Holwell Eve, Keehn Jason, Leu Cheng-shiun, Sauer Mark V, Klitzman Robert
Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY, USA.
J Reprod Med. 2014 Nov-Dec;59(11-12):534-41.
To compare websites of agencies that broker the services of women who provide human eggs for in vitro fertilization versus clinics that recruit egg providers.
We examined 207 websites, of which 128 were egg provider agency 40%) or clinic (60%) websites that recruited providers online. We compared them regarding several variables related to adherence to American Society for Reproductive Medicine (ASRM) guidelines.
According to their respective websites, agencies were more likely than clinics to mention ASRM guidelines, be located in the West/Pacific, indicate compensation, offer a fee range, set their minimum > $5,000, specify preferable traits, cap provider age at 31, require an education minimum, allow both parties to meet, discuss short-term risks, and not acknowledge a possible cancer risk. Only 25.5% of agencies and 19.5% of clinics mention psychological/emotional risks, and 11.8% and 5.2%, respectively, mention risk to future fertility.
This research, the first to systematically compare several key aspects of egg provider agencies versus clinics, suggests it significant differences in adherence to guidelines, raising several concerns and suggesting needs for consideration of improved monitoring and regulation by ASRM or others.
比较为体外受精提供人类卵子的女性服务中介机构的网站与招募卵子提供者的诊所的网站。
我们检查了207个网站，其中128个是卵子提供者中介机构（40%）或诊所（60%）的网站，这些机构通过网络招募提供者。我们就与遵守美国生殖医学学会（ASRM）指南相关的几个变量对它们进行了比较。
根据各自网站显示，中介机构比诊所更有可能提及ASRM指南、位于西部/太平洋地区、表明补偿情况、提供费用范围、将最低费用设定在5000美元以上、指定理想特征、将提供者年龄上限设定为31岁、要求最低学历、允许双方见面、讨论短期风险以及不承认可能存在的癌症风险。只有25.5%的中介机构和19.5%的诊所提及心理/情绪风险，分别有11.8%和5.2%提及对未来生育能力的风险。
这项研究首次系统地比较了卵子提供者中介机构与诊所的几个关键方面，表明在遵守指南方面存在显著差异，引发了一些担忧，并表明美国生殖医学学会或其他机构需要考虑加强监测和监管。
