My Daddy's Name is Donor: A New Study of Young Adults Conceived Through Sperm Donation

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    1

    AReportReleasedInternationallybytheCommissiononParenthoodsFuture

    ANewStudyofYoun

    gAdults

    ConceivedThrough

    SpermDonation

    ELIZABETHMARQUARDT,NORVALD.GLENN,

    ANDKARENCLARK,CO-INVESTIGATORS

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    i

    Tis repor is released inernaionally under he auspices of he

    Commission on Parenhoods Fuure, an independen, nonparisan group

    of scholars and leaders who have come ogeher o invesigae he saus

    of parenhood and make recommendaions for he fuure.

    Te lead co-invesigaor of his repor, Elizabeh Marquard, is

    direcor of he Cener for Marriage and Families a he Insiue forAmerican Values. Te Ceners online sie for engagemen is .

    . .

    Te co-invesigaors would like o hank Jeremy Uecker of he

    Universiy of exas a Ausin for analysis; Chinan urakhia a Ab SRBI

    for his experise and helpfulness; David Mills for copy ediing; and he

    members of he Commission on Parenhoods Fuure for heir advice.

    Elizabeh Marquard would like o hank her colleagues a he Insiue

    for American Values for heir exraordinary suppor of and commi-

    men o his projec. Te views in his repor are atribuable o he

    co-invesigaors alone.

    Copyrigh , Insiue for American Values. All righs reserved.

    No reproducion of he maerials conained herein is permited wihou

    he writen permission of he Insiue for American Values.

    : ---

    Insiue for American Values Broadway, Suie

    New York, NY

    el: () -

    Fax: () -

    @ .

    . .

    Acknowledgements

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    i i

    Te Commission on Parenhoods Fuure is an independen, nonpar-

    isan group of scholars and leaders who have come ogeher o invesigae

    he saus of parenhood as a legal, ehical, social, and scienific caegory

    in conemporary socieies and o make recommendaions for he fuure.

    Commission members convene scholarly conferences; produce books,

    repors, and public saemens; wrie for popular and scholarly publicaions;and engage in public speaking. Is members include he following:

    David Blankenhorn,Insiue or American Values

    Don Browning, Universiy o Chicago Diviniy School (Emerius)

    Daniel Cere,McGill Universiy (Canada)

    Karen Clark, FamilyScholars.org, co-invesigaor

    Jean Behke Elshain, Universiy o Chicago Diviniy School

    Maggie Gallagher,Insiue or Marriage and Public Policy

    Norval D. Glenn, Universiy o exas a Ausin, co-invesigaor

    Rober P. George,Princeon Universiy

    Amy Laura Hall,Duke Universiy

    imohy P. Jackson,Emory Universiy

    Kahleen Kovner Kline, Universiy o Colorado School o Medicine

    Suzy Yehl Mara, Rainbows Inc.

    Elizabeh Marquard,Insiue or American Values, co-invesigaor

    Michell B. Pearlsein, Cener o he American Experimen

    David Popenoe, Rugers Universiy (Emerius)Sephen G. Pos, Cener or Medical Humaniies, Compassionae

    Care, and Bioehics a Sony Brook Universiy

    Dave Quis,Insiue o Marriage and Family Canada

    Luis ellez, Wiherspoon Insiue

    David Quinn,Iona Insiue (Ireland)

    Amy Wax, Universiy o Pennsylvania Law School

    W. Bradford Wilcox, Universiy o Virginia

    John Wite, Jr.,Emory UniversiyPeer Wood,Naional Associaion o Scholars

    Aboutthe

    Commission

    onParenthoods

    Future

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    i i i

    Meethodlogy

    and Limitations

    Executive Summary ^

    Tanfgled WebsHow Do Donor

    Offspring Fare?

    Religion & Race:

    The Surpr ising Case of

    Todays Donor Offspring

    Is Donor Conception

    Just Like Adoption?

    IntrroductionIntroduction The Daddy Box

    TangledWebs Secrets & Anonymity

    Limitations

    Methodology&Tables & FiguresRecommendations

    Rights

    Table ofContents

    Fifteen

    MajorFind

    ings

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    5

    EXECUTIVE

    SUMMARY

    In , a Philadelphia physician pu his female paien o sleep

    and inseminaed her wih sperm from a man who was no her

    husband. Te paien became pregnan and bore a child she

    believed was he couples biological offspring.

    oday, his even occurs every day around he world wih he willing

    consen of women and wih he involvemen of millions of physicians,

    echnicians, cryoscieniss, and accounans. Te Unied Saes alone has

    a feriliy indusry ha brings in . billion annually. Meanwhile, feriliy

    ourism has aken off as a booming global rade. A number of naions bill

    hemselves as desinaions for couples who wish o circumven sricer laws

    and greaer expense in heir own counries in order o become pregnan

    using reproducive echnologies. Te larges sperm bank in he world,

    Cryos, is in Denmark and ships hree-quarers of is sperm overseas.In he U.S., an esimaed ,-, children are born each year

    hrough sperm donaion, bu his number is only an educaed guess. Nei-

    her he indusry nor any oher eniy in he U.S. is required o repor on

    hese vial saisics. Mos srikingly, here is almos no reliable evidence,

    in any naion, abou he experience of young aduls who were conceived

    in his way.

    Tis sudy is he firs effor o learn abou he ideniy, kinship, well-

    being, and social jusice experiences of young aduls who were conceived

    hrough sperm donaion. Te survey research firm Ab SRBI of New York

    Ciy fielded our survey hrough a web-based panel ha includes more han

    a million households across he Unied Saes. Trough his mehod we

    assembled a represenaive sample of aduls beween he ages of

    and years old who said heir moher used a sperm donor o conceive

    hem. We also assembled comparison groups of young aduls who

    were adoped as infans and young aduls who were raised by heir

    biological parens.

    We learned ha, on average, young aduls conceived hrough spermdonaion are huring more, are more confused, and feel more isolaed from

    heir families. Tey fare worse han heir peers raised by biological parens

    on imporan oucomes such as depression, delinquency and subsance

    abuse. Nearly wo-hirds agree, My sperm donor is half of who I am.

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    Nearly half are disurbed ha money was involved in heir concepion.

    More han half say ha when hey see someone who resembles hem hey

    wonder if hey are relaed. Almos as many say hey have feared being

    atraced o or having sexual relaions wih someone o whom hey are

    unknowingly relaed. Approximaely wo-hirds affirm he righ of donor

    offspring o know he ruh abou heir origins. And abou half of donoroffspring have concerns abou or serious objecions o donor concepion

    iself, even when parens ell heir children he ruh.

    Te ile of his repor,My Daddys Name is Donor, comes from a

    -shir markeed o parens of babies who were donor conceived. Te

    designers of he shir say is jus mean o be funny. Bu we wondered

    how he children feel when hey grow up.

    Tis unprecedened, large, comparaive, and very nearly represena-

    ive sudy of young aduls conceived hrough sperm donaion responds

    o ha quesion. Te exraordinary findings repored in he sories, ables

    and figures ha follow will be of concern o any policy maker, healh

    professional, civic leader, paren, would-be paren, and young or grown

    donor conceived person, anywhere in he world. An exensive lis of

    recommendaions is found a he conclusion.

    We aim for nohing less han o launch a naional and inernaional

    debae on he ehics, meaning, and pracice of donor concepion, saring now.

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    FIFTEENMAJOR

    FINDINGS

    Young aduls conceived hrough sperm donaion (or donor.

    offspring) experience profound sruggles wih heir origins

    and ideniies.

    Sixy-five percen of donor offspring agree, My sperm donor is

    half of who I am. Fory-five percen agree, Te circumsances of myconcepion boher me. Almos half repor ha hey hink abou donor

    concepion a leas a few imes a week or more oen.

    Te role of money in heir concepion disurbs a subsanial number

    of donor offspring. Fory-five percen agree, I bohers me ha money

    was exchanged in order o conceive me. Fory-wo percen of donor

    offspring, compared o percen from adopive families and percen

    raised by biological parens, agree, I is wrong for people o provide heir

    sperm or eggs for a fee o ohers who wish o have children.When hey grow up, donor offspring are more likely o agree, I

    don feel ha anyone really undersands me, wih percen of hem

    agreeing srongly, compared o percen of he adoped and nine percen

    of hose raised by biological parens.

    Family relaionships for donor offspring are more oen char-.

    acerized by confusion, ension, and loss.

    More han half ( percen) agree, I have worried ha if I ry o

    ge more informaion abou or have a relaionship wih my sperm donor,

    my moher and/or he faher who raised me would feel angry or hur.

    Seveny percen agree, I find myself wondering wha my sperm donors

    family is like, and percen agree, I someimes wonder if my sperm

    donors parens would wan o know me.

    Nearly half of donor offspring ( percen) compared o abou a

    fih of adoped aduls ( percen) agree, When I see friends wih heir

    biological fahers and mohers, i makes me feel sad. Similarly, more

    han half of donor offspring ( percen, compared o percen of headoped aduls) agree, I hurs when I hear oher people alk abou heir

    genealogical background.

    Fory-hree percen of donor offspring, compared o percen

    of adoped persons and six percen of hose raised by heir biological

    from My Dadd ys Name

    is Donor: A New Study

    of Young Adults Conc eived

    Through Sperm Donation

    Elizabeh Marquard, Norval D. Glenn,

    and Karen Clark, co-invesigaors

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    8

    parens, agree, I feel confused abou who is a member of my family and

    who is no.

    Almos half of donor offspring ( percen) agree, I worry ha

    my moher migh have lied o me abou imporan maters when I was

    growing up, compared wih percen of he adoped and percen

    raised by heir biological parens. Similarly, percen of donor offspring,compared o percen and percen, respecively, of hose raised by

    adopive or biological parens, agree, I worry ha my faher migh have

    lied o me abou imporan maters when I was growing up.

    When hey grow up, well over half ( percen) of donor offspring

    agree, I feel ha I can depend on my friends more han my family abou

    wice as many as hose who grew up wih heir biological parens.

    Donor offspring oen worry abou he implicaions of iner-.

    acing wih and possibly forming inimae relaionships wih

    unknown, blood-relaed family members.

    Well over half of donor offspring percenagree, When I see

    someone who resembles me I oen wonder if we are relaed, compared

    o percen of adoped aduls and percen raised by heir biological

    parens.

    Nearly half percenof donor offspring, bu jus percen of

    adoped aduls and percen of hose raised by heir biological parens,agree, When Im romanically atraced o someone I have worried ha

    we could be unknowingly relaed. Similarly, percen of adul donor

    offspring, and jus percen of adoped aduls and percen of hose

    raised by heir biological parens, agree, I have feared having sexual rela-

    ions unknowingly wih someone I am relaed o.

    Donor offspring are more likely o have experienced divorce or.

    muliple family ransiions in heir families of origin.

    Te married heerosexual parens of he donor offspring are unusu-

    ally likely o have divorced, wih percen of donor offspring reporing

    ha heir parens divorced before he responden was age , compared

    o percen of hose who were adoped and percen of hose raised by

    heir biological parens. (Te comparison beween he parens of donor

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    offspring and hose of he adoped is ap, because in boh cases he parens

    would likely have urned o donor concepion or adopion laer in heir

    marriages, when marriages on average are more sable.) See Figure . (p. )

    Overall, percen of donor offspring experienced one or more

    family ransiions beween heir birh and age , compared o percen

    of he adoped, and percen of hose raised by heir biological parens.See Figure a. (p. )

    Donor offspring are significanly more likely han hose raised.

    by heir biological parens o sruggle wih serious, negaive

    oucomes such as delinquency, subsance abuse, and depression,

    even when conrolling for socio-economic and oher facors.

    Donor offspring and hose who were adoped are wice as likely as

    hose raised by biological parens o repor problems wih he law before

    age .

    Donor offspring are abou . imes more likely han hose raised

    by heir biological parens o repor menal healh problems, wih he

    adoped being closer o wice as likely as hose raised by biological parens

    o repor he same hing.

    Donor offspring are more han wice as likely as hose raised by

    biological parens o repor subsance abuse problems (wih he adoped

    falling beween he wo groups). See Figure . (p. )

    Donor offspring born o heerosexual married couples, single.

    mohers, or lesbian couples share many similariies.

    In our survey, of he donor offspring repor hey were born

    o heerosexual married couples, o single mohers, and o lesbian

    couples.

    While a firs glance he number of hose born o lesbian couples

    migh seem raher small, his sudy is noable for having even respondenswho grew up wih his experience. Mos sudies of he offspring of lesbian

    or gay parens are based on a smaller or similar number of respondens, and

    hey ypically lack he comparison groups ha our survey offers. However,

    we mus cauion ha due o he size of he sample of offspring of lesbian

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    couples, mos repored findings relaed o ha paricular group can only

    sugges differences or similariies, alhough where significan differences

    emerge hey are noed.

    All hree groups of donor offspring appear fairly similar in a number

    of heir atiudes and experiences. For example, hey are all abou equally

    likely o agree ha hey feel confused abou who is a member of heir familyand who is no, ha hey fear being atraced o or having sexual relaions

    wih someone hey are unknowingly relaed o, ha hey worry heir

    moher migh have lied o hem abou imporan maters, and ha hey

    have worried abou huring heir mohers or ohers feelings if hey ried

    o seek ou heir sperm donor biological faher. See able . (p. )

    A he same ime, here appear o be noable differences beween.

    donor offspring born o heerosexual married couples, single

    mohers, and lesbian couples.

    Overall, donor conceived persons born o single mohers seem o

    be somewha more curious abou heir absen biological faher, and seem

    o be huring somewha more, han hose born o couples, wheher hose

    couples were heerosexual or lesbian.

    Donor offspring born o single mohers are more likely han he

    oher wo groups o agree, I find myself wondering wha my sperm donors

    family is like. Mos ( percen) born o single mohers agree, comparedo wo-hirds of hose born o lesbian couples or married heerosexual

    parens. Wih regard o My sperm donor is half of who I am, percen

    of hose born o single mohers agree, compared o percen born o

    lesbian couples and percen born o married heerosexual parens.

    Regarding family ransiions, he single mohers by choice appear o

    have a higher number of ransiions, alhough if he single moher married

    or moved in wih someone, ha would coun as a leas one ransiion.

    Sill, wih abou half ( percen) of he offspring of single mohers by

    choice in our sample reporing one or more family ransiions beween

    heir birh and age , is clear ha family change was no uncommon for

    hem. See Figure b. (p. )

    Donor offspring

    born to single mot hers:

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    Regarding roubling oucomes, even wih conrols, he offspring

    of single mohers who used a sperm donor o conceive are almos .

    imes as likely as hose raised by biological parens o repor problems

    wih he law before age . Similarly, even wih conrols, he offspring of

    single mohers who used a sperm donor o conceive are more han .

    imes as likely as hose raise by biological parens o repor srugglingwih subsance abuse. See Figure . (p. )

    Meanwhile, compared o hose born o single mohers or heerosexual

    couples, hose born o lesbian couples seem overall o be somewha less

    curious abou heir absen biological faher, and somewha less likely o

    repor ha hey are huring. However, subsanial minoriies of hose born

    o lesbian couples sill do repor disressing experiences and oucomes, for

    example agreeing ha he circumsances of heir concepion boher hem,

    ha i makes hem sad o see friends wih biological fahers and mohers,

    and ha i bohers hem ha money was exchanged in heir concepion.

    Nearly half ( percen) of he donor offspring born o lesbian couples

    in our sudy agree heir sperm donor is half of who hey are, and more

    han half ( percen) say hey someimes wonder if heir sperm donors

    family would wan o know hem. Finally, more han one-hird of donor

    offspring born o lesbian couples in our sudy agree i is wrong deliberaely

    o conceive a faherless child. See able . (p. )

    Regarding family ransiions, he donor conceived born o lesbian

    mohers appear only slighly less likely o have had one or more familyransiions before age , compared o he donor conceived born o he-

    erosexual married parens. See Figure b. (p. )

    Regarding roubling oucomes, even wih conrols, he offspring of

    lesbian couples who used a sperm donor o conceive appear more han

    wice as likely as hose raised by heir biological parens o repor srug-

    gling wih subsance abuse. See Figure . (p. )

    Donor offspring broadly affirm a righ o know he ruh abou.

    heir origins.

    Depending on which quesion is asked, approximaely wo-hirds of

    grown donor offspring suppor he righ of offspring o have non-idenifying

    informaion abou he sperm donor biological faher, o know his ideniy,

    Donor offspring

    born to lesbian coupl es:

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    o have he opporuniy o form some kind of relaionship wih him, o

    know abou he exisence and number of half-siblings conceived wih

    he same donor, o know he ideniy of half-siblings conceived wih he

    same donor, and o have he opporuniy as children o form some kind

    of relaionship wih half-siblings conceived wih he same donor.

    In recen years Briain, Sweden, Norway, he Neherlands, Swizer-land, and some pars of Ausralia, and New Zealand have banned anony-

    mous donaion of sperm and eggs. Croaia has recenly considered such

    a law. In Canada, a class-acion sui has been launched seeking a similar

    oucome. Tis sudy affirms ha a majoriy of donor offspring suppor

    such legal reforms.

    Abou half of donor offspring have concerns abou or serious.

    objecions o donor concepion iself, even when parens ell

    he children he ruh abou heir origins.

    Of he donor conceived aduls we sudied, a sizeable porion

    percen are fairly sanguine abou donor concepion iself, so long as

    parens ell heir children he ruh. Bu anoher sizeable porion

    percen sill have concerns abou donor concepion even if parens

    ell he ruh. And a noiceable minoriy percen say ha donor

    concepion is hard for he kids even if he parens handle i well. Tus

    abou half of donor offspring abou percen have concerns abouor serious objecions o donor concepion isel, even when parens ell

    heir children he ruh.

    Openness alone does no appear o resolve he complex risks ha.

    are associaed wih being conceived hrough sperm donaion.

    In our sudy, hose donor offspring whose parens kep heir origins

    a secre (leaving he donor offspring o find ou he ruh in an accidenal

    or unplanned way) were subsanially more likely o repor depression or

    oher menal healh issues ( percen), having sruggled wih subsance

    abuse ( percen)or having had problems wih he law ( percen).

    Tese differences are very large and sriking. See able (p. )

    Sill, while hey fared beter han hose whose parens ried o keep

    i a secre, hose donor offspring who say heir parens were always open

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    wih hem abou heir origins (which are of he donor offspring in our

    sudy) sill exhibi an elevaed risk of negaive oucomes. Compared o

    hose raised by heir biological parens, he donor offspring whose parens

    were always open wih hem are significanly more likely o have sruggled

    wih subsance abuse issues ( percen, compared o percen raised by

    heir biological parens) and o repor problems wih he law ( percen,compared o percen raised by heir biological parens).

    While a majoriy of donor offspring suppor a righ o know.

    he ruh abou heir origins, significan majoriies also sup-

    por, a leas in he absrac, a srikingly liberarian approach

    o reproducive echnologies in general.

    Well over half ( percen) of donor offspring say hey favor he

    pracice of donor concepion (compared o percen of adoped aduls

    and percen raised by heir biological parens).

    Te majoriy of donor offspring abou hree-quarers agree, I

    hink every person has a righ o a child; Arificial reproducive echnolo-

    gies are good for children because he children are waned; Our sociey

    should encourage people o donae heir sperm or eggs o oher people

    who wan hem; and Healh insurance plans and governmen policies

    should make i easier for people o have babies wih donaed sperm or

    eggs. Tese numbers are subsanially higher han hose from adopiveor biological paren families who agree wih he same saemens. More-

    over, in a paricularly sarling finding, a majoriy of donor offspring (

    percen) agree, Reproducive cloning should be offered o people who

    don have any oher way o have a baby, compared o percen who are

    adoped and percen raised by heir biological parens.

    Aduls conceived hrough sperm donaion are far more likely.

    han ohers o become sperm or egg donors or surrogaes

    hemselves.

    In anoher sarling finding, a full percen of donor offspring in

    our sudy said ha, as aduls, they themselves had already donatedheir own

    sperm or eggs or been a surrogae moher. Tas compared o percen

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    of he adoped aduls and jus percen of hose raised by heir biological

    parens an exraordinary difference.

    Tose donor offspring who do no suppor he pracice of donor.

    concepion are more han hree imes as likely o say hey do

    no feel hey can express heir views in public.

    We asked donor offspring wheher hey favor, oppose, or neiher

    favor nor oppose he pracice of donor concepion. Of hose who favor

    donor concepion, jus percen say hey do not feel hey can express heir

    posiive views abou donor concepion in sociey a large. By conras,

    of hose who oppose i, percen said hey do nofeel hey can express

    hese negaive views abou donor concepion in sociey a large.

    More han one-hird of donor offspring in he sudy ( percen),

    compared o percen of adoped aduls and percen raised by heir

    biological parens, agree, If I had a friend who waned o use a sperm

    donor o have a baby, I would encourage her noo do i.

    Donor concepion is no jus like adopion..

    Adopion is a good, vial, and posiive insiuion ha finds parens

    for children who need families. Tere are some similariies beween donor

    concepion and adopion, bu our sudy reveals here are also many differ-

    ences. And, if anyhing, he similariies beween he sruggles ha adoped

    people and donor conceived people migh share should promp cauion

    abou inenionally denying children he possibiliy of growing up wih

    heir biological faher or moher, as happens in donor concepion.

    odays grown donor offspring presen a sriking porrai of.

    racial, ehnic, and religious diversiy.

    A full one-fih percen of he donor offspring in our sample

    said hey are Hispanic, compared o jus six percen of hose from adop-

    ive families and seven percen of hose raised by biological parens. Te

    donor offspring are also well represened among races in general. Many

    of hem grew up wih Caholic, Proesan, or Jewish religious ideniies

    and/or idenify wih hose radiions oday. Tis sriking diversiy helps

    o illusrae he complexiy of heir experience and he realiy of heir

    presence in every face of American life oday.

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    No so long ago, a couple in he U.S. who was unable o ge

    pregnan and who had reason o hink he husband was inferile

    migh appeal o heir docor for help. If heir docor was he

    sor who made i his business o help such couples, he migh

    know of some medical sudens a a nearby universiy willing

    o donae sperm, or, oen enough, he migh quiely provide his

    own. Aer he inseminaion, he woman wen home insruced

    o have inercourse wih her husband, preend any resuling baby

    was enirely heirs, and never speak of ha docor visi again.

    Tese days of relying only upon locally produced sperm are long

    gone. oday, anyone wishing o have a baby and needing sperm, eggs, or awomb has a dizzying array of opions. Tey can include donor eggs, donor

    sperm, using a radiional or gesaional surrogae, embryo donaion, or

    some combinaion of hese. Te sperm, eggs, or wombs hey procure can

    come from many differen pars of he world. Tey migh sill choose a

    donor or surrogae who happens o live near hem. Bu more oen hey are

    likely o go furher afield, and someimes much furher afield. Mos sperm

    used in Canada comes from he Unied Saes. Mos sperm donaed in

    Denmark goes o clinics around he world. Women in naions like Briain,

    which now resrics he anonymiy of donors, oen go o Spain, EasernEurope, or Russia o procure he eggs hey need o ge pregnan.

    Would-be parens around he world paricipae in feriliy our-

    ism, going o oher naions o ge pregnan and secreing heir unborn

    babies back home wih no one he wiser abou heir origins. A clinic in

    California says i can barely keep up wih he demand from paiens

    from France, Spain, Ausralia, and elsewhere who seek o ake advanage

    of he lax regulaions hey find in California.Some naions, such as India

    and Souh Africa, purposefully marke heir high qualiy, low cos feriliyservices and beauiful beaches o couples from Wesern naions who are

    urged o come, relax, receive feriliy reamens, and go home pregnan,

    all for a much lower cos han even one clinic visi back home. India is

    now he desinaion of choice for couples seeking a low-cos surrogae

    moher. Sraigh and gay couples from he U.S., Canada, Europe, Israel,

    INTRODUC

    TION

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    and elsewhere can combine eggs and sperm (heir own or someone elses)

    and have he resuling embryo carried by a village woman in India for a

    fracion of he cos of, say, an American surrogae, and wih no risks of

    emoional enanglemens as a huge added bonus.

    oday, women in he U.S. shop for sperm donors in online caalogs

    in much he same way hey migh shop for a dae hrough a machmakingservice or in much he same way hey migh buy a piece of furniure or

    a car. Poenial mohers can compare donors heighs and weighs, ehnic

    background and physical rais, educaional and professional accomplish-

    mens, and even view his baby picures and lisen o an audio ape of him

    expounding on he meaning of life and why sperm donaion appealed o

    him. If is an egg hey need, he same women can show heir someimes

    relucan husbands reams of glamour shos of gorgeous young women wih

    improbably impressive educaional scores and ahleic accomplishmens,

    even assuring heir husband, if necessary, ha he mysery womans DNA

    is preferable o his wifes.

    Beneah all his pulsing commerce, wih dollars and Euros flying

    around he world, bringing forh babies deposied on doorseps like he

    sork of old, for some a major sore poin is his: mos of i is done in secre.

    While newly adopiveparens of children from abroad are now srongly

    counseled o incorporae aspecs of heir childs home culure ino heir

    family life, parens who ge heir sperm or eggs elsewhere wheher from

    a sranger in he same ciy or someone halfway around he world quieoen do no ell he children ha heir biological moher or faher is any-

    one oher han he paren raising hem. A growing proporion of odays

    babies are global ciizens in ways previous generaions never dreamed,

    ye hey won even know he ruh unless someone spills he beans.

    Even he childs pediarician may no be old he ruh as he parens

    simply, and grossly inaccuraely, repor heir own family medical hisories

    as he childs.

    Gay and lesbian couples and single persons who use such echnolo-gies doend o be more open wih heir children and wih oher imporan

    players, including he childrens docors. (For one hing, he obvious

    absence of eiher a faher or a moher raises he quesion of where he

    child came from.) Tey migh also be more likely o acknowledge and

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    even celebrae wha hey know of he childs varied ancesry. Bu in hese

    families, oo, he children are almos never encouraged o acknowledge ha

    he biological faher or moher far afield acually isheir faher or moher.

    For mos gays, lesbians, and singles, and for he relaively small propor-

    ion of heerosexual couples who are open wih heir donor-conceived

    children, hese far away donors are insead he seed providers, or henice woman who gave me wha I needed o have you, or he Y Guy,

    or any number of oher cuesy phrases inended mainly o communicae

    ha despie he fac ha one-half of he childs physical being came from

    his source, his person should neverheless be of very litle imporance,

    if any, o he child.

    In he U.S. oday we have some idea how many children are con-

    ceived hrough egg donaion (abou , babies in ), bu while

    he U.S. Ceners for Disease Conrol and Prevenion requires clinics o

    repor pregnancies achieved hrough egg and embryo ransfers, i does

    no require hem o repor hose resuling from sperm donaion. Expers

    esimae ha perhaps , o , children are conceived in he Unied

    Saes annually hrough sperm donaion, and ha currenly abou one

    million Americans were conceived his way, bu hese are litle more han

    educaed guesses. Te global picure is even more uncerain. Te feriliy

    indusry is increasingly a cross-border phenomenon. No one knows how

    many children are being conceived in one counry and born in anoher.

    In he Unied Saes, he firs documened case of donor insemina-ion occurred in Philadelphia in he s, when a physician arificially

    inseminaed an unconscious female paien, leaving her o hink ha her

    pregnancy was he resul of inercourse wih her husband.I seems all oo

    appropriae ha he firs case was veiled in such seep secrecy he ruh

    hidden even from he moher because ha is how he pracice has been

    reaed for mos of is hisory since. Donor conceived persons ypically

    have noknown heir saus. Teir parens were encouraged o keep i a

    secre from he child, so hey only knew he ruh when someone heirmoher or he man hey hough was heir faher, or heir grandmoher

    or a family friend spilled he beans, oen in he mids of family conflic,

    or divorce, or aer heir social fahers deah. (Social faher is a way of

    referring o a man who funcions as a childs faher bu is no he biologi-

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    cal faher.) Te small minoriy who did learn ha hey had a sperm donor

    biological faher had litle if any hope of finding him, since records, if hey

    were kep, were oen evenually los or desroyed. Generaions of donor

    conceived persons have searched, usually in vain, hrough phoographs

    in he year books of medical schools near he docors office where heir

    moher was inseminaed, looking for a man who shares heir nose or eyesor hair, a man who migh be heir faher.

    oday, wih increasing openness abou alernaive families and wih

    he power of he inerne o bring people ogeher, ha secrecy is beginning

    o li somewha. On he one hand, many parens sill keep he fac heir

    child is donor conceived a secre from he child. For example, in surveys

    mos women who use donor eggs do noplan o ell heir child he ruh.

    (Egg donaion iself has only been possible since abou .) On he oher

    hand, he ypes of families now increasingly likely o use donor sperm

    end o be a leas somewha more open abou i. As reamens for male

    inferiliy have improved o he exen ha few heerosexual couples will

    need o use donor sperm, he bulk of he sperm bank business in he U.S.

    and abroad is increasingly being aken up by single women and lesbian

    couples, women who generally are no medically inferile bu who eiher

    do no currenly have a suiable parner or do no wish o have sexual

    relaions wih a man in order o have a child.

    Ye here are new ensions oday. While single and lesbian women

    end o be more open wih heir children abou having used a spermdonor (wheher or no hey acknowledge him o be he childs biological

    faher), hey are also more likely o ge he sperm from increasingly far

    flung locales, from across he counry and even around he world.For

    odays donor conceived children, born in an era of big business sperm

    banking, flipping forlornly hrough yearbooks a he medical school nex

    o he hospial where hey were born is unlikely o yield much informaion

    abou who heir faher is.

    Many do no realize ha, a his poin, conceiving a baby wih do-nor sperm is an old-fashioned echnology. Donor concepion firs hi he

    headlines in he middle of he las cenury. Producer Barry Sevens, in his

    films Offspring andBio-Dad, documens he explosion of popular ineres

    in England in he mid-s, when i came o ligh ha cerain docors

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    were acquiring sperm, inseminaing women, and producing unknown

    numbers of babies. A flurry of medical journal aricles, boh pro and con,

    appeared. Te church denounced i. Eerie film fooage was produced,

    showing a few nurses grappling wih scores of wriggling infans who looked

    like hey had jus come off an assembly line. A popular movie released

    in , sarring American singer Julie London, was iledA Quesion oAdulery. wo years laer, Simon and Schuser published a novel, called

    Seed o Doubt, which oued iself as he explosive, shocking novel abou

    arificial inseminaion.

    oday, arificial inseminaion has gone mainsream, and ye mos

    people are sill as ignoran of is effecs and implicaions as were people

    fiy years ago. As a sociey, we barely sudied he children and never asked

    how hey fared when hey grew up. We never asked wha would happen o

    broader social atiudes abou faherhood and moherhood if donor con-

    cepion became jus anoher way of making a baby. oday, were grappling

    wih a decades-old echnology ha were only beginning o undersand,

    a echnology coming of age in he conex of world-sweeping changes

    in law, medicine, and culure.Tese changes are increasingly defining

    parenhood, firs and foremos, around adul righs o children.

    We designed his survey insrumen o learn more abou he ideniy,

    kinship, well-being, and social jusice experiences of donor conceived

    aduls. Te survey research firm Ab SRBI of New York Ciy fielded our

    survey hrough Survey Sampling Inernaional (SSI). SSI used a web-basedpanel ha includes more han a million households across he Unied

    Saes.Trough his mehod we were able o assemble a represenaive

    sample of aduls beween he ages of and years old who said

    hey were donor conceived.Trough he same mehod we assembled

    and surveyed a comparison group of similar-aged persons who were

    adoped as infans, and a group of people of he same age who were

    raised by heir biological parens.

    Te sudy is noable for several reasons. Te firs is he unpre-cedened, large sample. Te second is our abiliy o compare he experi-

    ence of donor conceived persons wih ha of people who were no donor

    conceived boh hose who were adoped and hose who were raised

    by heir biological parens. Wha is especially noable, however, is ha

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    he sudy employs a represenaive sample drawn from over one million

    households. Tese donor conceived aduls were simply among a million-

    plus American households ha had signed up o receive web surveys on,

    well, anyhing, and who are mosly argeed by markeers. Tey were no

    people who responded o an adverisemen abou a sudy or who were

    found hrough an acivis online message board people who, criics couldargue, migh have an axe o grind on his opic. Nor were hey he young

    children of parens who agreed o alk abou heir children, a mehodol-

    ogy ha has meri bu does no really allow donor offspring o speak for

    hemselves. While like all sudies our survey mehod has is limiaions ,

    and like any single sudy i is no definiive, i does presen for he firs

    ime, for he world o see, profound insighs ino he lives and feelings of

    donor conceived aduls.

    Te ile of his repor is drawn from a -shir and bib markeed for

    parens o purchase for heir sperm donor-conceived children. Around

    he web, one can find picures of young children wearing iems ha read,

    My Daddys Name is Donor. Te designer has said ha percen of

    aduls hink is a rio.We wonder wha he childrenwearing he -shir

    migh feel as hey grow up. Wha do odays young people conceived wih

    donor sperm hink abou heir experiences? Tis repor is our atemp o

    respond, as bes as we can, o ha quesion.

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    Why migh a child like McKay make a Daddy Box? If McKay

    could ariculae his feelings, he migh say somehing like his

    o his donor/dad: I wan o share who I am wih you, because

    you are half of me. Te majoriy of donor conceived aduls in

    our survey a full percen agree ha My sperm donor

    is half of who I am.

    Donor conceived persons ariculae his hough over and over. A

    young woman in Pennsylvania says she wans o mee her donor because

    she wans o know wha half of me is, where half of me comes from.

    Anoher in Briain says, I wan o mee he donor because I wan o know

    he oher half of where Im from.Lindsay Greenawal in Ohio is seeking

    any informaion she can find abou her sperm donor. She says, I feel myrigh o know who I am and where I come from has been aken away from

    me.Olivia Praten, a Canadian donor offspring who recenly launched a

    class-acion law sui in Briish Columbia, has said in inerviews: I hink of

    myself as a puzzle; he only picure I have ever known is half-complee.

    She clarifies: Im no looking for a dad. Raher, I have quesions abou

    who I am and why I do wha I do.

    Danielle Heah of Ausralia found ou when she was years old

    ha she was donor conceived. She refleced: I fel like here was a piece

    missing. I would complee me o know who I am like. om Ellis ofBriain old a reporer how he fel aer submiting a cheek swab wih

    his DNA o he UK Donor Link regisry: I was a huge decision for me

    o make because i mean admiting ha he sranger who helped bring

    me ino he world and who may never wan o mee or know me is

    imporan o me. Bu he is a par of me and wihou him, I will never feel

    compleely whole.

    Even mohers who use a sperm donor o ge pregnan wonder abou

    his issue. One moher of a nine year old son conceived hrough donorinseminaion old US News and World Repor, Every ime I look a him

    I can help bu wonder who else he is.

    Many donor conceived aduls worry abou he consequences of

    rying o fulfill hese longings. More han half ( percen) agree ha

    THEDADDYBOX

    A ew monhs ago, Simone Braque,

    , o Sugar Land, exas, and imGullicksen, , o San Francisco, ound

    each other on the Internet. Braquet was

    searching or he sperm donor whod

    allowed her to become a single mom

    years earlier. Gullicksen, an anonymous

    donor intrigued by his own amily tree,

    was looking or his kids. First there

    were e-mails and phone calls. hen,

    in March, Gullicksen lew o exas

    o mee Braque and he child hey

    created: a boy with bluish-green eyes

    and sandy brown hair named McKay.

    When Braque old her son ha she

    had tracked down his donor dad, he

    lit up, she says, then burst into tears.

    For years, McKay had kept a Daddy

    Box under his bed i lled with special

    handmade iemsa pained rock,

    an angel ornamen wih his phoo ini. Finally, jus weeks beore his h

    birthday, he had someone to give it to.

    Ive always waned a dad, he says.

    Newsweek, June

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    I have worried ha if I ry o ge more informaion abou or have

    a relaionship wih my sperm donor, my moher and/or he faher

    who raised me would feel angry or hur.

    Ohers express discomfor wih heir origins. Fory-five percen

    agree ha Te circumsances of my concepion boher me.When

    we asked how oen hey hink abou donor concepion, more han one-quarer of hose in our survey say hey do so a leas once or more a day,

    and almos half say hey hink abou donor concepion a leas a few imes

    a week or more oen.

    Some donor offspring feel isolaed and disurbingly unusual,

    conceived in a way ha is jus, well, no normal, and no undersood by

    anyone around hem. Briish donor offspring Chrisine Whipp ells of

    finding ou, a age , aer a lifeime of painful emoional umul and

    powerful feelings of being rejeced by her moher, ha her moher had

    used a sperm donor o ge pregnan wih her:

    My ancesral home was a glass sample jar, and my [biological]

    parens never knew one anoher in eiher he personal or he bibli-

    cal sense. I couldn name a single person who shared his srange,

    science-ficion syle background, and found myself feeling more

    alone and compleely separae from he res of he human race han

    I had ever fel before.

    When Adam Rose found ou he ruh abou his origins, he says, I

    fel like a freak, because no one else in my percepion had been conceived

    in ha way and i was somehing ha nobody had heard of. I was very

    shocking.Anoher donor offspring repors she has long sruggled wih

    feelings of shame for being conceived in such an unusual way.

    Karina Clark, hen barely weny years old, old her own sory in

    a Washington Postessay. She was born o a single moher who was always

    open wih Karina abou he facs of her concepion. She had a close,

    loving relaionship wih her moher. Sill, as she go older and began o

    wresle wih ideniy issues, she looked around a friends who had boh

    heir parens. Ta was when he empiness came over me. I realized haI am, in a sense, a freak. I really, ruly would never have a dad. I finally

    undersood wha i mean o be donor-conceived, and I haed i.

    Lindsay Greenawals moher, who had her as a single mom, also

    informed her abou he ruh of her origins. A he same ime, Lindsay

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    recalls, her moher never really raised he subjec again or encouraged

    discussion abou i. As a eenager, Lindsay wries, she came o feel ha:

    Te wors par of his was ha I became very shameful of how I

    was conceived and wished ha I was normal in he sense ha I

    came o be from sex raher han a procedure in a docors office.

    Te hough of being conceived from a one nigh sand was moreappealing han being conceived by DI [donor inseminaion]. My

    moher never me my faher, never alked o him, le alone shared

    an inimae relaionship of any kind wih him! Tis lack of conac is

    simply unnaural. Even hough I had never been really old anyhing

    abou DI or ha here are many oher children born of his each

    year, I acquired hese beliefs early on. I also unforunaely hough

    of myself as a freak of naure unil I was years old.

    weny-hree-year old Alanarepors wha happened he firs ime

    she ried o confide in a friend: In junior high I old my bes friend abou

    my concepion, she said. Ten we had a figh. She old he enire school

    ha I was a es ube baby, essenially a freak of science. She adds, I

    would like more Donor Kid sories o be publicized and shared wihou

    he freak connoaion.

    We asked donor conceived persons he quesions A age , wha

    feelings bes describe how you fel abou being donor conceived? and

    A he age you are now, how do you feel abou being a donor conceived

    person? (Te firs quesion was asked only of hose who knew a age

    ha hey were donor conceived.) Each quesion offered a lis of posiive,negaive, and neural erms; respondens could selec as many as hey

    wished. A age , en percen chose he powerfully negaive erm freak of

    naure and percen chose he equally disurbing phrase lab experimen.

    Te fac ha money was involved in heir concepion seems espe-

    cially o disurb some donor offspring. In our survey, percen agree

    ha I bohers me ha money was exchanged in order o conceive

    me. Chrisine Whipp wries: My exisence owed almos nohing o

    he serendipious naure of normal human reproducion, where babies

    are he naural progression of muually fulfilling adul relaionships, bu

    raher represened a verbal conrac, a financial ransacion and a cold,

    clinical harnessing of medical echnology.She coninues, Te rouine

    manipulaion of human gamees has allowed he very essence of life o

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    be exploied, commercialized, demeaned and debased. Te previously

    unseen human embryo is now a collecable, valuable resource.

    Lindsay Greenawal concurs: Children are being creaed wihou

    any hough ha a human being is involved in his. I is simply a business

    ransacion beween our parens, he docor, and he anonymous donor,

    wih no regard o he child. She goes on:I is no simply a donaion ha hese generous men have aken he

    ime o give. No only are hey being paid for his so-called donaion,

    which seems o me o be an oxymoron in he firs place. []his is

    no jus any blood donaion or organ donaion; hese men who donae

    sperm (and women who donae ova) are producing children which will,

    before heyre even conceived, be denied he righ o know who hey are.

    Sina, a year old law suden in Cologne, Germany, says ha

    shes someimes relucan o share he ruh abou her origins wih new

    acquainances. She is always a bi afraid ha my person will be regardedas sained because of my concepion, as my parens had o pay my geneic

    faher, an alien person o hem, for creaing me.

    For some donor offspring, heir deep discomfor abou heir

    origins appears o lie, a leas in par, in heir feeling of being a produc

    made o sui heir parens wishes of being made, no born.

    Lynne Spencer is a nurse and donor conceived adul who inerviewed

    eigh oher adul donor offspring for a masers hesis.She wries of

    finding ou, as an adul, ha her married parens had conceived her wih

    donor sperm. Te profound quesion wih which she sruggled was his:

    If my life is for oher peoples purposes, and no my own, hen wha is he

    purpose of my life?In a laer exchange she expanded on his hough:

    I hink one of he mos unusual aspecs of being a donor offspring

    is he feeling of being inanimae, or ha I didn exis in par. Te

    whole sense ha I don mater, who I am doesn mater and needs

    o be repressed. Is only wha I represen ha matersha I am

    someones child, bu Im no a person in my own righ.

    Anoher paricipan in Lynne Spencers sudy said his:

    I had always been very scared of dying, because I couldn really

    come o erms wih my nonexisence in he world. I hink par of ha

    was o do wih he fac ha in some sense I didn feel like I exised

    in he world, because I didn know where half of me originaed

    from. I was almos like ha par of me had been seriously denied

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    because of he secrecy. Nobody had spoken abou i for me. [I]

    s almos like I had come ino he world by magic.

    Several years ago, a hen- year old Japanese woman whose moher

    used donor inseminaion o conceive her old a reporer ha she sruggles

    wih his overwhelming feeling: I feel ha I came ino his world for he

    sake of my moher. Aer she died, I sared wondering if I had a reasono exis anymore.

    Chrisine Whipp repors ha she has long fel ha having

    bough and paid for memy moher view[ed] me more as her personal

    propery [raher] han seeing my exisence as a serendipious piece of

    good forune.

    Some donor offspring, even hose who have been old he ruh

    abou heir origins, neverheless sruggle wih wild uncerainies abou

    where hey came from. One eenage girl, a -year-old daugher of a lesbian

    couple, wroe o an advice columnis:

    I am a -year-old daugher of a lesbian couple. I don know

    my faher, his name, heriage, or anyhing. I can only remember one

    ime he opic of my faher really came up in conversaion. I was

    eigh years old and I denied any ineres in knowing abou him. I

    was worried ha my parens would hink ha I am ungraeful for all

    ha hey have done for me or ha hey would ge he misconcep-

    ion ha I hough hey screwed me up.

    So my faher has never been discussed. As a kid, I figured I was

    a es ube baby (as if I undersood wha i mean), bu now I haveno clue. Tis induces a swell of paranoia abou why is his such a

    big secre. For a while I was even considering he possibiliy ha

    my Mom may have been raped.

    I hough abou asking my older siblings who were eenagers

    when I was born, or asking one of my auns, bu I don wan o

    drag hem ino his. Besides, I am no sure if hey could or would

    give me he informaion I seek. Maybe my family hinks as I

    do ha he silence has been around so long ha i is jus easier

    o avoid alking abou i.

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    Joanna Rose is a donor conceived adul born in he U.K. and

    now living in Ausralia, where she recenly compleed a Ph.D.

    disseraion on he ehics, kinship, and ideniy issues raised

    by donor concepion. She launched and won he High Cour

    case ha led o a ban on anonymous sperm and egg donaion in

    Briain. Born aer her moher conceived her wih anonymous

    donor sperm, she was raised wih her moher, social faher, and

    full or half broher (hey may have differen donor fahers). Jo-

    anna learned he ruh of her origins when she was abou seven

    or eigh years old, aer finding her faher upse and pressing

    him o find ou wha was wrong. She feels ha he secre herparens had ried o keep and he fac ha her moher had

    biological connecions o boh children, while her faher did

    no were huge srains on her parens marriage. Her parens

    separaed when she was abou en years old.

    For Joanna, one painful irony is ha despie her sriking success a

    he naional level she sill does no know who her own biological faher

    is. She was given a ip ha he migh be a cerain docor. Bu aer wri-ing o him wice, seeking informaion on her medical hisory and ehnic

    background, and hoping for any sense of closure he migh be able o give

    her, all she has received from him are legal hreas and disregard. If he

    is her faher she feels doubly abandoned by him, he firs ime when he

    walked away from a child he conceived when he gave away his sperm,

    and he second ime when he rejeced her when she was grown. She sill

    would like o know whaever she can abou her biological faher, whoever

    he may be. Anyhing is beter, she says, han he paernal oblivion I amle wih now.

    Joanna is a founding member of he group angled Webs, which

    calls iself an acion group challenging Donor Concepion pracices in

    he U.K., Ausralia, and inernaionally. Tey seek o provide an alerna-

    TANGLEDWEBS

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    ive voice o ARs hrough greaer recogniion of he complex, lifelong

    issues ha affec he person creaed hrough Donor Concepion. angled

    Webs is heir erm for he inergeneraional consequences moral,

    social, and legal o which donor concepion gives rise. When i comes

    o hose inergeneraional consequences, our sudy is revealing.

    In our sudy, he majoriy of donor conceived aduls express longings

    o know more abou heir sperm donor biological faher andhis family.

    Well over wo-hirds of adul donor offspring a full percen agree

    ha I find myself wondering wha my sperm donors family is like.

    Similarly, percen agree ha I someimes wonder if my sperm do-

    nors parens would wan o know me.

    Donor offspring express significan pain over he loss of heir bio-

    logical faher, significanly more even when compared o hose who are

    adoped. In a sriking difference, nearly half of he donor offspring (

    percen) compared o abou a fih of adoped aduls ( percen), agree

    ha When I see friends wih heir biological fahers and mohers,

    i makes me feel sad.Similarly, more han half of he donor offspring

    ( percen, compared o percen of he adoped aduls), agree ha It

    hurs when I hear oher people alk abou heir genealogical back-

    ground.Boh groups he donor conceived and he adoped may

    no know abou and did no grow up wih one or boh biological parens

    and hose parens families, bu he donor offspring overall express a greadeal more pain, sadness, and confusion abou his loss.

    Te heme of looking for my faher everywhere is a recurring one

    among donor offspring. Some have been old a few deails abou heir

    biological faher maybe his heigh and he color of his hair and eyes.

    Tey say hese few, shadowy deails are oen on heir minds when heyre

    ou in public, walking down he sree, riding a bus, scanning a crowd.

    Could ha be him? hey ask hemselves. In our survey, percen agree

    ha When I see someone who resembles me I ofen wonder i we are

    relaed. ( percen of adoped aduls and percen of hose raised by

    heir biological parens agree as well.)

    TeNew York imesinerviewed wo eenage donor offspring

    who had jus discovered ha hey are half-siblings. One hing he wo

    Loss of Biological

    Father and His Family

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    girls quickly realized was ha hey had boh, all heir lives, been

    looking for he same man in a crowd:

    Danielle and JoEllen realized ha hey boh run hrough

    he brief crieria hey know abou heir sperm donor he

    is fee all, pounds wih blond hair and blue eyes

    when hey see male srangers. Ill always run hrough mymind wheher he mees he crieria o be my dad or no,

    said JoEllen, of Russel, Pa. She said he same hing hap-

    pens o her.

    Donor offspring speak of he anxiey hey feel as hey scan

    all hose anonymous faces. Narelle Grech of Ausralia wroe,

    How would you feel knowing ha you could be walking pas

    your own faher or any seven of your own [half ] brohers or

    sisers, and no know i?Olivia Praten of Canada says: I can

    help i. Is always on my mind. Do I see him on he bus? Is hemy professor?In our survey, one donor conceived adul wroe

    simply his: Someimes I wonder i my aher is sanding righ in

    on o me.

    For some observers, an answer o he concerns of donor

    offspring is found in online regisries. Te same inerne ech-

    nology ha fuels a global rade in sperm and eggs is also being

    employed o ry and kni ogeher a leas some of he fragmens

    of biological families ha are now scatered around he U.S. and

    he globe. A growing number of web-based regisries in he U.S.

    and oher naions can be used by donor conceived offspring, or

    heir parens, o ry o locae oher half-siblings conceived wih

    he same donor and even, someimes, o find heir sperm donor

    biological faher or egg donor biological moher. Bu hey are

    volunary. An offspring is only going o find someone on hem if

    he or she has heard abou he same regisry and signed up, wishing

    o be found. I does happen, and half-siblings are found a litlemore oen, bu for mos donor conceived persons, finding heir

    sperm donor dad is sill a very long sho.

    Te mos well-known regisry in he U.S. is he Donor

    Sibling Regisry, founded by a dynamic leader named Wendy

    Registries

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    Kramer. Kramer used donor inseminaion o conceive her now-grown

    son, Ryan, and was firs moivaed o urn o he inerne o ry and find

    his sperm donor faher and half-siblings when he expressed a srong desire

    o know more abou where he came from. Before long she had launched

    a service ha has made more han , maches beween half-siblings,

    or beween children and heir biological parens. (Te number is alwaysrising and will likely be sill higher by he ime his repor appears.)

    Wendy and Ryan Kramer and he Donor Sibling Regisry are rou-

    inely feaured in he major media and have drawn a lo of sorely-needed

    atenion o he needs of donor conceived children and aduls o know

    where hey come from. Kramer is now an acive leader in effors o urge

    he U.S. sperm and egg bank indusry o begin offering an indusry-backed

    regisry service. (She wans he regisry o be mandaory; he indusry

    wans i o be volunary.)

    Tere are oher regisries oo. A sampling includes he sibling regisry

    service of California, Cryobank, a volunary program where cliens can

    regiser he birh of heir children and hen conac poenial siblings.

    Te group Single Mohers By Choice founded a sibling regisry aer

    several mohers in our organizaion coincidenally learned ha hey had

    used he same [sperm] donor and ha heir children were half-siblings.

    In Briain, UK Donor Link is a pilo program funded by he Deparmen of

    Healh wih a mandae o encourage more donors, donor conceived aduls

    and heir geneically relaed half-siblings o regiser wih hem and havehe chance o make conac wih each oher.A similar governmen-run

    service was sared in New Zealand in . A donor conceived woman in

    Germany is seeking o esablish a regisry here. As demand grows, more

    regisries are likely o appear.

    Bu if you are a ypical donor conceived person in he U.S. mean-

    ing your parens used an anonymous donor i is quie unlikely you will

    find your biological faher hrough a regisry. Firs, he man chose o be

    an anonymous donor, no a known donor, which means ha a he imehe donaed he probably did no wan o be found. (Alhough is rue ha

    many sperm donors migh no have known abou he possibiliy of being,

    or would no have had he opion o be, a known donor.) Tere is a chance

    ha he donors views have evolved since ha ime and ha hes now curi-

    ous o know abou he children ha he migh have fahered. If so, he has

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    o know ha regisries exis. Ten he has o sign up on one. Is helpful if

    he eners he correc donor number he was given by he clinic when he

    donaed. A he same ime, you, he donor offspring, or your moher, have

    o sign up on he same regisry. Is helpful if you or your moher can also

    ener he correc donor number. Is also helpful if he clinic kep decen

    records and managed o give he same donor number informaion boho your moher and he donor. Finally, if a mach is made, you have o

    hope your sperm donor faher hasn already been conneced wih, say,

    a dozen or more oher offspring and has sared o feel overwhelmed by

    all hese DNA ess and emoional emails and meeings. Going back o

    square one, whas far more likely han his scenario is ha, insead, he

    young man who donaed sperm when he was in college or medical school,

    he cash from which he used o pay for groceries ha monh or buy books

    for nex erm, hasn given much hough o wheher children resuled. He

    finished school, go a job, me someone, married, and had (more) kids.

    Even if he does speculae wih curiosiy abou hose donaions from long

    ago he probably doesn wan o sign up on he inerne and risk some

    kid asking him for money (which is no wha donor offspring do, bu

    men fear i anyway), or geting his wife upse, or geting angled up in

    he family business of people he doesn even know. Mos likely, if youre

    a donor offspring hoping o find your biological faher on a regisry, ha

    disan realm of kinda-curious-bu-no-gonna-do-anyhing-abou-i is

    he land ha he inhabis.For mos donor conceived children oday, and for he vas majoriy

    now grown, he Daddy Box hey keep under heir bed will coninue o

    be filled wih memenos and memories hey someimes desperaely wan

    o share wih a faher hey will never ever know.

    Some families have a lo of kids, and some men faher children

    wih several differen women. For hese reasons, people who have been

    adoped or whose fahers have abandoned heir families migh well havelegiimae concerns ha hey have full or half siblings, somewhere ou

    here, whom hey do no know. Bu hey could sil l be almos cerain ha

    hey migh have, a he mos, perhaps a dozen unknown siblings, bu mos

    likely far fewer han ha.

    Extreme Families

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    oday, wih he adven of big business sperm banking, one man can

    donae his sperm many imes and poenially conceive many, many

    children. Since a lo of women seem o have a cerain ype of donor faher

    in mind (all, blue-eyed, blonde; smar, sensiive, ahleic), sperm banks

    ypically have some high demand donors ha women choose over and

    over, eager o make him he biological faher of heir child. His samples aredivided ino vials and sold o women all over he counry. When would-

    be mohers find o heir dismay ha his sperm is gone, hey someimes

    pos queries on message boards read by oher donor inseminaion moms,

    seeking any unused vials ha can be bough on he open marke. Wendy

    Kramer repors ha on he Donor Sibling Regisry a leas one sperm

    donor is confirmed o have more han children, and repors of one

    donor fahering dozens or even over a hundred offspring are widespread

    in he U.S. and abroad.

    All of which means ha, oday, donor offspring no only grapple

    wih he loss of heir biological faher and his whole family; ha is, wih

    he loss of an enire half of heir heriage. Tey also sruggle wih he

    asounding implicaions of wha happens when reproducion is fully

    disconneced from sex, when social mores ha seek, as much as possible,

    o resric men o reproducing wih one, or a leas no more han a few,

    women are hrown ou and anyhing goes. When young people oday

    discover ha hey are conceived wih a sperm donor, sooner or laer hey

    begin o sruggle wih he dawning awareness ha hey migh well havea half-dozen, or a dozen, or scores, or hundreds, of half-siblings all over

    he place. Teir brohers and sisers migh live on he oher side of he

    counry or he oher side of he world. Tey migh live in he same own.

    Tey migh live nex door. Tey have no idea.

    Joanna Rose learned ha he Briish sperm bank from which she

    was likely conceived had a small number of donors who gave heir samples

    unold numbers of imes. Te docor who ran he small clinic laer esimaed

    ha each man could have beween and offspring.

    Asked howshe fel when she found ha ou, Joanna replied: Dizzy. Jus dizzy wih

    jus dizzy in so many ways, like [how] could hey do ha o me, ha

    here could be ha lack of hough, ha hey could be so reckless.

    Nearly all donor offspring are le wih guesswork and back-of-he-

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    envelope calculaions as hey ry o figure ou how many brohers or sisers

    hey have. A a Canadian conference in , wo donor offspring shared

    heir hinking. Shelley Kreuz old he group: We did he mah: if half

    he ime a pregnancy resuls, donaing once a week for years, has he

    possibiliy of birhs, assuming half he ime i worked. Olivia Praten

    added: I could be less and i could be more, bu has an example. Righnow, he sysem can operae wihou being accounable o anyone.

    Te resul is ha donor offspring are le o grieve losses hey

    canno even fully grasp or imagine. As Narelle Grech pu i: I always

    waned a broher, and las year I found ou I have hree! I cried he day I

    found ou, because I was so happy and I also cried because he realiy is I

    may never ge o mee or know any of hem. Is like hey were born and

    died in my mind all a once.

    She laer learned ha she has seven half-siblings. She wries: Te

    clinics and he professor who helped in my creaion and mums reamen

    deliberaely legislaed so ha I could never know any of hem. How

    is his fair? None of us kids agreed o his anonymiy business and if I

    could mee all seven of hem I would. I would mean he world o me.

    Tese sories of grief and anger sand in marked conras o he domi-

    nan media presenaion of wha one mom who used donor inseminaion

    calls exreme families. If youve read anyhing a all in he newspaper

    abou donor offspring, mos likely i was one of a spae of news sories

    abou moms who used he same sperm donor geting heir babies, od-dlers, and weens ogeher for picnics a which he kids play, he moms

    snap los of picures, and reporers descend for fascinaing human iner-

    es sories abou odays diverse families. Los of umbling oddlers who

    vaguely resemble one anoher, smiling broadly for he camera, makes a

    grea sory for he newspaper, bu i doesn begin o describe he realiies

    hese children face as hey grow up.

    In fac, a no insignifican number of donor offspring are profoundly

    confused abou somehing he res of us hink is prety simple: who heiramilies are. In our survey, percen of donor offspring, compared o

    only percen of adoped persons and jus six percen of hose raised

    by heir biological parens, agree ha I feel confused abou who is a

    member of my family and who is no a nearly hree-fold difference

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    beween he donor conceived and he adoped.A he end of our survey,

    one responden commened, I am sill having problems puting my real

    amily ogeher.

    Te concerns of donor offspring do no jus lie wih purely emoional

    maters abou ideniy and kinship, as profoundly imporan as hoseconcerns are. Tey also have urgen, genuine medical concerns. Tey fear

    unknowingly daing one of heir half-siblings or hey fear heir fuure

    children unknowingly daing he children of one of heir half-siblings.

    Tis concern is no a all unreasonable. Some donors have very

    large numbers of offspring. And would-be mohers from paricular sub-

    groups end o favor cerain kinds of donors. For example, if an atracive,

    well-educaed sperm donor also happens o menion in his applicaion

    ha he has a lesbian siser and wans o help lesbian moms, is likely ha

    lesbian moms will find his profile of ineres and consider buying a vial

    of his sperm. Add ha ogeher wih he fac ha lesbian and gay parens

    end o concenrae in lesbian and gay- friendly ciies and neighborhoods

    and, bingo, your lesbian friend a work migh well be he mom of your

    daughers half-broher. Te same social nework argumen can be made

    abou he independen, alernaive-life syle embracing women who migh

    op for being a single mom by choice and who move in circles wih oher

    like-minded mohers. Meanwhile, alhough many sperm banks now serve

    a naional and even global clienele, some can sill have srong relaionshipswih surrounding medical ceners and he communiy, and hus significan

    numbers of children who are similar in age and conceived wih he same

    sperm donor migh live in proximiy o one anoher. Message boards are

    full of hese kinds of sories. Recenly one single moher by choice dis-

    covered ha her neighbor, wih similar aged children, had used he same

    sperm donor in oher words, ha her childrens half-siblings lierally

    lived down he block. Teir children were oddlers bu soon hey will be

    eens who migh well find he girl or boy down he sree atracive.Donor offspring acivis Narelle Grech asks, In he fuure, will

    we all have o have a DNA es when we sar daing someone, jus in

    case? As if o echo her quesion, on he Donor Sibling Regisry a mom

    who used a sperm donor and is unable o locae her childs half-siblings

    Incest Fears a nd Lack

    of Medical History

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    opimisically concluded ha in he fuure her son, who is currenly sill

    a baby, will simply have o have geneic esing wih any girl he seriously

    considers having sex wih.

    In our survey, in he quesions ha asked abou he feelings of

    donor offspring a age and abou currenly being a donor offspring,

    percen of hem said ha a age hey were afraid abou no knowingmy medical hisory and percen said ha even a ha age hey were

    worried abou my fuure childrens healh or feelings. (A he age hey

    are now, and percen agreed wih each of hese senimens.) Also,

    percen of donor offspring, bu only percen of adoped aduls and

    jus percen of hose raised by heir biological parens, agree, When

    Im romanically atraced o someone I have worried ha we could

    be unknowingly related.Similarly, percen of adul donor offspring,

    and jus percen of adoped aduls and percen of hose raised by

    heir biological parens, agree, I have feared having sexual relaions

    unknowingly wih someone I am relaed o.A fear ha mos people

    raised by heir biological parens have never even considered and basically

    canno fahom is much on he minds of many donor offspring, far more

    so even compared o he adoped.

    Okay, fine, a reader migh respond, bu has i ever happened ha

    is, has anyone ever accidenally had sex wih heir broher or siser? Well,

    yes. Las year in Briain a sory came o ligh of wins, male and female,

    separaed a birh and adoped by differen families. Tey me, fell in love,and married and only hen learned hey were broher and siser.

    Having he sae say ha you have no righ o your medical hisory.

    Feeling atraced o people you are unknowingly relaed o.Realizing ha

    you have accidenally commited inces wih your half-broher or siser.

    Waching your own children enering he daing marke and, wih even

    more repidaion han he average paren feels, worrying ha hey migh

    unknowingly dae a cousin. Tese are he worries and fears of adul donor

    offspring oday. And yes, all o ican happen.And, is only going o ge more confusing. One of he mos sarling

    findings of our sudy is his: Among our respondens, a ull percen

    o donor offspring said ha, as aduls, hey hemselves had already donaed

    heir own sperm or eggs or been a surrogae moher.Tas compared o less

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    han ne percen of he adoped aduls in our survey and one percen of

    hose raised by heir biological parens an exraordinary difference.Te

    donor offspring are also much more likely han hose raised by adoped

    or biological parens o consider becoming donors. More han half

    percen of donor offspring, compared o percen of adoped

    aduls and percen raised by heir biological parens, said hey wouldconsider doing i.

    Wha does all his mean? Say you are a donor offspring in ,

    searching for your biological faher or moher. If you even find him or

    her, heres a surprisingly good chance ha he or she, oo, was a donor

    offspring. You migh have found your biological faher or moher, bu

    ha paren in urn has no ideawhere he or she came om. Ta paren oo is

    missing a biological faher or moher and lacking a relaionship wih or

    informaion abou ha whole side of heir family. Te fragmened families

    we see oday are geting broken ino smaller and smaller pieces. By ,

    he child looking for shards of family hisory could find only spliners.

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    In he survey we included hree quesions ha seek o measure

    social and psychological oucomes for he donor offspring.

    While hese hree quesions are raher blun measures, hey

    reveal far more han has ever been known abou he menal

    healh and well-being of adul donor offspring and he find-

    ings are especially illuminaing because we are able o compare

    hem o hose who were no donor conceived.

    Our firs quesion was A any ime before age , were you ever

    in trouble with the law? A full percen of donor offspring more han

    one in five said yes, compared o percen of hose who were adoped

    and percen of hose raised by biological parens. (please see able )

    Our nex quesion was Have you ever elt unable to control youruse of alcohol or oher subsances? Again, more han one in five

    percen of he donor offspring say yes. Tis compares o percen of

    adoped aduls and percen of hose raised by biological parens.

    And finally we asked, Have you ever been prescribed medica-

    ion for depression or oher menal healh problems? In his case,

    hose from adopive families are he mos likely o agree, wih percen

    of hem saying hey have been prescribed medicaion for his reason. By

    comparison, percen of he donor conceived aduls say hey had, and

    percen of hose raised by heir biological parens say he same hing.

    For a look a hese oucomes wih significance ess and wih con-

    rols for age, gender, race, subjecive family income a age , and mohers

    educaion, see he odds raios in Figure (p. ). Figure makes clear

    ha he donor conceived and he adoped are boh significanly more

    likely han hose raised by heir biological parens o sruggle wih hese

    derimenal oucomes, even when conrolling for socio-economic saus

    and oher facors. Te donor conceived and he adoped are wice as

    likely as hose raised by biological parens o repor problems wih helaw. Te donor conceived are more han wice as likely as hose raised by

    biological parens o repor subsance abuse problems (wih he adoped

    falling beween he wo groups). And he donor conceived are abou .

    imes as likely as hose raised by heir biological parens o repor menal

    HOWDODONOR

    OFFSPRINGFARE?

    Mental Health , Addiction,

    and Delinquency

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    healh problems (wih he adoped being closer o wice as likely as hose

    raised by biological parens o repor he same hing).

    In he open-ended responses o our survey, some donor offspring

    offered commens ha illusraed some of hese findings:

    Ive never even hough abou his beore I ook his survey, bu yes I

    say depressed a lo, and would like o know more abou my donors amilyhealh.

    I still have issues with this problem and am seeking proessional help. It

    has helped me o become a sronger person bu has scared me emoionally.

    And:

    I CU MY SELF

    Ohers shared commens ha refleced he sensiiviy of his subjec

    for hem and heir someimes difficul journeys as hey have sough o

    make sense of i and ry o come o a beter place:

    I was uncomorable wih he ac ha I was conceived his way a

    firs. Bu hrough he suppor o my amily and he posiive environmen hey

    provided, I urned ou fine.

    Tis is a very sensiive subjec or me, doing his survey el like

    herapy!

    I hink everyhing was covered. I don eel like i is a big issue or me

    anymore because Im an adul wih a amily o my own.

    Is wha you choose o make o i.

    And one spoke of her recen revelaion:I did no know unil weeks ago ha any o his had happened. I los a

    baby in my thmonth and my mother inadvertently told me o their conception

    problems. Tis survey was acually a litle spooky.

    Our sudy also reveals significan experiences of social isolaion

    among donor offspring. When asked Do you know oher people who

    were conceived with use o a sperm donor? many percen say no.

    When asked How do you feel alking o non-family members abouthe act that you were conceived with a sperm donor? abou one-hird

    ( percen) do say hey are very comforable, bu nearly anoher hird

    ( percen) say hey are only somewha comforable. Te res say hey

    are uncomforable alking o non-family members abou heir origins or

    Social Isolation

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    don do i a all. Along wih hose who are adoped, he donor offspring

    are more likely o agree, I have experienced many losses in my life

    wih abou one-hird of donor offspring and he adoped srongly agreeing

    wih his saemen, compared o one-fih of hose raised by heir bio-

    logical parens.Overall, i is probably no surprising ha so many donor

    offspring agree ha I don feel ha anyone really undersands me.weny-five percen agree srongly, compared o percen of adoped

    and nine percen of hose raised by biological parens.

    Some of he responses make i clear ha his survey was one of he

    few if no he only ime hese young people had been asked quesions

    abou heir experience. Some donor offspring seemed o find he survey

    opic painful, and some seemed angry:

    Tis survey made me eel sad and I am crying as I am typing this comment.

    I would like o know oher people ha have been conceived by a sperm

    donaion and le hem know ha heyre no alone.

    Tis is the first time I have had anyone ask me questions o such personal

    mater, bu I am O.K. wih i.

    Yes, I thought this was very personal and it hurt a lot to give the inormation out.

    Tis was a very personal and emotional survey. What could you possibly

    ge om his ype [o survey]?

    Ohers seemed relieved ha someone had shown an ineres, and

    hey were eager o learn he resuls.

    Wow, I am jus blown away wih his experience. I am pleased o havebeen a par o his sudy. Tis is a subjec ha I really do no discuss openly

    wih anyone excep very close amily or iends. I am hankul or my lie and

    opporuniies I have. I do eel ha my parens divorce was perhaps my aul.

    Bu I had a very srong and supporive moher and grandparens. Tank you

    or his opporuniy.

    I hope he inormaion gahered in his survey is published in a

    book or magazine so we can all see wha oher people like mysel have had o

    go hrough.Many oher donor offspring had brief, posiive commens o make

    abou he survey iself, wih commens such as very ineresing survey,

    never seen anyhing else like i, and ineresed in seeing he resuls of

    oher people, and I hink his was a good opic, and much more.

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    Unil now we have dwelled mainly on he feelings donor offspring

    have for he family members who are missingfrom heir life heir biologi-

    cal faher, his family, and heir half-siblings. Bu here is also he mater

    of he family who are inheir life. I appears ha using a sperm donor o

    build a family can markedly increase ensions wihin ha family as well.

    Lynne Spencer was born in Michigan in . She didn find ouhe ruh abou her concepion unil she was years old, aer he man

    she had always hough was her biological faher died. Lynnes parens

    had a conflicual relaionship. W hen I was in junior high school, she

    said, my faher asked me if I hough ha he should divorce my mom.

    I old him yes. Tey sayed married, bu hey were always bickering wih

    each oher. Looking back, she hinks he way she was conceived did af-

    fec her family.

    Te environmen in our house was very emoionally repressive.

    Some areas were aboo o alk abou. My parens would ell sexual

    jokes wih my auns and uncles, bu hey did no alk o me abou

    sexualiy. Te aboo of alking openly abou sexualiy I know was

    parly due o he imes, when a lo of hings weren alked abou

    openly, bu I also believe ha i was even more of an uncomfor-

    able opic because of he donor concepion and needing o keep

    ha secre.

    Lynne has spen a lo of ime hinking abou secres and how hey

    affec families. Secres, she says, always affec he ineracions and relaion-

    ships in families, including when donor concepion is kep secre. People

    have o be on guard o make sure hey don accidenally give clues o he

    secre. Over ime, his need o hold back limis he level of emoional

    inimacy, openness, and honesy beween people.

    rus was a big issue oo. Like many people who find ou laer in life

    ha hey were donor conceived, Lynne feels she always knew somehing

    was wrong. She old us:

    When you grow up and your insincs are elling you one hing and

    your parens he people you are supposed o be able o rus he

    mos in your life are elling you somehing else, your whole sense

    of wha is rue and no rue is all confused. You quesion your own

    insincs. You don know when o believe your own houghs and

    feelings, or no.

    Family Instabil ity

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    Like Lynne, Vicoria Reilly, now in her sixies, feels ha he deci-

    sion o use a sperm donor o conceive a child, and he secre her parens

    kep, caused a grea deal of sress in her family. I hink ha i pu a errible

    srain on my moher who always ried o be he mediaor, she says. I

    believe ha her carrying a child conceived by anoher mans sperm and

    raising ha child caused [my faher] a deep hur. She doesn hink herfaher is he only man who migh feel his way abou donor concepion.

    I hink oher men whose wives use he DI [donor inseminaion] mehod

    o conceive migh also have a hard ime dealing wih he fac heir wives

    are pregnan by anoher man, she says. I hink i is no good for family

    dynamics.

    A hisory of inferiliy. Geting pregnan from anoher man. Keeping

    an enormous secre from your child and everyone else. Raising a child in

    which one paren is biologically relaed o he child and anoher is no.

    Tese experiences and more migh accoun for he srains one hears

    abou when donor conceived aduls alk abou he families hey grew up

    in. Perhaps no surprisingly, he resul can be divorce.

    Many observers have noed how oen donor conceived people who

    speak ou abou heir sories also ell sories of heir parens divorce. In

    our sudy he divorce rae for married couples who use donor concep-

    ion is indeed higher han one would expec. As Figure (p. )shows,

    he married heerosexual parens of he donor conceived persons were

    unusually likely o have divorced, wih percen of hem reporing haheir parens divorced before he responden was age , compared o

    percen of hose who were adoped and percen of hose raised by

    heir biological parens.

    While he percenage of donor offspring whose parens divorced is

    no a grea deal higher han for hose raised, for example, by heir biological

    parens, i is significan for several reasons. Many children raised by heir

    biological parens are conceived before or shorly aer heir parens marry,

    while heerosexual married couples do no ypically consider oher meansof having a child wheher using reproducive echnology or adoping

    wihou firs rying for some years o conceive a child he old fashioned

    way. Mos divorces occur very early in marriages, so everyhi