Vienne, Claire <br/><br/>
Sperm donation after the vote on the bioethics law of August 2, 2021: Should we fear a shortage of donors? 

 -  2022.<br/>							 
<br/><br/> 6 
<br/><br/> The promulgation of the bioethics law of August 2, 2021 was followed by a significant number of requests for medically assisted reproduction (MAR) from female couples and unmarried women (17,000 in just one year), but also proposals for sperm donations (nearly 600 in 2021, i.e., twice as many as in 2019). The stocks of donor sperm straws that have been built up to date (nearly 90,000 straws) are sufficient to meet the demand from all groups. The observed lengthening of the duration of the sperm-donation MAR process, from 12 to 13.9 months, shows that the supply of care is not yet adequately sized to meet the impacts of the law. This is not linked to the insufficiency of sperm stocks, but rather to the organization of these processes within a limited number of authorized centers (around 30). In the months and years to come, the challenge is twofold in terms of the management of donor sperm stocks in order to respond to legislative changes on access to origins and the requests of the persons concerned: i) concerted management to limit the number of straws that will be destroyed, and ii) building up a sufficient stock of straws from donors who have consented to their identity being revealed to the persons born from their donation, if they so request. By encouraging continuous exchange between all stakeholders, and also the support of the centers by the institutional players, the work of the Bioethics Law Monitoring Committee (Comité de suivi de la loi de bioéthique), led by the French Biomedicine Agency (Agence de la biomédecine), aims to make the supply of care meet the expectations of users and professionals.