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Reuters
Reuters
Health
Marine Pennetier and Michaela Cabrera

France may face sperm shortage under Macron plan to ease IVF rules

A medical lab technologist operates an embryo vitrification during an intra cytoplasmic sperm injection process (ICSI) at a laboratory in Paris, France, September 13, 2019. REUTERS/Christian Hartmann

PARIS (Reuters) - France risks a shortage of frozen sperm if lawmakers approve new legislation that allows single women and lesbian couples access to in-vitro fertilization (IVF) and abolishes the right of sperm and egg donors to keep their identities secret, clinicians said.

Lawmakers in the country's National Assembly on Tuesday start debating a bioethics bill that unwinds some of western Europe's strictest rules governing medically-assisted pregnancies, a campaign promise of President Emmanuel Macron.

Frozen vials of sperm are seen preserved in an azote cooled container in a laboratory in Paris, France, September 13, 2019. REUTERS/Christian Hartmann

Under existing law in France, IVF is available only to opposite-sex couples, and only for reasons of infertility or the risk of transmission of a disease or medical condition to the child or either parent.

Health Minister Agnes Buzyn forecasts a roughly two-thirds increase in demand for IVF procedures, with an extra 2,000 women annually registering for treatment.

Couples already wait an average of 12 months from registration to their first attempt at IVF. Clinicians at France's network of public sperm banks (CECOS) said the supply of cryopreserved sperm only just meets demand.

A medical lab technologist operates an embryo vitrification during an intra cytoplasmic sperm injection process (ICSI) at a laboratory in Paris, France, September 13, 2019. REUTERS/Christian Hartmann

Moreover, they predict lifting donor anonymity could prompt three-quarters of registered male and female donors to deny clinics the use of their sperm and eggs under the new rules.

"To say 'everything is going to be ok' would be burying your head in the sand," Nathalie Rives, president of the CECOS federation, told Reuters.

"There will be a period of instability, with increased demand and the need to recruit new donors. We don't know how long this instability will last and whether there will be a shortage."

A medical lab technologist operates an embryo vitrification during an intra cytoplasmic sperm injection process (ICSI) at a laboratory in Paris, France, September 13, 2019. REUTERS/Christian Hartmann

The bioethics bill, which would also allow women to freeze their eggs for non-medical reasons to enhance their chances of having children, is Macron's first major societal reform.

Medically assisted reproduction - such as IVF - is widely available to all women in countries such as Britain, Belgium, Spain. But in France, it has fed into a broader debate about the commercialization of healthcare and gay rights.

"The right to know one’s origins is a vital right, a fundamental right,” said Arthur Kermalvezen, 35, who turned to DNA tests to track down his biological father and has campaigned for the lifting of anonymity.

Professor Rachel Levy, head of the Reproductive Biology Department CECOS, poses in a laboratory at the Tenon Hospital in Paris, France, September 19, 2019. REUTERS/Benoit Tessier

The legalization of gay marriage in France six years ago sparked massive street protests even though the influence of the Catholic Church was thought to be in decline.

In a sign France has become more socially liberal, polls show a majority of French people back the bioethics reform.

Professor Rachel Levy, who runs the CECOS center at the Tenon Hospital in Paris, said donor anonymity would remain in place for 13 months after the legislation comes into effect in an effort to help sperm banks build up stocks.

A medical technician prepares embryo and sperm samples for freezing at the Laboratory of Reproductive Biology CECOS of Tenon Hospital in Paris, France, September 19, 2019. REUTERS/Benoit Tessier

There would then be a second phase during which existing donors would say if they consent to their cryopreserved sperm being used under the new rules. The samples of those who refuse will be destroyed later.

"It's a challenging situation," Levy said.

A medical technician prepares embryo and sperm samples for freezing at the Laboratory of Reproductive Biology CECOS of Tenon Hospital in Paris, France, September 19, 2019. REUTERS/Benoit Tessier

(Reporting by Marine Pennetier and Michaela Cabrera; additional reporting by Elizabeth Pineau; Writing by Richard Lough; Editing by Peter Graff)

A medical technician prepares embryo and sperm samples for freezing at the Laboratory of Reproductive Biology CECOS of Tenon Hospital in Paris, France, September 19, 2019. REUTERS/Benoit Tessier
A medical lab technologist operates during an intra cytoplasmic sperm injection process (ICSI) at a laboratory in Paris, France, September 13, 2019. REUTERS/Christian Hartmann
A medical technician prepares embryo and sperm samples for freezing at the Laboratory of Reproductive Biology CECOS of Tenon Hospital in Paris, France, September 19, 2019. REUTERS/Benoit Tessier
A privacy zone mark is pictured at the Laboratory of Reproductive Biology CECOS of Tenon Hospital in Paris, France, September 19, 2019. REUTERS/Benoit Tessier
Frozen pipes are pictured at the Laboratory of Reproductive Biology CECOS of Tenon Hospital in Paris, France, September 19, 2019. REUTERS/Benoit Tessier
A poster promoting medical assistance for procreation is displayed in the lobby of the Laboratory of Reproductive Biology CECOS of Tenon Hospital in Paris, France, September 19, 2019. REUTERS/Benoit Tessier
A medical technician selects eggs for an in-vitro fertilization (IVF) procedure called Intracytoplasmic Sperm Injection (ICSI) at the Laboratory of Reproductive Biology CECOS of Tenon Hospital in Paris, France, September 19, 2019. REUTERS/Benoit Tessier
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