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N°102 - June 2007

 

Born of unknown spermatozoid – Arthur Kermalvezen1

"Those who make as if children born of artificial insemination with donor sperm can be intensively worried about the story of their conception are idiots." This is how Arthur tells it, straightforwardly. Nor physicians, nor specialists of a Cecos (Centres for the Study and Conservation of Eggs and Sperm), he is "the only one" among these 50,000 children born of an artificial insemination with donor sperm (IAD) since 1973 and one of the first who dares to speak publicly. Today at 24 years old, Arthur Kermalvezen, psychopedagogist, has been fighting for 2 years for the quest for his origins. He fights for removing the anonymity of the gamete donation in France, within the association called medically anonymous procreation. He wishes that this anonymity removal takes place at 18 years old, so that "children have the choice to consult or not their file. A file in which could appear a name or a picture, a job position or even the story of the donation motivations".

Invasive absence
In Né de spermatozoïde inconnu, Arthur Kermalvezen tells his story, that of his infertile father, of his parents who are convinced that the IAD can resolve their problems, that of his development having the feeling that a part of him is prohibited... He tells the pain of his parents, and particularly of his father, with the irruption in the centre of their couple of a "second man" and the difficulty to communicate about this subject with people around them. He shows how, since he was a child, he developed himself around this "absence", which became omnipresent and invasive in his relationship to others. He insists on the very strong relationship he has with his parents to well indicate that by searching "his biological donor" he is not searching a father, explaining how difficult it is to "develop with blurred origins" and to consider his own paternity. It is difficult to recognize his body whose half part seems to be stranger to him, when he was a teenager, it was impossible to physically project himself into his father, perpetual anxiety to meet his biological father at school, in the street, at his girlfriend’s, terror of unconscious incest… From that a revolt developed regarding adult’s world, particularly regarding those who represent the masculine authority, because among them he could find his "genitor" and they may have invented this silence world which hurts him.

Unfairness and infantilisation
In the centre of his disquiet, he found the bitter feeling of being a victim of an organisation which ignores his parents and him. He tries to feel his way along like in a labyrinth where the leaders wearing white collar, instead of helping him, prohibit him to find the way out. All along his investigation of his origins, we can find the emblematic face of Cecos’ physicians, holder of the more intimate secret of his being they do no want to reveal him: That of the beginning of his existence. Added to the pain of the "absence" the unfairness: Why do the physicians know his secret whereas he and his parents are not authorised to know it? They are the first concerned. "Only the Cecos know who the donor is: This contributes inevitably to put our parents in position of children compared to those who know and also compared to their own children." Everything seems organised to "deprive of maximum responsibility the couples who, because of their pain, are grateful to physicians to the point of forgetting to think." "The infantilisation of the people concerned can achieve unbelievable proportions." "At that time Daddy and Mummy were even not conscious that the sperm of the donor was something alive. The fact that it comes from a person or a thinking subject totally escaped them. All Cecos’ organisation contributes to this delusion." He has the feeling they were taken hostage.

Secret or lies?
The author wonders about the deep reasons of the willing to maintain anonymity. He sees in it a more or less conscious desire of Cecos to reinforce their power. "In our case the separation between sexual relation and procreation to which is added the necessary intervention of a third party who resorts to masturbation to be a sperm donor, transforms rapidly the physician, officer of the scientific experience into God in person. That’s he is not at all. This approach which reinforces the ego and the medical almighty is unbearable to me." Between secret and lies: the border is thin and worried. At the crossroad of biological, affective, and "educative" paternities, to let believe that the biological side is not important, is not deceiving the donor and the recipient and closing the child in a prohibited quest? As if only the secret could contain the contradictions of the system.

Contradictions
Some examples gathered all along the pages invite us to think about the ontological status of the gametes. Arthur’s mother accepts the gamete donation without thinking that it is a donation of "heredity" and yet, thinking about being inseminated by her stepfather’s sperm (considered possibility), she is terrified and refuses absolutely. The parents are pleased their three children are the fruit of three different donors, because a single donor would have taken too much place within the family… Why does the law require that the wife of the sperm donor signs her consent each time? If the sperm donation is a little commitment for the donor and for the child conceived, why surrounding it with so many mysteries, why using so many precautions? Do we fear that one day the attraction of the donor for the child he contributed to generate or of the child for his/her biological father would be too strong? Is it not the admission that the sperm donation is a "heredity" donation and that the fact to admit it would result in shaking the entire machine?
The author wonders about the motivations of the one he calls "the bastard donor”; the generosity of the "donor" displayed and praised by the Cecos, for him seems to be a mockery. Among the main reasons given by the donors he met during his investigation, he noted the desire to carry on existing through his descendants, to give birth to several children (up to 10) without modifying the size of his own family and the interesting "deep desire of "repairing" the accumulated spermatic residues" by giving to the sperm its real purpose: the procreation.

Arthur Kermalvezen feeds his fight for removing the anonymity with his revolt faced with lies. But maybe some people will see an even larger fight, because the author’s disquiet seems, without being aware of it, to be related to his mode of conception and also to the secret which surrounds him. "I knew that I was the result of a cleverly orchestrated programming, of a scientific experience which was little worried about the consequences on us, the children. We were guinea pigs..." "My parents (...) in a certain way committed a perfect crime".


1. Né de spermatozoïde inconnu, Arthur Kermalvezen – Presse de la Renaissance – Février 2008

 

Campaign for promoting oocyte donation

Information campaign
Faced with the "lack" of oocytes available for the medically assisted procreation (MAP), the French Biomedicine Agency launched, at the end of May, in collaboration with health professionals and particularly with gynaecologists, a national information campaign aiming at promoting "oocyte donation".
 
Key figures
According to the last statistics from the Agency, in 2006, 228 women "gave" their oocytes (compared to 168 in 2005), enabling 384 in vitro fertilizations (IVF). In total, in 2006, over 100 children were born with an "oocyte donation". It is around twenty years that this method is used and some 1,000 children came from an MAP with "oocyte donation". We remind that among the 19,026 children born in 2005 of a MAP, 1,293 have been conceived with a "gamete donation".

Relaxing the legal framework?
In France, the oocyte "donation" is supervised by the law of bioethics of 2004 and particularly relies on three principles which are: voluntary help, anonymity and gratuity. This "donation" aims at couples with pathological infertility or having a risk to transmit to the child a serious pathology. Furthermore, the law stipulates three criteria to be a "donor": to be in healthy conditions, to be under 37 years old and to have at least one child.
Some people protest to ask for the expansion of this legal framework, particularly for expanding the limit of age of the "donors", for abrogating the obligation to already be a mother, for removing the anonymity or even for paying this practice today only indemnified and 100% paid by French social security.

Foreign legislations
The oocyte "donation" is prohibited in Germany, Austria, Italy, Norway, Portugal and Switzerland. In countries where it is authorised, the legislations are very variable.
The anonymity is the rule in almost all countries, except in Sweden (since 1985) and United Kingdom (since 2005). Holland and Belgium have opted for a double possibility: the "donors" choose to remain anonymous or not. If the gratuity wins unanimous support in Europe, some countries like Spain, propose to financially compensate the painfulness of the "donation" process. It is not the case in France where the regulation imposes the reimbursement of all medical expenses and related expenses (work stoppage, transport…). Unlike in USA for example, the legislation enables buying oocytes. On the other hand, the obligation to already have a child is specific to France.

Compensation or income?
In order to try to palliate to this "lack" of oocytes, some countries plan to pay the "donors". After Spain, the clinique de fertilité of Louvain, in Belgium, prompts students to give their oocytes for €750. In its guide, the Biomedicine Agency indicates that the time for obtaining oocytes is shorter in countries where the "donation" is paid and that "numerous professionals wonder if it would be necessary to pay this donation in order to attract more donors".

A donation like others?
How not to be surprised when the scope of this donation is passed over in silence infinitely less ordinary than blood donation for example? In this information campaign, everything is established to make this act "commonplace", to calm down the fears and to overcome the reservations. With as a slogan, "to give again the hope to become parents", the Biomedicine Agency wants the "oocyte donation" to become a supreme act of solidarity. But do women who accept, by generosity, that the oocyte are sampled, know that “by giving” their sexual cells, they transfer life, and the life marked by their unique genotype?
Moreover, in addition to the medical risk inherent to the ovarian stimulation (syndrome of hyperstimulation) and to the puncture (haemorrhage, infection, anaesthetic risk), we can be worried about the psychological consequences on the "donor", the two couples and the child. Is the "donor" woman simply used as a "surrogate mother" to the detriment of her own dignity? Will the recipient couple assume without difficulty the intervention of a third party within the procreation process? Regarding the child born of an anonymous oocyte, he could suffer from the same problems like some adopted children, who do not know their biological parents. But yet nobody would dare to present the adoption as a situation desired for itself…

 

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