The testimony of the French CECOS federation about access to assisted reproductive techniques using sperm donation and access to ``origins''

International audience ; The French CECOS (Centres d'Etude et de Conservation des Oeufs et du Sperme) centers federation brings together the majority of centers authorized for the management of Assisted Reproductive Techniques (ART) using a third donor (97% of centers authorized for sperm donation, 80% of authorized centers for egg donation, 80% of authorized centers for embryo reception). Law No. 2021-1017 of August 2, 2021 related to bioethics provides many changes in the practices of ART centers, in particular concerning ART using third-part donors: the possibility of care for lesbian couples or of unmarried women, the possibility of double gamete donation (sperm and egg donation), the possibility (under conditions) of access to non-identifying data and to the identity of the third-party donor even for adults born before this law. More than 40,000 people of legal age have been born following the use of third-part donor ART within a CECOS. How many of them will request the commission for access to non-identifying data and the identity of the third part donor? What answers will they have? What consequences will these measures have on former donors and their families? Furthermore, how can we ensure reasonable waiting times for all recipients of sperm donation? France wants to put in place a system based on values such as the non-remuneration of donation and donors motivated by altruism, recipients supported in sperm donation with a reasonable time, and health insurance coverage for everyone. The challenge is to be taken up. It requires perfect cooperation between professionals, supervisory authorities and government authorities in order to meet the expectations of patients.