Être enceinte après 45 ans grâce au don d’ovocyte à l’étranger

Marchaudon, V.; Piccardino, O.; Dufour, P; Subtil, D.; Deruelle, Philippe

doi:10.1016/j.gyobfe.2007.05.025

Cited by 4 publications

(1 citation statement)

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“…For these patients, CBRC is principally motivated by the exceedingly restricted access to oocyte donation in France (long waiting lists due to the shortage of donors and to the very small number of French ART centres practising oocyte donation). In fact, it is possible that some of these patients had been (or would have been) refused by French ART centres, which apply more restrictive age-access conditions than the age limit of 43 years laid down by the national health system (Marchaudon et al , 2007). This aspect of French CBRC, motivated by the exceedingly restricted access to oocyte donation, is much less known than the law evasion issue and was poorly described in the European survey (Shenfield et al , 2010), probably because it only included a few self-selected centres in Spain and none in Greece.…”

Section: Discussionmentioning

confidence: 99%

Cross-border reproductive care among French patients: experiences in Greece, Spain and Belgium

Gomez¹,

Rochebrochard²

2013

Human Reproduction

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STUDY QUESTIONWhat are the characteristics, motivation and experience of French patients seeking cross-border reproductive care (CBRC)?SUMMARY ANSWERFrench patients seeking CBRC are same-sex couples, single women who are not eligible for assisted reproduction technologies (ARTs) in France and heterosexual couples seeking oocyte donation due to extremely limited access to this technique in France, while their choice of Greece as a destination is influenced by financial issues.WHAT IS KNOWN ALREADYCBRC is a new, increasing, complex and poorly understood phenomenon. A few studies have investigated UK, German or Italian CBRC patients, but none have specifically investigated French patients although France is one of the top four countries of origin of CBRC patients in Europe.STUDY DESIGN, SIZE, DURATIONA cross-sectional study was carried out in 2010–2012 in three ART centres in Greece, Belgium and Spain in order to investigate French patients treated in these centres. Recruitment was prospective in Greece and Belgium and retrospective in Spain. The overall response rate was 68%, with 128 French patients participating.PARTICIPANTS/MATERIALS, SETTING, METHODSFrench patients filled in a questionnaire. Information was collected on their socio-economic characteristics and their search for ART treatment in France and in other countries.MAIN RESULTS AND THE ROLE OF CHANCEIn the Belgian centre, 89% of French patients used sperm donation whereas oocyte donation was used by 100% of patients in the Greek centre and 74% of patients in the Spanish centre. The majority (94%) of French patients using sperm donation in Belgium were not legally eligible for access to ART in France as they were same-sex couples or single women, and the main criterion of choice of centre was its geographical proximity (71%). Most of the French patients using oocyte donation in Greece and Spain fulfilled criteria for fully reimbursed oocyte donation treatment in France as they were heterosexual couples (99%) with the woman aged <43 years (65%). For these couples, CBRC was motivated by the extremely limited access to oocyte donation in France. Half of French CBRC patients using oocyte donation in Spain had a low/intermediate occupational level (such as primary school teachers, nurses, administrative officers or sales agents, workers and employees) and this proportion was much higher in Greece (82%, P < 0.01).LIMITATIONS, REASONS FOR CAUTIONLarger and more wide-ranging studies are needed as this study included only 128 patients who may not be representative of all French CBRC patients, especially because the study was carried out only in three ART centres and these too may not be representative.WIDER IMPLICATIONS OF THE FINDINGSCBRC among French patients had been thought to reflect mainly law evasion. This study showed that the reality is much more complex and that CBRC among French patients reflects both law evasion and limited access to oocyte donation in France. It also brings new insight into the characteristics of the patients by suggesting a certain ...

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Section: Discussionmentioning

confidence: 99%