Ethical Issues Related to Cryopreserved Reproductive Specimen

In this chapter, it is argued (1) that the potential benefits of cryopreservation of reproductive specimen in terms of patient wellbeing are important, given the importance many people attribute to (genetic) parenthood, (2) that there are, however, a number of potential harms, both for those who cryopreserve reproductive tissue and gametes and for those who result from it, (3) that obtaining a valid informed consent can be challenging and (4) that considerations regarding distributive justice complicate discussions about reimbursement of certain fertility preservation measures. The main message is that there are strong ethical reasons to make fertility preservation measures available to those whose fertility is threatened and who consider parenthood to be an important part of “the good life” and of their desired life trajectory. While doing so, there are, however, a number of elements that require careful consideration in order to ensure that an intervention aimed at improving people’s quality of life does not result in harm, undue pressure, or injustice. As is the case in all medical decision-making, it is important that patients are informed in a complete and unbiased manner and that the values and desires of the patients are respected, even if they conflict with societal norms or physicians’ opinions.