caa a22 4500 445818026 CHVBK 20180317145235.0 cr unu---uuuuu 170323e20111101xx s 000 0 eng 10.1007/s10815-011-9636-3 doi (NATIONALLICENCE)springer-10.1007/s10815-011-9636-3 A legal-ethical analysis of reproductive endocrinologists' right to refuse ovulation induction to patients with diminished ovarian reserve [Elektronische Daten] [Fethiye Karipcin, Amjad Hossain, John Phelps] Purpose: Review of the legal and ethical basis for reproductive endocrinologists to refuse ovulation induction to patients with diminished ovarian reserve. Methods: The Lexis-Nexis search engine was used to perform a legal review pertaining to refusal of treatment. Ethical opinions of medical organizations were also reviewed. Results: Federal antidiscrimination laws provide legal recourse for patients with diminished ovarian reserve who are denied ovulation induction. However, the same laws also permit refusal of care when there is bona fide medical justification to decline services. In addition, the codes of ethics for relevant professional organizations support physicians' decisions to refuse treatment when treatment is futile. Conclusion: Although it is ethically and legally permissible to deny ovulation induction to patients with diminished ovarian reserve when medically justified, refusal may invite retaliatory litigation. Counseling remains a cornerstone in directing these patients to options with more potential for success, such as donor eggs and adoption. Springer Science+Business Media, LLC, 2011 Ethics nationallicence Diminished ovarian reserve nationallicence Ovulation induction nationallicence Discrimination nationallicence Liability nationallicence Karipcin Fethiye Department of Obstetrics & Gynecology, The University of Texas Medical Branch, 301 University Boulevard, 77555-0587, Galveston, TX, USA aut Hossain Amjad Department of Obstetrics & Gynecology, The University of Texas Medical Branch, 301 University Boulevard, 77555-0587, Galveston, TX, USA aut Phelps John Department of Obstetrics & Gynecology, The University of Texas Medical Branch, 301 University Boulevard, 77555-0587, Galveston, TX, USA aut Journal of Assisted Reproduction and Genetics Springer US; http://www.springer-ny.com 28/11(2011-11-01), 1105-1109 1058-0468 28:11<1105 2011 28 10815 https://doi.org/10.1007/s10815-011-9636-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10815-011-9636-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Karipcin Fethiye Department of Obstetrics & Gynecology, The University of Texas Medical Branch, 301 University Boulevard, 77555-0587, Galveston, TX, USA aut NATIONALLICENCE 700 1- Hossain Amjad Department of Obstetrics & Gynecology, The University of Texas Medical Branch, 301 University Boulevard, 77555-0587, Galveston, TX, USA aut NATIONALLICENCE 700 1- Phelps John Department of Obstetrics & Gynecology, The University of Texas Medical Branch, 301 University Boulevard, 77555-0587, Galveston, TX, USA aut NATIONALLICENCE 773 0- Journal of Assisted Reproduction and Genetics Springer US; http://www.springer-ny.com 28/11(2011-11-01), 1105-1109 1058-0468 28:11<1105 2011 28 10815 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer