Doctor preparing embryo cultivation plates.Photo:Getty

Getty
“Unfortunately, there are not any other options.”
This was the brusque email reply I received on Wednesday from the company that is currently storing my seven remaining frozen embryos, created from the two rounds ofin vitro fertilizationI underwent in 2019 and 2020 due to unexplainedinfertility. Six of them are aneuploid — chromosomally abnormal and completely incompatible with life.
My urgency to send them an email in the first place came about in the wake of the Alabama Supreme Court’s recent ruling thatfrozen embryos will now legally be considered childrenin the state. Florida — where I live — could easily be next.
The clinic’s reply email was to my question about whether I could donate my six aneuploid embryos to research while saving my viable one — after being told that their “company policy does not allow partial discards.”
My husband and I had chosen to keep all the embryos stored for the time being (including the nonviable ones) until we were ready to fully end our IVF journey in 2025. We’d been through so much to start our family and preferred to cross the discard-or-donate bridge when we came to it.
Jen Juneau and husband Josh Haupt.Jen Juneau

The clinic’s response, in a nutshell: If you want to continue to manage your embryos through us, either transfer your healthy embryo now and destroy the abnormal ones, destroy the entire batch including the healthy one or just sit tight and risk potentially being tried as a criminal in the future.
What a decision.
Per the Feb. 16 decision, unborn children are to legally be considered children “without exception based on developmental stage, physical location, or any other ancillary characteristics.”
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Jen Juneau’s correspondence with embryo center.Jen Juneau

Jen Juneau
Ina statementreleased Sunday in response, theAmerican Society for Reproductive Medicine(ASRM) said they “condemn” the “profoundly misguided and dangerous court decision in Alabama.”
“In its medically and scientifically unfounded decision, the court held that a fertilized frozen egg in a fertility clinic freezer should be treated as the legal equivalent of an existent child or a fetus gestating in a womb. The eight members of the court who approved this decision may view these things as the same, but science and everyday common sense tell us they are not,” the group said.
After summarizingthe science behind IVF, they added, in part, “By insisting that these very different biological entities are legally equivalent, the best state-of-the-art fertility care will be made unavailable to the people of Alabama. No healthcare provider will be willing to provide treatments if those treatments may lead to civil or criminal charges.”
“The choice to build a family is a fundamental right for all Americans, regardless of where they live. We cannot, therefore, allow this dangerous precedent of judicial overreach with national implications to go unchecked,” the ASRM’s statement also read. “We call on the people of Alabama to demand that their elected officials ensure that Alabama’s citizens are not victims of political and ideological whims. To our members in the state: We will not rest until your ability to provide patients with the best care is restored.”
An exterior view of the Alabama Supreme Court building.Getty

I spoke withDr. Mark Trolice, a board-certified reproductive endocrinology and infertility (REI) specialist and founder/director ofThe IVF Centerin Winter Park, Florida, about the Alabama Supreme Court’s decision and what it could mean for the larger conversation around IVF and human rights.
Dr. Trolice — who has also written a book titledThe Fertility Doctor’s Guide to Overcoming Infertility(2020), faced a 10-year infertility battle in his own family and is on the board of several committees, including ASRM and the Society for Assisted Reproductive Technology (SART) — says potential consequences of the Alabama decision include “fueling the anti-abortion movement,” “asserting control of women” and “turning embryo-cryopreservation tanks into frozen nurseries,” the latter of which could require IVF patients to pay embryo-storage fees in perpetuity.
“Will frozen embryos compel child support following divorce? Will women and couples receive child tax credit based on frozen embryos, as they will be designated as unborn children?” he says.
Embryo that would become Jen Juneau’s daughter.Jen Juneau

Asked about advice he’d give patients who are considering IVF or already have embryos frozen, Dr. Trolice stresses that no relevant laws pertaining to IVF restrictions have been passed just yet and that premature speculation of worst-case scenarios might only add undue tension.
As he explains, “Infertility patientshave enough anxietyand stress over their disease. So I think lending credence to a potential occurrence can only add to the stress of women and couples who are challenged to build a family.”
“I think this is just prompting significant legal battlesin an election yearwhere there may be posturing or other motivations and we don’t know how this is going to pan out, but right now it’s a terrible turmoil in Alabama for the clinics and, most importantly, for the patients,” Dr. Trolice adds.
As for my situation, my original REI (I have seen multiple) has given me the option to have my embryos transferred to their clinic, where they can do a partial discard. I may do this. I haven’t decided, as I’d ideally like to stay with my current clinic, as it’s where I finally achieved pregnancy after four long years of trying, which included a lot of invaluable trial-and-error with my first REI. But I do know I want to move forward with attempting to give my daughter a sibling.
I am one of many, many Americans who has struggled against not only legal rulings like this, but also a healthcare system that continually invalidates women’s health. I can only hope that the future is less bleak, for the sake of my own daughter and would-be families everywhere.
source: people.com