Women without male partner

Women without male partner can get pregnant through assisted reproduction treatment using donor sperm.

Which treatment can be done?

The recommendation which treatment to choose depends on the evaluation of the clinical history of each case.

The most common treatment if the fallopian tubes are permeable and the ovary function is correct is artificial insemination with donor sperm (IAD). If no pregnancy is achieved after several insemination attempts or if there is a problem with the fallopian tubes, In Vitro Fertilisation (IVF) with donor sperm will be recommended. Occasionally, especially if there is a low ovarian reserve, a double donation might be indicated: egg donation with donor sperm.

In case of homosexual couples in which both would like to participate in the process, the ROPA method would be an option.

RECIPROCAL IVF (ROPA)

What is Reciprocal IVF?

Through this technique, it is possible that both women participate in the pregnancy process. One will be the genetic mother, the other the gestational one. One woman contributes with her eggs, functioning as a donor, the other woman will receive the embryo transfer and be the recipient.

What treatment receives the donating woman?

The donating woman will have to undergo ovarian stimulation in order to obtain the eggs and later on carry out In Vitro Fertilisation (IVF). The retrieval of the eggs will be done under sedation and takes approx. ten minutes. Once the eggs are harvested, they will be fertilised with donor sperm and from there on the evolution of the embryos will be monitored in the laboratory until their transfer on day five.

How does the woman receiving the embryos prepare herself?

The embryo-receiving woman will have to prepare her endometrium with estrogens. This endometrial preparation will be done simultaneously with the ovarian stimulation of her partner. Once the endometrium of the receiving woman is prepared and the embryos are in the laboratory, their transfer into the uterus of the receiving woman will be carried out.

 Which tests are necessary?

To carry out the Reciprocal IVF the donating woman needs to do the following tests:

  • Hormone analysis to check the ovarian reserve
  • Gynecological ultrasound to exclude a pathology in the uterus or ovaries
  • Karyotype to exclude genetic abnormalities which might affect the embryo
  • Serologies to exclude the presence of transmittable infectious diseases.

The embryo-receiving woman needs to have the following tests:

  • Gynecological ultrasound to exclude a pathology in the uterus or ovaries
  • Serologies to exclude the presence of transmittable infectious diseases.

Success rates

The success rates for the Reciprocal IVF are the same as for In Vitro Fertilisation (IVF) and depend mainly on the age of the egg donating woman, with more than 50% until 39 years and progressively diminishing after that age. More results