Ethics of non-oncological fertility preservation from the perspective of the four principles of bioethics - Summary - MDSpire

Ethics of non-oncological fertility preservation from the perspective of the four principles of bioethics

  • By

  • Silviya Aleksandrova-Yankulovska

  • Marcin Orzechowski

  • Katharina Hancke

  • Karin Bundschu

  • Florian Steger

  • May 20, 2026

  • 0 min

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Objective:

To identify the ethically distinctive features of non-oncological fertility preservation in women with endometriosis, women opting for social egg freezing, and transgender individuals.

Key Findings:
  • Challenges in reproductive autonomy and informed consent include decisional pressure and the ability to make future-oriented decisions.
  • The principle of beneficence highlights benefits such as safeguarding genetic parenthood and preventing future regret.
  • Non-maleficence reveals risks including medical, psychological, and social issues like delay in therapy and misinformation.
  • Social justice concerns include unequal access to fertility preservation services and gender discrimination.
Interpretation:

The ethical landscape of non-oncological fertility preservation is complex and requires a tailored approach distinct from oncological cases.

Limitations:
  • The study is limited to literature published between 2000 and 2025.
  • Focus is primarily on specific populations, which may not represent broader ethical considerations.
Conclusion:

The study underscores the need for a nuanced ethical framework for non-oncological fertility preservation, with future research needed to adapt to evolving technologies and clinical practices.

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