The call of German scientists to permit the ovaries donation
Doctors and researchers are demanding the enactment of a new and modern reproductive medicine law in Germany in line with current scientific progress. What are the implications of them on the current law and what are their scientific justification and what is the most important thing they ask to be included in the new law?
A group of doctors and researchers from the National Academy of Sciences "Leopoldina" and the Academic Union in Berlin have demanded the enactment of a new law on reproductive medicine. Every year, thousands of couples who want to have children make their dreams come true, because ovaries donation are banned in Germany under the current legal situation. The 1990 Protection of Embryos Act prohibits the donation of ovaries, and the leasing of uterus is also prohibited in Germany as well as in 12 of the 28 member States of the European Union.
German legislation limits our capabilities and criminalizes such operations elsewhere, Ulrich Hailand, a member of the board of the Federation of Reproductive Medicine Centers in Germany, was quoted by the German news agency as saying. The law in its current status is "repressive" in particular in Germany and "does not keep pace with scientific development in this area." Claudia Fez-Mann, director of the Göttingen Institute of Ethics and History of Medicine, stresses that the previous legal regulations are "inadequate". The Embryo Protection Act is highly restricted to the protection of fertilized ovaries in the laboratory, outside the woman's body.
The demands of doctors and researchers focus on the following points:
Recognition of non-reproduction as "disability" and cost-bearing
At present, health insurance companies are dealing with artificial insemination in Germany as a choice for a personal lifestyle and not medically necessary. Fez-Mann is saving this and believes that non-reproduction should be considered a "physical disability" and health insurance funds should therefore bear the costs associated with treating the disability. Currently, public health insurance companies in Germany have only 50 per cent of costs, only for people living in a legal marriage relationship. In the case of an operation abroad to grow ovaries, banned in Germany, the health insurance companies do not bear the costs.
The donation permit of ovaries
At present, only sperm can be donated in Germany, but donation of ovaries are not permitted. One of the primary concerns of the legislature to ban ovaries donation is to protect the potential consequences because women are subject to long-term hormone therapy, and can be exposed to risks in a process under anesthesia. Also, the legislator wanted this prohibition to prevent donations becoming purely commercial. on the other hand, Fez-Mann stresses that there has been experience for several years in England in this area can be used, for example. In addition, the health risks that can befall donors are very low in our time. On the other hand, it is considered unfair for women with infertility to be unable to produce cells that allow them to conceive.
Implanting two or three fertilized ovaries in the uterus often results in an increase in the number of twins
Minimize the birth of twins
Unfortunately, the rate of reproduction after artificial fertilization is not very high, ranging from only 15 to 20 per cent. So doctors in Germany often plant two or three fertilized ovaries in the uterus to increase the likelihood of successful pregnancy but this often leads to an increase in the number of twins born in case the success of the process where it happens in every fifth case. In contrast, twin births pose significant risks not only to children but also to mothers. However, many mothers risk pregnancy, and retrying after their failure is also costly.
Legal equality between the donation of embryos and ovaries
Although ovaries donation is illegal in Germany, women with infertility have the option of obtaining fertilized embryos from other donors. These embryos are obtained through IVF in the laboratory, because doctors fertilize too many ovaries with seminal fluid to transplant several later in the uterus. In the case of sperm infiltration of the ovary cell occurs so-called fertilization, at this initial stage of fertilization, doctors choose the ovaries they use later in the cultivation of embryos. Fertilized ovaries that are not used by doctors are destroyed or frozen for use in a second fertilization process without resorting to use the ovaries again. According to the current law, these fertilized ovaries should not be donated in opposition to embryos that can be donated.