Using family members as gamete donors or surrogates

Capsule:
Intrafamilial gamete donation and surrogacy arrangements are generally acceptable, except when donation or surrogacy mimics true consanguineous or incestuous unions. Child-to-parent arrangements are generally unacceptable.

Author:
The Ethics Committee of the American Society for Reproductive Medicine

Volume 98, Issue 4, Pages 797-803, October 2012

Abstract:
The use of intrafamilial gamete donors and surrogates is generally ethically acceptable when all participants are fully informed and counseled, but arrangements that replicate the results of true consanguineous or incestuous unions should be prohibited, child to parent arrangements are generally unacceptable, and parent to child arrangements are acceptable in limited situations. Programs that choose to participate in intrafamilial arrangements should be prepared to spend additional time counseling participants and ensuring that they have made free, informed decisions.

  • NicoGarrido

    In Spain, it is
    completely forbidden, since it is against the main point about gamete or embryo
    donation in Spain: anonymity.

    • In the US we can have open gametes donation and some couples will choose to even meet the donors (almost all my patients choose anonymous but I know some who very much want open) Is this not permitted in Spain?

      • NicoGarrido

        No, it is not allowed in Spain.
        We can not provide with open identity donors from our sperm bank
        Anonimity can only be released to a medical team needing this information in order to help or save a child from the donor’s gametes, that will be benefited from this information. It is the only exception.

  • NicoGarrido

    It is
    a very controversial topic, highly dependent on the cultural environment from
    the country of origin. Then these recommendations may be applicable in some
    countries, while are impossible to implement in others due to cultural
    limitations

  • We have had several cases where this exact question has come up as well. Notably, in the case of women with POI who have been fortunate enough to have sisters that have volunteered as oocyte donors. I agree that it is an excellent way for patients to retain some genetic connection to their children, but definitely requires sufficient counseling and awareness of how this could affect their family dynamic in coming years.

  • Pravin Rao

    For many men, the idea of using “donor sperm” implies a search through the archives of a sperm bank. When listing options such as adoption and use of donor sperm, I wonder whether naming family donor as a separate option would increase use of this option. Do other readers routinely remind patients of this option (separate from “donor sperm)? I will start now.

  • Paul Brezina

    I think this article delves into some of the most sensitive areas of ART. Intrafamilial gamete donors are acceptable but must be accompanied with appropriate counseling to minimize the significant social issues that exist.

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