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Ethical and Legal Problems with Assisted Reproduction in Turkey

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Omür ELCIOGLU, Atilla YILDIRIM<br />

Cryopreservation<br />

Cryopreservation, like the use of extraconjugal<br />

gametes, can be controversial, especially, if there is<br />

opposition by a religious authority. It is <strong>in</strong>terest<strong>in</strong>g that<br />

many moral theologians have been concerned only<br />

about the loss of preembryos dur<strong>in</strong>g the cryopreservation<br />

process.Ýf cryopreservation were 100% efficient,<br />

i.e., all preembryos frozen could, when thawed,survive,<br />

these scholars believe that cryopreservation<br />

would not be consider ethically objectionable because<br />

it preserves <strong>in</strong>dividual human life (10).<br />

Cryopreservation is not allowed for oocyte <strong>and</strong><br />

sperm <strong>in</strong> <strong>Turkey</strong>. It is very difficult <strong>and</strong> expensive collect<strong>in</strong>g<br />

ovum from the c<strong>and</strong>idate mother. This necessitates<br />

hormonal <strong>and</strong> medical treatment for a while.<br />

Superovulation treatment, egg collection <strong>and</strong> embryo<br />

transfer may have their complications at times <strong>and</strong><br />

transferr<strong>in</strong>g them <strong>in</strong> a time proper for the cycle . will<br />

<strong>in</strong>crease the success rates of the method (11).<br />

Embryo Researches<br />

Embryo research yields very useful results <strong>in</strong><br />

measur<strong>in</strong>g the fertiliz<strong>in</strong>g capacity of sperm for <strong>in</strong>fertile<br />

couples <strong>and</strong> test<strong>in</strong>g whether any genetic defects<br />

exist . This is especially important our country where<br />

<strong>in</strong>termarriage of close family members is not uncommon.<br />

Patient <strong>in</strong> affluent countries expect universal<br />

health care from birth to death, effective treatment by<br />

skilled doctors <strong>and</strong> access to a doctor at any time.<br />

Such assumptions do not necessarily equate <strong>with</strong><br />

rights, but <strong>in</strong>creas<strong>in</strong>gly patients perceive such health<br />

delivery as a right<br />

ETHICAL AND LEGAL PROBLEMS WITH<br />

ASSISTED REPRODUCTION IN TURKEY<br />

Techniques to overcome <strong>in</strong>fertility, their costs <strong>and</strong><br />

putt<strong>in</strong>g these techniques <strong>in</strong> national health programs<br />

are very important subjects. Infertility is not accepted<br />

as an illness <strong>in</strong> many countries. But it should not be<br />

forgotten that it requires medical assistance.<br />

REFERENCES<br />

1. Jansen RPS. Reproductive Medic<strong>in</strong>e <strong>and</strong> the Social State of<br />

Childness. MJA 1997;167 (6):321-3.<br />

2. Knoppers BM., Le Bris S. <strong>Ethical</strong> <strong>and</strong> <strong>Legal</strong> Concerns:<br />

Reproductive Technologies 1990-1993. Current Op<strong>in</strong>ion <strong>in</strong><br />

Obstetrics <strong>and</strong> Gynecology;1993(5):630-5.<br />

3. Shanner L, Nisker J. Bioethics for Cl<strong>in</strong>ician: 26 <strong>Assisted</strong><br />

reproductive technologies. Canadian Medical Association<br />

Journal 2001;164 (11):1589-94.<br />

4. Ozsunay E, Ozsunay MR. Rigths of embryo <strong>and</strong> fetus <strong>in</strong><br />

private law. Turkish National Report. XVI th Internatýonal<br />

Congress of Comparative Law. 14 th -20 th July 2002.<br />

Brisbane, Australia.<br />

5. By-Law on Centers for <strong>in</strong> vitro Fertilization <strong>and</strong> embryo<br />

Transfer Official Gazette, 21 August, 1987, No.23227.<br />

6. Ozsunay E, Akunal T. Informed consent for medical <strong>in</strong>terventions<br />

under Turkish law. The 11 th World Congress on<br />

Medical Law.28 July-1 August 1996. Sun City, South Africa.<br />

7. Pearn JH. Gatekeep<strong>in</strong>g <strong>and</strong> assisted Reproductive<br />

Technology. The <strong>Ethical</strong> Rights <strong>and</strong> Responsibilities of<br />

Doctors. Med J Aust 1997; 167 (6):321-3.<br />

8. Jones HW, Cohen J (Eds):………….IFFS Surveillance<br />

Fertility <strong>and</strong> Sterility. 2001;76(5) Suppp l.2.<br />

9. Chervenak FA, Mc Cullough LB, Rosenwaks Z. <strong>Ethical</strong><br />

dimension of the number of embryos to be transferred <strong>in</strong> In<br />

vitro fertilization. Journal of <strong>Assisted</strong> <strong>Reproduction</strong> <strong>and</strong><br />

Genetics. 2000; 18(11):583-7.<br />

10. Jonas HW. <strong>Assisted</strong> <strong>Reproduction</strong>. Cl<strong>in</strong>ical Obstetrics <strong>and</strong><br />

Gynecology 1992; 35(4):749-7.<br />

11. Savran B. In vitro fertilizasyon ve embriyo Transfer<strong>in</strong>de<br />

etik ve hukuki sorunlar. (<strong>Ethical</strong> <strong>and</strong> legal problems <strong>in</strong><br />

embriyo transferred <strong>and</strong> <strong>in</strong>vitro fertilization). Türkiye<br />

Kl<strong>in</strong>ikleri Týbbi Etik.1996; 4:74-8. (In Turkish)<br />

38 JISHIM 2004, 3

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