It is three years since the Human Fertilisation and Embryology Authority reviewed its guidelines for sperm, egg and embryo donation in the appropriately acronymed SEED report. But reproductive medicine has moved on so swiftly that Professor Lisa Jardine, who took over last April as the authority’s chairman, believes that it is time to return to the issue. In an interview with The Times she called for a fresh debate on two of the most controversial aspects of donation. First on her agenda is the question of when family members should be allowed to donate to one another. She is concerned about intergenerational donation, such as in two cases in 2007. In one, a Briton aged 72 provided sperm to his daughter-in-law, while in the other a Canadian, Melanie Boivin, froze eggs for her daughter, Flavie, 7, who has Turner syndrome and will become infertile.
The single greatest change to affect the UK fertility sector in nearly two decades will take place tomorrow, Thursday 1 October, as the new Human Fertilisation and Embryology Act 1990 (as amended) comes into force. Changes which will come into effect with the new legislation include: * increasing the length of time people can store their embryos * a ‘cooling off’ period if one partner withdraws consent for embryo storage * extending information access rights for donor conceived people and donors * opening the Human Fertilisation and Embryology Authority’s (HFEA) Register for research * introducing supportive parenting into the welfare of the child provisions * banning sex selection for non medical reasons * clarifying the scope of embryo research
Mistakes and near misses in fertility treatment are recorded by the Human Fertilisation and Embryology Authority but until now details of the most serious cases have been kept secret. Eight of these mistakes were given grade A status, meaning they were the most serious incidents could involve events such as embryo mix ups, the death of a patient or an incident which affects a number of patients, for example, when a storage unit malfunctions and all embryos are defrosted and lost. In 2007/8 two of the eight grade A incidents involved mix-ups. A spokesman refused to give details but said they could be cases where the wrong sperm was used to fertilise and embryo or the wrong embryo was defrosted for use, but neither involved the implantation of wrong embryos. Last year there were 182 incidents out fo 52,000 cycles of treatment provided in Britain, the HFEA said.
A serious blunder at one of Britain's top fertility clinics dramatically increased the risk its patients would suffer a miscarriage or give birth to a child with serious health problems, sparking fresh fears about how IVF centres are run in the wake of a series of scandals. Unscreened sperm used by staff at the London Women's Clinic (LWC) to create dozens of embryos was later found to have a chromosome abnormality that could have been passed on to any unborn child, The Independent on Sunday has learnt. The British Fertility Society's screening guidelines make it clear that the clinic should never have accepted the donor. At least one couple suffered a miscarriage as a direct result.
Ask a couple struggling to conceive what they would want most in life and "a child" is the obvious answer. They want something money can't buy, even with all the money in the world. For a couple needing egg or sperm donation this reality might change. Money could buy at least the chance of a child if donors were to be paid, if that's one of the outcomes of the Human Fertilisation and Embryology Authority (HFEA) donation review. Various issues are being reviewed in the HFEA public consultation, but payment of egg and sperm donors is high on the agenda.
Clinicians and egg donors have signalled their support for a rise in the amount of compensation paid to women who donate eggs to infertile women in the United Kingdom, as the Human Fertilisation and Embryology Authority prepares to launch a public consultation on the subject.