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 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.
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 adequately to the prescribed medication. Thanks to the medication, the patient's follicles grow progressively until they reach the optimal size for puncture.
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.
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, 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.
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.
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.
After confirming the pregnancy with the beta-hCG test, an ultrasound scan will be performed to check that the pregnancy is progressing correctly.
The embryos are vitrified so that they can be used in a subsequent cycle without the need for repeated ovarian stimulation and follicular puncture.
FIND ANSWERS TO YOUR QUESTIONS
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.
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 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.
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.
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.
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.
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.
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