Attitudes towards cross-border reproductive care among infertile Japanese patients

Hibino, Yuri; Shimazono, Y; Kambayashi, Yasuhiro; Hitomi, Yoshiaki; Nakamura, Hiroyuki

doi:10.1007/s12199-013-0345-7

Cited by 11 publications

(12 citation statements)

References 15 publications

(18 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recently, the number of Japanese infertile patients who have travelled across the border to undergo third-party reproduction has increased. [ 19 ]. This is because third-party reproduction is not readily available to infertile Japanese patients.…”

Section: Discussionmentioning

confidence: 99%

A survey of public attitudes towards third-party reproduction in Japan in 2014

et al. 2018

View full text Add to dashboard Cite

ObjectiveThe objective of this study was to examine public attitudes towards third-party reproduction and the disclosure of conception through third-party reproduction.MethodsWe conducted the web-based survey for the public attitude towards third-party reproduction in February 2014. Twenty-five hundred people were recruited with equal segregation of age (20s, 30s, 40s, and 50s) and gender. We analyzed the association between gender, age, infertility, and ethical view using a questionnaire regarding donor sperm, donor oocyte, donor embryo, gestational surrogacy, and disclosure to offspring.ResultsOf the respondents, 36.2% approved and 26.6% disapproved of gamete or embryo donation. The frequency of those who approved was lowest in females in the 50–59 year age group, and was significantly higher in males or females with infertility. Secondly, 40.9% approved and 21.8% disapproved of gestational surrogacy. The frequency of those who approved gestational surrogacy was higher in males or females with infertility. Thirdly, 46.3% of respondents agreed and 20.4% disagreed with “offspring have the right to know their origin”. Those who disagreed were primarily in the 50–59 year age group of both genders, and disagreement was significantly higher in the infertility group compared with non-infertility group.ConclusionIn this study, public attitudes were affected by gender, age, and experience of infertility. These study findings are important in understanding the attitude towards third-party reproduction and disclosure to the offspring. Respondents having indecisive attitudes were >30%, which might indicate an increased requirement for information and education to enhance the discussion on the ethical consensus on third-party reproduction in Japan.

show abstract

Section: Discussionmentioning

confidence: 99%

A survey of public attitudes towards third-party reproduction in Japan in 2014

et al. 2018

View full text Add to dashboard Cite

show abstract

“…The guideline for surrogacy states that ‘surrogacy is not acceptable’ and that ‘conduct of, involvement in, and mediation of surrogacy should not be allowed’ for the following 4 main reasons: Priority should be given to the welfare of the children to be born; surrogacy is accompanied by physical risks and mental burdens; complex family relationships are produced; and a surrogacy contract is not ethically accepted by many people in society. However, couples are increasingly going to countries such as India, Thailand and Malaysia because gestational surrogacy is not available in Japan, and this is resulting in social problems due to commercial deals of procurers [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Survey of Attitudes toward Uterus Transplantation among Japanese Women of Reproductive Age: A Cross-Sectional Study

et al. 2016

View full text Add to dashboard Cite

ObjectiveUterus transplantation (UTx) is a potential option for women with uterine factor infertility to have a child, but there has been no large-scale survey of the views on UTx in women of reproductive age in Japan. The present study was aimed to clarify the views of Japanese women of reproductive age on UTx for uterine factor infertility.MethodsA questionnaire on UTx was conducted by an Internet research company in December 2014 as a cross-sectional study in 3,892 randomly chosen women aged 25 to 39 years old. Responses were analyzed from 3,098 subjects (mean age 32.1±4.2 years old), after exclusion of inappropriate respondents in screening.ResultsOf the respondents, 62.1%, 34.7% and 18.1% favored adoption, UTx and gestational surrogacy, respectively. In contrast, 7.0%, 21.9% and 63.3% opposed adoption, UTx and gestational surrogacy, respectively. In choices of candidates for UTx based on highest priority, deceased persons (33.8%) and mothers (19.0%) were favored as donors, and women with congenital absence of the uterus (54.4%) and hysterectomy due to a malignant uterine tumor (20.0%) as recipients. Regarding societal acceptance of UTx, the answer rates were 15.7% for "UTx should be permitted", 77.6% for "UTx should be permitted with discussion", and 6.7% for "UTx should not be permitted, even with discussion". Regarding personal opinions on UTx, 44.2% were in favor, 47.5% had no opinion, and 8.3% were against.ConclusionOur results suggest that many Japanese women of reproductive age feel that UTx is socially and individually acceptable, but that concerns requiring further discussion remain among these women. There was also a tendency for UTx to be viewed more favorably than gestational surrogacy.

show abstract

“…As a result, patients needing donor-egg IVF frequently seek care in the U.S. For other countries with national health plans, additional reasons might be wait times for certain elective procedures or perceived higher quality in selected elective or other services (4,5). In many countries, religious, cultural, legal, and/or policy barriers also prevent access to the service (6)(7)(8)(9)(10)(11)(12)(13)(14). In addition to individuals seeking CBRC, there are now programs organized by some payers and others to obtain care overseas (15)(16)(17)(18).…”

mentioning

confidence: 99%