Bioethics Discussion Blog: Mother's Request for Posthumous Sperm Retrieval: What Would Be Your Ethical Decision?

REMINDER: I AM POSTING A NEW TOPIC ABOUT ONCE A WEEK OR PERHAPS TWICE A WEEK. HOWEVER, IF YOU DON'T FIND A NEW TOPIC POSTED, THERE ARE AS OF MARCH 2013 OVER 900 TOPIC THREADS TO WHICH YOU CAN READ AND WRITE COMMENTS. I WILL BE AWARE OF EACH COMMENTARY AND MAY COME BACK WITH A REPLY.

TO FIND A TOPIC OF INTEREST TO YOU ON THIS BLOG, SIMPLY TYPE IN THE NAME OR WORDS RELATED TO THE TOPIC IN THE FIELD IN THE LEFT HAND SIDE AT TOP OF THE PAGE AND THEN CLICK ON “SEARCH BLOG”. WITH WELL OVER 900 TOPICS, MOST ABOUT GENERAL OR SPECIFIC ETHICAL ISSUES BUT NOT NECESSARILY RELATED TO ANY SPECIFIC DATE OR EVENT, YOU SHOULD BE ABLE TO FIND WHAT YOU WANT. IF YOU DON’T PLEASE WRITE TO ME ON THE FEEDBACK THREAD OR BY E-MAIL DoktorMo@aol.com

IMPORTANT REQUEST TO ALL WHO COMMENT ON THIS BLOG: ALL COMMENTERS WHO WISH TO SIGN ON AS ANONYMOUS NEVERTHELESS PLEASE SIGN OFF AT THE END OF YOUR COMMENTS WITH A CONSISTENT PSEUDONYM NAME OR SOME INITIALS TO HELP MAINTAIN CONTINUITY AND NOT REQUIRE RESPONDERS TO LOOK UP THE DATE AND TIME OF THE POSTING TO DEFINE WHICH ANONYMOUS SAID WHAT. Thanks. ..Maurice

FEEDBACK,FEEDBACK,FEEDBACK! WRITE YOUR FEEDBACK ABOUT THIS BLOG, WHAT IS GOOD, POOR AND CONSTRUCTIVE SUGGESTIONS FOR IMPROVEMENT TO THIS FEEDBACK THREAD

Tuesday, February 18, 2014

Mother's Request for Posthumous Sperm Retrieval: What Would Be Your Ethical Decision?










The Case Study in the January-February 2014 issue of the ethics journal "The Hastings Center Report" sets an ethics issue which, though not a major issue like assisted suicide for the terminally ill, nevertheless has occurred. The issue is that of sperm retrieval promptly after a patient is pronounced dead for later insemination in an attempt to create a child but without the specific documented request by the patient.  With a prior request made by the patient, certainly outside the various religious views and within the "Western" culture, this act could be ethically  acceptable. But in the case developed by the ethics journal, the mother of her 29 year-old son now virtually dead by neurological criteria ("brain dead") , and the mother as  his legal surrogate, requests the sperm retrieval, for future use, on the basis of, in the past,  her son's telling her that he "wanted to give her grandchildren." Neither the son's girlfriend nor the son's father was not involved in the mother's decision and request and, in fact, no one was specified as the recipient for later fertilization.  There was no written directive by the son requesting sperm retrieval.  My question for my visitors here is, if you called into the clinical situation as an ethicist, would you, with the history provided, tell the physicians faced with this request that it would be ethical to go ahead with the sperm retrieval?  One fact to consider is that organ retrieval such as kidneys for donation and transplant is considered legal and ethical if said by the family to have been requested by the patient. Do you see any difference between sperm retrieval and use and kidney donation and transplant? ..Maurice.

Addendum: For more information about posthumous sperm retrieval  read the Wikipedia articleYou also may want to read the article "IVF AfterDeath" where through Google Images, the Graphic for this thread was obtained. Finally, come to your own ethical decision and post it here but then go ahead and read the free Case Study in The Hastings Center Report with the two commentaries.


2 Comments:

At Sunday, March 02, 2014 8:03:00 PM, Anonymous Anonymous said...

I don't see an ethical problem here as it still takes a willing recipient for the birth of a baby. This seems to be a reasonable request by a emotionally distraught parent. If physicians find it perfectly acceptable to harvest organs for transplant based upon family assurances, why would this be any different?

Ed

 
At Thursday, March 06, 2014 7:17:00 PM, Blogger Maurice Bernstein, M.D. said...

Ed, philosophically and from a genetic point of view there is a difference between obtaining an organ from the deceased patient at the permission of the family and obtaining sperm. Sperm potentially, if utilized, furthers the deceased's genetic line and the patient while alive should agree or disagree with that option. A kidney removal and transplant does nothing to the deceased's "presence" in future generations.

To be honest and frank about the matter, this conflict is probably one of the most minor ethical issues which is available for discussing in our time but I wanted to include it as a thread since ethicists actually raise it.

..Maurice.

 

Post a Comment

<< Home