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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1597</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2025-33-2-211-218</article-id><article-categories><subj-group subj-group-type="heading"><subject>Неопределен</subject></subj-group></article-categories><title-group><article-title>The ethical dilemmas of methodology of extra-corporal fertilization in the context of medicalization of reproduction: The review</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Akimova</surname><given-names>Natalia Alexandrovna</given-names></name><email>not@bk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Medvedeva</surname><given-names>Elena Nikolaevna</given-names></name><email>not@provid.ed</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Sevostyanova</surname><given-names>Olga Yurievna</given-names></name><email>not@provid.ed</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Andriyanova</surname><given-names>Elena Andreevna</given-names></name><email>not@provid.ed</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">The Federal State Budget Educational Institution of Higher Education “The V. I. Razumovsky Saratov State Medical University” of Minzdrav of Russia, 410012, Saratov, Russia</aff><pub-date date-type="epub" iso-8601-date="2025-04-29" publication-format="electronic"><day>29</day><month>04</month><year>2025</year></pub-date><volume>33</volume><issue>2</issue><history><pub-date date-type="received" iso-8601-date="2025-05-08"><day>08</day><month>05</month><year>2025</year></pub-date><pub-date date-type="accepted" iso-8601-date="2025-05-08"><day>08</day><month>05</month><year>2025</year></pub-date></history><permissions><copyright-statement>Copyright © 2025,</copyright-statement><copyright-year>2025</copyright-year></permissions><abstract>&lt;p&gt;The modern biomedical science grants to humankind significant choice regarding reproductive function. In view of development of biomedical technologies man becomes a producer of one's own human nature that especially is manifested in area of genetic engineering and auxiliary reproductive technologies.&lt;br /&gt;The article problematizes ethical social discourse on medicalization of human reproduction. The main ethical dilemmas occurring at application of procedure of and systematizes the ethical dilemmas that arise during the procedure of extra-corporal fertilization are considered. The occurring medicalization of feminine reproductive health is consequence of understanding of social life as legitimization of care of body on the part of medicine.&lt;br /&gt;The researchers note dominance of biomedical approach to human reproduction. The important aspects of medicalization of female corporeality include such achievements of modern medicine as artificial insemination, extra-corporal fertilization, surrogate maternity, abortion. The main ethical dilemmas occurring during extra-corporal fertilization are related to application of technologies that suppose destruction of part of embryos. The conclusion is made about relationship between possibilities of modern bio-medicine and actualization of ethical problems in this area. The necessity of assessment from point of view both of regulative mechanisms of legislation and ethical expertise is established.&lt;/p&gt;</abstract><kwd-group xml:lang="en"><kwd>medicalization of reproduction</kwd><kwd>extra-corporal fertilization</kwd><kwd>ethical dilemmas</kwd><kwd>embryo reduction</kwd><kwd>bio-policy</kwd><kwd>bio-medicine</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>медикализация репродукции</kwd><kwd>экстракорпоральное оплодотворение</kwd><kwd>этические дилеммы</kwd><kwd>редукция эмбрионов</kwd><kwd>биополитика</kwd><kwd>биомедицина</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Zola I. K. 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