don't think the NHS should be funding IVF to anyone with the service/ the country's finances as they are.

Chris002 · 03/11/2023 10:15

kikisparks · 03/11/2023 10:08

Well it’s hugely different. Firstly she’d need to have a number of one night stands either each month around the time of ovulation or every 2-3 days and would have to find someone willing to not use protection each time. She would be opened up to the risk of STDs (including some which may be life threatening and/ or pass on to her child) or even potential violence or sexual violence at the hands of these men she does not know. The man she conceived with would, if they found out about the child, have the possibility of asserting parental rights. Plus she’d potentially be having sex she did not want and why should any woman have to do that?

By contrast with IUI she’d be safely using a screened donor in a controlled medical setting, fully consenting to the process and at a far far lower risk to her health. Her child could, if a UK donor was used, contact them at 18 but the donor would not be able to come into her child’s life before that and try and take an active parenting role.

I’m not a single parent by choice and I’m not 100% sure how I feel about donor conception as far as the rights of the child go but I can fully understand why women don’t want to just have lots of unprotected sex with strange men.

Unofpr - I agree but I would add a lesbian woman could do this too if she wanted

Halllooo · 03/11/2023 10:15

I’m gay and don’t support IBF for ANYONE who doesn’t have a fertility issue. Not having sperm because you’re single or 2 women doesn’t count as far as I’m concerned. Go buy some.

SJ456 · 03/11/2023 10:15

But they don’t currently fund - you have to hit different criteria to get nhs funding. There are only 4 ICBs in the UK that fund this.

It was a policy but not mandatory guideline

However by not funding it, it’s leading to risky practice like home insemination by unknown donors off Facebook and gumtree. Sperm alone costa £1000-1500 and the. The procedure and meds on top make it very expensive (as someone who is pregnant in a same sex couple by legitimate means).

If they could help support or subsidise it would improve the health of both women and babies! I’m not saying it should be free - but maybe means tested to help support people?

FrustatedAgain · 03/11/2023 10:15

nutellacreppe · 03/11/2023 10:13

'Not having a partner equipped to get you pregnant'

... So if a man has a medical issue that prevents him getting a woman pregnant, should he and his wife be entitled to fertility treatment?

Of course if there is a male fertility issue they should get IVF, that is a medical issue.

Not being a man is not a medical issue.

Vistada · 03/11/2023 10:15

Igniteyourbones · 03/11/2023 09:52

Putting my hard hat on here
Personally I don’t think anyone should get IVF on the NHS.

I hope its the hardest hat imaginable! (I agree)

nutellacreppe · 03/11/2023 10:16

LuluBlakey1 · 03/11/2023 10:14

I thought IVF was only given to those who have a medical need. If you just need sperm isn't that called artificial insemination?

Artificial insemination (IUI) has very low success rates - can be as low as 8% each time, even if the woman is fertile. IVF has much higher success rate and some people opt for that straight away, or after trying IUI a few times and it not working - IVF can actually work out cheaper in the long run than multiple rounds of IUI.

nutellacreppe · 03/11/2023 10:17

FrustatedAgain · 03/11/2023 10:15

Of course if there is a male fertility issue they should get IVF, that is a medical issue.

Not being a man is not a medical issue.

But he's 'not equipped to get his partner pregnant' as per your definition.

Why does it matter whether the reason for that is medical or the reason is his sex?

People cannot help being gay.

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