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Commercial Impacts on Assisted Reproductive Technology: A Scoping Review.

M Wiersma1, I Kerridge2, S Gallagher3

  • 1The University of Sydney, School of Public Health, Sydney Health Ethics, Rm 134, Edward Ford Building, Sydney, Australia. miriam.wiersma@sydney.edu.au.

Journal of Bioethical Inquiry
|September 11, 2025
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Summary
This summary is machine-generated.

Commercialization impacts assisted reproductive technology (ART) services, particularly "add-on" interventions. This review synthesizes arguments and proposes strategies like improved patient information and regulatory oversight to mitigate adverse effects.

Keywords:
Assisted reproductionBioethicsCommercializationGovernance

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Area of Science:

  • Reproductive Medicine
  • Healthcare Economics
  • Bioethics

Background:

  • Assisted reproductive technology (ART) is a rapidly expanding global industry, largely operating within private healthcare.
  • Concerns exist regarding the potential negative consequences of commercialization on ART services and patient care.
  • A comprehensive synthesis and critique of existing arguments on commercial impacts in ART are currently lacking.

Purpose of the Study:

  • To provide a nuanced understanding of the commercial impacts on ART.
  • To explore how commercial forces in ART have been identified, studied, and evaluated.
  • To identify suggested strategies for managing commercial impacts in health-related journals.

Main Methods:

  • A scoping review of health-related journals was conducted.
  • Searches were performed in PubMed, Web of Science, Cinahl, and Scopus between January and July 2023.
  • 163 articles were included from an initial search of 11,873 articles.

Main Results:

  • Commercial impacts on ART were most frequently discussed in relation to "add-on" interventions (25% of articles).
  • While many articles were critical of commercialization's effects, some acknowledged potential benefits of private sector involvement in ART.
  • Proposed strategies for mitigating adverse commercial effects include enhancing patient information, improving informed consent, and increasing regulatory oversight.

Conclusions:

  • The review highlights strategies for managing the commercial impacts on assisted reproductive technology.
  • Enhanced regulation is proposed, but potential challenges and lack of universal support are noted.
  • Findings aim to inform policymakers and service providers in navigating the commercial landscape of ART.