Abstract
As in many areas of medicine, scientific advances in reproductive technology have both provided great benefits and raised difficult ethical questions. Since the early 1990s, the technique of pre-implantation genetic diagnosis (PIGD) has provided an opportunity to select for implantation during in vitro fertilization (IVF) embryos with, or without, a particular genetic characteristic. This has led to a range of debates in the academic literature and both clinical and public arena on issues such as whether it is acceptable to choose the sex of a future child, or to create embryos using IVF to select one that can develop into a child that can be a bone marrow donor for a sibling with a life-threatening condition. The UK parliament is currently debating the Human Fertilisation and Embryology Bill (HFE Bill),1 which will amend the 1990 Human Fertilisation and Embryology Act, changing sections of the existing Act and introducing legislation to cover new areas of concern in reproductive technology including the selection of embryos prior to implantation during IVF procedures. In this FMF, we will consider the ethical considerations of embryo selection in a range of contexts, exploring some of the arguments for and against its use.
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