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Reciprocal IVF (ROPA Method)

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What is Reciprocal IVF (ROPA Method)?

Reciprocal IVF, also known as the ROPA method, is an assisted reproduction treatment that allows female couples to share motherhood. In this process, one partner provides the eggs while the other carries the pregnancy, allowing both women to participate biologically in the conception of their baby. 

This technique is based on in vitro fertilisation (IVF) using donor sperm and is one of the most popular options for female couples or single women who wish to become mothers through assisted reproduction.


Advantages of the IVF-ROPA method


Embryo division - ROPA method Pair of mother patients by ROPA method

TREATMENTS

What does the shared motherhood method entail?

The ROPA method or reciprocal IVF requires the use of anonymous donor sperm. Spanish legislation guarantees the donor's anonymity and ensures that they cannot know the identity of the baby born from their donation, just as the baby cannot know the donor's identity.

One of the women in the couple will undergo ovarian stimulation to retrieve high-quality eggs, which, after being fertilized, will be transferred to the baby's gestational carrier.

At IVF-Life, our goal is to make our patients' dreams come true. To achieve this, we perform a comprehensive medical study to determine the most appropriate assisted reproduction technique for each case.

Female couple consulted the ROPA method at IVF-Life

PROCEDURE

How is the ROPA method or reciprocal IVF carried out?

Step 1: Ovarian stimulation

At IVF-Life, ovarian stimulation is carried out following personalised protocols to obtain enough eggs that can be successfully fertilised and give rise to an adequate number of embryos to increase the chances of pregnancy.

The stimulation lasts between 8 and 14 days, during which ultrasound scans and blood tests are carried out to check that the patient is responding adequately to the prescribed medication. Thanks to the medication, the patient's follicles grow progressively until they reach the optimal size for puncture.

Step 2: Follicular puncture and aspiration

When the follicles are of optimal size, follicular puncture and aspiration guided by vaginal ultrasound is scheduled. The operation is performed in the operating theatre under light sedation, so that the patient does not feel any discomfort. A few hours after the operation, the patient is able to resume life as normal.

Step 3: Semen sample preparation

During this process, the sperm with the highest fertilisation potential are selected.  

Step 4: Fertilisation and embryo culture

At IVF-Life, the fertilisation of the eggs during IVF treatment is carried out in our state-of-the-art laboratory following the guidelines of our team of embryologists, professionals of great prestige and reputation.

The success of IVF is largely dependent on the laboratory. That is why we constantly supervise and control embryo culture in the IVF-Life laboratory. We have technology capable of monitoring embryos to generate constant information on their cell division. 

The embryos are monitored in incubators with optimal conditions until embryo transfer. This information is vital for selecting the embryo with the highest implantation potential.  

At IVF-Life we understand the importance of our patients knowing what is happening during their treatment. We therefore establish constant communication, and they are always informed of the evolution of their embryos and the steps to be taken during their treatment. 

Step 5: Embryo transfer

The embryo transfer is a very special moment for patients because it is the first contact with their embryo after starting treatment. It is a quick and painless process in which the doctor inserts a cannula to deposit the embryo into the mother's uterus. It is carried out with an ultrasound scan.

The medical team, together with the patient, will determine the number of embryos to be transferred, selecting and devitrifying them (if necessary) on the day of the procedure. Although the Spanish Fertility Society limits the maximum number of embryos per transfer to three, thanks to our technology, we recommend transferring just one embryo. This enables us to guarantee the viability of the pregnancy.

Step 6: Pregnancy test

Approximately twelve days after the embryo transfer, a blood test will be performed to measure beta-hCG, a hormone whose levels confirm pregnancy and thus the success of the treatment.

Step 7: Pregnancy ultrasound scan

After confirming the pregnancy with the beta-hCG test, an ultrasound scan will be performed to check that the pregnancy is progressing correctly.

Step 8: Embryo vitrification

The embryos are vitrified so that they can be used in a subsequent cycle without the need for repeated ovarian stimulation and follicular puncture.

Dr. Manuel Izquierdo answers frequently asked questions about the ROPA method.

FIND ANSWERS TO YOUR QUESTIONS

Frequently asked questions about the ROPA Method

What requirements should each partner meet for reciprocal IVF?

The decision about who will be the genetic mother and who will be the surrogate mother is up to the couple, but the opinion of the medical team must also be taken into account. 

• The mother who provides the eggs must have a good ovarian reserve that guarantees that eggs of good quality will be obtained. In addition, it is also recommended that a genetic analysis be performed to verify that there are no alterations in the karyotype.

• The mother who will carry the baby must not have any illness that would prevent the pregnancy from reaching term. In addition to a favorable response to the administration of medication to prepare the endometrium for embryo transfer.

What are the legal requirements for reciprocal IVF in Spain?

In Spain, access to reciprocal IVF and the legal recognition of both mothers depend on the applicable assisted reproduction, consent and civil registration requirements. Marriage is not presented as a universal clinical requirement for undergoing treatment. Because individual and cross-border circumstances may differ, patients should obtain specific legal and clinical guidance before starting treatment.

How much does reciprocal IVF cost?

At IVF-Life, we understand that each case is different, which is why the most suitable ROPA method treatment for you will be determined after a personalized medical evaluation. Our team of experts will analyze your situation in detail to recommend the best option, always with an honest and transparent approach. 

Once the study is completed, we will provide you with a detailed budget for the cost of the ROPA method so that you have all the information before making a decision.

How long does the process take?

The process can take between 1 and 2 months, depending on the case. This includes ovarian stimulation of the egg donor, egg retrieval, fertilization in the laboratory, embryo transfer to the gestational partner, and the waiting period to learn the result.

What medical tests must the egg donor undergo?

Before starting ovarian stimulation, it is necessary to check parameters such as ovarian reserve or the presence of infections, usually via blood tests. 

A transvaginal ultrasound is also recommended to assess the health of the ovaries and uterus, along with a gynecological evaluation to ensure there are no conditions that could interfere with egg donation.

How do we decide which partner will carry the pregnancy?

The decision is personal, but it is advisable to consider factors such as the reproductive health of both women. If one has a higher chance of achieving pregnancy (due to age or ovarian health), this should be considered.

What medical tests must the egg-providing partner undergo?

Before ovarian stimulation, tests are usually performed to assess ovarian reserve and rule out infections, generally through blood tests. A transvaginal ultrasound and a gynaecological evaluation are also recommended to assess ovarian health and check that there are no conditions that could interfere with ovarian stimulation or egg retrieval.

What does the law say about children born through the ROPA method?

Legislation varies by country. In Spain, both women may be legally recognised as the child’s mothers when the applicable consent and civil registration requirements are met.

This is a matter of legal parentage and should not be described as both women having the same biological relationship to the child. Patients living outside Spain should check the recognition rules in their country of residence before starting treatment.

PATIENTS

Who is the IVF Ropa method treatment recommended for?

Case 1

Indicated for female couples who wish to actively participate in the reproductive process.

Case 2

The ROPA method is also recommended for women with a pathology in their fallopian tubes.

Case 3

This treatment is recommended for women who suffer from irregular periods.

Case 4

This technique is also appropriate for women suffering from endometriosis.

Case 5

The treatment is recommended for women who have been unsuccessful in previous attempts at artificial insemination.

Case 6

Receiving oocytes as a couple or using the ROPA method is recommended for women who are at risk of transmitting genetic or chromosomal abnormalities to their offspring.

WHAT OUR PATIENTS SAY

ROPA Method: patient reviews from IVF-Life

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Privacy Policy

Privacy Policy 

IVF-LIFE, hereby informs you of its privacy policy applied to personal data. The use of the website does not imply that the user must provide any information regarding their identity, and cannot be associated with a specific user by the company. In the event that personal data is provided, this data will be collected and used in accordance with the limitations and rights set out in the aforementioned regulation.  

 WHO IS RESPONSIBLE FOR THE PROCESSING OF YOUR DATA?  

DATA CONTROLLER: IVF SPAIN ALICANTE S.L.U (hereinafter IVF-Life) 

CIF: B-54973227 

Postal Address: Avenida de Ansaldo, no. 13, 03540, Alicante (Alicante) 

Contact with the Data Protection Officer: dpo@ivf-life-group.com 

DATA CONTROLLER: Instituto Vasco de Fertilidad (hereinafter IVF-Life) 

CIF: B95575874 

Postal Address: Avenida de Tolosa, 71-73, 20018 Donostia / San Sebastián (Spain) 

Contact with the Data Protection Officer: dpo@ivf-life-group.com 

DATA CONTROLLER: IVF Spain Madrid (hereinafter IVF-Life) 

CIF: B 85138113 

Postal Address: C/ de Manuel de Falla, 6-8, 28036 Madrid (Spain) 

Contact with the Data Protection Officer: dpo@ivf-life-group.com  

WHAT TYPE OF DATA DO WE PROCESS?  

Depending on the products, services, or functionalities that you wish to enjoy, we may need to process different types of data. In general, this data will be, depending on the case, the following:  

 - Your identification data: for example: name, surname, language, country from which you interact with us, contact details, etc.  

- Connection, geolocation and navigation data.  

 - Commercial information if you are subscribed to our newsletter.  

- Data about your tastes and preferences.  

WHAT IS THE ORIGIN OF THE DATA?  

The use of certain services or requests addressed to IVF-LIFE are subject to the prior completion of the corresponding form. All the information provided by the User through the forms on the Portal for the above purposes or any other must be truthful.  

To this end, the User guarantees the authenticity of all the data provided and will keep the information provided to IVF-LIFE perfectly up to date so that it corresponds at all times to the User's real situation. In any case, the User will be solely responsible for any false or inaccurate statements made and for any damage caused to IVF-LIFE or third parties because of the information provided.  

By clicking on the "send" button on the corresponding form, the User expressly consents to his/her data being used to send professional communications about his/her query by e-mail or by any other means.  

However, the User may revoke the consent given and oppose the sending of such communications in each of the communications received or by sending them to the address indicated in this legal notice and enabled for this purpose. Likewise, in each of the communications sent, the procedure for opposing the sending of new professional communications shall be expressly indicated.  

Users who provide personal data of other natural persons are obliged to comply, in relation to said data, with all obligations deriving from the data protection regulations in force, and in particular the duty to inform and obtain the consent of the owner of the personal data.  

When we request your personal data to provide access to certain website functionalities, we will mark the required fields to ensure the service can be delivered. 

Please note that if you choose not to provide us with this data, you may not be able to complete your registration as a user or you may not be able to enjoy those services or functionalities.  

For the processing of data, IVF-LIFE adopts the security levels required by current European and national legislation on the Protection of Personal Data. Notwithstanding the above, technical security in a medium such as the Internet is not impregnable and there may be leaks due to the malicious actions of third parties.  

Our services are aimed at people of legal age, in the event that some of our services are specifically aimed at minors, IVF-LIFE will request the consent of parents or guardians for the collection of personal data or, where appropriate, for the automated processing of data as set out in current legislation. If the User is a minor, they are required to have the prior consent of their parents or guardians before proceeding to the inclusion of their personal data in the forms on the Website.  

Initially, your personal data are provided directly by you, but in certain cases they may originate from centres, referring doctors and public health systems with which there is collaboration.  

FOR WHAT PURPOSES DO WE PROCESS YOUR PERSONAL DATA?  

Depending on how you interact with our website, we will process your personal data for the following purposes:  

To deal with requests or requests that you make through the different means incorporated into our website. 

We only process the personal data that is strictly necessary to manage or resolve your request or application.  

For marketing purposes

 To the extent that you subscribe to our newsletter, your personal data will be used for the periodic sending of company newsletters.  

You should remember that you can unsubscribe from the newsletter, at any time and free of charge, by contacting us via the e-mail address of the data controller or by following the instructions that we will provide you with in each of our communications.  

For the management of social networks 

If you follow us or contact us through the different social networks in which we are present, we will process the data that you provide to us through these for the sole purpose of responding to your messages or comments and managing our contact list.  

Usability and quality analysis to improve our services (cookies). 

If you access our platform, we inform you that we will process your browsing data for analytical and statistical purposes, i.e. to understand how users interact with our platform and thus be able to make improvements to it. Likewise, we sometimes carry out quality actions and surveys aimed at finding out the degree of satisfaction of our customers and users and detecting those areas in which we can improve.  

WHAT IS THE LEGAL BASIS FOR PROCESSING YOUR DATA?  

The legal basis that allows us to process your personal data also depends on the purpose for which we process them, so we will find different legal bases under the following purposes:  

Attention to requests for information. 

The legal basis for the processing of your data is the informed consent to respond to queries raised through the website, forms and other means provided, which implies the prior reading and acceptance of these conditions by the interested party.  

Marketing

The legitimate basis for processing your data for marketing purposes is the consent you provide.  

Social networking 

The basis of legitimacy is the informed consent to respond to queries raised through the social network, as well as the time when you follow us and want to be part of our contact list.  

Usability and quality analysis (cookies) 

User consent to the use of cookies.  

HOW LONG WILL WE KEEP YOUR DATA?  

Request for information. We will process your data for as long as it is necessary to deal with your request or request and thereafter 1 year.  

Marketing 

We will process your data until you unsubscribe or cancel your subscription to the newsletter.  

Social media 

We will process your data for as long as it is necessary to deal with your request and for as long as you are a follower of our profile.  

WILL WE SHARE YOUR DATA WITH THIRD PARTIES?  

 Personal data will not be transferred or communicated to third parties, except: legal obligation, we obtain your express consent, or we understand that there is a legitimate interest on our part, which will be duly communicated to you.  

 However, we inform you that we are present in the following social networks: Facebook, LinkedIn, Instagram and YouTube, to keep our followers informed regarding the company's news and services.  

 You can access these social networks voluntarily and through the links available on the website itself or by accessing directly and on your own from your browser or installed app.  

You should know that this website is not responsible for the use of the data that these social networks may make. However, when these data are generated in the social network and derive from an interaction with our website, we will not be held responsible for the use of such data.  

In order to consent to our transfer from this website and the processing of your data, you should carefully read the privacy policy of the social network you wish to access:  

Facebook: Facebook Privacy Policy

Instagram: Instagram Privacy Policy

LinkedIn: Linkedin Privacy Policy

YouTube: Youtube Privacy Policy

Spotify: Spotify Privacy Policy

 

In this way, before clicking on the logos of the SS. RR. present on our website, you can inform yourself and make a redirection with prior knowledge of the processing of your data and on a voluntary basis.  

Other technological services:  

- WhatsApp: WhatsApp Privacy Policy  

 - Companies of the "IVF LIFE Group" on the legal basis of consent or legitimate interest: Instituto Vasco de Fertilidad S.L.U., with NIF B95575874 and address at Avda Tolosa, 71-73 Donostia (Gipuzkoa), and IVF Spain Madrid S.L., with NIF B85138113 and address at Calle Manuel de Falla, 6-8, 28036 Madrid.  

WHAT ARE YOUR RIGHTS WHEN YOU PROVIDE US WITH YOUR DATA? 

 We undertake to respect the confidentiality of your personal data and to guarantee you the exercise of your rights.  

 You may exercise them free of charge by sending us an e-mail to our address above, simply by providing proof of identity, the reason for your request and the right you wish to exercise.  

 If we consider it necessary in order to identify you, we may ask you for a copy of a document proving your identity. In particular, regardless of the purpose or the legal basis on which we process your data, you have the right to:  

Ask us for access to the data we hold about you.  

Ask us to rectify the data we already hold about you. Please note that by actively providing us with your personal information in any way, you warrant that it is true and accurate and you undertake to notify us of any changes or modifications to it.  

Ask us to delete your data to the extent that they are no longer necessary for the purpose for which we need to process them as we have previously informed you, or to the extent that we no longer have the legitimacy to do so.  

Ask us to restrict the processing of your data, which means that in certain cases you may ask us to temporarily stop processing the data or to keep it longer than necessary when you may need it. If you have given us your consent to process your data for any purpose, you also have the right to withdraw your consent at any time.  

To receive the personal data concerning you that you have provided to us in a structured, commonly used and machine-readable form and to transfer it to another data controller.  

Moreover, where the processing of your data is based on our legitimate interest, you also have the right to object to the processing of your data.  

Finally, we inform you of your right to lodge a complaint with the relevant data protection supervisory authority, with the Spanish Data Protection Agency.  

CHANGES TO THE PRIVACY POLICY

We may change the information contained in this Privacy Policy from time to time. If we do so, we will notify you by various means through the Platform, or we will notify you at your email address when the change in question is significant to your privacy, so that you can review the changes, assess them and, where appropriate, object to or unsubscribe from any service or functionality.  

INFORMATION ABOUT COOKIES  

We use cookies and similar devices to facilitate your navigation on the Platform, to know how you interact with us and, in certain cases, to be able to show you advertising based on your browsing habits. Please read our Cookie Policy to learn more about the cookies and similar devices we use, their purpose and other information of interest. 

Processing of your personal data

IVF-LIFE will process your personal data to respond to requests made and to schedule an initial online appointment. You can exercise your rights of access, rectification, deletion, and portability of your data, as well as limitation and opposition to their processing, if applicable, at the email address dpo@ivf-life-group.com.

We recommend that you read the privacy policy before providing us with your personal data.

Dr. Manuel Izquierdo con paciente de IVF-Life