In an Israeli qualitative study with adolescent cancer survivors and parents who had considered fertility preservation, practically all participants could not recall any discussions with healthcare providers about plans for cryopreserved biological materials in the case of death. This finding is surprising given recent court struggles in Israel over the posthumous use of cryopreserved sperm. In interviews with these adolescent survivors and their parents, intended future use of cryopreserved biological materials is directed for affected individuals’ reproductive purposes later in life, with hardly any consideration of others' use of these materials for posthumous reproduction. To avoid future ethical and legal quagmires, healthcare professionals should have frank discussions with adolescents and their parents about what to do with such materials in the case of death. This paper discusses the socio-cultural and legal Israeli context and considers the ethical implications of using minors’ biological materials for posthumous assisted reproduction in Israel.

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保留生育能力后的死后计划：对以色列青少年癌症患者的研究

在以色列对青少年癌症幸存者和考虑保留生育能力的父母进行的定性研究中，几乎所有参与者都无法回忆起与医疗保健提供者就死亡情况下冷冻保存生物材料的计划进行的任何讨论。考虑到最近以色列法院就冷冻保存精子的死后使用问题进行了争论，这一发现令人惊讶。在对这些青少年幸存者及其父母的采访中，冷冻保存的生物材料的预期未来用途是为了受影响个体以后的生殖目的，几乎没有考虑其他人使用这些材料进行死后繁殖。为了避免未来的道德和法律泥潭，医疗保健专业人员应与青少年及其父母坦诚讨论在死亡情况下如何处理此类材料。本文讨论了以色列的社会文化和法律背景，并考虑了在以色列使用未成年人的生物材料进行死后辅助生殖的伦理影响。