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Right arrow Reproductive medicine
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CMAJ • May 29, 2001; 164 (11)
© 2001 Canadian Medical Association or its licensors

Review
Synthèse

Bioethics for clinicians: 26. Assisted reproductive technologies

Laura Shanner and Jeffrey Nisker

Dr. Shanner is Associate Professor, John Dossetor Health Ethics Centre and Department of Public Health Sciences, University of Alberta, Edmonton, Alta. Dr. Nisker is Professor of Obstetrics and Gynaecology and Coordinator of Bioethics, Faculty of Medicine and Dentistry, University of Western Ontario, London, Ont.

Series editor: Peter Singer

Abstract

ASSISTED REPRODUCTIVE TECHNOLOGIES (ARTs) can be very helpful for certain patients, but ethical concerns have been raised about the inherent nature of specific techniques and the contexts in which many techniques are used. Physicians play important roles in supporting those who wish to become parents and in educating patients about impediments to fertilization and ways to promote conception. We discuss various ethical issues surrounding ARTs, including family relationships, informed choice, gender issues, embryo status and the commercialization of reproduction, as well as legal and policy issues. We examine the empirical evidence of the effectiveness of ARTs and suggest ways to approach ARTs in practice.




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