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71 - Ethical Dilemmas in ART: Current Issues
from PART IV - ETHICAL DILEMMAS IN FERTILITY AND ASSISTED REPRODUCTION
- By Françoise Shenfield
Edited by Botros R. M. B. Rizk, University of South Alabama, Juan A. Garcia-Velasco, Hassan N. Sallam, Antonis Makrigiannakis, University of Crete
Book:

Infertility and Assisted Reproduction

Published online:

04 August 2010

Print publication:

15 September 2008, pp 717-722
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Summary

This chapter highlights the main ethical concerns of IVF. Two main issues surround gamete donation: the traditional and more recently questioned anonymity of the gamete donor and when donation becomes scarcer should donors be paid. In most countries where gamete donation is used as a means of solving infertility problems, those who recruit the donors have difficulties matching the supply to the demand, especially in the case of oocytes. A newer dilemma is that of choosing by preimplantation genetic diagnosis (PGD) an embryo free of a disease to facilitate the birth of a savior sibling, a child who would be a human leukocyte antigen (HLA) match for a very sick older sibling. There are also specific ethical considerations according to source of cells and especially regarding the creation of embryos specifically for research. According to Bernard Dickens, "Ethics frames the law within which law is voluntarily obeyed".