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Japan needs more sperm donors - The Economist   

AFTER THEY married in 2015, Shimuzu Nao and Ayaka dreamed of having children. But this was not straightforward. The couple are both biologically female; Nao, as the former is known, is a transgender man. While exploring possible workarounds, including adoption, they came across a man on social media who was willing to provide them with sperm. They proceeded to meet up with him several times at an internet café in Tokyo. Each time, he handed them a plastic syringe containing his semen, which Ayaka injected into herself. After the seventh meeting, she became pregnant. “Having children has been one of the most enriching experiences for us,” says Nao, now a father of two.

Assisted reproduction is popular in Japan. About 8% of babies were conceived through in vitro fertilisation in 2021, compared with 2% in America. But sperm and egg banks are unregulated in the country, and there are few of them. Laws pertaining to IVF only cover straight married couples (gay marriage is illegal in Japan). That is prompting hundreds, including single women and gay couples, every year to seek donors and surrogate mothers in other countries, including America, where such practices are legal. Others have, like the Shimizus, resorted to the less costly option of seeking sperm donors online in Japan. But this underground practice comes with certain risks, and there is a growing demand for regulation.

While egg donations are almost unheard of in Japan, artificial insemination using donor sperm (AID) has long been available in a few hospitals and more widely in the shadows. In 1948 Keio University Hospital in Tokyo started performing the technique, using sperm from medical students. Some 20,000 Japanese children are estimated to have since been born through AID. They are often not informed of their origins and have no right to get information about their biological fathers. But calls to facilitate disclosure grew during the 2010s, leading to a fall in sperm donors.

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