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Category: Assisted Reproduction

Assisted Reproduction

Donation, DNA and Discovery: Anonymity in Gamete Donation is a Flawed Promise

Approaches to privacy and confidentiality in gamete donation vary widely across the globe.  In the United Sates, most donations are conducted without the parties being identified to each other and disclosure to donor-conceived persons is still not universally practiced.  But, as science and technology evolve, the debate over donor anonymity is poised to perhaps become moot.   In recent years, direct to consumer genetic testing has become readily accessible online, without a medical practitioner’s involvement, and at a relatively affordable cost.    As the DNA companies build their data bases, it is increasingly likely that a search will reveal the identity of a donor or a donor conceived person, either because the donor has registered or a relative of the donor has registered.  Although experts in the field agree that disclosure of their genetic origins to donor conceived persons is important and may even be considered a right, donors who were promised anonymity are likely to be disappointed and very probably angry if their identity is revealed without their consent or knowledge.  Although contracts,  medical practice standards and professional privileges can bind the parties to confidentiality, there are no protections to prevent those not involved in the contractual process, including the person conceived from the donation, from seeking and sharing DNA information.

Attorneys should counsel clients that it is no longer possible to assume that anonymity will be maintained. Further, although disclosure to their child about the donor process is ultimately the parent’s decision, clients should be told that experts recommend discussing the donation with their child and introducing the topic as early as may be appropriate for their child’s age and ability to understand.  The following resources should be helpful:

  • https://www.donorsiblingregistry.com/
  • https://www.wearedonorconceived.com/resources-new/
  • https://www.cryobank.com/services/sibling-registry/
  • https://creatingafamily.org
  • https://creatingafamily.org/infertility/suggested-books-for-adults-and-kids/books-children-conceived-egg-donation/
  • https://creatingafamily.org/infe–rtility/suggested-books-for-adults-and-kids/books-children-conceived-sperm-donation/

–Margaret Swain is a Fellow of the Academy of Adoption & Assisted Reproduction Attorneys and the current ART Director

Filed Under: AAAA News, Assisted Reproduction, Featured, Fellows Public Tagged With: Family, Infertility

AAAA Reacts to State Department’s Intercountry Adoptions Report

The Academy of Adoption and Assisted Reproduction Attorneys (AAAA) issued its response today to the U.S. Department of State’s FY2018 Annual Report on Intercountry Adoptions which highlighted an 82% decline in the number of intercountry adoptions since 2004.

“AAAA is deeply concerned about the decline in international adoption, and the State Department’s report is a stark illustration of a troubling trend,” said AAAA President Eric Stovall.
“All children deserve a forever family. For children living without families abroad, and families in the United States willing to open their hearts and homes to children abroad, we should be working to strengthen international adoption as an option, among other avenues for these children. Instead, a multitude of factors have conspired to deny children and families this opportunity.” To view the full response, click here.

Filed Under: AAAA News, Adoption Attorneys, Assisted Reproduction, Featured, Fellows Public Tagged With: Family, International Adoption, Older Child Adoption

Arizona Married Couples Lose Control of Their Embryos

An important and deeply problematic statute went effect in August 2018 regarding the award of embryos in a divorce.  A.R.S. § 25-318.03 attempts to formalize who will be awarded embryos in the event of a dispute between divorcing spouses and who will be responsible for any resulting children.  The law requires the Court to disregard any prior written agreement between spouses regarding the disposition of their embryos in the event of a divorce, agreements most often made at the time they created their embryos.  Instead, embryos are to be awarded to the spouse “who intends to allow the in vitro human embryos to develop to birth.”  The bill goes on to divest a spouse of their control of embryos if they did not provide a gamete (sperm or egg) in the creation of the embryo.  If both spouses want the embryos, the Court is directed to award the embryos, “in a manner that provides the best chance for the in vitro human embryos to develop to birth.”

Embryos have been successfully frozen and used to achieve pregnancy since the mid-1980s.  It is estimated that there are over 600,000 frozen embryos in storage in the United States alone.1  Infertility affects millions of American.  According to the Centers for Disease Control and Prevention (CDC), 12% of women aged 15 to 44 years, regardless of marital status, experience infertility.2  Infertility is attributed equally to female factors alone, male factors alone and female and male factors combined. There are more than 12 infertility clinics in Arizona.

When a couple uses a clinic to create embryos, they are often asked to sign an extensive written agreement regarding the disposition of embryos in the event of death or divorce.  It forces couples to think carefully about scenarios in which they are no longer together and requires them to specify their wishes in writing.  Options couples consider include discarding the embryos, donating them to research or another couple, or allowing one or the other spouse to have full ownership and control.  Conscientious clinics will not proceed with the creation of embryos without such an agreement.

A.R.S. § 25-318.03 risks unwarranted governmental intrusion into the very personal and private decision of whether to have a child.  It favors the right to procreate over the right not to procreate.  A disagreement about the disposition of embryos is a conflict between two individuals, not an individual and the state.  Yet, the state will impose its choice upon a couple in conflict that has a written agreement instead of enforcing the terms of their agreement.  This approach to the disposition of embryos between divorcing spouses is counter to the majority of case law from around the country which supports enforcing a written agreement.3 As of August 2018, hundreds, if not thousands of married couples in Arizona found themselves with embryos disposition agreements that are not enforceable if a disagreement between them arises.

The law unfairly discriminates against spouses who could not provide their own gametes to create embryos by determining the disposition of the embryos based on genetic contribution.  It will have a greater impact on same-sex married couples for whom it is impossible for both spouses to have provided the gametes.  Yet, it will have no affect on unmarried couples who create embryos.  Instead, any written agreement an unmarried couple executed regarding the disposition of embryos will control.

The outcomes of this law are potentially extreme: a female spouse watches her genetic child gestated by another woman against her will; a spouse is forced to decide between parenting a child with a former spouse or facing the emotional consequences of choosing not to parent;  a spouse who was not awarded legal decision making authority for existing children is awarded the couples embryos because that was the only spouse who intended to allow the embryos to develop to birth.  None of these scenarios could possibly have been contemplated by the couple when they first sought infertility treatment in the hopes of starting a family together.

Heather M. Strickland is a Fellow of the Academy of Adoption & Assisted Reproduction Attorneys.


1The New York Times, “Industry’s Growth Leads to Leftover Embryos, and Painful Choices,” June 17, 2015.

2The CDC defines infertility as not being able to get pregnant after one year or longer of unprotected sex.

3E.g., Kass v. Kass, 696 N.E.2d 174, 180 (N.Y. 1998); Roman v. Roman, 193 S.W.3d 40 (Tex. App. 2006); In re Marriage of Dahl & Angle, 194 P.3d 834, 841 (Or. 2008).

Filed Under: AAAA News, Assisted Reproduction, Featured, Fellows Public Tagged With: ART Law, Family

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The Academy of Adoption and Assisted Reproduction Attorneys (AAAA) is a credentialed organization dedicated to the competent and ethical practice of adoption and assisted reproduction law. It advocates for laws and policies to protect the best interests of children, the legal status of families formed through adoption and assisted reproduction, and the rights of all interested parties.

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DISCLAIMER: The Academy of Adoption and Assisted Reproduction Attorneys (AAAA) website is designed for general information only. Nothing on this website establishes an attorney-client relationship with AAAA or any of its member-attorneys.  AAAA website content does not constitute legal advice from AAAA or its member-attorneys to any reader or to the general public.  The law constantly changes and varies across state and international borders.  Consult qualified legal counsel in your jurisdiction regarding your particular situation. Click here for the AAAA Attorney Directory. The names and contact information included on this site are for the purpose of searching for an attorney for a particular legal case. The contact information may not be used for commercial, promotional, or advertising purposes.

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