Arizona Reconsiders Egg Donor Legislation

Egg Donation - The legislative agenda of Arizona's state lawmakers is now being made public.  In fact, Representative David Stevens, a Sierra State Republican from District 25, is a primary sponsor of the following bills:

He is a primary sponsor of measures that would require physicians to give specific informed-consent information to prospective egg donors; bar the selling of human eggs; and another that bars in vitro fertilization of a human egg with anything but human sperm or the transfer of a human embryo to anything but a human womb.

Not sure where these bills will end up, as the barring of compensation was debated in Arizona in the past.  We all need to pay attention as this reaches the actual stages of debate. 

A Call to Action Regarding Egg Donation Industry Standards

As we all know, California passed legislation this month that required egg donation advertisements to include language regarding the risks that are involved in the medical procedure.  Of course, it is not enough for those of us in the industry- BUT would we have preferred that it be TOO MUCH?  In fact, the original piece had wanted the egg donors to see a different IVF physician for a pre-consult, which would have added additional costs to the Intended Parents' already steep costs. 

I will admit, I did applaud the efforts of the California legislature for being the first state to actually DO SOMETHING.  And, despite the NAYSAYERS that are blogging incessantly about how it is not enough, let's be glad for two things: 1. Is was not TOO MUCH and 2. It is a start in the right direction.  The entire purpose of the legislation was to protect the egg donors from being exploited - does it do that perfectly - heck no!  Does it need to do more - heck yes! 

So, with that in mind, I continue my applause as I, along with others in this industry, continue to push for standards in the industry that further protect the Egg Donors, Surrogates and Intended Parents.

A Call to Action Regarding Egg Donation Industry Standards

As we all know, California passed legislation this month that required egg donation advertisements to include language regarding the risks that are involved in the medical procedure.  Of course, it is not enough for those of us in the industry- BUT would we have preferred that it be TOO MUCH?  In fact, the original piece had wanted the egg donors to see a different IVF physician for a pre-consult, which would have added additional costs to the Intended Parents' already steep costs. 

I will admit, I did applaud the efforts of the California legislature for being the first state to actually DO SOMETHING.  And, despite the NAYSAYERS that are blogging incessantly about how it is not enough, let's be glad for two things: 1. Is was not TOO MUCH and 2. It is a start in the right direction.  The entire purpose of the legislation was to protect the egg donors from being exploited - does it do that perfectly - heck no!  Does it need to do more - heck yes! 

So, with that in mind, I continue my applause as I, along with others in this industry, continue to push for standards in the industry that further protect the Egg Donors, Surrogates and Intended Parents.

Tips for Choosing an Egg Donor via Conceive Magazine

Great article courtesy of Conceive Magazine.   Important reading!  

Written by Pamela Guthrie O’Brien 

A growing number of women—especially those over age 40, and women who have been unsuccessful with other infertility treatments—are using donor eggs.

“More women are choosing this option because of increased awareness and higher success rates,” says Laurel Stadtmauer, M.D., Ph.D., assistant professor of obstetrics and gynecology at the Jones Institute for Reproductive Medicine at Eastern Virginia Medical School. “About 70 to 80 percent of women will conceive within two cycles of using donor eggs.” When selecting a donor, consider the following:

The qualities you’re looking for.
• Is the donor’s religious background important to you?
• Her physical and personality traits?
• Her academic achievements?
• Talk frankly with your partner about the characteristics that top your list.

The best fit.
Many IVF clinics have programs that help match couples to an anonymous donor. But their policies can be very different. Some recruit their own donors, others use outside donor egg recruitment programs. Some allow couples to see photos of potential donors (as long as they’re non-identifiable), others don’t. “At Jones, couples fill out their family history, as well as a wish list [of characteristics],” says Dr. Stadtmauer. “Our program matches the couple and the donor according to looks, ethnicity, medical and psychological histories, education, and personality traits. We give recipients profiles of several donors to review.” Ask about the procedures and policies your clinic uses, and make sure you can live with them.

The kind of donor you want.
There are two options: Using a donor you know, such as a sister or close friend, or an anonymous donor. The advantage of a relative or friend is that you’re likely to know the person’s genetic history, says Dr. Stadtmauer. However, it does raise complicated issues, such as the donor’s future relationship with the child. Figure out which arrangement makes you most comfortable.

The testing process.
Whether you choose a known or an anonymous donor, the screening will be the same. The donor must be a healthy non-smoker who is 21-32 years old. She will undergo extensive medical, psychological, and genetic testing, as well as screening for infectious diseases, such as HIV.

The legal issues.
Donors sign away their rights to the eggs retrieved, the embryos produced, and any child conceived as a result.

Children of Sperm and Egg Donation

There seems to be quite a bit of an uproar over the case involving the woman of sick twin daughters, who were conceived via sperm donation.   Some are saying that she signed on the dotted line, and some are saying that the clinic is obligated to provide her the information on the donor.  What do you think?  I think that the system regarding donations needs to be overhauled but via the clinics and agencies, not via the legislatures where the real issues are often misunderstood.  In fact, Sean Tipton of the ASRM stated it quite well as folllows: he states that he "believes the donor debate is best left between adults - not courts and legislatures."

“Most states have established a clear path for sperm donors to relinquish their parental rights and obligations,” Tipton said. “Agreements entered into need to be honored unless all parties agree to change the terms.”

I agree with that perspective, but these children and the parents of these children may need contact in the future, which I why I am a big advocate of this information being stored.  My office does it for a 21 year period in a very efficient and safe way, and it is time that others do the same.  Ultimately, we cannot force these donors to comply, but it should be an option. 

What are your thoughts?

Ethics and Egg Donation & Surrogacy Agencies

I just came across a great post on Conception Connections about ethics and egg donation agencies.  With all that is going on in the industry now, I appauld and I support what they have stated.  Please read the article and tell me what you think.  She states that the article leaves "the impression that all egg donor agencies are guilty of lax, if not unethical practices. It negates the very important role that many of us play." 

Robin also adds the following important points:

"As the fertility industry grows, it’s up to us to make sure we’re meeting the highest standards of practices and behaviors, and follow guidelines established by the American Society for Reproductive Medicine......However, donors must remember that it’s their bodies and no one is as deeply vested in their health as they are."

Bravo, Robin of ARR!

Subscribe to my blog at: http://www.surrogacyeggdonorblog.com/subscribe.html

FRIDAY LEGAL UPATES - Wisconsin Adoption, Georgia Right to Life Group, Missouri Donor Legislation, North Dakota Egg Legislation, Hawaii Civil Union, Indian Surrogacy Update, Australian Twins & ESHRE

Well, welcome to our Friday Legal Updates (TGIF).  We have quite a bit of news out there from this week, so enjoy each one, and please comment to your heart’s desire.

Wisconsin – Woman Charged with Unauthorized Adoption.  A Missouri woman faces a felony child abduction charge in Wisconsin where she's accused of buying a baby from a couple for $6,000.   There was a criminal complaint filed Thursday stating that 36-year-old Denise Novotny of Clinton, MO, received the infant shortly after she was born at Aurora Medical Center in Hartford in December 2004.  The complaint also alleges that Novotny had the couple sign a surrogate birth contract to disguise the crime.   This sounds like adoptions being disguised as a surrogacy is a trend for circumventing the laws of adoption.  We need to be wary of this and be on alert for this situation in our own practices.

Click Here for Complete Article

Georgia – The Georgia Right to Life Introduces Legislation to Protect the Mother and Child.  Georgia Right to Life today announced the filing of the Ethical Treatment of Human Embryos act in the Georgia Senate SB-169.  Their argument is that the recent birth of the octuplets to the woman in Southern California demands government oversight of the fertility industry, according to this group. 

“This industry is one of the most lucrative medical fields and among the least regulated. In response to this need, Georgia State Senator Ralph Hudgens along with other co-sponsors in the Senate leadership have introduced legislation that will place limits on the creation and transfer of embryos produced by In vitro fertilization (IVF).

‘This bill is written to help reduce the attendant harm that could come to the mother and her children through the creation and implantation of more embryos than is medically recommended by industry watchdog groups like the Society for Assisted Reproductive Technology’ says Daniel Becker, President of Georgia Right to Life.

‘This bill would limit the number of embryos transferred in any given cycle to the same number that are fertilized, up to a maximum of three. This bill is similar to the same common-sense regulations passed in other countries such as the United Kingdom, Germany and Italy’ said Becker.

Georgia is the first state in the nation to file this legislation. However, in Britain they have similar legislation, passed in 2004, that protects the embryo and the mother from these harmful practices.

Click Here for Complete Article

The language of the bill-SB 169

North Dakota – North Dakota House Gives Fertilized Egg Full Rights. News just out of North Dakota - we have a bill pending that intends to give a fertilized human egg the legal rights of a human being.  It appears that the intention is to put a complete ban on abortion in that state.  However, based on the field that I am in, I am concerned what it will do to the infertile couple/person with embryos frozen in that state.  What are your thoughts after reading below?

“BISMARCK, N.D. — A measure approved by the North Dakota House gives a fertilized human egg the legal rights of a human being, a step that would essentially ban abortion in the state.

The bill is a direct challenge to Roe v. Wade, the U.S. Supreme Court decision that extended abortion rights nationwide, supporters of the legislation said.

Representatives voted 51-41 to approve the measure Tuesday. It now moves to the North Dakota Senate for its review.

The bill declares that “any organism with the genome of homo sapiens” is a person protected by rights granted by the North Dakota Constitution and state laws.

The measure’s sponsor, Rep. Dan Ruby, R-Minot, said the legislation did not automatically ban abortion. Ruby has introduced bills in previous sessions of the Legislature to prohibit abortion in North Dakota.

“This language is not as aggressive as the direct ban legislation that I’ve proposed in the past,” Ruby said during House floor debate on Tuesday. “This is very simply defining when life begins, and giving that life some protections under our Constitution - the right to life, liberty and the pursuit of happiness.”

Critics of the measure say it will cost millions of dollars to defend. Ruby said the state has been willing to go to bat for other principles that were less important.

In Oklahoma, meanwhile, a state House committee Tuesday approved legislation that would prohibit physicians from performing abortions solely on account of the gender of a woman’s fetus, even though the measure’s author said there is no evidence the practice has ever occurred in the state.

The legislation passed 20-2 by the House Public Health Committee. The bill now goes to the full House for consideration.

The author of the bill, Rep. Dan Sullivan, R-Tulsa, said it is designed to stop couples from using the gender of a fetus as a reason to get an abortion. Sullivan said a doctor would be prohibited from performing an abortion if the mother specifically said the fetus’ sex was the reason.

However, he said there is no evidence the practice has occurred in Oklahoma. “I haven’t received any definite information that proves it,” Sullivan said.”

Click Here for Complete Article

Missouri – Sounds to me like the states are responding in great numbers to the advancements in reproductive technologies and now the octuplet controversy, which I vow not to address in today’s updates.  However, I did post this last week, but I am reposting again in light of the other states to follow.

It appears that the Missouri legislature, headed by Cynthia Davis.  In her bill (HB355) she is attempting to ban all anonymous donation (egg and sperm) in Missouri and give all donor-conceived offspring the right to access the donor’s identity at age 21.   In fact, she wants the child’s birth certificate reflect the biological parent’s name (yes, she called the donor a parent) and the donor parent’s name as well.  She is not intending to create any legal relationship between donors and the offspring, but the use of the word PARENT is extremely disturbing.  What do you think?

Click Here for the information on this bill HB355

Blog On Bill HB355 

Hawaii – Civil Unions in Hawaii.  Hawaii’s House passed a civil union bill this month by a vote of 33-15. 

"The bill, which now moves to the state Senate, would grant partners in civil unions the same benefits, protections and responsibilities as married couples under state law. The state would also recognize civil unions, domestic partnerships and same-sex marriages performed in other states. Partners in civil unions would not have the same protections as married couples under federal law, so the recognition is a rung below treating homosexual and heterosexual couples equally."

According to the Honolulu Advertiser, "The lawmaker who missed the vote, state Rep. K. Mark Takai, D-34th (Newtown, Waiau, Pearl City), who is preparing to deploy with the Hawai'i Army National Guard to Kuwait, supports civil unions."

Click Here for Complete Article

Other Article on www.Proudparenting.com

Australia – Lesbians Win Damages for Second Child – yes, you heard it right.  A lesbian couple have won the right to be compensated by their IVF Physician for the wrongful birth of one of their twins.  The woman gave birth to healthy non-identical twin girls in July of 2004, and the couple had sought $348,000.00 in damages for the cost of raising one of the girls.  The court papers state that the woman had told the doctor to implant only one embryo; however, two embryos were implanted.  Their intital case had been rejected by the courts, but was overturned on appeal with the court granting damages of $317,000.00 plus fees, which includes fees for a private Steiner school.

Click Here for Complete Article

India – Surrogacy is No Business, It’s a Need: Experts.  With reproductive tourism exploding, I like to keep people alert to the dangers of going to countries where the laws are not yet in place.  If you think California is the wild west, think again, as that is not the case.  But, if you are going to India, buyer beware!

"Surrogacy is not a business, it arises out of need. It gives women an opportunity to make a bright future for themselves and for others," R S Sharma, deputy director, Indian Council Medical Research (ICMR) said at a seminar held at the ILS Law College on Wednesday.

The ILS Law college conducted this seminar chiefly to identify the loopholes in the proposed Assisted Reproductive Technology (ART) (regulation) Bill and suggest changes.

Sharma presented the draft bill on the issue title Assisted Reproductive Technology (regulation) Bill, 2008'. In India, there is no law to regulate surrogacy and the government now wants to fill this void to avoid exploitation of the parties involved. Following this, a 15-member committee, including experts from ICMR, Ministry of Health and specialists in the field, prepared this bill and will table it before the Lok Sabha in the ensuing session.

"It is incorrect to label surrogacy as a business. Both parties involved are benefited and is undertaken only after they arrive at a mutual consensus. Take for instance this case where the wife decided to become a surrogate because she needed money for her husband's treatment. Also, the family was so financially weak that they were not being able to make their ends meet. After opting for surrogacy, she was not only able to get her husband treated, but also spent on her children's education. Would you call this a business?" Sharma questioned the audience.

As a result of the increasing demand for various types of ARTs, infertility clinics too have mushroomed indiscriminately across the nation. In the absence of national registry of ART clinics, there is no reliable information available on their number.

Sanjay Gupte, director, Centre for Research in Reproduction, who was also present at the seminar, said, "It is often said that doctors make good profit from surrogacy in India. However, very few talk of the drug companies that sell infertility drugs and make money. They (the companies) are, in fact, the ones who are promoting malpractices in the system. We need strict laws to bind such companies, this in turn will help control the number of ART clinics."

Sunita Tadulwalkar, in-charge of the IVF Clinic at Ruby Hall, said, "This was the most awaited bill as the number of ART clinics has increased significantly over the past five years. The bill will definitely improve the quality of treatment. However, I also see that the bill does not mention insurance. There is a lot of risk involved in this process and insurance companies flatly refuse to pay for infertility treatments."

Students of the ILS Law College identified loopholes in the bill, particularly with respect to the status and rights of children born out of such process.

 

Click Here for Complete Article

 

ESHRE NEWS – The European Society of Human Reproduction and Embryology in their January 2009 publication gave an update on their project involving the status of donor anonymity and embryo research.  The picture emerging so far is mixed, from countries such as Belgium, Italy, Norway, Denmark, France, Germany, Greece, Protugal, Russia, Spain and the UK, though most countries favor anonymous sperm donation.  The exceptions are Germany (where egg donation is not allowed, but sperm donation is), Norway and UK, which all give children conceived by donor sperm the right at the age of 18 to know the donor’s identity.  Women in Russia and so far Belgium can be treated by known and anonymous sperm donation. No gamete donation is allowed in Italy.  More details can be found on the ESHRE website at www.eshre.com.

 

 

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Subscribe to my blog at: http://www.surrogacyeggdonorblog.com/subscribe.html

 
 

 

Why Egg Donors Should be Compensated

 

I just found this great piece from Melissa Ford of Stirrup Queens (great blog, by the way!) on why egg donor (or "egg suppliers") should be compensated.  With all the articles running on the exploitation of egg donors, I thought that this was a timely discussion.  Let me know your thoughts on this one.

"Back in college, the popular way to make beer money was to sell your plasma. It was so popular that the student handbook listed the plasma center along with a few local dry cleaner recommendations and coupons to a sandwich shop. I'm not sure what the going rate was back in 1992, but a quick search online yielded that the going rate for plasma is about $70/week (two donations a week at $35 each).What made me think of this today? Because I read an argument against compensating egg donors stating that no other donated body part or product receives financial compensation. And that's just not true, there's plasma. In fact, it is legal in America to be financially compensated for cells, though you cannot be compensated for organs.

FoxNews reported back in November that plasma donations were up as first time donors stepped up to earn gas and grocery money by selling their blood product, which brings us to Salon's article this week on Broadsheet discussing the increase in egg donors and the ethics of paid donations. Quoting a recent Boston Herald article and the constant discussions around the Internet on this topic from the Wall Street Journal to the Washington Post, the post begins: "In these stark economic times, what's a gal to do when the creditors have the phone ringing off the hook or when her boss shovels her onto the fast-growing pile of the nation's unemployed? For an increasing number of women, it means considering selling their eggs for anywhere from $5,000 to $10,000."

Donations are, by their very definition, gifts without compensation. I fully agree with anyone who argues that donors who receive compensation are not donors by definition; though I also argue that donor is an antiquated word that no longer holds meaning in our society. Political donors give money with gain both tangible and intangible in mind from access to positions within an administration to simply having your desired party in place when policy is being decided. Philanthropic donors gets a building named after them after they cough up a ten million dollar check. It's not that there aren't people out there doing something for nothing, but most people want recognition of their gift, if not financial compensation.

If it helps, we can rename egg donors "egg suppliers" instead.

Tracy Clark-Flory did a fantastic job on the Salon piece pointing out that donors who are solely financially-driven usually do not make it through the rigorous screening process required of all potential donors (though returns with an alarmist final thought on financial desperation). Those who donate solely to make money with no regard to the enormity of the task on hand--emotionally or physically (for themselves, their recipient, and any children born of their gametes)--are generally left disappointed with a rejection slip. Over 90% of wannabe donors do not make it to that first lupron needle."

Click Here for Complete Article

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Subscribe to my blog at: http://www.surrogacyeggdonorblog.com/subscribe.html

Parents via Egg Donation - Friends Helping Friends

 Parents via Egg Donation has made the news!  The Oregonian has written a piece about the organization and Marna that you really must read.

"All over the world, women who can't give birth using their own eggs are becoming pregnant with eggs donated by others.

Many turn for information and support to a nonprofit organization called Parents Via Egg Donation, founded by a woman named Marna Gatlin. Those who've been helped by the organization call themselves "friends of Marna."

Marna lives right here in Oregon.

There's not a lot Marna doesn't know about giving birth using donor eggs. Eight years ago, she was part of the process herself.

At that point, she'd been trying to get pregnant for more than a decade. Marna says she miscarried nine times. Her marriage couldn't stand the stress; she and her husband divorced."

Click Here for the Complete Article

Be a Friend of Marna, and Donate Now

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Subscribe to my blog at: http://www.surrogacyeggdonorblog.com/subscribe.html

Egg Donation - Researchers See Little or No Risk

New York Researchers at Weill Cornell Medical College reported today that there are little to no risks associated with egg donation. Out of all of the cases that they studied they found serious complications in only 0.7% of the cases and minor complications in 8.5 % of the cases.

They concluded by saying that these results are typical as long as the utmost care is taken with the egg donors. This is something that fertility doctors have been telling egg donors and the public for years; however, the research finally backs it up.

"As we care for a young woman who wishes to donate eggs," concluded Cholst, "it behooves us to make every effort to minimize risks that she may experience and to be clear in providing informed consent concerning those risks."

What is everyone else's experience?

Click Here for the Complete Article

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

 

Most Women Report Satisfaction with Egg Donation - Some Report Problems

Research done by the University of Washington was released this week in the Journal of Fertility and Sterility determined that two-thirds of women who donated their eggs reported satisfaction, with 16% complaining of subsequent physical symptoms and 20% reporting lasting psychological effects. This is the first study done to examine the long term effects of egg donation.

In fact, as I discussed in my piece on egg donation yesterday, the researchers were surprised at the low number of women who reported an awareness of possible physical risk prior to donation. Nearly 63% viewed the potential risk as minor, with 20% not recalling that they were made aware of physical risks at the time of their first donation. 

Researchers also noted that the women may be forgetting what they were told as it had been quite a while between the donations and this study. They also felt that many of the young women discounted the risk at the time that they donated because of their age. “Risks don’t mean much to young women,” according to Nancy Kenney, UW Associate Professor of Psychology and Women Studies and the lead author of the study.

Of the women who reported physical problems, bloating, pain and cramping, ovarian hyperstimulation, mood changes, irritability, or weight gain or loss were the common complaints, with several claiming infertility, decreased fertility or damage to their ovaries. 

However, most of the women (73%) reported being aware of some of the psychological risks associated with egg donation prior to donating. 

The women were split on why they donated – 32% said their motivations were solely based on helping others, while 19% said financial concerns were their sole reason. The remaining women cited a combination of altruistic and monetary reasons for their donation.

This research was based on the input of 80 women who donated for the first time at least two years before they filled out the research questionnaire and were an average of 30.6 years when surveyed.

Complete Press Release Here

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Egg Donors & the Economy - Who is Exploiting Whom?

Well, after all of the news of recent of egg donors and the economy being shoved down our throats from press releases, news articles and news programs, I woke up this morning with a new concern about all of this. 

Shouldn’t we be concerned about this rise in donors? Who is Exploiting Whom, if at all? That is why we, as an industry, need to make certain that no one is exploiting anyone. In fact, we need to ensure that there is no abuse on either side – by the agencies, lawyers, parents, and clinics, as well as on the side of the donors themselves. As a Reproductive Lawyer and the Founder of an Egg Donation & Surrogacy Agency, I have a vested interest in ensuring that this is done sooner than later.

With that in mind, I think that we need to be concerned that the state of the economy may actually cause more women to become donors by not thinking about what they are actually doing and by not considering the risks. Which, in turn, can leave open the possibility that the donors may start the process, get accepted, get selected by parent(s), undergo testing at the cost of the parent(s), who then back out once they realize what this medical procedure actually entails? Or, donors who go forward because they need the money without really thinking through what they are doing? Who loses in this case? Who suffers emotionally? At what cost?

On the other end of the spectrum, shouldn’t we also be concerned about the donor’s authenticity? Desperation creates the environment for changing one’s history, medical or otherwise – does it not? If one needs money so badly, why not make oneself into the poster of good health, good family history and a great education?

With these points in mind, I want to make certain that those couples/individuals looking for an egg donor or the donors looking to donate, do their research first on the agency or clinic where they select their donor or select to be a donor as follows: 

1.            Has the agency verified the donor’s credentials? 

2.            Have those credentials been sent directly from the education institute or college or were they sent directly by the donor? 

3.            Has the agency obtained the donor’s medical records from previous cycles?  Has the donor actually been screened by the agency? 

4.            What does their actual screening consist of? Remember, numbers are not everything, as quality is much more important than quantity – so it is important to question those agencies that claim to have hundreds of new donors from the economy. 

5.            Has the agency, lawyer, or clinic provided you, as the potential donor, an opportunity to speak with a physician regarding the potential risks? Have you had the opportunity to speak with a psychologist? Have you had all of your questions answered?

Yes, the economy can certainly cause a woman to make a decision to become an egg donor (or a surrogate mother) for the compensation that it provides, but also make certain that these donors (and surrogates) are not just in it for the money – they need to understand the entire process and they are moving forward with a clear sense of how they are helping someone create the family that they have always wanted and dreamed of, as well as understand all of the potential medical and psychological risks that are actually involved.   

As an industry, we all need to make certain that all parties, the donor, the parents and the future child, are protected. I know what my staff and I do to ensure that this is taken care of. In fact, we continually are revising and adjusting our protocol to adapt to change in the industry. Shouldn’t we all?

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Our Economy, Surrogacy and Egg Donors - There is more to this process than money...

With the media, including the Wall Street Journal and Fox News, focused on how the economy is causing more women to sign up as egg donors and surrogates, our industry needs to be sensitive to this.  Specifically, we need to be certain that these women are doing it for the right reasons, as well as for the money. 

There is quite a bit for them to think about before committing themselves to this process, to include medical risks, the emotional aspects and the time commitment. This process is not an easy buck for anyone, and the reproductive community needs to make certain that we do all that we can that they are thoroughly and adequately informed. 

Click Here for an Article on this Subject

Click Here for a Similar Article on this Subject

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Truth in Egg Donation Advertising

Articles regarding the possible danger of egg donation are nothing new. However, what is slightly less common and even more worthwhile are articles like the one in the Daily Princetonian which calls for higher governmental regulation of the assisted reproduction field.

The author calls for a national egg donation registry that would be able to keep the information of all egg donors within the United States and help to identify any long term risks that might otherwise not be seen. Additionally, this government regulated national registry could enable practitioners in the field of assisted reproductive technologies to see what which treatments are most effective and which are most ineffective.

Yet, as those of us in the field of ART are aware…governmental regulation is slow coming if ever, which is why those of us in the field of ART need to continue to build a national egg donation database of our own that is self regulated until the governmental regulation finally catches up. What are your thoughts? 

Click Here for Complete Article

ASRM: Pressure Builds for Open-Identity Sperm Donation in the U.S.

In conjunction with ASRM's meeting last week, a report was released stating that pressue for open-identity sperm donation is building here in the U.S.:

SAN FRANCISCO, Nov. 14 -- Studies of people conceived with donated sperm suggest that many do not support the practice of anonymous sperm donation.

Roughly a third of people who know they were conceived by open-identity sperm donors make a request for the donor's identity by the time they turn 20, according to the world's first study on this subject.

 

However, it is likely that other offspring will make the request at an older age, predicted Joanna Scheib, Ph.D., a professor of psychology at the University of California, Davis.

In addition, they provided action points as follows:

Action Points  

  • Explain to interested patients that most donor-conceived children want information about their donor's identity. 
     
  • Note that this information was published as an abstract and presented orally at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal.

        Click Here for the Complete Article

Cl

 

 

Cl

 

Egg Donation Regulation? What Should We Do?

Recently as last year, a physician from Arizona had begun lobbying in front of Congress to regulate egg donation. This is in response to the fact that her own daughter, who donated her eggs several times, died of colon cancer at a young age.  Now, I met this woman personally at a conference in Chicago earlier this year, and I do sympathize with her; however, I was unable to find a direct correlation between her donation and the cancer.  I must note that my investigation was only cursory at best. 

With that in mind, how are we to resolve this issue for this donor and for all other donors?  As of right now egg donation is not regulated beyond the FDA testing and the ASRM guidelines that are in place to "guide" everyone.  

Additionally, the field of Assisted Reproduction is not required to hold on to any of the medical records for any egg donors following the completion of their egg donation cycle. I will note that this Arizona doctor is suggesting that Congress create a national egg donor database where medical records and other information on the egg donor will be kept for future children, as well as for the donor herself if she suffers any complications or the like.

Now, even though this national egg donor database seems like a great idea, could it not also cause problems of its own? For example, will fewer women be willing to donate their eggs if it is not completely anonymous? Will there become waiting lists for egg donors who are willing to make this information known? How far will this database go? Will donors become completely known or will they be given an identifier where their medical information is only known? What are your thoughts?

Click Here for the Arizona Article

Click Here for an Intended Mother's Perspective

Egg Donation Regulation? What Should We Do?

Recently as last year, a physician from Arizona had begun lobbying in front of Congress to regulate egg donation. This is in response to the fact that her own daughter, who donated her eggs several times, died of colon cancer at a young age.  Now, I met this woman personally at a conference in Chicago earlier this year, and I do sympathize with her; however, I was unable to find a direct correlation between her donation and the cancer.  I must note that my investigation was only cursory at best. 

With that in mind, how are we to resolve this issue for this donor and for all other donors?  As of right now egg donation is not regulated beyond the FDA testing and the ASRM guidelines that are in place to "guide" everyone.  

Additionally, the field of Assisted Reproduction is not required to hold on to any of the medical records for any egg donors following the completion of their egg donation cycle. I will note that this Arizona doctor is suggesting that Congress create a national egg donor database where medical records and other information on the egg donor will be kept for future children, as well as for the donor herself if she suffers any complications or the like.

Now, even though this national egg donor database seems like a great idea, could it not also cause problems of its own? For example, will fewer women be willing to donate their eggs if it is not completely anonymous? Will there become waiting lists for egg donors who are willing to make this information known? How far will this database go? Will donors become completely known or will they be given an identifier where their medical information is only known? What are your thoughts?

Click Here for the Arizona Article

Click Here for an Intended Mother's Perspective

When Ovaries Attack: Risks of Egg Donation

With new stations declaring that young women are donating their eggs to make money in a sagging economy, we need to address the risks that go along with this money making endeavor.  Advertisements are in college newspapers and university halls contain signs encouraging young women to become egg donors for a pretty penny. The lure of thousands of dollars calls many women to look into egg donation or to actually participate in egg donation.

The worry is the uneducated decision these women are making. Along with most medical procedures, there is a risk involved in egg donation. As an egg donor these women should be aware of the facts about egg donation and the risks involved.

Certain facts that should be noted are:

1)      Time Commitment: Several weeks of injections, ultrasounds, blood tests, egg removal (transvaginal ovarian aspiration), and recovery are a few of the time consuming activities that take place for an egg donation.

2)      Infertility risk: Biggest risk with egg donation is the possibility of complications that might lead to infertility, even though these complications are extremely rare.

3)      Ovarian Hyper Stimulation Syndrome: Ovaries can become “hyperactive” retaining water. While usually treatable and donors still continue through the procedure, in extreme cases, one or both the ovaries might be removed.

4)      No sex during the process: Since a donor is on fertility medications to stimulate the egg production, it is best to avoid sex since unwanted pregnancy risks are multiplied.

Even though egg donation might seem like a quick fix for cash it is a medical procedure and women need to understand that make sure they are educated on the process. A great doctor and a great agency will make this process safer and more efficient for the donors.

What are your thoughts:

1.      Should there be an age limit beyond 18, to make sure women understand the risks, process, etc?

2.      Should there be classes, seminars, etc that women should have to attend to be able to donate eggs?

3.      Is this from a old world mentality that women cannot decide for themselves or for their body?

4.      Should we assume that college educated women cannot understand a medical procedure or the process they are going to start?

For More Information, Click Here

Sperm Donor Conceived Child Files Lawsuit

For the first time in Vancouver, a class action suit was brought to attempt to change the laws regarding sperm donor’s anonymity last week. The plaintiff is Olivia Pratten, the daughter of an anonymous sperm donor who is attempting to get information about her biological father before the medical records are destroyed.

Currently, the laws in Canada are that gamete donor’s medical files can be destroyed after six years;  however, Pratten in her suit is attempting to overturn this law so that she may learn pertinent medical information. Additionally, Pratten is arguing that this law violates the rights of those conceived using gamete donation.

On Tuesday, a British Columbia judge issued an injunction to stop the destruction of any medical records related to artificial insemination. This is of course being appealed as we speak. However, if this decision is to be upheld what would that mean for the donor’s anonymity? Could Canada eventually become like the UK where donors are not anonymous? Also if that were to happen, would there be a decrease in those willing to donate their gametes?

Click Here for Link

Click Here for Link

National Infertility Awareness Week - Egg Donation & Gestational Carrier Teleseminar

Resolve: http://www.resolve.org/site/Calendar?view=Detail&id=24421

A Free One-Hour TeleSeminar
Friday, October 24th
1:00PM ET/ 12:00PM CT/ 11:00AM MT/ 10:00AM PT

Hosted by Dr. Marcus Jurema
IVF NJ

Disclosure to Egg Donation and Sperm Donation Children

Fertility and Sterility magazine recently published physiological research done in Israel regarding single mothers who have conceived children through the use of both a sperm donor and an egg donor. The team of researchers from the Hebrew University of Jerusalem wanted to look at single women from age 36 to 50 who conceived children using the assistance of an egg donor and sperm donor and determine whether or not they would tell their children how they were conceived and if the children exhibited any emotional and/or behavioral difficulties.

In Israel the identity of all egg donors and sperm donor are kept confidential by law, which means the children would not be able to find out that they were conceived via egg and sperm donation without their mother’s informing them. The researchers found that most of the women planned on telling their children that they were conceived through the use of a sperm donor by the time they turn 18, but were most likely not going to inform them that they had also been conceived with the use of an egg donor.

I wonder if this has something to do with societal and cultural ideas about motherhood and familial bonding, yet the research did not go into this. Additionally, the study also revealed that there was minimal, if any, impact on parenting and the children’s development through the use of assisted reproduction. What are your thoughts?

Click Here for Complete Article

Woman Sues Over Having to Use an Egg Donor

Do you truly need to be genetically related to a child to feel that they are your own? Well according to a United Kingdom woman, she needs the genetics.

According to reports the woman and her husband were attempting to do fertility treatments for nearly 5 years and, unlike the United States, they were put on a waiting list for treatments. However, the woman claims that when they started the process her eggs were in perfect condition and it was her husband’s sperm that was the issue, now she says that once they were finally able to get treatment the doctors discovered that her eggs were now too old and they would need to use an egg donor.

Unfortunately, they would have to wait for that too since egg donors in the UK are not easy to come by, so instead of waiting they went to Spain where the donors are anonymous and there is a lot more of them. Of course, since they did not want to wait any longer, they opted out of waiting for a blue eyed and went for the first available donor.

Now with only days left in her pregnancy she is publicizing her story and threatening to sue the fertility clinic in the UK because she is now having a son that will not be genetically related to her. A son, that she says, she will not love as much because there is no genetic relationship between them and for that she feels as though she has been shafted.

Obviously, this is a horrible experience that she went through and she has had to wait for a very long time for this baby. However, she should look at the bright side and look at the fact that she is about to give birth to a perfect baby. What does it really matter if there is not a genetic link? What are your thoughts?  

Egg Donation - Fact or Fiction?

Recently, Egg Donation has been receiving a plethora of media attention as fertility clinics claim that more and more women are trying to be Egg Donors. Yet, it seems that the reasons for this recent “boom” of women wanting to be Egg Donors has about a million different reasons…at least every news story seems to give a different reason.

However, with all of this new found media exposure people who are against Egg Donation are also becoming more and more vocal. Some of these anti-Egg Donation advocates are even claiming that being an Egg Donor can lead to the Egg Donor getting cancer or putting her at a higher risk for cancer. This claim, however, is not backed by any scientific research or studies. Most of the people, excuse my generalization, that are anti-Egg Donation do not have research or studies to back up their claims or they simply say that these women do not know what they are getting themselves into.

In my opinion, no matter how you feel about Egg Donation, if you want to become an Egg Donor or want to have a truly valuable opinion on the subject, you should thoroughly research the topic and find out all that you can about Egg Donation. Additionally, if you are thinking about becoming an Egg Donor you should definitely become educated on the subject and ensure that you know exactly what you will be going through.

That’s all that we, in the Assisted Reproduction field, can really ask for…is that people research and become educated on what Egg Donation is and what the real risks are to the Egg Donors.

Additional News Story

Good Blog on Egg Donation

Great Article - Questions to Ask Before Using an Egg Donor

Families considering using an egg or sperm donor should carefully consider the following:

Article continues as follows: http://www.latimes.com/news/printedition/california/la-me-eggsqanda8dec08,1,2279200.story?coll=la-headlines-pe-california

Registry may track egg, sperm donors

Alot has been written about recently about the plight of a California couple whose daughter suffers from Tay Sachs.  Our prayers go out to both of them, and we would like to start a dialogue on this site to further discuss what everyone thinks. 

Article is as follows:

Troubled by the health history and backgrounds of some anonymous egg and sperm donors, leaders in the fertility industry have said in recent weeks that they would create a national registry to track donors and birth outcomes.

In response to a Dec. 9 article in The Times about a child born with a terminal genetic disease, representatives from the Society for Assisted Reproductive Technology, a fertility industry organization, said they intend to record the histories of donors and surrogate mothers to help prevent such tragedies.

Click here for more of the article: http://www.latimes.com/news/local/la-me-eggs3jan03,1,2138448.story?coll=la-headlines-california&ctrack=1&cset=true

Additional Articles: http://www.choiceusa.org/blog/?p=384

http://www.allheadlinenews.com/articles/7009603496

Compensation for Egg Donors - Great article

By Mary Ellen McLaughlin

If egg donors weren’t compensated, the whole business of assisted reproductive technology would be a shadow of where it is today. “No one would [donate eggs] for free,” one donor told a writer with MSNBC. “Maybe for your sister, but not for a stranger.”

Reminder of Article: http://conceptionconnections.wordpress.com/2008/01/09/compensation-for-egg-donors/

Great Information on Egg Donation from Dr. Paulson via ABC News

This article is helpful in answering some of the basic questions about egg donation.  Have a look at: 

http://www.abcnews.go.com/WN/story?id=4134371&page=1