关键词: Ethical Fertility preservation Gaps in research Geographic distribution of research Legal and Social Implications (ELSI) Mapping

来  源:   DOI:10.1007/s10815-024-03210-w

Abstract:
OBJECTIVE: The study examines the ethical, legal, and social implications of fertility preservation, highlighting its importance across oncofertility, elective egg freezing, and posthumous assisted reproduction, as well as its impact on transgender individuals undergoing gender-affirming surgeries.
METHODS: A comprehensive analysis of 600 articles, focusing on a diverse range of disciplines, including bioethics, psychology, and sociology, to explore public and healthcare professionals\' knowledge, patient experiences, and regulatory constraints.
RESULTS: The body of literature is growing, indicating increasing recognition of FP\'s significance. Key themes included the centrality of counseling and informed decision-making, especially in oncofertility and EEF, and ethical debates surrounding informed consent and the autonomy of involved individuals. The analysis underscored a western-centric bias in current research, emphasizing the need for more inclusive and culturally sensitive studies.
CONCLUSIONS: The study calls for a nuanced understanding of FP, advocating for policies that consider ethical, cultural, and social dimensions. It suggests the necessity for interdisciplinary research to address identified gaps, particularly in understanding non-Western perspectives and ensuring equitable access to FP services globally. Moreover, the review emphasizes the importance of integrating patient-centric approaches and ethical frameworks to guide FP practices and policies, ensuring they respect diverse values and meet individuals\' needs.
摘要:
目的:这项研究考察了伦理,legal,和生育保护的社会影响,强调它对生育的重要性,选修卵子冷冻,和死后辅助生殖,以及它对接受性别确认手术的变性人的影响。
方法:对600篇文章进行综合分析,专注于各种学科,包括生物伦理学,心理学,和社会学,探索公共和医疗保健专业人员的知识,患者体验,和监管约束。
结果:文献正在增长,表明人们越来越认识到FP\的重要性。关键主题包括咨询和知情决策的中心地位,尤其是在生育和EEF方面,以及围绕知情同意和相关个人自主性的道德辩论。分析强调了当前研究中的西方中心偏见,强调需要进行更具包容性和文化敏感性的研究。
结论:这项研究要求对FP有一个细微的理解,倡导考虑道德的政策,文化,和社会维度。这表明跨学科研究解决已发现的差距的必要性,特别是在理解非西方观点和确保全球公平获得FP服务方面。此外,审查强调了整合以患者为中心的方法和道德框架以指导FP实践和政策的重要性,确保他们尊重不同的价值观,满足个人的需求。
公众号