II
INTERVENTIONS UPON HUMAN PROCREATION
By "artificial procreation" or
" artificial fertilization" are understood here the different
technical procedures directed towards obtaining a human conception in a manner
other than the sexual union of man and woman. This Instruction deals with
fertilization of an ovum in a test-tube (in vitro fertilization) and
artificial insemination through transfer into the woman's genital tracts of
previously collected sperm.
A preliminary point for the moral evaluation
of such technical procedures is constituted by the consideration of the
circumstances and consequences which those procedures involve in relation to
the respect due the human embryo. Development of the practice of in vitro
fertilization has required innumerable fertilizations and destructions of human
embryos. Even today, the usual practice presupposes a hyperovulation on the
part of the woman: a number of ova are withdrawn, fertilized and then
cultivated in vitro for some days. Usually not all are transferred into
the genital tracts of the woman; some embryos, generally called "spare
", are destroyed or frozen. On occasion, some of the implanted embryos are
sacrificed for various eugenic, economic or psychological reasons. Such
deliberate destruction of human beings or their utilization for different
purposes to the detriment of their integrity and life is contrary to the
doctrine on procured abortion already recalled. The connection between in
vitro fertilization and the voluntary destruction of human embryos occurs
too often. This is significant: through these procedures, with apparently
contrary purposes, life and death are subjected to the decision of man, who
thus sets himself up as the giver of life and death by decree. This dynamic of
violence and domination may remain unnoticed by those very individuals who, in
wishing to utilize this procedure, become subject to it themselves. The facts
recorded and the cold logic which links them must be taken into consideration
for a moral judgment on IVF and ET (in vitro fertilization and embryo
transfer): the abortion-mentality which has made this procedure possible thus
leads, whether one wants it or not, to man's domination over the life and death
of his fellow human beings and can lead to a system of radical eugenics.
Nevertheless, such abuses do not exempt one
from a further and thorough ethical study of the techniques of artificial
procreation considered in themselves, abstracting as far as possible from the
destruction of embryos produced in vitro. The present Instruction will
therefore take into consideration in the first place the problems posed by
heterologous artificial fertilization (II, 1-3), * and
subsequently those linked with homologous artificial fertilization (II, 4-6 ) .** Before formulating an ethical judgment on each of these procedures,
the principles and values which determine the moral evaluation of each of them
will be considered.
A.
HETEROLOGOUS ARTIFICIAL FERTILIZATION
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