Skip to main content
Log in

Donogene Insemination

Donor insemination

  • Leitthema
  • Published:
Der Gynäkologe Aims and scope

Zusammenfassung

In Fällen absoluter Zeugungsunfähigkeit, nach Versagen moderner Behandlungsmethoden (ICSI) und zur Vermeidung genetischer Risiken kommt die donogene Insemination (DI) in Betracht. In der Bundesrepublik werden zurzeit aufgrund dieser Therapiemaßnahme etwa 1000 Kinder pro Jahr geboren. Dazu bringt § 1600 BGB weiteste Rechtssicherheit. Erstmalig hat die Bundesärztekammer Ausführbestimmungen zur Spendersamenbehandlung vorgeschlagen. Eine Konkretisierung für den Umgang mit dem Recht des DI-Kindes auf Kenntnis der genetischen Herkunft wird allerdings nicht vorgenommen. Ihr Kind diesbezüglich nicht aufklären wollen 80% der Eltern. Schwachstellen der derzeitigen Praxis (Spenderrekrutierung, Dokumentation, Anonymität) sollten geregelt werden. Die DI hat heute als wissenschaftlich begründetes Verfahren einen berechtigten Platz in der Reproduktionsmedizin.

Abstract

Artificial insemination by semen from a donor may be performed in cases of male infertility or failure of modern methods of ART (ICSI) as well as to prevent the risk of genetic diseases. As a result of this therapy, which is regulated by public law § 1600 BGB, approximately 1,000 children are born in Germany every year. For the first time the German Medical Association has recently released a proposal on guidelines for the use of donor semen. However, important topics, such as the child’s right of knowledge of its genetic origin still remain to be regulated in more detail. Of the parents 80% do not want to inform the child about its genetic origin and wish a treatment in secrecy. Conflicting points in the present practice (e.g. recruitment of donors, documentation, secrecy or openness) should be regulated in the future. Artificial insemination by donor has gained validity as a scientifically based treatment in the field of reproductive medicine.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1

Literatur

  1. Arbeitskreis für Donogene Insemination e.V. (2006) Richtlinien zur Qualitätssicherung der Behandlung mit Spendersamen in Deutschland. http://www.donogene-insemination.de

  2. Bundesärztekammer (2006) (Muster-)Richtlinie zur Durchführung der assistierten Reproduktion – Novelle 2006. Dtsch Arztebl 103: 1392–1403

    Google Scholar 

  3. Corson SL, Mechanick-Braverman A (1998) Why we believe there should be a gamete registry. Fertil Steril 69: 809–811

    Article  PubMed  CAS  Google Scholar 

  4. Daniels K, Thorn P, Westerbrooke R (2007) Confidence in the use of donor insemination: an evaluation of the impact of participating in a group preparation programme. Hum Fertil (Camb) 10: 13–20

    Google Scholar 

  5. Boer A de, Oosterwijk JC, Rigters-Aris CA (1995) Determination of a maximum number of artificial inseminations by donor children per sperm donor. Fertil Steril 63: 419–421

    PubMed  Google Scholar 

  6. Ethics Committee of the American Society for Reproductive Medicine (2004) Informing offspring of their conception by gamete donation. Fertil Steril 81: 527–531

    Article  Google Scholar 

  7. Frith L, Blyth E, Farrand A (2007) UK gamete donors‘ reflections on the removal of anonymity: implications for recruitment. Hum Reprod 22: 1675–1680

    Article  PubMed  Google Scholar 

  8. Golombok S (2005) Unusual families. Ethics, science and moral philosophy of assisted human reproduction. Reproductive Biomedicine Online, 10, 1, 9–12

    Google Scholar 

  9. Gottlieb C, Lalos O, Lindblad F (2000) Disclosure of donor insemination to the child: the impact of Swedish legislation on couples‘ attitudes. Hum Reprod 15: 2052–2056

    Article  PubMed  CAS  Google Scholar 

  10. Janssens PM, Simons AH, Kooij RJ van et al. (2006) A new Dutch law regulating provision of identifying information of donors to offspring: background, content and impact. Hum Reprod 21: 852–856

    Article  PubMed  CAS  Google Scholar 

  11. Katzorke T (2001) Keimzellspende – Medizinische, soziale und juristische Aspekte aus ärztlicher Sicht. In: Fortpflanzungsmedizin in Deutschland. Bd. 132 Schriftenreihe des Bundesministeriums für Gesundheit. Nomos, Baden Baden, S 122–133

  12. Katzorke T, Kolodziej FB (2001) Perspektiven eines geänderten Fortpflanzungsmedizingesetztes. Reproduktionsmedizin 6: 325–333

    Article  Google Scholar 

  13. Katzorke T (2003) Donogene Insemination. Gegenwärtiger Stand der Behandlung in der BRD. Gynaekol Endokrinologie 1: 85–97

    Article  Google Scholar 

  14. Katzorke T (2006) Sprachlicher Fehler. Dtsch Arztebl 103: 2032

    Google Scholar 

  15. Katzorke T, Thorn P, Werdehausen K, Daniels K (2007) Attitudes of semen donors in Germany – is it possible to recruit identifiable donors in a society where secrecy prevails? 63rd Annual Meeting of the ASRM, Oct 13–17, 2007; oral presentation 0–223

  16. Keiper U, Kentenich H (2007) Die Verwendung von fremdem Samen im Rahmen der Reproduktionsmedizin. J Reproduktionsmed Endokrinol 4: 34–37

    Google Scholar 

  17. Lycett E, Daniels K, Curson R, Golombok S (2004) Offspring created as a result of donor insemination: a study of family relationships, child adjustment, and disclosure. Fertil Steril 82: 172–179

    Article  PubMed  Google Scholar 

  18. Pennings G (1997) The ‚double track‘ policy for donor anonymity. Hum Reprod 12: 2839–2844

    Article  PubMed  CAS  Google Scholar 

  19. Shenfield F, Steele SJ (1997) What are the effects of anonymity and secrecy on the welfare of the child in gamete donation? Hum Reprod 12: 392–395

    Article  PubMed  CAS  Google Scholar 

  20. Thorn P, Daniels K (2000) Die Praxis der donogenen Insemination in Deutschland. Geburtsh Frauenheilkd 60: 630–637

    Article  Google Scholar 

  21. Turner AJ, Coyle A (2000) What does it mean to be a donor offspring? The identity experiences of adults conceived by donor insemination and the implications for counselling and therapy. Hum Reprod 15: 2041–2051

    Article  PubMed  CAS  Google Scholar 

  22. Berkel D van, Veen L van der, Kimmel I, Velde E te (1999) Differences in the attitudes of couples whose children were conceived through artificial insemination by donor in 1980 and in 1996. Fertil Steril 71: 226–231

    Article  PubMed  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to T. Katzorke.

Additional information

Der Autor ist seit 1999 Vorsitzender des Arbeitskreises für donogene Insemination e.V.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Katzorke, T. Donogene Insemination. Gynäkologe 40, 807–812 (2007). https://doi.org/10.1007/s00129-007-2049-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00129-007-2049-9

Schlüsselwörter

Keywords

Navigation