"I want us to be a normal family": Toward an understanding of the functions of anonymity among U.S. oocyte donors and recipients.
BACKGROUND
Anonymity remains the more common practice in gamete donations, but legislation prohibiting anonymity with a goal of protecting donor-conceived children's right to know their genetic origins is becoming more common. However, given the dearth of research investigating the function of anonymity for donors and recipients, it is unclear whether these policies will accomplish their goals. The aim of this study was to explore experiences with anonymity among oocyte donors and recipients who participated in an anonymous donor oocyte program and to understand the ways in which anonymity functions for them.


METHODS
Semistructured interviews were conducted with 50 women: 28 oocyte donors and 22 recipients who were recruited from an academic center for reproductive medicine in the United States.


RESULTS
Donors and recipients view anonymity both as a mechanism to protect the interests of all parties (recipients, donors, and donor-conceived children) and as a point of conflict. Specifically, three key areas were identified where both donors and recipients saw anonymity as having an important role: relieving anxieties about family structures and obligations; protecting their interests and those of donor-conceived children (while acknowledging where interests conflict); and managing the future.


CONCLUSION
As gamete donation increasingly moves away from the practice of anonymity, examining why anonymity matters to stakeholders will be helpful in devising strategies to successfully implement identity-release options.
['de Melo-Martín|Inmaculada|I|0000-0001-8656-8497', 'Rubin|Lisa R|LR|', 'Cholst|Ina N|IN|']
D022126:Access to Information D003219:Confidentiality D030541:Databases, Genetic D030881:Disclosure D000072234:Donor Conception D005260:Female D005820:Genetic Testing D006801:Humans D018587:Oocyte Donation D011247:Pregnancy D014019:Tissue Donors D014481:United States
anonymity oocyte donors gamete donation identity release oocyte recipients