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.
TREATMENTS
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 and egg collection. The eggs will then be fertilised using donor sperm, and the resulting embryo will be transferred to the partner who will carry the pregnancy.
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.
PROCEDURE
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 appropriately to the prescribed medication. Thanks to the medication, the patient's follicles grow progressively until they reach the optimal size for egg collection.
When the follicles are of optimal size,egg collection (follicular aspiration) is scheduled and performed under vaginal ultrasound guidance. The procedure 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 her normal daily activities.
During this process, the sperm with the highest fertilisation potential are selected.
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, highly experienced professionals.
The success of IVF is largely dependent on the laboratory. That is why we closely monitor embryo culture in the IVF-Life laboratory. We have technology that allows us to continuously monitor embryo development 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 about the development of their embryos and the steps to be taken during their treatment.
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 patient's uterus. It is performed under ultrasound guidance.
The medical team, together with the patient, will decide how many embryos will be transferred and, where applicable, how many will be thawed on the day of the embryo transfer. 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 helps to reduce the risks associated with multiple pregnancy.
Approximately twelve days after the embryo transfer, a blood test will be performed to measure beta-hCG levels and determine whether pregnancy has occurred.
After confirming the pregnancy with the beta-hCG test, an ultrasound scan will be performed to check that the pregnancy is progressing as expected.
The embryos are vitrified so that they can be used in a subsequent cycle without the need for repeated ovarian stimulation and egg collection.
FIND ANSWERS TO YOUR QUESTIONS
The decision about who will provide the eggs and who will carry the pregnancy is up to the couple, although the medical team's assessment should also be taken into account.
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.
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 personalised medical evaluation. Our team of experts will analyse 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 cost estimate for the ROPA method so that you have all the information before making a decision.
The process can take between 1 and 2 months, depending on the case. This includes ovarian stimulation of the egg-providing partner, egg collection, fertilisation in the laboratory, embryo transfer to the gestational partner, and the waiting period to learn the result.
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 gynaecological evaluation to ensure there are no conditions that could interfere with ovarian stimulation or egg collection.
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.
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
WHAT OUR PATIENTS SAY