Abstract
In vitro fertilization with donor oocytes has become an increasingly popular method of assisted reproductive technology for women with ovarian insufficiency or ovarian dysfunction, women with specific genetic risk factors, and same-sex couples seeking to have children. Oocyte donation for third-party reproduction has and continues to provoke ethical controversy today. This chapter addresses the morality of oocyte donation for reproduction, the moral significance of varied conceptualizations of oocytes, and ethics in the context of oocyte donation pertaining to the key constituencies involved in the process, including oocyte donors, recipients, children conceived with donor oocytes, clinicians, and oocyte donor matching agencies. Specific attention is given to ethically contentious aspects of the practice of oocyte donation, including informed consent, compensation, exploitation and undue inducement of donors, costs to recipients, commodification of children, appropriate recipient populations, donor anonymity, information sharing, and conflicts of interest.
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References
Stanworth M. The deconstruction of motherhood. In: Stanworth M, editor. Reproductive technologies: gender, motherhood and medicine. Cambridge, UK: Polity Press; 1987. p. 10–35.
Centers for Disease Control and Prevention. Assisted Reproductive Technology Report National Summary Report 2004–2010. 2012 [cited 2012 September 18]. http://apps.nccd.cdc.gov/art/Apps/NationalSummaryReport.aspx.
Steinbock B. Payment for egg donation and surrogacy. Mt Sinai J Med. 2004;71(4):255–65.
McGowan ML. Participation in investigational fertility preservation research: a feminist research ethics approach. In: Woodruff T, Zoloth L, Campo-Engelstein L, Rodriguez S, editors. Oncofertility: ethical, legal, social and medical perspectives. New York: Springer; 2010. p. 209–21.
Dickenson DL. Property and women’s alienation from their own reproductive labour. Bioethics. 2001;15(3):205–17.
Dickenson DL. The lady vanishes: what’s missing from the stem cell debate. J Bioeth Inq. 2006;3:43–54.
Ballantyne A, de Lacey S. Wanted: egg donors for research: a research ethics approach to donor recruitment and compensation. Int J Feminist Approach Bioeth. 2008;1(2):145–64.
Lauritzen P, Vicini A. Oncofertility and the boundaries of moral reflection. Theol Stud. 2011;72(1):116–30.
Callahan D. Bioethics and fatherhood. Utah Law Rev. 1992;1992(3):735–46.
Benatar D. The unbearable lightness of bringing into being. J Appl Philos. 1999;16(2):173–80.
Zoloth L, Henning AA. Bioethics and oncofertility: arguments and insights from religious traditions. In: Woodruff TK, Zoloth L, Campo-Engelstein L, Rodriguez S, editors. Oncofertility: ethical, legal, social, and medical perspectives. New York: Springer; 2010. p. 261–78.
Inhorn MC. Making Muslim babies: IVF and gamete donation in Sunni versus Shi’a Islam. Cult Med Psychiatry. 2006;30(4):427–50.
Kahn SM. Rabbis and reproduction: the uses of new reproductive technologies among ultraorthadox Jews in Israel. In: Inhorn MC, van Balen F, editors. Infertility around the globe: new thinking on childlessness, gender, and reproductive technologies. Berkeley, Los Angeles: University of California Press; 2002. p. 283–97.
Robertson JA. Is there an ethical problem here? Hastings Cent Rep. 2010;40(2):3.
Klein JU, Sauer MV. Ethics in egg donation: past, present, and future. Semin Reprod Med. 2010;28(4):322–8.
Holland S. Contested commodities at both ends of life: buying and selling gametes, embryos, and body tissues. Kennedy Inst Ethics J. 2001;11(3):263–84.
Almeling R. Selling genes, selling gender: egg agencies, sperm banks, and the medical market in genetic material. Am Sociol Rev. 2007;72:319–40.
Macklin R. Ethics, informed consent, and assisted reproduction. J Assist Reprod Genet. 1995;12(8):484–90.
New York State Task Force on Life and Law. Assisted reproductive technologies: analysis and recommendations for public policy. New York: New York State Task Force on Life and Law; 1998.
Ethics Committee of the American Society for Reproductive Medicine. Interests, obligations and rights of the donor in gamete donation. Fertil Steril. 2009;91:22–7.
Black JJ. Egg donation: issues and concerns. MCN Am J Matern Child Nurs. 2010;35(3):132–7.
The Ethics Committee of the American Society for Reproductive Medicine. Using family members as gamete donors or surrogates. Fertil Steril. 2012;98:797–803.
Kenney NJ, McGowan ML. Looking back: Egg donors’ retrospective evaluations of their motivations, expectations and experiences during their first donation cycle. Fertil Steril. 2010;93(2):455–66.
Gurmankin AD. Risk information provided to prospective oocyte donors in a preliminary phone call. Am J Bioeth. 2001;1(4):3–13.
Pearson H. Health effects of egg donation may take decades to emerge. Nature. 2006;442(7103):607–8.
The Practice Committee of the American Society for Reproductive Medicine. Repetitive oocyte donation. Fertil Steril. 2008;90 Suppl 3:S194–5.
Ethics Committee of The American Society For Reproductive Medicine. Financial compensation of oocyte donors. Fertil Steril. 2007;88(2):305–9.
Daniels K. Donor gametes: anonymous or identified? Best Pract Res Clin Obstet Gynaecol. 2007;21(1):113–28.
Murray TH. New reproductive technologies and the family. In: Cohen C, editor. New ways of making babies: the case of egg donation. Bloomington and Indianapolis: Indiana University Press; 1996. p. 51–69.
Human Fertilisation and Embryology Authority. Donor compensation, reimbursement and benefits in kind. 2012 [cited 2012 October 30]. http://www.hfea.gov.uk/6177.html.
Robertson JA. Compensation and egg donation for research. Fertil Steril. 2006;86(6):1573–5.
Levine AD. Self-regulation, compensation, and the ethical recruitment of oocyte donors. Hastings Cent Rep. 2010;40(2):25–36.
Daniels CR, Heidt-Forsythe E. Gendered eugenics and the problematic of free market reproductive technologies: sperm and egg donation in the United States. Signs. 2012;37(3):719–47.
Baum K. Golden eggs: towards the rational regulation of oocyte donation. Brigh Young Univ Law Rev. 2001;1:107–66.
American Society for Reproductive Medicine. 2006 guidelines for gamete and embryo donation. Fertil Steril. 2006;86(5):S38–50.
Gurtin ZB, Ahuja KK, Golombok S. Egg-sharing, consent and exploitation: examining donors’ and recipients’ circumstances and retrospective reflections. Reprod Biomed Online. 2012;24(7):698–708.
Heng BC. Ethical issues in transnational “mail order” oocyte donation. Int J Gynecol Obstet. 2006;95(3):302–4.
Waldby C. Oocyte markets: women’s reproductive work in embryonic stem cell research. New Genet Soc. 2008;27(1):19–31.
Nahman M. Reverse traffic: intersecting inequalities in human egg donation. Reprod Biomed Online. 2011;23(5):626–33.
Heng B. Legal and ethical issues in the international transaction of donor sperm and eggs. J Assist Reprod Genet. 2007;24(4):107–9.
Sauer MV. Indecent proposal: $5,000 is not “reasonable compensation” for oocyte donors. Fertil Steril. 1999;71(1):7–10.
The Ethics Committee of the American Society for Reproductive Medicine. Oocyte donation to postmenopausal women. Fertil Steril. 2004;82 Suppl 1:S254–5.
Craft I, Flyckt S, Heeley G, Layland S, Thornhill A, Kelada E. Will removal of anonymity influence the recruitment of egg donors? A survey of past donors and recipients. Reprod Biomed Online. 2005;10(3):325–9.
Ahuja KK, Simons EG, Nair S, Rimington MR, Armar NA. Minimizing risk in anonymous egg donation. Reprod Biomed Online. 2003;7(5):504–5.
Shenfield F, Steele SJ. What are the effects of anonymity and secrecy on the welfare of the child in gamete donation? Hum Reprod (Oxford, UK). 1997;12(2):392–5.
Readings J, Blake L, Casey P, Jadva V, Golombok S. Secrecy, disclosure and everything in-between: decisions of parents of children conceived by donor insemination, egg donation and surrogacy. Reprod Biomed Online. 2011.
De Jonge C, Barratt CLR. Gamete donation: a question of anonymity. Fertil Steril. 2006;85(2):500–1.
Ethics Committee of the American Society for Reproductive Medicine. Informing offspring of their conception by gamete donation. Fertil Steril. 2004;81(3):527–31.
Kalfoglou AL, Geller G. A follow-up study with oocyte donors exploring their experiences, knowledge, and attitudes about the use of their oocytes and the outcome of donation. Fertil Steril. 2000;74(4):660–7.
Kalfoglou AL, Gittelsohn J. A qualitative follow-up study of women’s experiences with oocyte donation. Hum Reprod. 2000;15(4):798–805.
Kalfoglou AL, Geller G. Navigating conflict of interest in oocyte donation: an analysis of donors’ experiences. Women Health Issues. 2000;10:226–39.
Dickens BM, Cook RJ. Conflict of interest: legal and ethical aspects. Int J Gynecol Obstet. 2006;92:192–7.
Berg JW. Risky business: evaluating oocyte donation. Am J Bioeth. 2001;1(4):18.
Dickenson D. Property in the body: feminist perspectives. Cambridge and New York: Cambridge University Press; 2007.
Acknowledgments
The authors thank Valarie Blake and Julie Severson for their comments on an earlier version of this chapter. Research for this chapter was supported by the National Human Genome Research Institute (P50 HG003390). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Human Genome Research Institute or National Institutes of Health.
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McGowan, M.L., Wilson, L. (2014). Oocyte Donation: Ethical Aspects. In: Goldfarb, J. (eds) Third-Party Reproduction. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7169-1_4
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DOI: https://doi.org/10.1007/978-1-4614-7169-1_4
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