Attitudes of Donors and Recipients toward Ethical Issues in Oocyte Donation

Ramezanzadeh, Fatemeh; Haghollahi, Fedyeh; Bagheri, Maryam; Masoomi, Masoomeh; Abedi-Nia, Nasrin; Jafarabadi, Mina

Attitudes of Donors and Recipients toward Ethical Issues in Oocyte Donation

Vol. 10, Issue 1, / April-June 2009
(pages 71-80)

Fatemeh Ramezanzadeh: - Vali-e- Asar Reproductive Health Research Center,Tehran Medical Sciences University, Tehran, Iran
Fedyeh Haghollahi: - Vali-e- Asar Reproductive Health Research Center,Tehran Medical Sciences University, Tehran, Iran
Maryam Bagheri: - Vali-e- Asar Reproductive Health Research Center,Tehran Medical Sciences University, Tehran, Iran
Masoomeh Masoomi: - Vali-e- Asar Reproductive Health Research Center,Tehran Medical Sciences University, Tehran, Iran
Nasrin Abedi-Nia: - Vali-e- Asar Reproductive Health Research Center,Tehran Medical Sciences University, Tehran, Iran
Mina Jafarabadi: - Vali-e- Asar Reproductive Health Research Center,Tehran Medical Sciences University, Tehran, Iran

Received: 11/29/2008 Accepted: 3/8/2009 - Publisher : Avicenna Research Institute

Other Format

Abstract

Introduction: Oocyte donation is a routine procedure in the treatment of some types of female infertilities in most infertility clinics worldwide. Donors and recipients awareness about legal and ethical issues governing donation plays a significant role on the future of couples and resultant babies. This study aimed to assess the attitudes of oocyte donors and recipients with attention to their belief and desires on the premises to adopt better policies and make improvements in social and ethical impacts of oocyte donation. Materials and Methods: This descriptive study was conducted on 52 donors and 53 recipients of oocyte in Vali-e-Asr Reproductive Health Research Center. If the subjects were willing to participate in the study, interviews were carried out to collect demographic data and explore the opinion of the participants through oocyte donation questionnaire (ODQ).Results: Totally, 47% of the recipients and 40.4% of the donors requested their identity to be kept confidential and anonymous to the counterparting party. As much as 94.2% of the recipients and 56.9% of the donors were in favor of giving financial rewards to the donors. Sixty-four percent of the recipients and 30% of the donors were against informing the baby about the oocyte donation procedure.Conclusion: The legal, civil and ethical issues of oocyte donation should be clearly anticipated according to the registered guidelines. The precise dimensions of legal, religious and medical side-effects of the procedure should be clearly explained through counseling the donors and recipients before initiating the cycles. More extensive studies on donors and recipients attitudes on legal, religious, and social aspects of oocyte donation are suggested.

Keywords: Confidentiality, Ethical issues, Female infertility, Gamete donation, Oocyte donation, Oocyte recipients

To cite this article:

Ramezanzadeh F, Haghollahi F, Bagheri M, Masoomi M, Abedi-Nia N, Jafarabadi M, et al. Attitudes of Donors and Recipients toward Ethical Issues in Oocyte Donation. J Reprod Infertil. 2009;10(1):71-80.

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References

Inhorn MC. Making Muslim babies: IVF and gamete donation in Sunni versus Shi a Islam. Cult Med Psychiatry. 2006;30(4):427-50. [PubMed]
Isikoglu M, Senol Y, Berkkanoglu M, Ozgur K, Donmez L, Stones-Abbasi A. Public opinion regarding oocyte donation in Turkey: first data from a secular population among the Islamic world. Hum Reprod. 2006;21(1):318-23. [PubMed]
Practice Committee of American Society for Reproduc-tive Medicine. Repetitive oocyte donation. Fertil Steril. 2008;90(5 Suppl):S194-5. Review. [PubMed]
Eggs shared, given, and sold. Lancet. 2003;362(9382):413. [PubMed]
Ahuja KK, Mostyn BJ, Simons EG. Egg sharing and egg donation: attitudes of British egg donors and recipients. Hum Reprod. 1997;12(12):2845-52. [PubMed]
Yee S, Hitkari JA, Greenblatt EM. A follow-up study of women who donated oocytes to known recipient couples for altruistic reasons. Hum Reprod. 2007;22 (7):2040-50. [PubMed]
Berg JW. Risky business: evaluating oocyte donation. Am J Bioeth. 2001;1(4):18. [PubMed]
Baetens P, Devroey P, Camus M, Van Steirteghem AC, Ponjaert-Kristoffersen I. Counselling couples and donors for oocyte donation: the decision to use either known or anonymous oocytes. Hum Reprod. 2000;15 (2):476-84. [PubMed]
Safaie SH. [Essay on gamete & embryo donation in infertility treatment, from medical, theological, legal, ethical, psychological and sociological approaches]. 1th ed. Tehran: Samt Publishing; 2004. 170 p. Persian.
McLaughlin EA, Day J, Harrison S, Mitchell J, Pros-ser C, Hull M. Recruitment of gamete donors and pay-ment of expenses. Hum Reprod. 1998;13(5):1130-2. [PubMed]
Bromwich P. Oocyte donation. BMJ. 1990;300(6741): 1671-2. Review. [PubMed]
Lyall H, Gould GW, Cameron IT. Should sperm donors be paid? A survey of the attitudes of the general public. Hum Reprod. 1998;13(3):771-5. [PubMed]
Partrick M, Smith AL, Meyer WR, Bashford RA. Anonymous oocyte donation: a follow-up question-naire. Fertil Steril. 2001;75(5):1034-6. [PubMed]
Behjati Ardakani Z, Akhondi MA, Milanifar A, Modabery Y, Chamani L, Moeini M, et al. [Counsel-ing, evaluation and screening of donor and recipient in third party reproduction and the matching process]. Payesh. 2007;6(4):443-51. Persian. [Avicenna]
American Society for Reproductive Medicine. 2002 guidelines for gamete and embryo donation: a practice committee report: guidelines and minimum standards. Fertil Steril. 2004;82 Suppl 1:S8. [PubMed]
Frith L. Gamete donation and anonymity: the ethical and legal debate. Hum Reprod. 2001;16(5):818-24. Review. [PubMed]
S?derstr?m-Anttila V. Follow-up study of Finnish volunteer oocyte donors concerning their attitudes to oocyte donation. Hum Reprod. 1995;10(11):3073-6. [PubMed]
Klock SC, Greenfeld DA. Parents knowledge about the donors and their attitudes toward disclosure in oocyte donation. Hum Reprod. 2004;19(7):1575-9. [PubMed]
Abbasi Shavazi MJ, Akhondi MM, Razeghi Nasrabad HB, Behjati Ardekani Z. [Attitudes of infertile women towards gamete donation: a case study in Tehran]. J Reprod Infertil. 2006;7(2):139-48. Persian.
Ghorbani B, Behjati Ardekani Z. [Openness about a child s origins in surrogacy in comparison with adoption & ART]. J Reprod Infertil. 2008;9(2):130-36. Persian.
Hahn SJ, Craft-Rosenberg M. The disclosure deci-sions of parents who conceive children using donor eggs. J Obstet Gynecol Neonatal Nurs. 2002;31(3): 283-93. [PubMed]
Greenfeld DA. The impact of disclosure on donor gamete participants: donors, intended parents and off-spring. Curr Opin Obstet Gynecol. 2008;20(3):265-8. Review. [PubMed]
Mac Dougall K, Becker G, Scheib JE, Nachtigall RD. Strategies for disclosure: how parents approach telling their children that they were conceived with donor gametes. Fertil Steril. 2007;87(3):524-33. [PubMed]
Golombok S, Jadva V, Lycett E, Murray C, Mac-callum F. Families created by gamete donation: follow-up at age 2. Hum Reprod. 2005;20(1):286-93. [PubMed]
Cook R, Vatev I, Michova Z, Golombok S. The European study of assisted reproduction families: a comparison of family functioning and child develop-ment between Eastern and Western Europe. J Psycho-som Obstet Gynaecol. 1997;18(3):203-12. [PubMed]
Brewaeys A. Donor insemination, the impact on family and child development. J Psychosom Obstet Gynaecol. 1996;17(1):1-13. Review. [PubMed]
Englert Y, Serena E, Philippe R, Fabienne D, Chantal L, Anne D. Sperm and oocyte donation: gamete donor issues. Int Congr Ser. 2004;1266:303-10. [Abstract]
Greenfeld DA, Klock SC. Disclosure decisions among known and anonymous oocyte donation recipients. Fertil Steril. 2004;81(6):1565-71. [PubMed]
Greenfeld DA. The impact of disclosure on donor gamete participants: donors, intended parents and off-spring. Curr Opin Obstet Gynecol. 2008;20(3):265-8. [PubMed]
Fox D. Paying for particulars in people-to-be: comer-cialisation, commodification and commensurability in human reproduction. J Med Ethics. 2008;34(3):162-6. [PubMed]