对生殖内分泌学家拒绝为卵巢储备功能减退患者进行促排卵治疗的权利的法律伦理分析。
A legal-ethical analysis of reproductive endocrinologists' right to refuse ovulation induction to patients with diminished ovarian reserve.
机构信息
Department of Obstetrics & Gynecology, The University of Texas Medical Branch, Galveston, TX 77555-0587, USA.
出版信息
J Assist Reprod Genet. 2011 Nov;28(11):1105-9. doi: 10.1007/s10815-011-9636-3. Epub 2011 Sep 13.
PURPOSE
Review of the legal and ethical basis for reproductive endocrinologists to refuse ovulation induction to patients with diminished ovarian reserve.
METHODS
The Lexis-Nexis search engine was used to perform a legal review pertaining to refusal of treatment. Ethical opinions of medical organizations were also reviewed.
RESULTS
Federal antidiscrimination laws provide legal recourse for patients with diminished ovarian reserve who are denied ovulation induction. However, the same laws also permit refusal of care when there is bona fide medical justification to decline services. In addition, the codes of ethics for relevant professional organizations support physicians' decisions to refuse treatment when treatment is futile.
CONCLUSION
Although it is ethically and legally permissible to deny ovulation induction to patients with diminished ovarian reserve when medically justified, refusal may invite retaliatory litigation. Counseling remains a cornerstone in directing these patients to options with more potential for success, such as donor eggs and adoption.
目的
审查生殖内分泌学家拒绝为卵巢储备功能减退患者进行促排卵治疗的法律和伦理基础。
方法
使用 LexisNexis 搜索引擎进行与治疗拒绝相关的法律审查。还审查了医学组织的伦理意见。
结果
《联邦反歧视法》为被拒绝促排卵治疗的卵巢储备功能减退患者提供了法律追索权。但是，同样的法律也允许在有正当医学理由拒绝服务的情况下拒绝护理。此外，相关专业组织的道德准则支持医生在治疗无效时拒绝治疗的决定。
结论
尽管从医学角度来看，拒绝为卵巢储备功能减退患者进行促排卵治疗在伦理和法律上是可以接受的，但拒绝可能会招致报复性诉讼。咨询仍然是指导这些患者选择更有成功潜力的治疗方法（如捐卵和收养）的基石。
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