Page 94 - ESHRE2019
P. 94
Why CBRC: legal restrictions, availability
• •
• •
• •
type of treatment forbidden by law (i.e. oocyte donation, surrogacy)
categories of patients not eligible for ART(i.e. lesbian couples, single, “aged”)
waiting lists are too long in home country (OD) out‐of‐pocket costs for the patients are too high (i.e. No
funding or insurance)
technique not available because of lack of expertise or equipment (PGD), or not considered safe enough (ICSI/test sperm; egg freezing)
personal wishes (i.e. privacy considerations)
7
From awareness to evidence in EU(data)
• Cross border reproductive care in six EU countries (Be, Cz, Dk, Sz Sl, Sp)
• 1230 questionnaires in 1 month, or 12 000–15 000 cycles
• Thus yearly minimum 24 000–30 000 cycles (73% ART, 22% IUI, 5% both) assuming 2 ART cycles and 3 IUI or.....11000–14 000 patients/y (ESHRE CBRC TF, Shenfield et al, 2010, Hum Rep)
• Opportunity to cross borders as near as possible (Fr to Be and Sp, De to Cz)
• Opportunity of choice: through www., Drs or friends
8
92
89
