Even in their 20s, women carrying multiple fetuses are at risk for fatal blood clots and other complications. The industry is by and large for-profit and unregulated. Some sales pitches come with money-back guarantees. In this overheated commercial climate, many are skeptical that those doing the selling really encourage the customers to think things through. Like all industries, the fertility business inevitably feels pressure to skip all the fuss about ethics and just give the customer what she wants.
Aggressive treatment depends on abortion to get rid of the extra fetuses.
Still, it's hard not to notice that the creation and then the destruction of new human life is currently a built-in part of the fertility industry. The abortion decision is not just a moral problem for the couple involved. It's a precondition for the questionable tactics in fertility treatments. Almost inevitably, this encourages ever more casualness about treating human life this way. It's possible that as technology and technique improve, many of the morally troubling aspects of the fertility business will disappear.