Guidelines for IMAR

medical consideration

The European Society of Hyman Reproduction and Embryology (ESHRE) has put out a position paper on intrafamilial medically assisted reproduction (IMAR). IMAR, since it involved multiple members of a family, can have ethical and controversial nuances. ESHRE is one of the leading research institutes for infertility and their published opinions influence many doctors and treatment centers as well as families looking for guidance.

ESHRE acknowledges that there are benefits to IMAR which can be morally acceptable. They determined four criteria for evaluating the appropriateness of the procedure: respect for autonomy, beneficence, non-maleficence and justice. And you just thought you wanted to have a baby.

Autonomy refers to a person's right to choose with whom to procreate. It may be preferable to choose a family member donor to keep genetic ties and familiarity. If there are long waits for a donor, a ready familial one might be better. Of course doctors and fertility centers must take into account the laws that guide their medical practices.

Of paramount importance is informed consent. With family ties getting blurred due to donation, all perspectives and future questions should be considered. Adequate genetic counseling and screening must take place. Overall though, ESHRE sees a place for IMAR, and when appropriate, supports it.

Source: ESHRE, ScienceDaily


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