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In this webinar, dr Maria Arque is discussing IVF pregnancy guarantee – refund based programs in Europe. She was talking about costs, restrictions and qualification criteria.
This is true, probably if you have had several cycles that did not work that also depends on the causa, the clinic will have to analyze what was the cause, why this treatment didn’t work for you before. That might make it a little bit more difficult for you to be accepted for a baby guarantee program. Usually, the limit of cycles is two or three egg donation cycles. If it’s more than 3 egg donation cycles that did not work most likely, it will be difficult to be accepted in a baby guarantee program unless the cause is very clear and it’s already solved, or there is a way to solve it.
Usually, everything is covered until you have a live birth. If you have a live birth and you have embryos frozen, probably you will have to pay for the frozen transfer because you have already fulfilled what was included in the baby guarantee program with one live birth.
Egg donation is anonymous in Spain, which means we cannot provide any information that might disclose the identity of the donor, so we do not provide pictures. In Spain, what we can disclose, is the age of the donor, the blood group and then general phenotype characteristics like hair colour, eye colour, the colour of skin, weight, height, all these general information regarding the phenotype, but nothing else that could disclose the identity.
In general, there is no required minimum. What we would be aiming for is an endometrium that is 7 millimetres, so and that would be ideal. Patients that have problems with the endometrium or the endometrium did not respond to the medication, it’s called a refractory endometrium, have a history of recurrent implantation failures, that might be a reason why a patient might not be accepted for a baby guarantee program. It also depends on the clinic and the cost unless there is a solution found and we can try to solve that problem.
Yes, it is possible to have more than one embryo transfer, even though generally in most fertility clinics what we tend to do a single embryo transfer. We know that twin pregnancies are much riskier than singleton pregnancies, so that’s the main reason why we recommend it. If you don’t have any medical contraindications for having a double transfer that could result in twins, that should be okay, and this will be covered.
That really depends, it has to be evaluated, what kind of problems are there in the uterus and what kind of cysts and fibroids. If there are problems like these, they will need to be solved before undergoing the cycle. For example, if there are fibroids that are located in the inner part of the uterus, and they can interfere in the implantation of the embryo, this will need to be addressed. We will need to remove those fibroids by hysteroscopy or with laparoscopy and myomectomy. This is something to take in consideration, and after solving those problems the patient might be accepted on the baby guarantee program, but regardless of the fact if you do a baby guarantee program or not, these things need to be addressed, before you have an embryo transfer, if that’s the case.
Absolutely, the clinics always want to help with any potential underlying conditions, but it is very difficult to answer all these questions regarding if someone with these general problems would be accepted on a baby guarantee program because someone with recurrent miscarriages can have a lot of different problems, so there might a lot of different reasons why this person is having recurrent miscarriages. We need to identify the cause, and we decide which is the best treatment option.
If someone is having recurrent miscarriages because there is a problem with the quality of the embryos, or there is low egg quality because of age, or there is any other reason, and this patient decides to undergo the treatment with the egg donor, in that case, most likely there will be no problem at all for that patient to be accepted for the baby guarantee program. If we’re talking about someone who has had recurrent miscarriages with eggs of the egg donor and that the factors might be other reasons, we’re speaking about a completely different scenario.
We don’t ship frozen donor eggs to Canada. What we can ship is an embryo. If you want to undergo the treatment in our clinic and then you’re living in Canada, and you want to do the embryo transfer in your clinic in Canada if we have a legal agreement with a clinic there and with their lab, once we have your embryos we can ship those embryos to the clinic in Canada, but we cannot ship only the eggs from the donor.
Absolutely, we always do that. When we undergo a cycle with the egg donor, and we get several good quality embryos, what we’re going to do as we are obviously not capable of having a few kids at the same time, so we will transfer the best embryo, then the remaining surplus good quality embryos will be frozen and left in storage for your future use, as long as you want to use them before you reach the legal age in which we can treat patients in Spain which is 50 years old.
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