Legal battles over embryos after in vitro fertilization: Is there a way to avoid them?

Cet article fait le point sur les enjeux associés à la préservation de la fertilité chez les patients atteints de cancer, sur le rôle de l'oncologue et le cadre juridique actuel

JAMA Oncology, sous presse, 2016, éditorial

Résumé en anglais

The hypothetical legal case presented by Fournier1 highlights critical issues surrounding embryo disposition in the field of oncofertility. As presented, the case involves an unmarried couple who cryopreserved embryos prior to the woman starting chemotherapy for breast cancer. The couple separated soon after the embryos were created, and the previous partner filed a lawsuit to prevent the woman from using the embryos to conceive. Disputes over embryo disposition continue to plague the field of reproductive medicine, and in an era where embryo cryopreservation has become routine, updated guidance on how to avoid these situations would be welcome. The case put forth by Fournier does not address what steps, counseling, agreements, and/or documents the former couple were offered or undertook. We believe there can be different medical and legal sensitivities involved and precautions taken but also common, fundamental principles that need to be adhered to for those who are using reproductive technologies for fertility preservation with plans to conceive sometime in the future, as well as for couples who cryopreserve embryos as part of the process of actively trying to conceive.