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39 Gamete intrafallopian transfer (GIFT) is a similar procedure, but in this case the egg and the sperm, separated by a bubble of air, are placed into the woman’s fallopian tube. 40 Whether it be PROST or GIFT, the fertilised egg or egg and sperm are placed into a woman’s fallopian tube using one of two methods, either through a laparoscopy, where an incision is made just under the navel, or through a laparotomy, where the surgical incision is made in the IN VITRO FERTILISATION 31 abdomen. The ethical advantage of GIFT is that the sperm and the eggs theoretically will fertilise in the fallopian tube which of course is more like the natural procedure.

26 The woman’s body may be continually punctured until all the mature eggs are collected. 27 We can assume that the woman would be ‘assisted’ to urinate if she does not do it voluntarily. The transvaginal method of egg collection (also ultrasound-guided) is recommended over the transabdominal by other scientists such as Dellembach and colleagues. Though some writers have emphasised that ultrasound recovery of eggs is difficult because doctors cannot grip the ovary as they do with a laparoscopy, Dellembach et al.

For example, in Italy in 1987 eight pregnancies were reported from fifty-six attempts at flushings. Donors and recipients had been synchronised in their cycles using hormones. 70 In Australia, as a result of public controversy a moratorium was placed on the flushing technique in 1984 by the National Health and Medical Research Council,71 and so Australian researchers have concentrated on egg donation. In 1989 the Royal Women’s Hospital in Melbourne put out a public call for women to donate eggs.

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