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Comparative Analysis on the Situation of Double Gamete and Embryo Donation in Romania and France Nicoleta CRISTEA – BRUNEL, Helsinki, July 2016

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Page 1: Cristea Brunel Helsinki

Comparative Analysis on the Situation of Double Gamete and Embryo Donation in Romania and France

Nicoleta CRISTEA – BRUNEL, Helsinki, July 2016

Page 2: Cristea Brunel Helsinki

Disclaimer

I declare that I have no commercial or financial interests pertaining to the subject of this presentation or its content.

Page 3: Cristea Brunel Helsinki

ISL

GBRNDL

BEL

FRAITA

MLT

PRT

NORSWE

FIN

POL

CZESVK

UKR

ROUHRV

MNE

BGR

TURGRC

Allowed

Not allowed

No regulations

Double Gamete Donation

ESP

DEU

Page 4: Cristea Brunel Helsinki

ISL

GBRNDL

BEL

FRAITA

MLT

PRT

NORSWE

FIN

POL

CZESVK

UKR

ROUHRV

MNE

BGR

TURGRC

Allowed

Not allowed

No regulations

Embryo Donation

ESP

DEU

Page 5: Cristea Brunel Helsinki

Legal Regulations – France vs Romania

• Double gamete donation → not allowed

• Embryo donation → allowed

No legal regulations

Page 6: Cristea Brunel Helsinki

Legal Regulations – France (I)

Three main legal principles for embryo donation:• Volunteering

• Free of charge

• Anonymity

Page 7: Cristea Brunel Helsinki

Legal Regulations – France (II)

• 100% reimbursement, if If the woman is under 43

• Success Rate: 25% per embryo transfer (2009)

• Significant times of waiting (1 – 2 years or more)

Page 8: Cristea Brunel Helsinki

Legal Regulations – Romania

• No ART law

• 6 attempts without success since 2004

• Neither double donation of gamete nor embryo

donation are regulated in Romania

• The persons / couples are guided by Romanian

doctors to look for solutions abroad

Page 9: Cristea Brunel Helsinki

Testimonials

• 24 women: 16 women from Romania, and 8 from France

• 21 in a stable couple and 3 of them are single mothers

• Their children are between 2 months and 6 years old.

Page 10: Cristea Brunel Helsinki

Results

One Procedure Two Procedures Three Procedures

14

9

1

Success after...

Donated Gametes Embryo Adoption

15

9

Procedure Type

Page 11: Cristea Brunel Helsinki

Motivation

severe infertility in the case of both partners

13

egg reserve severely diminished and woman without a stable

partner 3

confirmed genetic issues3

just one of the partners had a certified severe infertility

5

The reason why they went to double gamete or embryo donation

Page 12: Cristea Brunel Helsinki

Location for performing the procedure

Page 13: Cristea Brunel Helsinki

Survey Results

At this moment in time, in your daily life, the fact that you do not have any

genetic connection to your child is:

not important at all

not very important

more or less important

quite important

very important

All 24 interviewed mothers opted to tick ”not important at all”.

Page 14: Cristea Brunel Helsinki

Acknowledgements

• Patients and doctors from France and Romania

• Fertility Europe colleagues

Page 15: Cristea Brunel Helsinki

Thank you !