[Extension of the Use of Gametes in Intra-couple (EUGIC): How to use trans woman' spermatozoa?].

Gynecol Obstet Fertil Senol

Service de biologie de la reproduction-CECOS, CHU de Rennes, 35000 Rennes, France; Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) UMR_S 1085, CHU de Rennes, université de Rennes, 35000 Rennes, France. Electronic address:

Published: January 2025

AI Article Synopsis

  • The French Bioethics Law now allows lesbian couples and single women to access medically assisted reproduction, including the use of cryopreserved gametes, raising questions about new applications of these gametes among various couples, particularly those including transgender individuals.
  • The study analyzes scenarios where a transgender woman's sperm is used within couples, rather than relying on gamete donation, highlighting existing practices and challenges faced by healthcare professionals.
  • There are inconsistencies and legal gaps related to using a trans woman's sperm under the new EUGIC framework, resulting in complexities for medical practitioners and raising issues around the rights and interests of the unborn child.

Article Abstract

Objective: The French Law relating to Bioethics allows access to medically assisted reproduction for lesbian couples and single women and has expanded the possibilities for self-preservation of gametes. The question now arises of new uses of gametes of the couple, within couples of two cis women, one cis woman and one transgender woman, or two transgender individuals. The acronym EUGIC (Extension of the Use of Gametes in IntraCouple) allows these new situations to be grouped together, particularly if gametes have already been previously cryopreserved, thus avoiding the need for gamete donation.

Methods: Analysis of the different situations of sperm use from a trans woman using gametes available within the couple rather than gamete donation.

Results: The inconsistency in the use of sperm from a trans woman, the situations already encountered by professionals, the prospects for filiation for a trans woman as well as the issues related to the interest of the unborn child are discussed.

Conclusion: French law does not fully address the use of a trans woman's spermatozoa to meet the new EUGIC requirements and leads to complex situations for healthcare professionals.

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Source
http://dx.doi.org/10.1016/j.gofs.2024.08.002DOI Listing

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