Ethical decesions selling sperm and eggs

The donation and transfer of human gametes eggs and sperm for reproductive purposes raises many important and difficult questions. Some of these relate directly to policy and practice; others are more conceptual. Gamete donation occupies an interesting position within bioethics, having something in common both with other forms of donation blood and organs, for example and with reproductive technologies not involving donation ranging from IVF through to more controversial areas like cloning, embryo selection, and genetic modification. It also shares some features with adoption and surrogacy , practices which also arguably at least involve the transfer or delegation of parental duties and rights. See entries on cloning , eugenics , feminist perspectives on reproduction and the family , the donation of human organs , and parenthood and procreation. First, this entry focuses on the donation of human gametes for reproductive purposes , as opposed to for research.

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Lisa Jardine, the head of the UK Human Fertilisation and Embryology Authority, has called for public debate about paying egg or sperm donors. But donation rates have fallen in recent years, at least in part related to changes in rules in preventing donor anonymity. As a consequence a significant number of patients seeking donor egg or sperm for in-vitro fertilisation have been forced to travel overseas. In essence Jardine suggests that a regulated local market in donor eggs and sperm may be better than unregulated fertility tourism.

Data analyzed in this study are available from the author on reasonable request. Egg donor agencies are increasingly being used as part of IVF in the US, but are essentially unregulated, posing critical ethical and policy questions concerning how providers view and use them, and what the implications might be. Clinicians vary in their views and interactions concerning egg donor agencies, ranging widely in whether and how often they use agencies.