The Detroit Post
Wednesday, 20 October, 2021

Bitlife In Vitro Fertilization

David Lawrence
• Thursday, 31 December, 2020
• 10 min read

Many of us Billie players have been wondering about the recent additions to the game. It includes links to all of our other guides, where we’ve covered pretty much every aspect of this awesome game.

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A prenup is short for a prenuptial agreement where individuals can protect their assets before entering a marriage. So if you had a vast fortune, let’s say you had recently won the lottery, you would want a prenup to protect what is already yours.

Think of it as an agreement that protects an individual from losing wealth or property if they were to enter a divorce. We don’t need to delve any deeper than this, just know tubal ligation is a female vasectomy.

So if you want one, just go to the fertility section in activities, it’s usually a couple of thousand dollars. They transfer the fertilized egg (embryo) back to the womb to grow and develop like a normal pregnancy.

If you want IVF then go to the fertility section in activities, it is normally around $10,000 for this procedure. If they decide to go off birth control, they can choose whether to tell their partner (if they have one) or keep it a secret.

Birth control is very effective when you are dating someone, but hook-ups who claim they are on birth control may be lying or misusing it and could still get pregnant if your character does not use protection. If your character is a male, usually when the couple turns 18, the female partner may usually go on birth control.

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After age 55, women will no longer need birth control. If fruitless, you & your partner will have to wait until the next year to try IVF again.

But, this is not always efficient as in some rare cases, people can still reproduce after a successful sterilization procedure. Unspecified reasons may include having a disease, having a criminal record, having too many children, or having donated too many times in a lifetime.

Sometimes the reasoning will simply show up as “No Sperm Needed”. When you press Surrogate, a menu will pop up and present you with different women.

You can check their stats and choose whether to use their eggs for the baby. If they accept, you will have to choose whose sperm to impregnate the woman.

If a surrogate fails at getting pregnant, your character can be reimbursed half of the expenses. Some surrogate mothers will keep the baby for themselves and dishonor your contract; should this happen, your character may file a Lawsuit against them.

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To get pregnant you must not use birth control and certain diets or it will prevent pregnancy for females. When pregnant, women may not have certain types of Plastic Surgery and may get Pregnancy massages.

Other massages can be done, but run the risk of miscarriage, with Pregnancy the only one fully safe. Pregnancy massages are only available to characters who are female and pregnant.

In VitroFertilization (IVF) became a reality when the baby, Louise Brown, was born on July 25, 1978, in England. IVF has a very high success rate and is effectively used to treat many fertility problems.

Any excess embryos created in the fertility laboratory may be frozen through cryopreservation for future use. Eggs are retrieved through a minor surgical procedure that uses ultrasound imaging to guide a hollow needle through the pelvic cavity.

Combine the eggs and sperm together in the laboratory and provide the appropriate environment for fertilization and early embryo growth. In some cases where there is a lower probability of fertilization, intracytoplasmic sperm injection (CSI) may be used.

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Through this procedure, a single sperm is injected directly into the egg in an attempt to achieve fertilization. A blood test and potentially an ultrasound will be used to determine if successful implantation and pregnancy have occurred.

Some couples choose to use donor eggs, sperm, or embryos because of genetic concerns. Donor eggs are used in approximately 10% of all assisted reproductive technology (ART) cycles.

The success rate of IVF clinics depends on a number of factors including the patient’s medical history and the treatment approaches used. If a patient has undiagnosed and untreated issues, such as endometrial polyps, uterine Thomas, hydrosalpinx (dilated blocked fallopian tubes) or poor quality sperm, then the likelihood of a successful IVF cycle drops dramatically.

The Coma Fertility laboratory has extensive air filtration and positive pressure to maintain a biological clean room. The particulate matter in the air is less important than the concentration of volatile organic compounds (Vows).

The embryology team also plays a significant role by selecting the best embryos for transfer. Many factors can be attributed to an IVF centers success rates, but this is a difficult question to answer accurately because there are so many variants in whether each IVF center reports their success rates accurately.

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The laboratory is critical and a poorly designed lab without modern air and VOC handling simply cannot deliver high quality embryos and outcomes. Coma Fertility has developed a clinical scoring system to segregate patients into GOOD and IDEAL prognosis categories.

This scoring system helps us to give patients realistic expectations before we start the IVF cycle and to inform patients of our success rates depending on how complicated their medical condition is. In VitroFertilization (IVF) is an extremely effective procedure for people hoping to build their family.

Dr. Amy Trinity and her patient Heather, discuss avoiding the risks of multiples during IVF treatment. In a normal menstrual cycle, a single egg develops prior to ovulation.

In an IVF cycle, injectable gonadotropin are given over the course of 8 to 12 days, in order to stimulate multiple eggs/follicles to mature. When ultrasound and blood estradiol levels indicate that the follicles are ready, you will be notified to give the HCG or Lu pron injection at a specific time.

Typically, a transvaginal ultrasound is used to guide a needle biopsy of both ovaries in order to remove the eggs. If a male partner is providing sperm, he collects a fresh semen specimen the day of egg retrieval.

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Some patients require special therapy such as assisted hatching to enhance implantation. Dr. David Ball talks about three new lab techniques improving the chances of getting pregnant for couples who use IVF.

Similar to a Pap smear, you will be awake while a soft fine catheter is used to place the embryo inside with ultrasound guidance. When we have determined that the HCG level (pregnancy hormone) is rising appropriately, we will schedule an obstetric ultrasound with an SRM provider.

Does the physician have an ethical if not a legal obligation to provide in vitro fertilization to infertile couples? After the Flood, “God blessed Noah and his sons, and said unto them, ‘ Be fruitful and multiply, and replenish the earth.’” (Genesis 9:1) Humankind, notwithstanding war, famine, and disease, has heeded this call with natural exuberance and global consequences that challenge the planet’s resources today.

However, among the estimated 40 million couples of childbearing age who live in the United States, 8.5% are involuntarily infertile. Obviously, many more infertile couples around the world can be added to this more than 3 million in the United States.

Nevertheless, the fact that many infertile couples are willing to spend thousands of dollars and risk the physical and mental demands of IVF rather than adopt a child suggests a strong emotional need for biologic offspring that is not influenced by social pressures. Unlike in vivo fertilization, IVF requires the intervention of a medical team.

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This is followed by physical and laboratory examinations that include a test for the sperm count of the male partner and a pelvic examination, cervical culturing, and staining of cervical secretions for the presence of Chlamydia for the female partner. Once these tests are completed, fertility drugs are administered to the woman to stimulate her ovarian follicles to produce as many healthy eggs as possible.

The harvested eggs are inseminated by a sample of semen that contains sperm of good quality and are prepared by washing to induce incapacitation. Sperm of poor quality reduces the chances for a couple to have sufficient embryos available for assisted fertilization.

This is congruent with the early ethical stricture in medicine, Prim um non nosier, “First, do no harm.” However, our perception of harm must be qualified. Embryos that are not transferred to a woman’s uterus ultimately may be used for research purposes or destroyed.

On the other hand, if the embryo is perceived as a bit of protoplasm, neither freezing nor destroying it is inherently unethical. However, personhood is a social construct that is shaped not only by an understanding of objective nature but also by community needs and values.

Within this historical context, any attempt to decide when protoplasm is endowed with rights by merely resorting to a scientific examination of biologic processes is bound to fail. A broadly accepted view in today’s world is that the human organism becomes a person at the moment of birth.


The Catholic Church is the major proponent of the view that the life of a new human being begins at the moment the ovum is fertilized. He states that not until totipotent gives way to specialized cellular development, which occurs approximately 3 weeks after formation of the zygote, can we correctly speak of the pre-embryo as an individual.

Because the existence of personhood bars us from abusing or killing a person, the logical conclusion is that pregnancy reduction and embryo research are immoral. The Church would like us to believe that personhood occurs at the moment of conception, and Shannon would like us to believe that prior to 3 weeks’ gestation, the pre-embryo falls short of being a person.

As already noted, personhood is a social construct based on community needs and interests as well as on biology. For example, one person looking at the softly rolling hills of California might react by “seeing” God as the invisible landscape architect who made the beautiful placements of the live oak trees, while another might “see” these placements as the effect of soil conditions, wind, and rain.

A prima facie demand is one that cannot be interfered with unless it is overridden or trumped by more powerful ethical considerations. However, identification of a more powerful ethical consideration is determined partly by the perceived onto logic status of the pre-embryo.

As McCormick has pointed out, there is broad moral and legal recognition that the pre-embryo is too primitive to have any interests or rights. Thus, its use in research or its elimination in pregnancy reduction, which either directly or indirectly satisfies the needs or interests of human beings, is a more powerful ethical consideration than treating the pre-embryo with special respect.


Indeed, unless the pre-embryo is viewed as having rights from the moment of conception, interference in its development to benefit persons is warranted ethically. She may suffer from high blood pressure or uterine bleeding or from complications associated with delivery by cesarean section.

Accompanying these physical problems are possible emotional difficulties that might be experienced by both the pregnant woman and her male partner. The willingness of infertile couples to undertake IVF is a sufficient sign that the perceived benefits to them outweigh the burdens of financial costs and physical and mental risks.

The few comparative studies that have been undertaken suggest that children born of IVF have a significantly greater risk for spina bifida and transposition of the great vessels and that some drugs administered to women to stimulate the production of eggs increase the risk of serious birth defects. John Robertson has argued against this position by observing that the increased incidence of defects does “not justify banning the technique to protect the offspring, because without these techniques these children would not have been born at all.” He reasons that being alive is better than not existing and, therefore, the benefit of existence outweighs the harm of birth defects.

Interests in Existing The previously used comparison for weighing the benefits and harm to the infertile couple is not legitimate in this context. Opinions differ concerning the morality of fertile couples who have the genetic predisposition for Huntington chorea having children.

Optimists point out that these children have a 50% chance of not having the disease and even those who do may enjoy approximately 30 years of healthy life. Pessimists believe that a 50% risk is too high and point to the terrible effects of the disease once it develops.

Notwithstanding these conflicting perspectives, there is agreement on both sides about which facts are material and many, if not all, of these provide accurate information. This exactness of relevant information in the case of Huntington chorea dissolves when applied to IVF.

A reasonable conclusion from these observations is that a severely damaged child has been harmed as a result of IVF technology, but has not been wronged. Nevertheless, Cynthia Cohen’s advice to infertile couples who are contemplating the use of IVF is well taken when she says, “Would be parents who consider resorting to the new reproductive technologies must be informed about the risks these technologies would present to the children as a result of their use, the means available for ameliorating deficits these children might experience, and what social support would be available should they lack the resources to address such defects on their own.

One might argue that the community is wronged because the financial resources needed to support the individuals who are made ill by IVF are best spent elsewhere. These include the autonomy of the individual in attempting to overcome infertility, the obligation of the physician to try to rescue the sick infant, and the need for medical research to refine the technologies of IVF to eliminate or reduce the effects of illness and disease.

Society has adopted the rescue mentality even when such efforts are extremely expensive and, in terms of the number of individuals affected, could be used more effectively in other medical arenas. Interest in allocating scarce resources ultimately may foreclose on expensive technologies such as IVF.

However, these problems take on meaning and importance only if IVF is perceived to be sanctioned ethically. This essay was an effort to demonstrate that it is sanctioned by arguing that neither the pre-embryo, the infertile couple, nor the community is wronged by the use of IVF.

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