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<Artificial Insemination>
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Obstetrics
and Gynaecology
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[Infertility]
/ [Artificial Insemination] /
[In-vitro fertilization]
[Surrogacy] / [Womb-relation]
/ [Adoption]
Artificial
Insemination
A.
Artificial Insemination using Husband's Semen (AIH).
If
the husband does not have living spermatozoa in his semen this approach
is obviously hopeless. But when the husband has normal spermatozoa but
for some reason is not able to deposit them inside the genital tract of
the wife, artif'icial insemination might solve the problem. It may also
be that the seminal ejaculate lacks the proper concentration of live sperm,
so that it becomes necessary to repeatedly collect lhe first wave of every
ejaculate which is the richest in sperms, and prepare a satisfactory concentrate
to be used. This can be kept in cold storage, to be drawn from at the
time of ovulation each cycle and deposited by the doctor inside "the
genital tract until hopefully a pregnancy results. From the Islamic point
of view, this procedure is acceptable as long as it remains between husband
and wife, provided-however-that it is carried out during the span of their
marriage. Its acceptability is based on the fact that the mating lakes
place within an authentic marriage contract, the sperm would-hopefully-fuse
with the ovum under same, and the pregnancy (and baby) is ensured the
right of legitimacy with its subsequent legal rights: all in truth and
with falsification. That the procedure is only permitted within the span
of marriage, is due to the fact that the marriage, contract is broken
by death or by divorce. As a matter of fact the woman under such
circumstances has the right to become another man's wife. The famous
French court case is an illlustrative example. The husband died
but he had already deposited semen preserved in cold storage in a semen
bank. The widowed wife, for sentimental reasons, requestedto be
availed of artificial insemination by her deceased husband's semen. The
semen bank refrained from answering her request, and she had to go to
court. The court ruled in her favour and she was inseminated by
her late husband's semen (insemination, however, failed to produce a pregnancy).
Such a court ruling would be unacceptable by Islam.. for both insemination
and potential pregnancy are not within the boundaries of a valid marriage
contract. A conceived baby would thus have been denied its basic
right of legitimacy.
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B. Artificial Insemination by a Donor's Semen (AID)
In
this situation the husband is in fact infertile and does not possess semen
of his own that is ever capable of producing a pregnancy, as in men whose
semen contains no spermatozoa and there is no known treatment that can
correct their defect. Resort is then made to semen given by a fertile
donor .
A
'semen bank' carries out the function of obtaining seminal ejaculates
from healthy fertile donors, and preserving them at a very low temperature
(cryopreservation). The donors are medically checked to exclude diseases
communicable by semen (lately AIDS-aquired immuno deficiency syndrome-has
been added to the check list). The donors and recipients remain unknown
to each other and written consent is taken from the recipient and her
husband. Although the procedure can put an end to the problem of the fertile
wife of an infertile husband, it stands unacceptable to Islam. From the
point of view of jurisprudence, Islamic law would not consider this practice
as adultery since it lacks the legal specifications (the crime of adultery
legally materialises if four unblemished witnesses testify to have witnessed
the complete act of coitus entailing introduction of penis into vagina),
but morally it is considered nearly as sinful, and is legally punishable
but not with the punishment of adultery. The child is not the fruit of
the marriage contract and therefore robbed of its right to legitimacy.
The woman and her husband are agreable, it is true. ..but the right of
the child to legitimacy is not theirs to pamper with. The procedure also
entails the lie of registering the baby as the son or daughter of a man
who is not the real father. It leads to confusion of lines of genealogy
whose purity is so dear to Islam. It lies to the child about, and denies
him or her, the knowledge of their real father. It absolves the real father
of being responsible for his own "flesh and blood". It enhances
the chances of inadvertent brother-sister marriages in a community. It
violates the Islamic legal system of inheritance. And on top of that,
it would play havoc with the science of population genetics trying to
deduce modes of inheritance by analysing family pedigrees.
An
interesting development of the AID technology is the current ethical debate
concerning the right of the unmarried woman to procure a pregnancy by
artificial insemination. The new 'morality' has played an effective role
in social acceptability and accomodation of 'uniparent families' as they
are called. At the beginning it was perhaps an act of compassion towards
the poor little girl who finds herself stuck with a baby whose father
is either unidentifiable or unwilling to bear responsibility for his tilth
or his crop. It was perhaps a little beyond the limits of imagination
that uniparentage, should be souht per se, for its own sake. One would
wonder if it meant any substantia difference for the unmarried female
seekingartificial insemination whether to get it by artificial or perhaps
more easily by natural inseminatio .In any case the procedure is not Islamically
acceptable for much of the reasons already given.
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