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Rules on assisted reproduction on Slovenia - collision between legislation on biomedically assisted procreation and regulation relating to safety and quality of tissues and cells
Urban Vrtačnik, 2019, original scientific article

Abstract: Regulatory landscape on assisted reproduction (AR) has changed over the last 20 years in Slovenia. Notwithstanding the fact that in-field legislation (Infertility Treatment and Procedures of Biomedically Assisted Procreation Act - ZZNPOB) has not been amended or derogated since its adoption in 2000, the regulatory framework has been supplemented with legislative acts, implementing EU Directives on safety and quality of tissues and cells used in treatment. Implementation of the latter (also through adoption of Act on Quality and Safety of Human Tissues and Cells for the Purposes of Medical Treatment - ZKVČTC in 2007) has predominantly failed to acknowledge the specifics of assisted reproduction (regulated by ZZNPOB), resulting in regulatory framework which lacks legal certainty and predictability. Article therefore addresses the collision between ZZNPOB and ZKVČTC and proposes solutions de lege ferenda to avoid shortcomings of existing regulation.
Keywords: IVF, bioethics, reproductive tissues and cells, ZZNPOB, ZKVČTC, bioethics
Published in DKUM: 15.01.2021; Views: 614; Downloads: 35
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Impact of multiple sclerosis on infertility and impact of infertility treatments on multiple sclerosis relapses in Slovenia : medical outline, legal and ethical outcomes
Eda Vrtačnik-Bokal, Urban Vrtačnik, 2020, original scientific article

Abstract: Multiple sclerosis (MS) is an autoimmune inflammatory disorder of the central nervous system. It is common in the reproductive period and can lead to infertility and significant disability. The treatment on multiple sclerosis is recently more successful and enables better quality of life, therefore rising hope and desire for the future parents, also in terms of successful infertility treatments. In this context the couples should be managed concerning the detrimental effect of the disease itself on fertility, detrimental effect of the drugs used for treatment on gonads and in terms of the implementation of drugs used for ovarian stimulation and their impact on the basic disease (MS). Article finds solutions on the legal outcomes in situations where infertility treatments may negatively impact the progress of MS, as well as the solutions on how to (successfully) provide infertility treatments to the patients with MS. It proposes interdisciplinary approach between gynecologists and neurologists to perform required weighting of benefits and risks (burdens), deriving from specific action or treatment, whereas for the patients who shall not undergo infertility treatments due to their medical status, related to MS, it proposes storage of gametes under conditions, set by the law.
Keywords: multiple sclerosis, infertility, in vitro fertilization, MAR, ZZNPOB, ZPacP, medical ethics
Published in DKUM: 15.01.2021; Views: 663; Downloads: 37
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