NEWSFRONT
The Bad Seed
Rights groups blast proposed FDA regulations, motivated by HIV fears,
that
would sharply restrict sperm donation by gay men
‘Ethnic cleansing,
American style"—that’s how Leland Traiman, executive director of Rainbow
Flag
Health Services
and Sperm Bank, described the U.S. Food and Drug Administration’s proposal
to
tighten regulations
on sperm donation.
Gay-rights advocates
say the proposed regulations, which would make it illegal for sperm banks
across
the United States
to accept anonymous sperm donations from gay men and restrict donations
from
known donors
to willing recipients, are an unfair and unfounded violation against gay
families; the FDA,
however, says
the proposals represent a long-overdue precaution that will make the sperm
banking
industry a little
bit safer for women seeking artificial insemination.
A proposal to
regulate all cellular and tissue-based products was released by the FDA
in February 1997.
According to
FDA spokeswoman Lenore Gelb, the agency does not have guidelines regulating
the
donation of
reproductive tissue but has sought to impose them for several years. The
FDA studied
Centers for
Disease Control and Prevention recommendations from 1994 suggesting that
a man who
acknowledged
sexual relations with another man in the last five years should be considered
a high risk
for HIV infection—regardless
of whether or not he had tested negative for the virus—when donating
human tissue,
including organs, blood and semen.
Based on this
CDC recommendation, Gelb said, the agency created a draft approach advising
that all
men who have
had sex with other men within a five-year period—even those in long-term,
monogamous
relationships
who have repeatedly tested negative for AIDSbanned from anonymous donations
of
reproductive
tissue. Further, the proposal states, semen from HIV-negative "directed
donors" (men who
have been specifically
selected to donate sperm by recipient women) should be quarantined—kept
on
ice—for not
less than six months after donation, after which the donors would be retested
for HIV before
their semen
could be used for insemination.
The proposal
has advocates for gay men and women across the country up in arms. According
to a
letter written
by Traiman and signed by representatives of the Amer-ican Civil Liberties
Union, the
National Center
for Lesbian Rights, the Sperm Bank of California and the Gay and Lesbian
Medical
Association,
the move is much too restrictive, as it would prevent roughly 84 percent
of all gay men and
their potential
sperm recipients from successfully having children. As most women requesting
gay men
as sperm donors
are lesbians, the letter continued, the regulations would unjustly interfere
with the
family planning
of thousands of gay families.
"The issue is
this: Industry numbers vary, but usually . . . anywhere from one in six
to one in four men’s
sperm is able
to successfully survive the freezing process," explained Jennifer Pittman,
policy and
program advocate
for the Gay and Lesbian Medical Association. "So if you take a man’s sperm
and
freeze it in
one part of this protocol . . . the result is, you don’t get enough viable
sperm to meet the
World Health
Organization’s standards for fertility. . . . So a woman wants to have
a baby, she finds a
man who’s had
sex with other men as a donor . . . she may be older, her fertility may
be declining
rapidly. If
he’s not one of the lucky ones whose sperm can survive the process, she’s
out of luck."
"The most alarming
thing is that this would legally block any sort of fertility treatment
available for gay
men," added
Traiman, "as it would for any lesbian who wants to have a child with a
gay man in [this] sort
of fashion—it
would block fertility treatment for her."
Further, FDA
critics stated, the regulations are not based on sound science. Rather,
they have been
constructed
around the advice of the CDC, which, Traiman said, has admitted that its
conclusions were
based simply
on the advice of a consultant panel. Traiman, Pittman and others insisted
that by failing to
provide scientific
evidence to back up their proposals, the FDA and the CDC are discriminating
against
gay families
by basing their recommendations on the myth that AIDS is a "gay disease."
"The guidelines
themselves are bizarre and contradictory," Traiman asserted. "On the one
hand they say
you shouldn’t
use a donor who has had sex with another man in the last five years. But
on the other
hand, if a woman
has sex with a man who’s had sex with another man in the last five years,
she only
has to wait
one year. What the heck are they talking about?"
Gelb insisted
that the FDA is not unfairly picking on gay men—rather, she said, it is
simply pointing out
a group that
is known to be at high risk for HIV infection and exercising extra caution
in allowing
members of that
group to donate tissues.
"It’s not to
exclude donors based on a particular group," she commented. "It’s intended
to exclude
donors based
on risk factors. It’s based on what has been seen in terms of tracking."
But Pittman pointed
out that other high-risk groups—men who have had sex with prostitutes,
intravenous
drug users,
people who admit to having had sex with HIV-infected partners and certain
inner-city ethnic
populations
known to also be high-risk for HIV infection—are given more leeway than
gay men. For
example, she
said, admitted IV drug users and men who have had sex with prostitutes
would have to
wait only one
year after testing negative for HIV before they could donate sperm.
Traiman said
that should the FDA try to force the new regulations through, he and other
advocacy
groups plan
to take the agency to court for violating the civil rights of gay men across
the nation.
Primarily, he
said, it would prevent the FDA from enforcing its exclusionary policies.
But a secondary
outcome he said
he’d like to see would be the repeal of similar regulatory laws that are
already in effect
in New York
state.
Since 1989, New
York’s Public Health Law has permanently excluded sexually active gay men
from
anonymous semen
donation. Recipients who choose to be inseminated using the semen of a
gay man
must first undergo
risk counseling and sign a waiver acknowledging the risks involved.
"New York is
the only state in the union with explicitly anti-gay regulations," Traiman
said. "The head of
the New York
program [has indicated] to me, in October of last year, that if the FDA
backs off this
proposal, New
York will also change its regulations accordingly. . . . What they essentially
are saying
is, ‘You people
are all pariahs’.
"I had clients
who were a hetero couple who were sterile. They asked [the man’s] brother
to be his donor
so that the
father would be biologically related to their child. The brother was a
gay man. The brother’s
sperm did not
survive the freezing process. Now, who the hell is the state or the FDA
to say they can’t
use him as a
directed donor?"
—Erin Sullivan