End of China’s One-Child Policy Has Put Pressure on National Sperm Banks

Source: http://time.com/4502473/china-sperm-banks-child-health-reproduction/

"The End of China’s One-Child Policy Has Put Huge Pressure on the Nation’s Sperm Banks"

Infertility stalks up to 15% of Chinese couples. China is looking for quality sperm. Ever since the nation loosened its one-child family-planning policy earlier this year, its sperm banks have reported serious shortages as couples look for ways to expand their families. Infertility stalks up to 15% of Chinese couples, according to Jiang Hui, the director of andrology at Peking University Third Hospital in the Chinese capital, Beijing, which officially unveiled a new sperm bank in August.

“We still don’t have enough donors,” he says, noting that there are only 23 legal sperm banks nationwide, with another 20 under construction — all at public hospitals. “Most families who come to us [for sperm] have to wait at least a year.”

The semen-collection room at Peking University Third Hospital is geared toward utility. There’s a portrait of a minimally clothed Western woman, a well-thumbed pornography magazine, a sofa, a sink, a box of tissues and some liquid soap. An emergency button is affixed to the wall. Each day, around 20 donors file in but only 19% of volunteers qualify for the program. Donors must be junior-college-educated men between the ages of 20 and 45 who are free of hepatitis B, a common liver infection in China. Vision problems, as well as genetic and sexually transmitted diseases, are also grounds for disqualification. Men must be at least 165 cm tall. The hospital won’t tell prospective families the donor’s IQ or education level — 90% have graduate degrees — but will give them physical descriptions, such as the man’s height, face shape and blood type.

Once they make the cut, the men must return multiple times and provide around 50 tubes of sperm over a half-year period. “It’s meaningful because I can help families without a kid,” says a 32-year-old IT programmer who had arrived at the hospital to make his second donation. (He declines to give his name.)

Unlike in the U.S., selling sperm or eggs is illegal in China. Sperm banks get around the regulation by offering men “subsidies.” In the case of Peking University Third Hospital, donors receive a 5,000 yuan (or $770) subsidy. Last year, sperm banks in Shanghai and Hubei province offered an iPhone 6 in lieu of an official payment.

China’s controversial family-planning policy, which for decades limited most urban families to a single child and many rural ones to two, has worked too well. Just at the point where China would naturally be profiting from a youth bulge to fuel its economy, the nation is facing a decline in its labor force. By 2030, China’s population will begin to shrink. The family-planning policy has also skewed China’s population with too many males and too many elderly. As a consequence, the national government finally did what demographers have advised for years: relax the draconian one-child rule.

Still, many Chinese families, particularly from the urban middle class, have little interest in raising more than one child. It’s a problem that has plagued other affluent societies in which not enough children are being born for populations to sustain themselves.

Read the full article here.

People

Noreen Hynes, MD MPH

Director, Geographic Medicine Center of the Division of Infectious Diseases

Yukari C. Manabe, MD

Associate Director of Global Health Research and Innovation

Stefan Baral, MD MPH,MBA,MSc

Director, Key Populations Program

Joanne Katz, ScD MS,BSc

Associate Chair, Director of Academic Programs

Robert Bollinger Jr., MD MPH

Director, Johns Hopkins Center for Clinical Global Health Education (CCGHE); Associate Director, Johns Hopkins Center for Global...

Caitlin Kennedy, PhD MPH,BA

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