‘Once you open that Pandora’s box, you cannot close it’: a qualitative study on family relationships following insemination fraud
Abstract
Research question Insemination fraud occurs when the spermatozoa intended for insemination have been intentionally swapped for another person's without the knowledge of the intended family. In what ways is this experienced by recipient parents and their offspring?Design This was a qualitative study involving semi-structured interviews with 15 participants (seven parents and eight donor-conceived individuals) affected by insemination fraud involving the same doctor in Canada.Results This study documents how insemination fraud is experienced by recipient parents and (their) offspring at the personal and relational levels. At the personal level, insemination fraud can induce a sense of agency loss for the recipient parents and a (temporary) sense of identity realignment for the offspring. At the relational level, it can lead to a reshuffling of genetic ties through the new genetic mapping it involves. This reshuffling can, in turn, disrupt kinship ties, leaving a deep imprint that some families struggle to overcome. Experiences differ depending on whether or not the progenitor is known, and when he is known, on whether it is another donor or the doctor himself.Conclusions Given the significant challenges that insemination fraud poses to the families who experience it, it is important that this practice be subjected to the medical, legal and social scrutiny it deserves.
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Victims reported heightened suspicion, difficulties maintaining relationships, and tension or conflict within families and social networks.
“Victims reported heightened suspicion, difficulties maintaining relationships, and tension or conflict within families and social networks”
From Mental health and psychosocial sequelae of fraud victimization: a systematic review (2026) · cites this paper as Zeghiche et al., 2023
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Mental health and psychosocial sequelae of fraud victimization: a systematic review
Bai, J., Ho, M.-H., Sung, H.-T., Hung, C.-S., & Tsai, J.-H. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1805536 · Cited by 4 · see citing works
“Victims reported heightened suspicion, difficulties maintaining relationships, and tension or conflict within families and social networks (Button et al., 2014; Whitty and Buchanan, 2016; Zeghiche et al., 2023; Xia et al., 2025).”
- Authors
- Zeghiche, S., Côté, I., & Lavoie, K.
- Affiliations
- Université du Québec en Outaouais (CA)
- Université Laval (CA)
- Corresponding author
- Zeghiche, Sabrina
- Venue
- Reproductive BioMedicine Online
- Publisher
- Elsevier BV
- Published
- 2023-08
- Volume
- 47
- Issue
- 2
- Pages
- 103220
- ISSN
- 1472-6483 (ISSN-L)
- OpenAlex
- W4366483299
- Cited by
- 6
- References
- 44
- Citations by year
- 2026: 3 · 2025: 3
- FWCI
- 1.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Reproductive BioMedicine Online (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Social Sciences and Humanities Research Council of Canada
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Assisted Reproductive Technology and Twin Pregnancy
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Medical and Health Sciences Research
- Keywords
- family relationships, gene mapping, agency loss
- MeSH terms
- Family Relations, Humans, Insemination, Artificial, Heterologous, Male, Parent-Child Relations, Parents, Tissue Donors
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