title: [Embryo donation in France: practice and difficulties. Strasbourg's experience].
abstract: OBJECTIVE
  The aim of this study was to present the situation of embryo donation in France and around the world, to expound the difficulties of its practice and the results obtained in our centre 3 years after the introduction of this procedure.
  
  
  METHODS
  Embryo donation in France is controlled by implemented decrees published between 1999 and 2004. The couples, who have stored frozen embryos since at least two years, were contacted for a pluridisciplinary medical consultation. The indication of embryo donation was evaluated for the recipients through a pluridisciplinary approach.
  
  
  RESULTS
  Among the interviewed couples, 16.7% have chosen embryo donation but only half of them have completed the procedure (6% of the couples with frozen embryos). The main indications for embryo donation were a double sterility, unexplained genetic disease, ART failures (poor fertilization or bad embryo quality) and oocyte donation when the delay was too long for the couples. The pregnancy rate was 28.6% after the 21 first embryo transfers.
  
  
  CONCLUSIONS
  The results of embryo donation confirm the international experience both considering the poor number of donated embryos, medical indications and results. Embryo donation has its place among ART techniques, but one should not ignore the general debate on ethical questions raised by this procedure.
authors.affiliation: Service d'Aide Médicale à la Procréation, CMCO-SIHCUS, 19, rue Louis-Pasteur, BP 120, 67300 Schiltigheim, France. karima.bettahar@sihcus.fr
authors.forename: K
authors.initials: K
authors.lastname: Bettahar-Lebugle
authors.forename: C
authors.initials: C
authors.lastname: Wittemer
authors.forename: C
authors.initials: C
authors.lastname: Firtion
authors.forename: C
authors.initials: C
authors.lastname: Rongières
authors.forename: J
authors.initials: J
authors.lastname: Ohl
authors.forename: I
authors.initials: I
authors.lastname: Nisand
authors.forename: S
authors.initials: S
authors.lastname: Viville
authors.forename: R
authors.initials: R
authors.lastname: Favre
mesh_terms: D019924:Embryo Disposition / Q000941:ethics* / Q000523:psychology*; D004624:Embryo Transfer / Q000941:ethics / Q000523:psychology; D005260:Female; D005602:France; D006801:Humans; D015994:Incidence; D011247:Pregnancy; D018873:Pregnancy Rate; D013997:Time Factors