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1 results

  • Chapter 13 - DNA and the End of Anonymity: Disclosure, Donor-Linkage and Fertility Counseling

  • from III - Third Party Reproduction: Assessment and Preparation
  • Edited by Sharon N. Covington
  • Book:
    Fertility Counseling: Clinical Guide
    Published online:
    24 November 2022
    Print publication:
    08 December 2022, pp 134-143

  • Summary

    Direct-to-consumer (DTC) DNA testing has had a major impact on people affected by donor conception, including donor-conceived people, their parents, and donors. It has enabled people to discover their conception status and to identify the donor. Donors who were assured of anonymity and their extended families are being contacted by their donor offspring and recipient parents. Consequently, it is now impossible to assure donors they will be anonymous, and parents can no longer consider that nondisclosure of donor treatment to their children is a viable option. Fertility counselors need to prepare their clients for the implications of DTC DNA testing, be fully informed of the repercussions faced by donor-conceived adults, especially those finding out their conception status past childhood, and also to have donor-linking skills as part of their counseling tool kit.