Let me make a short introduction about cross-border relative care which involves the movements of patients across or outside the countries looking for reproductive treatment and services. That’s a phenomenon that has been increasing during the last two decades, probably because the legal diversity and free movements of people through different countries is a perfect background for this type of studies. Also, the delayed motherhood in many developed countries is a very important underlying factor for CBRC (cross-border reproductive care) and we already know that approximately 5% of all European fertility care involves cross border traveling. Egg donation is leading this type of treatment. If we talk about the USA , it is around 4% and surrogacy is one of the most popular treatment for cross border. One of the reasons for this type of traveling is the legal restrictions in the origin countries. This is the most popular one but also shorter waiting times, better outcomes, greater privacy and lower costs are other reasons for cross-border reproductive care. Spain meets them all.
We are a very active country in Europe in fertility treatment with a long experience. In fact, in 2016 with the last data from ESHRE (the European Reproductive Society) 130,000 cycles were performed in Spain, ranking the top five in the world. Therefore, it is not surprising that patient travel to Spain because of our experience in this type of treatment, the results, of course, and mostly because our fertility law is one of the most open and safe in Europe. Treatment are possible for female couples, single women, older women. We also perform preimplantation genetic diagnosis for the embryos and regarding egg donation, donor anonymity is a very important factor. Also, very short waiting times are the principal reasons.
ESHRE data has found that 50% of all the egg donation treatments performed in Europe is done in Spain so that’s a lot. Nearly 10% of the treatments performed in Spain were for foreign patients so as I have said we have a lot of experience with foreign people. Most of them were egg donation. Talking about IVI, 30 % of all our egg donation treatments are in foreign patients. 80% of them came from France, Italy, Germany, the UK and Switzerland. Probably because of their law in their countries. I think these are the basic reasons for Spain to be so popular for this type of tourists.