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Afghanistan Veterans With Genital Wounds Receive Little Help From Pentagon

WASHINGTON — For the growing number of soldiers and Marines whose genitals are damaged or destroyed by blasts from improvised explosive devices while in combat, the Pentagon has decided it will not provide some critical reproductive health benefits.

To put it bluntly, if you are sent to war and an IED blast blows off your testicles, the U.S. government will not pay for your wife to have in vitro fertilization or artificial insemination using donated sperm.

The new policy, quietly adopted without announcement by the Defense Department, responds to the growing demands of the more than 1,800 veterans with genital wounds that the government that sent them to war now help them return to normal life, including raising a family.

The policy authorizes payment for some reproductive procedures for the first time, including limited in vitro fertilization and artificial insemination. But it also specifically excludes covering males who cannot produce sperm. “Third-party donations and surrogacy are not covered benefits,” the policy states firmly.

The Pentagon decision dashes the hopes of a growing number of young Americans wounded in combat and unable to produce sperm who had wanted to start a family. In one recent U.S. military study, the average age of those with genital wounds was 24 years. The majority of those in military service — 56 percent — are married.

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Conversion leads fertility doctor down new path

Ex-Chicago physician wants to open reproductive center faithful to Catholic doctrine.

The first time Dr. Anthony Caruso saw life created in a petri dish, it brought tears to his eyes. Once one of Chicago’s leading reproductive endocrinologists, he guesses that he helped more than 1,000 children come into the world.

But two years ago, he walked away from his practice and into a confessional at St. John Cantius Roman Catholic Church to repent. Reproductive technology had gone too far, he said, and he could not practice the same kind of medicine anymore.
“We see babies in our Catholic faith as children of God,” said Caruso, 48, of Lombard. “What doesn’t get thought about is the process that brought the babies to be.”

Caruso, now a doctor at Alexian Brothers Medical Center in Elk Grove Village, has proposed opening the St. Anne Center for Reproductive Health.

It would be one of a handful of clinics in the U.S. that helps couples struggling to have children within the Ethical and Religious Directives for Catholic Health Care Services. It would not offer in vitro fertilization (IVF), artificial insemination or certain medicines often prescribed as a course of treatment. It also would be the only center in the nation run by a board-certified reproductive endocrinologist.

Caruso acknowledges that the success rates of measures compatible with church teachings are lower than what advanced reproductive technology can offer. Furthermore, doctors almost always try to accommodate a patient’s religious convictions. But Caruso and other proponents of natural family planning say many fertility practices tend to treat infertility rather than treat the underlying condition of which infertility is a symptom.

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NICHD Issues Funding Opportunity Announcement for the Reproductive Medicine Network

The NICHD invites applications from investigators willing to participate, with the assistance of the NICHD under cooperative agreements, in an ongoing multicenter cooperative program designed to conduct clinical studies to investigate problems in reproductive medicine including female and male infertility, gynecologic and male reproductive system diseases and disorders that impact fertility, problems in andrology and endocrinology affecting reproduction.