Kerala High Court allows widow to use deceased husband's cryopreserved embryos for IVF

A groundbreaking decision by the Kerala High Court has opened the door for a 43-year-old widow to pursue motherhood using embryos preserved during her late husband's fertility treatment, even though the consent form signed by the couple did not explicitly allow her to use them after his death.

Justice Harisankar V. Menon, presiding over a single bench, ruled on September 1 that the woman's wish to become a parent deserved respect, and that her husband's decision to allow the embryos to be used by "unknown couples" rather than being destroyed or reserved for research demonstrated his intent for meaningful use.

The case arose when the petitioner, who had been undergoing infertility treatment with her husband at SAT Hospital in Thiruvananthapuram, sought to use their cryopreserved embryos for an IVF procedure after her husband's death in 2021. The hospital refused, citing the absence of specific written consent under Section 22(1)(a) of the Assisted Reproductive Technology (Regulation) Act, 2021.

A Question of Consent

The consent form obtained by the hospital at the time of cryopreservation gave the husband three options: allow the embryos to be used by an unknown couple, used for research, or let them perish. He ticked the first option. But the statutory Form 9 under the ART Rules provides a different set of choices: allow the embryos to perish, hand them over to the wife, or use for research.

The hospital had failed to use the statutory form, and the consent document it used omitted the option for the surviving spouse. The Central Government argued that this showed the husband never intended his wife to use the embryos.

Inferred Consent and Parenthood

The court, however, drew a different conclusion. Justice Menon noted that the husband had actively chosen to put the embryos to use rather than have them destroyed or used for research. "When Ext P3 is read along with Form 9, it can only be assumed that the husband wanted the wife to use the embryos after his death, as even as per Ext P3, he wanted the same to be used for a meaningful purpose," the judge observed.

Relying on the 129th Report of the Parliamentary Standing Committee on Health and Family Welfare, which recommends permitting posthumous reproduction based on "inferred consent," the court held that the deceased's intention and the surviving partner's interest in becoming a parent must take precedence over procedural lapses by the hospital.

Key Observations

In a powerful passage, the court declared: "It is specifically found that it is the 'deceased's inferred consent ' and the 'partner's interest' in becoming a parent that require the utmost consideration. As has been found, the intention of the deceased was to ensure the 'actual use' of the embryos, and, therefore, the wish of the petitioner-wife to become a parent deserves to be respected."

The court also emphasized the importance of statutory compliance, noting that the hospital ought to have obtained consent in Form 9, which explicitly allows a husband to direct that embryos be handed over to his wife. "Merely because the 4th respondent hospital has chosen to collect Ext.P3 as against the statutory format at Form 9, the request made by the wife is not to be disallowed," Justice Menon said.

The Final Decision

Allowing the writ petition, the court directed SAT Hospital to permit the petitioner to use the preserved embryos for assisted reproduction. The ruling sets an important precedent for cases where procedural gaps in consent forms conflict with the reproductive rights of surviving spouses.

"This judgment reaffirms that the law must serve the intentions of the parties and the fundamental desire to become a parent, even when documentation falls short of statutory requirements," said legal experts following the case.