RT Journal Article SR Electronic T1 Balancing rules in postmortem sperm donation JF Journal of Medical Ethics JO J Med Ethics FD BMJ Publishing Group Ltd and Institute of Medical Ethics SP 270 OP 271 DO 10.1136/medethics-2020-107075 VO 48 IS 4 A1 Guido Pennings YR 2022 UL http://jme.bmj.com/content/48/4/270.abstract AB Postmortem sperm donation implies the acceptance of a very low sperm quality threshold. This threshold has two important consequences: recipients will have to submit to burdensome and expensive in vitro fertilisation/intracytoplasmic sperm injection, and many more living donors will be accepted, thus making postmortem donors largely superfluous. Given these strong arguments against the use of postmortem collected sperm, a good alternative to enlarge the donor pool would be men who stored sperm for self-use and no longer have the intention to use it.