This treatment allows both members of the couple to play an active role in the pregnancy and for both of them to become “biological mothers”.
What is Shared Maternity or Reciprocal IVF?
ROPA (reception of oocytes from partner) is a technique for having children with two biological mothers.
What is it about?
The process is the same as that in the In Vitro Fecundation or IVF, except that two women participate as a couple. One of them will undergo ovarian stimulation and will provide her oocytes. The other one will receive the fertilized embryos.
When is it indicated?
Shared maternity technique is indicated to patients, where one of them has a better oocyte quality and the other one has better conditions for having a pregnancy.
If you want more information about Shared maternity or reciprocal IVF, we would be more than happy to give you a call
This process consists of four phases:
1º A. Stimulation
In this first stage, meds are administered by subcutaneous injection (which the patient can give herself) to stimulate the ovaries. The medication will help to increase the number of follicles that mature during a cycle.
Consecutive monitoring scans will be made in order to adjust the necessary dose of medication during ovarian stimulation.
There is one egg in each follicle. Once the follicles have reached a suitable size, an injection of the pregnancy hormone (hCG) is administered and 32-36 hours later egg retrieval is performed to obtain the eggs.
1º B. Recipient’s preparation
The recipient patient will start endometrial preparation the second day of the period: PROGYNOVA or MERIESTRA (Estradiol) for preparing the endometrium.
After 7-10 days of treatment, a monitoring scan will be performed to check endometrium thickness (it is considered ready when it has more than 7mm).
The goal of this stage is obtaining mature eggs from the ovaries. Egg retrieval is performed through the vagina and guided by ultrasound. The patient is sedated so that she feels no pain or discomfort.
Eggs can be fertilized by IVF (conventional In Vitro Fertilization) or by ICSI (Intracytoplasmatic Sperm Injection) depending on each case. All mature eggs will be fertilized to obtain the highest possible number of embryos.
In order to have the best information about embryo development, ProcreaTec offers the EmbryoScope, a state of the art incubator, which provides an optimal culture environment, always keeping temperature stability, exposure to light and pH. Thanks to this, embryos are not submitted to changes that can affect their development. The EmbryoScope also includes a technique called time-lapse (taking 24 photographs each minute during 24 hours) which evaluate embryo development in the lab.
This culture technique can be used under doctor’s advice or patient’s request.
If the medical personnel considers it appropriate, your doctor, together with ProcreaTec biologists will explain to the patient the option of Preimplantation Genetic Diagnosis, which allows to genetically diagnose embryos before transferring them to the uterus.
The number of embryos to transfer will be decided based on your individual medical history by both patient and doctor.
The day of embryo transfer will be fixed depending on embryo development and quality and on medical history. Our lab is prepared for blastocyst culture and it is a pioneer in this technique.
You will receive our recommendation to help you make the decision. During all process, biologists and medical personnel will give you advise on the best day for the embryo transfer to take place, in order to achieve the best possible result in your treatment.
Embryos which are not transferred will be vitrified depending on their quality, for future use. Thanks to quick freezing, 95% of cryopreserved embryos survives.
If you do not want to freeze embryos, you must clearly communicate so to the clinic.
Shared Maternity or Reciprocal IVF costs
Thanks to the continuous investment in the latest technology, every stage of In Vitro Fertilization is performed at the clinic, which reduces the waiting times and increases the chances of pregnancy.
- Management, coordination and follow-up
- Ovarian stimulation (medical follow-up, ultrasound check-ups and hormone levels in blood)
- Egg retrieval with sedation
- Embryology laboratory with Intracytoplasmatic Sperm Injection and embryo culture
- Embryo transfer in the 2nd or 3rd day
- βhCG pregnancy test
- First pregnancy ultrasound scan or post-cycle consultation
If the patient decides to interrupt the treatment, we commit to reimbursing the portion of the treatment that has yet to be completed.
The monitoring of the treatment is done in an efficient and secure way, maintaining patient privacy.
Frequently Asked Questions
In a 28-day cycle, it is estimated that ovulation takes place around day 14. About 24 hours after, one’s body temperature rises, and that is how one can know whether one has ovulated. Nowadays, pharmacies sell ovulation kits, which can help guide couples as to when they should be having intercourse, in order to coincide with the most fertile moment of their cycle.
At our fertility clinic, we monitor ovulation by taking transvaginal ultrasound scans on various days in the cycle. Additionally, we analyze hormonal levels in order to ensure that the necessary hormonal peaks have taken place, contributing, in this way, to spontaneous conception.
The ROPA method is a variation of In Vitro Fertilization, which stands for “partner egg reception” or egg donation (in Spanish). It is the most interesting alternative to achieve maternity in female couples.
This method allows both women to participate actively in the creation and birth of the baby. It consists of extracting and fertilizing the eggs of one of the women and transferring the embryo in the partner’s uterus.
As a result, both women play a fundamental role in the gestation and birth of their child; one will be the biological mother (providing the egg) and the other will be the gestational mother (the one who gets pregnant and gives birth).
“A woman can use or be the recipient of [assisted reproduction] techniques regulated in this Law, independent of their civil status or sexual orientation”, states the legal text about human reproductive techniques, passed in Spain in the year 2006.
“The process is the same in the case of a mother or a spouse that undergoes a double gamete donation. In other words, the person who has a baby using a donor egg and the sperm from another donor. The main difference is that the egg comes from the woman’s (female) partner, who has to undergo a stimulation and extraction of eggs”, clarifies Dr. Lourdes López Yañez, Assisted Reproduction specialist and ProcreaTec Co-Founder.