Âge du père en assistance médicale à la procréation : faut-il une limite ?

Abstract

In France, there does exist any age limit for infertile men management neither in the law nor for the coverage by the “French Assurance Maladie”. French law specifies only that both partners of the couple have to be “of childbearing age”, but there is no definition for men of childbearing age. Does legislation have to determine a limit on man management in function of his age? Could ART practitioners decide (themselves) whether they take care of infertile men or not? Should male age be a criteria to decide this management? Would ART practitioners “need” a legislation to help them to decide? In 2016, the “French Assurance Maladie” covers all costs for infertile couple if woman is less than 43 years old, whatever male age. If an age-threshold should be establish for the coverage of infertile men management by the “French Assurance Maladie”, then what should be this threshold? In order to try to answer these questions, we asked them to French ART practitioners (gynecologists and embryologists) and gynecologists. The first questionnaire included 13 questions and was filled by 244 ART specialists; the second was filled by 138 gynecologists. Most of them agree to limit the male management and the coverage by the “French Assurance Maladie” at 60 for men in ART. Gynecologists who does not practice ART wish a limit for insurance (80% of them but are only 57% to wish a legal limit).