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Testing should remain proportional
• Applicants/recipients wanting a child / a healthy child
– Improving safety without undermining availability of/ access to DC.
• Welfare of the child
– ESHRE TF E&L: bottom line: avoid ‘high risk of serious harm’ (Pennings
– + risk reduction where doing so is reasonable possible and proportional (Dondorp et al. 2010).
• Donor
– To be respected as persons rather than treated as sources of reproductive material.
et al. 2007).
NL: DC need not be safer than reproduction between partners
• Dutch prof society (statement 2016): no donor
screening beyond taking medical/family history
• When recipient from ethnic background in which specific ARD more frequent, avoid ‘carrier couple’ by using donor from different population;
• Only if recipients want donor from same high prevalence population is there an indication for testing.
– But then still to protect the altruistic sperm donor, the woman should be tested first and the donor only if she is a carrier.
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