Setting Limits in the Gamete World
This chapter discusses regulations in the donor world aimed at ensuring the health and safety of providers, recipients, and donor-conceived individuals. Fertility industry regulations exist that address gamete safety and consumer protection. These are important because patients need assurances that gametes have been tested for various diseases, and that fertility clinics are not engaging in false advertising. However, regulations that are primarily concerned with informing patients are limited in scope. They do not address any other aspect of the donor world, including record keeping or inadvertent consanguinity. The remainder of the chapter deals with standards for genetic tests performed on donors; counseling recipients and donors on genetic risks; tracking where gametes are sent; requiring updated health information from donors and disseminating that updated information; expanding access to assisted reproductive technologies; limits on the numbers of offspring produced by an individual donor; and justification for continuing the incest ban.
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