Table 1. Resolutions Issued by the CFM from 1992 to 2023.
1358/1992 1957/2010 2012/2013 2121/2015 2168/2017 2294/2021 2330/2022
Target Audience References women only All capable individuals Mentions heterosexual, homosexual, and single individuals, preserving the possibility of objection by the doctor Maintains Adds transgender people and removes the doctor’s right to object Maintains All capable individuals
Shared Pregnancy Not mentioned Not mentioned Not mentioned Allowed shared pregnancy in female same-sex relationships where there is no infertility Explains shared pregnancy: embryo obtained from the fertilization of an oocyte from one woman is transferred to her partner Maintains Maintains
Oocyte and Embryo Transfer Maximum of four as per patient decision Age distribution: 35 years (2 embryos);36-39 years (3 embryos); 40 years (4 embryos) Age distribution: 35 years (2 embryos);36-39 years (3 embryos); 40 years (4 embryos) Age distribution: 35 years (2 embryos);36-39 years (3 embryos); 40 years (4 embryos) Maintains < 37 years: (2 embryos); 37 years: (3 embryos).Regardless of age: 2 euploid embryos Maintains
Cryopreservation and Disposal Cryopreservation of surplus embryos is mandatory; In cases of divorce, illness, and death, the decision on their fate is up to the patients Maintains Possibility of discarding cryopreserved embryos after 5 years at the patients’ discretion Maintains Embryos frozen for 3 years can be discarded according to the patient’s wish; Or Embryos abandoned for >3 years can be discarded if the contract is not fulfilled Limited to eight embryos created in the laboratory, those not transferred fresh must be cryopreserved;Does not mention a minimum time for disposal, which is only possible with judicial authorization The limitation of 8 laboratory-generated embryos is removed;Does not mention the need for judicial authorization or a minimum time for disposal
Age for Pregnancy Not mentioned Not mentioned Maximum age: 50 years Maximum age: 50 years, exceptions with authorization from the CFM Maintains Maintains Maintains
Gamete and Embryo Donations Maximum of 2 pregnancies of different sexes per donor per 1 million inhabitants More than 2 pregnancies of different sexes per donor per 1 million inhabitants is prohibited Includes age limit for donation: 35 years - women; 50 years - men. Includes voluntary gamete donation and shared oocyte donation Maintains Clarifies that the same donor can contribute to as many pregnancies as desired within the same family Changes the age limit for donation:37 years - women;45 years - men Maintains
Confidentiality in Gamete Donation The donation must be anonymous and noncommercial Maintains Maintains Maintains Maintains Confidentiality does not apply in cases of gamete donation among relatives up to the fourth degree Maintains
Surrogate Pregnancy The surrogate must be related up to the second degree to one of the parents Maintains Inclusion of same-sex unions. The surrogate must be related up to the fourth degree to one of the parents; Inclusion of mandatory documentation Maintains Inclusion of single individuals. The surrogate must have at least one child; The clinic should not mediate contact between thegenetic donor and the surrogate Maintains
Assisted Reproduction and Treatment Not mentioned Use for treatment of genetic or hereditary diseases Includes the use of assisted reproduction techniques for genetic alterations diagnosis and HLA screening Maintains Maintains Removed information about the embryo’s sex from the genetic test report Does not mention the issue of the embryo’s sex from the previous version