Sarah-Kate Templeton, Health Editor
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AN NHS fertility clinic is proposing to treat single women and lesbian couples who have no medical problems.
The reproductive medicine unit at University College London Hospitals (UCLH) NHS Trust believes it would be discriminatory to refuse artificial insemination to women who cannot conceive because they do not have a male partner.
The government has drafted a bill to remove the legal obligation for clinics to take into account a child’s need for a father before deciding whether to grant fertility treatment. This would give far greater access to insemination for healthy single women and lesbians.
Dr Francoise Shenfield, who has run the donor insemination programme at University College London Hospitals NHS Trust for 25 years, believes her hospital should change its policy on insemination as soon as the law allows it to.
She said: “Years ago, we took the decision that we would only treat [heterosexual] couples but society has changed dramatically. Now I think we ought to revise this decision and extend treatment to single women and lesbian couples.
“Given the evidence that there does not seem to be any negative impact to the offspring, I think it would be discriminatory to deny single or lesbian women treatment.”
She added: “According to the World Health Organisation (WHO), achieving one’s reproductive wish is a human right.”
Shenfield believes the NHS should treat single women who cannot conceive because they do not have a male partner as well as those who have a medical problem such as blocked fallopian tubes.
She argues that single women should not be offered NHS treatment until their mid30s, however, because, at a younger age, they still have time to find a mate.
The rising numbers of childless women have been attributed to a “Bridget Jones” generation of women who have not found a suitable partner even as they approach their 40s.
Sixteen per cent of women born in 1953 were childless by the age of 45 but this is expected to increase to 23% of those born in 1973.
In May, the Department of Health published the draft Human Tissue and Embryos bill which would remove the obligation to consider a child’s need for a father.
The proposal to offer NHS fertility treatment to women who could conceive naturally has been criticised by family campaigners who claim it is an unjustified use of public funds at a time when patients are being denied cancer and blindness drugs.
Ann Widdecombe, the Conservative MP, said: “It does seem to me very odd . . . [the NHS] has got its priorities very badly warped if it allows people to go blind but gives fertility treatment to women who are perfectly capable of conceiving normally.
“On the moral issue, it is wholly wrong that any child should be deliberately conceived without a father. This can happen but we should not inflict this on a child from the very outset.”
Ertan Saridogan, head of UCLH’s reproductive medicine unit, says that, although his clinic would be prepared to offer donor insemination to single women and lesbian couples, primary care trusts, which fund NHS clinics, are, so far, reluctant to pay.
Many primary care trusts state that they will fund treatment only for a medical problem and not for social reasons.
Dr Evan Harris, the Liberal Democrat MP for Oxford West and Abingdon and a member of the Commons science and technology select committee claims that this is unjust because many heterosexual couples are offered treatment when the cause of their infertility is unknown.
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People can not help who they fall in love with and why shouldn't 2 people in love have the right to have a child together? As for the comments from Phil Anslow - I think you need to wake up..god made us all the way we are (so you say) so he made people gay (or not natural in your words)!!!
Kirsty, Leicesershire,
I have been with my girlfriend for nearly 3 years. We are truley in love and plan on getting married and having a family one day. We both have good jobs working in Education and a lovely home. Our children will want for nothing, love, care, a safely happy home. What happened to equality????
Emma Pumphrey, Lytham St.Annes, England
i think lesbians have the right to have children. lesbians should be allowed to have biological children with eachother. the world is changing every day and think about it people [who are straight] how would you feel if you were a girl in love with another girl and wanted children? having someone donate sperm and knowing the child wont actually be yours it will be a donor and your wifes biological child. i think having biological children with the person you love is important. i would adore watching children grow up that belonged to my wife and i. not having biological children would crush me. its not a crime against humanity for people of the same sex having children, its part of humanity because that's what our population has, lesbians. lesbians are human and have the same rights as straight people, it's all apart of being human. having artificial sperm so two women can have children together would be amazing, think about it in this perspective; what if you were a lesbian?
Jeydon, Brockville, Canada
If the NHS is going to treat single people what about the couples who have been refused treatment on the NHS? I was refused IUI on the NHS on the grounds that my husband had 2 children from a previous marriage. Where are my "human rights?" Perhaps I should divorce my husband and return to clinic as either a single person or a lesbian and than my rights will be more of a priority than a married person.
Daisy , Liverpool, England
the increasing medicalisation of our everyday needs and wishes means that the medical profession can push for more treatment, more patients, therefore more money for the nhs.
it is usually middle class, middle aged women who have postponed their child bearing until the careers have been fulfilled means that yes, they demand treatment for IVF.
yet again, the middle classes get their own way because the middle class medical professionals are able to command a greater need for treatment.
if WHO determines infertility to be a medical problem; they should fund it: not the NHS.
peepys, london, uk
Ludicrous on at least three grounds.
1. Allocating NHS resources to this, which has nothing to do with curing disease, illness or injury, is outrageous. Either the NHS has too much money or some other area is being deprived of the funds.
2. If GLOBAL WARMING is caused by human activity then this in turn must be a function of population size. Spending money on artificially increasing the population must be a crime against humanity. The planet should be seeing fewer babies, not more.
3. More babies add to the 'housing crisis'.
Ray, Dartmouth,
I respect the life choices of single and lesbian women, but as Frank Crosby pointed out above, the NHS should be spending our tax money for treating medical needs, not wants. This decision could lead down a drak path of debate and conflict on what the government should pay for and bring into question the issues of choice, opportunity and consequence.
Is the government willing to pay subsidize all those people that have not been able to find a £100K job to provide the comforts, education and opportunities their family deserves? Why should the inability to find a mate be given more importance than the inability to find a high paying job? How about debt? If somebody is unable to pay their debts, why should the government not pay off those debts but instead punish them for it?
Pavlos, London,
Nice to know that the NHS isn't as strapped for cash as we thought. One might even wonder why such a service was offered for heterosexual couples by the NHS - or indeed privately - in a world where the population size is soaring out of control.
Mike Poulsen, Reading, Berkshire
I lived and worked in Birminhgam as a physician assistant for two years, and left the West Midlands only 8 weeks ago. As a medical care provider, I could not refer women for infertility workups if they were obese, over 40, already had children, or a host of other reasons. Yet, if I were still there I could send someone unwilling to accept sperm in the normal fashion? As a tax paying resident of the UK, the only time I needed to utilize the services of the NHS was before I made a couple of trips that required travel vaccinations--and those are not covered by the NHS. Take care of those with medical NEEDS, not wants!
Frank Crosby PA-C, MPAS, Colorado Springs, Colorado USA
If UCLH think that they would have a choice in todayâs climate of sexual discrimination laws, they are patently naive. Our NHS funds should be used to treat sickness and cure disease, not social engineering support of minority lifestyles which evidently are not natural. This goes against God's created nature in a most fundamental way.
Phil Anslow, Brentwood, Essex
What an appalling waste of money when the NHS needs to be spending it in more critical areas. Conceiving in a privilege, not a right and certainly does not merit free treatment. These people should pay from their own pockets!
Sienna, London,