Do clinicians benefit from gamete donor anonymity?
Two groups of participants are frequently omitted from discussions and studies of donor anonymity in assisted conception: the children conceived and the clinicians providing the service. Past secrecy explains the absence of the children’s views, but the absence of a systematic consideration of the clinicians’ views is more puzzling. Evidence from the history of donor insemination suggests that clinicians have supported keeping such practices secret, not just for the protection of donors, recipients and resultant children but also to protect their own position from the detailed scrutiny of others who had expressed doubts about the practice. However, the various important developments in both the practice and the regulation of assisted conception in the 1980s and the early 1990s may well have alleviated such earlier anxieties. None the less, a growing willingness by clinicans to consider greater openness in gamete donation may be counter-balanced by the nature of their relationship with