Evolving ethical issues in third party reproduction:Local and global considerations

Ami S Jaeger; Ilana B Ressler; Steven R Lindheim

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Evolving ethical issues in third party reproduction:Local and global considerations

Evolving ethical issues in third party reproduction:Local and global considerations

作者：

Ami S Jaeger Ilana B Ressler Steven R Lindheim

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THIRD

party

REPRODUCTION

OOCYTE

DONATION

ETHICS

摘要：

assisted reproductive technology(ART),including the use of third party gametes.Specifically,the use of third party oocytes,most recently reported in 2010 by the United States(US)Center for Disease Control and Society of Reproductive Medicine,accounted for 15 504 cycles and 7334 live births.This translates into approximately 11%of all the in vitro fertilization cases performed in the US.As utilization increases and the technological tools advance,they have created underappreciated and unforeseen ethical quandaries.As such,many practitioners think they“have heard it all”.However,each ART scenario is novel with the potential to pose complex unforeseen issues,potentially creating global challenges that could impact broad social and legal questions and test the moral consciousness’of practitioners,policymakers and patients.While there are published US national guidelines to assist practitioners,we have identified new complex issues in assisted reproduction that present unique challenges,and we give a perspective from our eyes in the Western Hemisphere looking out to a global level.Specifically,this review focuses on some of the more recent and evolving issues that currently are and will be confronting us in the upcoming years.Particular attention focuses on discrepancies between third party legal contracts and ART consents regarding level of information sharing,and oocyte and embryo directives and management;dilemmas and obligations surrounding disclosure of medical outcomes especially in the context of growing access to Direct to Consumer genetic testing and Reproductive Tourism-Exile.Given the complexity of these and other ethical questions,finding answers may be achieved by ending the isolation of reproductive professionals and instead promoting increased and consistent communication among physicians,embryologists,therapists and reproductive attorneys to confront these evolving ethical quandaries.

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篇名	Evolving ethical issues in third party reproduction:Local and global considerations
来源期刊	世界医学遗传学杂志	学科	医学
关键词	THIRD party REPRODUCTION OOCYTE DONATION ETHICS
年，卷（期）	2012,（1）	所属期刊栏目
研究方向		页码范围	1-8
页数	8页	分类号	R
字数		语种
DOI