My wife and I had no obvious cause identified for infertility after three years of trying. We are both from healthy families with no known genetic issues. We both have advanced degrees. We are financially secure. We are healthy and fit. But, you aren’t ok with our very healthy IVF baby from a genetically normal embryo because of possible unknown minor genetic issues we may be harboring?
Maybe the world needs more “all natural” babies so we can someday make Idiocracy a reality? Considering the “peak” of egg health comes in the very early reproductive years, maybe you’d prefer to see more teenage pregnancy to maximize that genetic fitness? Perhaps a full genetic cleanse would be more desirable from a UroHawk perspective?
What are your thoughts on repair of urethral stricture disease? If a guy gets an obliterative stricture from gonorrhea or from “traumatic injury disease of the dumb”, wouldn’t it be better to give him a suprapubic tube for life or perineal urethrostomy than fix his stricture and risk letting him reproduce?
If you want to point to IVF as an enemy of natural selection, then you should spend the next month driving to work without your glasses. Further, shouldn’t treatment of other potential reproductive issues like erectile dysfunction, buried penis, proximal hypospadias, and other pathology that may be related to “gene issues” be discouraged? What about issues with embryologic development that could be related to unknown “deplorable” genetics like UPJ obstruction, horseshoe kidney, cryptorchidism, and posterior urethral valves? Just leave those patients to fend for themselves? Or is that different because it pays your bills?