Symposium: Religion in assisted reproduction
Islamic perspectives in human reproduction

https://doi.org/10.1016/S1472-6483(10)60328-8Get rights and content

Abstract

Assisted reproductive technology is widely practised around the world for the treatment of virtually all forms of infertility. The application of this technology in the Islamic world had been delayed for many years, based on the misconception that Islamic teachings do not approve assisted reproduction. The paper discusses derivation of Islamic rulings and its impact on the ethics of contemporary issues, including family formation and assisted reproduction. It clearly shows that Islam encourages family formation and assisted reproduction, when indicated, within the frame of marriage. It also discusses differences among Muslim sects, Sunni and Shi'aa. The paper also discusses Islamic rulings on the new emerging practices in assisted reproduction, including surrogacy, multifetal pregnancy reduction, cryopreservation, pregnancy in the post-menopausal period, sex selection and embryo implantation following the husband's death. The moral status of the embryo in Islam is discussed. Organ differentiation and ensoulment are believed to occur at 42 days after fertilization at the earliest. As individuation of the embryo does not occur before 14 days from fertilization, research on surplus embryos during this period is allowed. Similarly, preimplantation genetic diagnosis, gene therapy and non-reproductive cloning for the benefit of humanity are ethically acceptable in Islam. This information should help physicians in their decision before conscientious objection to offering various modalities of assisted reproduction to their infertile patients.

Section snippets

Professor Serour is Professor of Obstetrics and Gynecology and Director of the International Islamic Center for Population Studies and Research at Al Azhar University, Egypt. He is also the Clinical Director of the Egyptian IVF and ET Centre in Cairo. Interested in human reproduction and its ethical issues, he is a member of the FIGO Committee for ethical aspects for human reproduction and women's health and former Chair of the Committee (2003–2006), a member of International Bioethics

References (35)

  • BM Dickens et al.

    Sex Selection: treating different cases differently

    International Journal of Gynecology and Obstetrics

    (2005)
  • MF Fathalla

    The girl child

    International Journal of Gynecology and Obstetrics

    (2000)
  • GI Serour et al.

    Assisted reproduction developments in the Islamic World

    International Journal of Gynecology and Obstetrics

    (2001)
  • PC Steptoe et al.

    Birth after the reimplantation of human embryos

    Lancet

    (1978)
  • El Bayoumi AA, al Ali K 2000 Gene therapy: the state of the art. Rabat, Morocco: Islamic Educational, Scientific and...
  • FIGO Committee for the Ethical Aspects of Human Reproduction and Women's Health

    Ethical guidelines on sex selection for non-medical purposes

    International Journal of Gynecology and Obstetrics

    (2006)
  • FIGO Committee for the Ethical Aspects of Human Reproduction and Women's Health

    Ethical guidelines on conscientious objection

    International Journal of Gynecology and Obstetrics

    (2006)
  • AGE Gad El Hak
  • AGE Gad El Hak

    Islam a religion of ethics

  • Gad El Hak AGE 1980 In Vitro Fertilization and Test Tube Baby. Dar El Iftaa, Cairo, Egypt, 1225: 1: 115:...
  • Grand Mofti of Egypt Sheikh Nasr F Wassel 2000 Personal communication with Serour...
  • Hadith Shareef, reported by Bokhary and...
  • Islamic Organization of Education, Science and Culture (ISESCO)

    Ethical Reflection of Advanced Genetic Research

    (1993)
  • P Kandela

    Uterine transplantation failure causes Saudi Arabian government clampdown

    Lancet

    (2000)
  • Kattan IS 1991 Islam and contemporary medical problems. In: Abdel Rahman A El Awadi (ed.) Organization of Islamic...
  • Kuwait Siasa Daily Newspaper, March, 1984 Proceedings of 7th Meeting of the Islamic Fikh Council in IVF and ET and AIH,...
  • GI Serour
  • Cited by (99)

    View all citing articles on Scopus

    Professor Serour is Professor of Obstetrics and Gynecology and Director of the International Islamic Center for Population Studies and Research at Al Azhar University, Egypt. He is also the Clinical Director of the Egyptian IVF and ET Centre in Cairo. Interested in human reproduction and its ethical issues, he is a member of the FIGO Committee for ethical aspects for human reproduction and women's health and former Chair of the Committee (2003–2006), a member of International Bioethics Committee UNESCO, and FIGO President Elect (2006–2009). He has authored and co-authored 292 papers, 21 chapters and 16 books on maternal child health, population issues, infertility, ethics and ART.

    Declaration: The authors report no financial or commercial conflicts of interest.

    View full text