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Yes, some couples are concerned about how their child might react in the future, including their potential search for the donor and the role the donor may play... Post-conception psychological support is important not only for DCP navigating this information, but also for parents #ESHREjc

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Looking forward to the results! 🤓 There is a need for evidence-based resources to support DCP in navigating this path #ESHREjc

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Noemi Salmeri, MD @noemisalmeri.bsky.social · 25/09/2026

Good point! Indeed evidence suggests that same-sex couples and solo mothers are usually more open to talking about donor conception than heterosexual couples. Children pick up when parents feel uncomfortable discussing a topic, which can signal that it is not something okay to talk about #ESHREjc

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Reposted by Mr.Att (Attilio Anastasi)

Need for greater consistency across Europe. Identity-release and cross-border registries only work if donor conception is accurately recorded and information remains accessible over time. How do we ensure that no donor-conceived person falls through the gaps? #ESHREjc

marianavmartins.bsky.social @marianavmartins.bsky.social · 25/09/2026

Reposted by Mr.Att (Attilio Anastasi)

Yes, although full harmonisation of family law may be unrealistic. Minimum standards: permanent record retention, traceability across borders, access to updated medical information, accurate number of same-donor offspring, and secure mechanisms for identity release and mutually agreed contact.

hgroundstroem.bsky.social @hgroundstroem.bsky.social · 25/09/2026

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We are not quite sure. Some clinics provide the donor with information about the number of offspring. We do not know if this information is being provided to the DCPs if requested. #ESHREjc

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aindekeu.bsky.social @aindekeu.bsky.social · 25/09/2026

I wrote a paper together with Dutch colleagues ( legal experts and ethicist and psychologist) in Human Fertility. Access to your origine is a human right. From a legal point you need to have very strong/essential arguments to give DCP not access to this information. There weren'r any #ESHREjc

aindekeu.bsky.social @aindekeu.bsky.social · 25/09/2026

Reposted by Mr.Att (Attilio Anastasi)

YET, support for parents and DCP is essential to understand requests and guide questions regarding donor information througout all ages #ESHREjc

aindekeu.bsky.social @aindekeu.bsky.social · 25/09/2026

Reposted by Mr.Att (Attilio Anastasi)

Both -donor and DCP- should be given the opportunity of support ( managing expectations, exploring if each wants contact, what kind of contact, in what way, if eg partner of the donor, his /her children know about the donation,...) #ESHREjc

marianavmartins.bsky.social @marianavmartins.bsky.social · 25/09/2026

Reposted by Mr.Att (Attilio Anastasi)

And better family functioning was linked to greater uncertainty about seeking donor information. Rather than reducing its importance, close family relationships may create loyalty conflicts between curiosity about genetic origins and fears of hurting a parent. ? #ESHREjc

marianavmartins.bsky.social @marianavmartins.bsky.social · 25/09/2026

Reposted by Mr.Att (Attilio Anastasi)

This is precisely what the MyGENESIS project is addressing. We are testing MyGENESIS-PATH, a digital tool co-designed with DCP and professionals to help donor-conceived adults explore identity, origins, relationships and coping after discovery. #ESHREjc

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marianavmartins.bsky.social @marianavmartins.bsky.social · 25/09/2026

Yes! Discovery may reshape how DCP understand their origins, family and sense of self. It can bring clarity, validation, agency and belonging, but also disruption, grief, betrayal, uncertainty, loyalty conflicts and fears of rejection. Its impact depends on context and support. #ESHREjc

marianavmartins.bsky.social @marianavmartins.bsky.social · 25/09/2026

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The more provocative question may be: should knowledge of one’s donor-conceived status depend entirely on whether and when parents decide to disclose it? #ESHREjc

marianavmartins.bsky.social @marianavmartins.bsky.social · 25/09/2026

Reposted by Mr.Att (Attilio Anastasi)

Current systems often treat the donor as the only genetically relevant person outside the recipient family. Yet same-donor donor siblings are not a secondary by-product. A rights framework should make room for these relationships without legal impositions. #ESHREjc

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marianavmartins.bsky.social @marianavmartins.bsky.social · 25/09/2026

Important reminder: right to know is not an automatic right to contact. Access should be followed by a secure, reciprocal opt-in system for exchanging information or initiating contact. One person’s right to know must coexist with another person’s privacy and readiness… #ESHREjc

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aindekeu.bsky.social @aindekeu.bsky.social · 25/09/2026

There is a worldwide lack of post-conception psychosocial support for parents, donors and DCP ( see Paper Goedeke, Crawshaw, Indekeu) disclosure is not just about 'giving info' but much more about emotions ( insecurity, nervous,...) #ESHREjc

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Noemi Salmeri, MD @noemisalmeri.bsky.social · 25/09/2026

Yes indeed this a crucial question. If knowledge of one’s donor-conceived status depends entirely on parental disclosure, access to information about one’s own origins becomes contingent on someone else’s decision. Is that compatible with the child’s right to know their origins? #ESHREjc

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ESHRE position paper: international limits on the number of offspring per gamete donor

@eshre.bsky.social has recommended a European limit on the number of offspring per donor at an international level. An EU-wide donor registry could also facilitate DCP access to donor info and overcome the challanges of cross-border reproduction #ESHREjc doi.org/10.1093/humr...

doi.org

AbstractSTUDY QUESTION. How should the number of offspring per gamete donor be regulated at an international level?SUMMARY ANSWER. The European Society of

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Mr.Att (Attilio Anastasi) @mr-att.bsky.social · 25/09/2026

The question is not only “how many offspring?”, but whether we have a European system capable of tracing donor use and protecting DCPs’ right to know their genetic origins. #ESHREjc

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Mr.Att (Attilio Anastasi) @mr-att.bsky.social · 25/09/2026

Right! Donor conception doesn’t stop at national borders. Different offspring limits and non-interoperable records can make national safeguards ineffective. #ESHREjc

Mr.Att (Attilio Anastasi) @mr-att.bsky.social · 25/09/2026

At the same time, regulation should consider the practical and ethical complexities of cross-border reproductive care. #ESHREJC

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Mr.Att (Attilio Anastasi) @mr-att.bsky.social · 25/09/2026

Absolutely. Harmonisation at European and international level could help reduce the significant differences between countries, particularly regarding donor-conceived people’s rights to access information and the management of donor offspring limits. #ESHREjc

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hgroundstroem.bsky.social @hgroundstroem.bsky.social · 25/09/2026

We believe that there is a need for more European and international regulation to safeguard the rights of DCPS and regarding the maximum number of offspring from one donor. Claudia & Henrik #ESHREjc

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hgroundstroem.bsky.social @hgroundstroem.bsky.social · 25/09/2026

Our study did not show any differences regarding interest in donor-information between DCPs from lesbian-couple and heterosexual-couple families. Of note is that most DCPs had known from early age also inte heterosexual-couple families. #ESHREjc

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Kermit The Frog: Lost and Looking for Directions

Different legal frameworks across Europe can make it harder for DCP to navigate access to donor information. ESHRE’s EIM has documented considerable variation in donor anonymity across European countries (doi.org/10.1093/humr...). This adds complexity for DCP seeking info across borders. #ESHREjc

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ALT: Kermit The Frog: Lost and Looking for Directions

Reposted by Mr.Att (Attilio Anastasi)

That seems a good mechanism! It’s important to acknowledge that not all DCP want contact, and that both the right to know about others and DCP right to privacy need to be considered. I am curious if they are also told how many people are born from the same donor? #ESHREjc

Reposted by Mr.Att (Attilio Anastasi)

Managing DCP expectations regarding the donor's openness to contact is important. Should this information about the donor’s willingness to be contacted also be provided when DCP request donor information? #ESHREjc

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Looking forward to reading the results! 🤓🙌 Do you see any differences in the relationship with parents between those who consider it important to their identity comapred to those who dont think so? (if you can give us a little preview 👀) #ESHREjc

giuliana-baccino.bsky.social @giuliana-baccino.bsky.social · 25/09/2026

Reposted by Mr.Att (Attilio Anastasi)

Important difference between background details and to know if the donor is open to contact. #ESHREjc

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hgroundstroem.bsky.social @hgroundstroem.bsky.social · 25/09/2026

We are currently analysing data from an interview study with DCPs following egg donation. We see that these teenage DCPs vary considerably in their view of how important the egg donation is for their identity. Research on adoptees has shown a similar picture Claudia & Henrik #ESHREjc

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hgroundstroem.bsky.social @hgroundstroem.bsky.social · 25/09/2026

Studies show that many DCPs want access to information about their donor to better understand themselves (e.g. learning about shared traits, family history). However not all DCPs find this important. Claudia & Henrik #ESHREjc

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Mr.Att (Attilio Anastasi) @mr-att.bsky.social · 25/09/2026

Q4: What are the implications of cross-border reproduction for Donor-Conceived People (DCP) seeking access to information about their donor and people conceived from the same donor, given the differences between national legal frameworks? Should this be addressed at a European level? #ESHREjc

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Mr.Att (Attilio Anastasi) @mr-att.bsky.social · 25/09/2026

But does this meaning change across different family forms? And how much does the way donor conception is discussed within the family shape that journey? A fascinating topic for discussion. 🧬 #ESHREjc #DonorConception #Embryology #ReproductiveMedicine

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Fertility Europe @fertilityeurope.bsky.social · 25/09/2026

Access to donor information can support identity development by giving donor-conceived people a clearer account of their genetic origins, helping them integrate donor conception into their biography and understand ancestry and genetic relationships. #ESHREjc

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giuliana-baccino.bsky.social @giuliana-baccino.bsky.social · 25/09/2026

I would suggest to practice the disclosure in some kind of role play between them, make sure they are comfortable with what they will say, and then do it as simple as possible, with a book, with pictures, and repeat that history with their children at least once a week or two. #ESHREjc

Reposted by Mr.Att (Attilio Anastasi)

What resources can help parents navigate the disclosure process? I guess books are a good way to help parents start these conversations. What other strategies or resources could support them? #ESHREjc

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Q2: How might access to donor information contribute to the identity development of donor-conceived people (DCP), and might this differ across family forms? #ESHREjc

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Melissa Joan Hart: That's My Favorite Hashtag

‼️Don’t forget to use the hashtag #ESHREjc to join the discussion so we can all follow everyone’s perspectives 🙌

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ALT: Melissa Joan Hart: That's My Favorite Hashtag

Noemi Salmeri, MD @noemisalmeri.bsky.social · 25/09/2026

Reposted by Mr.Att (Attilio Anastasi)

Q1: When and how should donor-related information be disclosed to people conceived through third-party reproduction? #ESHREjc

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Regarding when to disclose donor conception, research suggests that learning about it before adolescence (particularly ~7y) is associated with more positive family relationships and wellbeing (e.g, doi.org/10.1111/jcpp... ) #ESHREjc

ESHRE @eshre.bsky.social · 18/06/2026

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🔹ESHRE SIGs Reproduction Miniseries-online now!🔹 SIG Nursing & Midwifery—Anastasi & Ribeiro speak with Somers, Cotton & Dancet, & JD Tronier, on the ESHRE Nurses & Midwives Certification and its impact on patient care & international practice standards. 🎧 www.focusonreproduction.eu/science-and-...