France may face sperm shortage under Macron plan to ease IVF rules

An in vitro fertilization embryologist works on a petri dish. Single women and lesbians in France no longer would have to go abroad to get pregnant with a doctor's help under a proposed law that would give them access to medically assisted reproduction at home for the first time. File photo: AP Photo/Sang Tan.

An in vitro fertilization embryologist works on a petri dish. Single women and lesbians in France no longer would have to go abroad to get pregnant with a doctor's help under a proposed law that would give them access to medically assisted reproduction at home for the first time. File photo: AP Photo/Sang Tan.

Published Sep 25, 2019

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Paris - France risks a shortage of frozen

sperm if lawmakers approve new legislation that allows single

women and lesbian couples access to in-vitro fertilisation (IVF)

and abolishes the right of sperm and egg donors to keep their

identities secret, clinicians said.

Lawmakers in the country's National Assembly on Tuesday

start debating a bioethics bill that unwinds some of western

Europe's strictest rules governing medically-assisted

pregnancies, a campaign promise of President Emmanuel Macron.

Under existing law in France, IVF is available only to

opposite-sex couples, and only for reasons of infertility or the

risk of transmission of a disease or medical condition to the

child or either parent.

Health Minister Agnes Buzyn forecasts a roughly two-thirds

increase in demand for IVF procedures, with an extra 2,000 women

annually registering for treatment.

Couples already wait an average of 12 months from

registration to their first attempt at IVF. Clinicians at

France's network of public sperm banks (CECOS) said the supply

of cryopreserved sperm only just meets demand.

Moreover, they predict lifting donor anonymity could prompt

three-quarters of registered male and female donors to deny

clinics the use of their sperm and eggs under the new rules.

"To say 'everything is going to be ok' would be burying your

head in the sand," Nathalie Rives, president of the CECOS

federation, told Reuters.

"There will be a period of instability, with increased

demand and the need to recruit new donors. We don't know how

long this instability will last and whether there will be a

shortage."

The bioethics bill, which would also allow women to freeze

their eggs for non-medical reasons to enhance their chances of

having children, is Macron's first major societal reform.

Medically assisted reproduction - such as IVF - is widely

available to all women in countries such as Britain, Belgium,

Spain. But in France, it has fed into a broader debate about the

commercialization of healthcare and gay rights.

"The right to know one’s origins is a vital right, a

fundamental right,” said Arthur Kermalvezen, 35, who turned to

DNA tests to track down his biological father and has campaigned

for the lifting of anonymity.

The legalisation of gay marriage in France six years ago

sparked massive street protests even though the influence of the

Catholic Church was thought to be in decline.

In a sign France has become more socially liberal, polls

show a majority of French people back the bioethics reform.

Professor Rachel Levy, who runs the CECOS centre at the

Tenon Hospital in Paris, said donor anonymity would remain in

place for 13 months after the legislation comes into effect in

an effort to help sperm banks build up stocks.

There would then be a second phase during which existing

donors would say if they consent to their cryopreserved sperm

being used under the new rules. The samples of those who refuse

will be destroyed later.

"It's a challenging situation," Levy said. 

Reuters

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