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ESHRE Task Force on Ethics and Law 20: sex selection for non-medical reasons

(2013) HUMAN REPRODUCTION. 28(6). p.1448-1454
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Abstract
This Task Force document revisits the debate about the ethics of sex selection for non-medical reasons in the light of relevant new technological developments. First, as a result of improvement of the Microsort flow cytometry method, there is now a proven technique for preconception sex selection that can be combined both with IVF and IUI. Secondly, the scenario where new approaches that are currently being developed for preimplantation genetic screening (PGS) may lead to such screening becoming a routine part of all IVF treatment. In that scenario professionals will more often be confronted with parental requests for transfer of an embryo of a specific sex. Thirdly, the recent development of non-invasive prenatal testing based on cell-free fetal DNA in maternal plasma allows for easy and safe sex determination in the early stages of pregnancy. While stressing the new urgency that these developments give to the debate, the Task Force did not come to a unanimous position with regard to the acceptability of sex selection for non-medical reasons in the context of assisted reproduction. Whereas some think maintaining the current ban is the best approach, others are in favour of allowing sex selection for non-medical reasons under conditions that take account of societal concerns about the possible impact of the practice. By presenting these positions, the document reflects the different views about this issue that also exist in the field. Specific recommendations include the need for a wider delineation of accepted medical reasons than in terms of avoiding a serious sex-linked disorder, and for a clarification of the legal position with regard to answering parental requests for additional sex selection in the context of medically indicated preimplantation genetic diagnosis, or routine PGS.
Keywords
DNA, SPERM, embryo selection, social sexing, PREIMPLANTATION GENETIC DIAGNOSIS, sperm sorting, ethics, sex selection

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MLA
Dondorp, W, G de Wert, Guido Pennings, et al. “ESHRE Task Force on Ethics and Law 20: Sex Selection for Non-medical Reasons.” HUMAN REPRODUCTION 28.6 (2013): 1448–1454. Print.
APA
Dondorp, W, de Wert, G., Pennings, G., Shenfield, F., Devroey, P., Tarlatzis, B., Barri, P., et al. (2013). ESHRE Task Force on Ethics and Law 20: sex selection for non-medical reasons. HUMAN REPRODUCTION, 28(6), 1448–1454.
Chicago author-date
Dondorp, W, G de Wert, Guido Pennings, F Shenfield, P Devroey, B Tarlatzis, P Barri, and K Diedrich. 2013. “ESHRE Task Force on Ethics and Law 20: Sex Selection for Non-medical Reasons.” Human Reproduction 28 (6): 1448–1454.
Chicago author-date (all authors)
Dondorp, W, G de Wert, Guido Pennings, F Shenfield, P Devroey, B Tarlatzis, P Barri, and K Diedrich. 2013. “ESHRE Task Force on Ethics and Law 20: Sex Selection for Non-medical Reasons.” Human Reproduction 28 (6): 1448–1454.
Vancouver
1.
Dondorp W, de Wert G, Pennings G, Shenfield F, Devroey P, Tarlatzis B, et al. ESHRE Task Force on Ethics and Law 20: sex selection for non-medical reasons. HUMAN REPRODUCTION. 2013;28(6):1448–54.
IEEE
[1]
W. Dondorp et al., “ESHRE Task Force on Ethics and Law 20: sex selection for non-medical reasons,” HUMAN REPRODUCTION, vol. 28, no. 6, pp. 1448–1454, 2013.
@article{4257915,
  abstract     = {This Task Force document revisits the debate about the ethics of sex selection for non-medical reasons in the light of relevant new technological developments. First, as a result of improvement of the Microsort flow cytometry method, there is now a proven technique for preconception sex selection that can be combined both with IVF and IUI. Secondly, the scenario where new approaches that are currently being developed for preimplantation genetic screening (PGS) may lead to such screening becoming a routine part of all IVF treatment. In that scenario professionals will more often be confronted with parental requests for transfer of an embryo of a specific sex. Thirdly, the recent development of non-invasive prenatal testing based on cell-free fetal DNA in maternal plasma allows for easy and safe sex determination in the early stages of pregnancy. While stressing the new urgency that these developments give to the debate, the Task Force did not come to a unanimous position with regard to the acceptability of sex selection for non-medical reasons in the context of assisted reproduction. Whereas some think maintaining the current ban is the best approach, others are in favour of allowing sex selection for non-medical reasons under conditions that take account of societal concerns about the possible impact of the practice. By presenting these positions, the document reflects the different views about this issue that also exist in the field. Specific recommendations include the need for a wider delineation of accepted medical reasons than in terms of avoiding a serious sex-linked disorder, and for a clarification of the legal position with regard to answering parental requests for additional sex selection in the context of medically indicated preimplantation genetic diagnosis, or routine PGS.},
  author       = {Dondorp, W and de Wert, G and Pennings, Guido and Shenfield, F and Devroey, P and Tarlatzis, B and Barri, P and Diedrich, K},
  issn         = {0268-1161},
  journal      = {HUMAN REPRODUCTION},
  keywords     = {DNA,SPERM,embryo selection,social sexing,PREIMPLANTATION GENETIC DIAGNOSIS,sperm sorting,ethics,sex selection},
  language     = {eng},
  number       = {6},
  pages        = {1448--1454},
  title        = {ESHRE Task Force on Ethics and Law 20: sex selection for non-medical reasons},
  url          = {http://dx.doi.org/10.1093/humrep/det109},
  volume       = {28},
  year         = {2013},
}

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