生殖医生因使用自己的精子治疗患者而被起诉

生殖医生因使用自己的精子治疗患者而被起诉：Fertility doctor sued for using own sperm in treating pat

一名加利福尼亚妇女正在起诉她的生育医生，因为她在治疗中使用了自己的精子。

凯瑟琳理查兹指责迈克尔基肯博士在四十年前使用自己的精子而不是匿名自己的精子怀孕了她的两个孩子后进行了“医疗强奸”。该案件是近年来所谓的“生育欺诈”案件之一，随着23andMe和Ancestry等广泛可用的基因检测服务的出现而暴露无遗。

“他偷偷使用了自己的精子，”理查兹告诉福克斯新闻。“现在我必须知道他侵犯了我，我深爱的孩子是他恶心行为的结果。”

在理查兹的女的朱莉·德鲁约尔（Julie Druyor）使用23andMe测试显示她是50%的德系犹太人后，Kiken博士被揭露为生父——这与理查兹或所谓的精子自己不同。在1978年和1981年接受治疗时，理查兹只同意一位符合特定要求的精子无偿帮助者，包括无偿帮助者必须是基督徒。

一位系谱学家将Kiken博士确定为自己，并发现Druyor有一个同父异母的兄弟，其母亲也是Kiken博士的患者。

此外测试显示Druyor是遗传性疾病Tay-Sachs病的携带者，这种疾病在犹太裔人群中更为常见。这种疾病会导致癫痫发作、精神和感觉障碍以及过早死亡，但前提是它是从父母双方遗传的。只有一份副本的运营商不受影响。

“现在我必须面对我已经将他的基因遗传下来的事实，”德鲁约尔说。“我会在我的孩子身上看到他吗？我讨厌我什至不得不考虑这一点。

还有其他多起医生在未经患者同意的情况下使用自己的精子为患者授精的案例。值得注意的是，2019年的DNA测试证实，荷兰的Jan Karbaat博士在1980年为他的患者中的至少49个孩子生了父亲。在美国唐纳德·克莱恩博士承认让多名患者受孕，导致至少60名儿童受孕。此案促使美国印第安纳州通过了第一个生育欺诈法案（参见BioNews 998）。

然而有明确法律禁止此类行为的国家仍然是少数。此外虽然一些州将未经同意使用供体配子标记为欺诈，但只有德克萨斯州将其归类为性侵犯。为了应对类似诉讼的激增，制定立法的州的数量正在增加。

加州圣地亚哥他人物伦理学和法律专家Dov Fox教授评论说，这些案例“严重违反了知情同意”。他告诉水星新闻：“我们不知道[生育欺诈]有多普遍。但越来越清楚的是，这不是一种失常。

原文：

A Californian woman is suing her fertility doctor for using his own sperm in her treatment.

Katherine Richards has accused Dr Michael Kiken of'medical rape'after he used his own sperm，rather than that of an anonymous donor，to conceive her two children forty years ago.The case is one of a number in recent years of so-called'fertility fraud'，exposed by the advent of widely available genetic testing services such as 23andMe and Ancestry.

'He secretly used his own sperm，'Richards told FOX News.'Now I have to know that he violated me and that my children，who I love dearly，are the result of his disgusting conduct.'

Dr Kiken was revealed as the biological father after Richards'daughter，Julie Druyor，used a 23andMe test which revealed she was 50 percent Ashkenazi Jewish-unlike either Richards or the supposed sperm donor.When undergoing treatment in 1978 and 1981，Richards had consented only to a sperm donor who met specific requirements，including that the donor be Christian.

A genealogist identified Dr Kiken as the donor and found that Druyor has a half-brother whose mother was also a patient of Dr Kiken.

In addition，the test revealed Druyor is a carrier for the genetic disorder Tay-Sachs disease，which is more common in people of Jewish heritage.The disorder can cause seizures，mental and sensory disabilities，and premature death，but only if it is inherited from both parents.Carriers who have only one copy are unaffected.

'Now I have to deal with the fact that I've passed down his genes，'said Druyor.'Am I going to see him in my children？I hate that I even have to think about that.'

There have been multiple other cases of doctors using their own sperm to inseminate patients without their consent.Notably，in 2019 DNA testing confirmed that Dr Jan Karbaat in the Netherlands fathered at least 49 of his patients'children in the 1980s.In the US Dr Donald Cline admitted impregnating multiple patients，which resulted in at least 60 children.The case prompted the passing of the first fertility fraud bill in the US，in the state of Indiana(see BioNews 998).

However，states with explicit laws against such conduct are still the minority.Further still，while some states label unconsented use of donor gametes as fraud，only Texas classes it as sexual assault.The number of states with legislation is rising，in response to a surge of similar lawsuits.

Professor Dov Fox，a specialist in bioethics and law from the University of San Diego，California，commented that these cases exhibit'a profound violation of informed consent.'He told Mercury News：'We don't know how common it[fertility fraud]is.But it is becoming clear that it's not an aberration.'