{"id":12193,"date":"2021-12-18T04:05:47","date_gmt":"2021-12-18T02:05:47","guid":{"rendered":"https:\/\/miir.gr\/met-empodion-stin-ee-i-prosvasi-stin-ypovoithoymeni-anaparagogi-gia-tis-omofylofiles-gynaikes\/"},"modified":"2024-03-16T15:06:56","modified_gmt":"2024-03-16T13:06:56","slug":"assisted-repro","status":"publish","type":"post","link":"https:\/\/miir.gr\/en\/assisted-repro\/","title":{"rendered":"More than half of European countries prohibit access to assisted reproduction for lesbians and almost a third do so for single women"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_header title=&#8221;More than half of European countries prohibit access to assisted reproduction for lesbians and almost a third do so for single women&#8221; image_orientation=&#8221;bottom&#8221; title_last_edited=&#8221;off|phone&#8221; content_tablet=&#8221;<\/p>\n<p>The situation is much more difficult for trans and intersex people. In addition to the legal barriers, they face economic stumbling blocks: most public health systems cover only part of the costs or have very long wait lists or narrow access criteria.<\/p>\n<\/p>\n<p><span style=%22font-weight: 400;%22>Eva Belmonte, Mar\u00eda \u00c1lvarez del Vayo, \u00c1ngela Bernardo, Carmen Torrecillas, Antonio Hern\u00e1ndez, Lucas Laursen<\/span><\/p>\n<p>&#8221; content_phone=&#8221;<\/p>\n<p>The situation is much more difficult for trans and intersex people. In addition to the legal barriers, they face economic stumbling blocks: most public health systems cover only part of the costs or have very long wait lists or narrow access criteria.<\/p>\n<\/p>\n<p><span style=%22font-weight: 400;%22>Eva Belmonte, Mar\u00eda \u00c1lvarez del Vayo, \u00c1ngela Bernardo, Carmen Torrecillas, Antonio Hern\u00e1ndez, Lucas Laursen<\/span><\/p>\n<p>&#8221; content_last_edited=&#8221;on|phone&#8221; admin_label=&#8221;Fullwidth Header&#8221; _builder_version=&#8221;4.19.2&#8243; title_line_height=&#8221;1.2em&#8221; content_font=&#8221;||||||||&#8221; content_text_align=&#8221;center&#8221; content_font_size=&#8221;18px&#8221; content_line_height=&#8221;1.2em&#8221; subhead_font=&#8221;|300|||||||&#8221; background_color_gradient_direction=&#8221;312deg&#8221; background_color_gradient_stops=&#8221;#2b87da 1%|rgba(255,160,171,0.31) 64%&#8221; background_color_gradient_start_position=&#8221;92%&#8221; background_color_gradient_end=&#8221;rgba(255,160,171,0.31)&#8221; 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content_font_phone=&#8221;|600|||||||&#8221; content_font_last_edited=&#8221;on|phone&#8221; content_text_align_tablet=&#8221;center&#8221; content_text_align_phone=&#8221;center&#8221; content_text_align_last_edited=&#8221;on|desktop&#8221; content_font_size_tablet=&#8221;&#8221; content_font_size_phone=&#8221;18px&#8221; content_font_size_last_edited=&#8221;on|phone&#8221; content_line_height_tablet=&#8221;&#8221; content_line_height_phone=&#8221;1.1em&#8221; content_line_height_last_edited=&#8221;on|phone&#8221; z_index_tablet=&#8221;0&#8243; background_layout_tablet=&#8221;&#8221; background_layout_phone=&#8221;&#8221; background_layout_last_edited=&#8221;on|phone&#8221; overflow-y_tablet=&#8221;&#8221; overflow-y_phone=&#8221;visible&#8221; overflow-y_last_edited=&#8221;on|phone&#8221; title_text_shadow_style=&#8221;preset1&#8243; title_text_shadow_blur_strength=&#8221;0.14em&#8221; title_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; title_text_shadow_vertical_length_tablet=&#8221;0px&#8221; 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content_quote_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; content_quote_text_shadow_vertical_length_tablet=&#8221;0px&#8221; content_quote_text_shadow_blur_strength_tablet=&#8221;1px&#8221; button_one_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; button_one_text_shadow_vertical_length_tablet=&#8221;0px&#8221; button_one_text_shadow_blur_strength_tablet=&#8221;1px&#8221; button_two_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; button_two_text_shadow_vertical_length_tablet=&#8221;0px&#8221; button_two_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; box_shadow_horizontal_image_tablet=&#8221;0px&#8221; box_shadow_vertical_image_tablet=&#8221;0px&#8221; box_shadow_blur_image_tablet=&#8221;40px&#8221; box_shadow_spread_image_tablet=&#8221;0px&#8221; box_shadow_horizontal_button_one_tablet=&#8221;0px&#8221; box_shadow_vertical_button_one_tablet=&#8221;0px&#8221; box_shadow_blur_button_one_tablet=&#8221;40px&#8221; box_shadow_spread_button_one_tablet=&#8221;0px&#8221; box_shadow_horizontal_button_two_tablet=&#8221;0px&#8221; box_shadow_vertical_button_two_tablet=&#8221;0px&#8221; box_shadow_blur_button_two_tablet=&#8221;40px&#8221; box_shadow_spread_button_two_tablet=&#8221;0px&#8221; text_shadow_horizontal_length_tablet=&#8221;0px&#8221; text_shadow_vertical_length_tablet=&#8221;0px&#8221; text_shadow_blur_strength_tablet=&#8221;1px&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>The situation is much more difficult for trans and intersex people. In addition to the legal barriers, they face economic stumbling blocks: most public health systems cover only part of the costs or have very long wait lists or narrow access criteria.<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Eva Belmonte, Mar\u00eda \u00c1lvarez del Vayo, \u00c1ngela Bernardo, Carmen Torrecillas, Antonio Hern\u00e1ndez, Lucas Laursen<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-weight: 400;\">11\/12\/2021<\/span><\/p>\n<p>[\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;3_5,2_5&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Heterosexual couples in Europe can undergo assisted reproductive treatment, either through their national health services or by paying out of pocket. It\u2019s legal. In just a few places national services hit the brakes if the couple needs donated eggs or embryos.<\/p>\n<p>Things are harder for\u00a0<strong>female-female couples or single women<\/strong>, and even more so for\u00a0<strong>trans or intersex people<\/strong>. A lot harder. Even in countries where you might think there would be no discrimination. In fact, it wasn\u2019t until June of this year that\u00a0<strong>France<\/strong>\u00a0<a href=\"https:\/\/www.dw.com\/en\/france-legalizes-ivf-for-single-women-lesbian-couples\/a-58101438\" target=\"_blank\" rel=\"noopener noreferrer\">allowed access<\/a>\u00a0to assisted reproductive technology (ART) for these groups.\u00a0<strong>Norway<\/strong>\u00a0gave\u00a0<a href=\"https:\/\/lovdata.no\/dokument\/LTI\/lov\/2020-06-19-78\" target=\"_blank\" rel=\"noopener noreferrer\">single women access in 2020<\/a>, just a short time ago.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;                            &#8221; admin_label=&#8221;Blurb&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;2px|2px|2px|2px|false|false&#8221; border_width_all=&#8221;3px&#8221; border_color_all=&#8221;#428aca&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p style=\"text-align: center;\"><strong>Artificial insemination<\/strong>, or intrauterine, is a technique based on the introduction of semen in the uterus through a cannula.\u00a0<strong>In vitro fertilisation<\/strong>, on the other hand, is a technique that consists in extracting the egg and introducing the spermatozoon in it outside the uterus, in a laboratory. And then reintroducing the embryo back in the uterus.<\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Of the 43 countries analysed for this investigation,\u00a0<strong>12 do not allow single women to access\u00a0<em>in vitro<\/em>\u00a0fertilisation<\/strong>. Even more countries,\u00a0<strong>16, also prevent single women from getting assisted insemination<\/strong>. The list of countries that prevent single women from getting a donated egg is even longer.<\/p>\n<p>The situation is worse for\u00a0<strong>female couples: 24 countries ban their access to ART outright<\/strong>. For the LGTBIQ+ community, having children via ART is not an easy path in Europe. \u201cThe places where it\u2019s most difficult for LGTBIQ+ people to get a job or to be out or to get married or to undergo legal gender recognition are also the places where it\u2019s most difficult to have access to assisted reproductive technologies,\u201d says Cianan Russell, from\u00a0<a href=\"https:\/\/www.ilga-europe.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">ILGA Europe<\/a>, a federation of European lesbian, gay, bisexual, trans and intersex rights groups. They say\u00a0<strong>Hungary and Poland<\/strong>\u00a0are the countries where the situation is the worst, but the problem is widespread in Europe. Even where people can obtain reproductive assistance legally on paper, reality sometimes brings \u201cdiscrimination, harassment or even violence\u201d to the process, Russell says. Those who are\u00a0<strong>suffering the most problems are trans and intersex people<\/strong>, they add.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_code admin_label=&#8221;Fullwidth Code&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div id=\"access-ART-trans\"><!-- [et_pb_line_break_holder] --> <iframe loading=\"lazy\" height=565 data-layout=\"fixed-height\" scrolling=\"no\"<!-- [et_pb_line_break_holder] -->   src=&#8221;https:\/\/graphs.civio.es\/medicamentalia\/access-ART-trans?lang=en&#8221; vspace=&#8221;0&#8243; width=&#8221;100%&#8221; frameborder=&#8221;0&#8243;><\/iframe><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><\/p>\n<style><!-- [et_pb_line_break_holder] --> @media all and (min-width: 459px) {<!-- [et_pb_line_break_holder] -->   #access-ART-trans { position: relative; overflow: hidden; padding-top: 580px; }<!-- [et_pb_line_break_holder] -->   #access-ART-trans>iframe { position: absolute; top: 0; left: 0; width: 100%; height: 100%; }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --><\/style>\n<p>[\/et_pb_fullwidth_code][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>People facing these forms of discrimination grapple with difficult alternatives. In the case of the LGTBIQ+ collective, says Russell, there are three. The first is\u00a0<strong>misrepresenting one\u2019s identity<\/strong>, such as female couples who lie by saying that just one of them is seeking treatment as a single woman, if that is allowed, or non-binary people or trans men who say they are women. The second alternative is\u00a0<strong>crossing borders to seek access in another country<\/strong>. The third is\u00a0<strong>conceiving with friends or trusted people<\/strong>\u00a0even if they are not attracted to them.<\/p>\n<p>Although this is not common, it is a path that many people who want to have children\u00a0<strong>may take if the barriers seem otherwise insurmountable<\/strong>. In the case of single women, Izaskun Gamen, spokesperson for the association Single Mothers By Choice (MSPE), says that, during her years-long process to try to have children,\u00a0<strong>some people suggested that she get pregnant by a stranger<\/strong>\u00a0after a one-night stand and not tell the father. That seems unthinkable to her, she says: \u201cHow do you explain that to your child later? How do you explain that he or she was born of a deception?\u201d<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3 id=\"older-and-older-mothers\">Older and older mothers<\/h3>\n<p>The only legal barrier for heterosexual couples, in most cases,\u00a0<strong>is age<\/strong>. The women seeking ART are getting older. In the last decade, the\u00a0<strong>average age of mothers at the birth of their first child<\/strong>\u00a0, whether natural or assisted,\u00a0<strong>has increased in most of Europe<\/strong>. In\u00a0<strong>Spain and Ireland<\/strong>\u00a0the average age was over 32 years old in 2019.<\/p>\n<p>[\/et_pb_text][et_pb_code admin_label=&#8221;Code&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div id=\"art-age-women-birth\"><!-- [et_pb_line_break_holder] --> <iframe loading=\"lazy\" height=720 data-layout=\"fixed-height\" scrolling=\"no\"<!-- [et_pb_line_break_holder] -->   src=&#8221;https:\/\/graphs.civio.es\/medicamentalia\/art-age-women-birth\/index.html?lang=en&#8221; vspace=&#8221;0&#8243; width=&#8221;100%&#8221;<!-- [et_pb_line_break_holder] -->   frameborder=&#8221;0&#8243;><\/iframe><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><\/p>\n<style><!-- [et_pb_line_break_holder] --> @media all and (min-width: 400px) {<!-- [et_pb_line_break_holder] -->   #art-age-women-birth { position: relative; overflow: hidden; padding-top: 700px; max-width: 320px; margin: 0 auto;}<!-- [et_pb_line_break_holder] -->   #art-age-women-birth>iframe { position: absolute; top: 0; left: 0; width: 100%; height: 100%; }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --><\/style>\n<p>[\/et_pb_code][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>That\u2019s average, which means that many women access ART later, when,\u00a0<strong>because of their age, conceiving naturally becomes more difficult<\/strong>. Most countries put the legal ceiling for assisted reproduction around\u00a0<strong>50 years<\/strong>. This is the maximum age in Greece, for example, but in response to COVID-19 pandemic-related treatment delays the government extended the age to 52 years until June 30, 2023.<\/p>\n<p>Juana Crespo, director of an eponymous fertility clinic in Spain specialised in difficult cases, says the main problem for her patients is old age: \u201cWe get old and, when our reproductive system becomes old, the whole orchestra is old.\u201d She calls this a \u201cnew disease\u201d: \u201c<strong>The history of delayed motherhood is unwritten<\/strong>.\u201d<\/p>\n<p>Although women\u2019s ages are a common source of reproductive difficulties, Carlos Calhaz-Jorge, a fertility doctor and researcher at the Universidade de Lisboa in Portugal and president of the European Society of Human Reproduction and Embryology (<a href=\"https:\/\/www.eshre.eu\/\" target=\"_blank\" rel=\"noopener noreferrer\">ESHRE<\/a>), says that\u00a0<strong>half of the problems of couples who seek ART are from the male partner<\/strong>.<\/p>\n<p>Yet age\u00a0<strong>is not a factor of legal exclusion for men<\/strong>\u00a0and, in general, there are no limits in European countries. Only three of the 43 countries have maximums: France, 59 years; Finland, 60 years; and Switzerland, 56 years, although in these last two cases they are recommendations, not legal prohibitions. In fact, in Switzerland the recommendation is that\u00a0<strong>the father can be alive until the child turns 18<\/strong>, a more sociological than medical recommendation.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code admin_label=&#8221;\u039a\u03ce\u03b4\u03b9\u03ba\u03b1\u03c2&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div id=\"access-ART-europe\"><!-- [et_pb_line_break_holder] --> <iframe loading=\"lazy\" height=6600 data-layout=\"fixed-height\" scrolling=\"no\"<!-- [et_pb_line_break_holder] -->   src=&#8221;https:\/\/graphs.civio.es\/medicamentalia\/access-ART-europe\/?lang=en&#8221; vspace=&#8221;0&#8243; width=&#8221;100%&#8221;<!-- [et_pb_line_break_holder] -->   frameborder=&#8221;0&#8243;><\/iframe><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><\/p>\n<style><!-- [et_pb_line_break_holder] --> @media all and (min-width: 650px) {<!-- [et_pb_line_break_holder] -->   #access-ART-europe { position: relative; overflow: hidden; padding-top: 5300px; }<!-- [et_pb_line_break_holder] -->   #access-ART-europe>iframe { position: absolute; top: 0; left: 0; width: 100%; height: 100%; }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --><\/style>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3 id=\"the-most-common-obstacle-lack-of-financial-resources\">The most common obstacle: lack of financial resources<\/h3>\n<p>Once the legal obstacles are overcome, the economic ones rear their heads. According to Calhaz-Jorge, \u201cthe problem for most of the population is the\u00a0<strong>lack of public funding<\/strong>. Even in countries where heterosexual couples are allowed to have ART it depends a lot on the public financial support.\u201d Another discrimination, to add to the previous ones, is the economic one:\u00a0<strong>not all countries cover these techniques<\/strong>\u00a0(six do not cover it at all), and those who do\u00a0<strong>sometimes only pay part of it, or the waiting lists are years-long<\/strong>, in a matter in which every delay works against you.<\/p>\n<p>For example, in Switzerland and Poland, only insemination is funded, not\u00a0<em>in vitro<\/em>\u00a0fertilisation, which is much more expensive. In Greece, the public healthcare system only covers very specific cases, such as people living in faraway islands.<\/p>\n<p>In fact, there are\u00a0<strong>gaping differences<\/strong>\u00a0between European countries. There are even differences between regions of the same country, such as in\u00a0<strong>the United Kingdom, Italy and Spain<\/strong>. In Spain, for example, single women can access artificial insemination in Navarra, but not\u00a0<em>in vitro<\/em>\u00a0fertilisation, even if they have medical problems that prevent them from becoming pregnant through insemination. Spain\u2019s other regions do permit that.\u00a0<strong>Germany<\/strong>, meanwhile,\u00a0<strong>does not cover\u00a0<em>in vitro<\/em>\u00a0fertilisation for lesbians and single women<\/strong>.<\/p>\n<p><strong>Age limits<\/strong>, already an important legal barrier for those seeking private ART access,\u00a0<strong>are lower for people seeking ART through national health services<\/strong>. Once again, in the case of heterosexual couples, very few countries put a ceiling on the age of men. Portugal sets it at 60 years and Austria, 49. For women there are limits: from\u00a0<strong>38 in Latvia<\/strong>\u00a0to\u00a0<strong>46 in Italy<\/strong>\u00a0or 48 in Malta, to the most common figure in Europe,\u00a0<strong>40<\/strong>.<\/p>\n<p>In other countries, publicly funded assisted reproduction has additional barriers, such as\u00a0<strong>not exceeding a certain weight<\/strong>\u00a0(in Serbia, Romania and some Spanish regions) or\u00a0<strong>not having previous children<\/strong>, as in Denmark, Malta, Portugal, Romania, Spain, Sweden and Turkey.<\/p>\n<p>Another of the most common limits is to cover only\u00a0<strong>a maximum number of attempts<\/strong>. Few countries are clear on insemination, or do not establish limits, although if they do, it is usually six or three cycles. Countries are clearer about\u00a0<em>in vitro<\/em>\u00a0fertilisation: almost all limit the number of funded attempts.\u00a0<strong>Belgium, Slovenia and Italy fund six attempts<\/strong>.\u00a0<strong>15 other countries fund three attempts<\/strong>. Romania, Moldova, and Kazakhstan fund\u00a0<strong>only one<\/strong>. There, either you get pregnant the first time, or if you want to keep trying you have to pay for it out of pocket.<\/p>\n<p>Irene Cuevas, director of the embryology laboratory of the public General Hospital of Valencia (Spain), says that after a certain number of attempts the probability of success drops a lot. \u201cWe have very limited resources and we have to try to optimise them in some way. It is a very logical number,\u201d she argues.<\/p>\n<p>Then there are the\u00a0<strong>copays<\/strong>, which mean that access is not free in practice. The most common are those for medicines, and they are significant. Each round of hormonal treatment for\u00a0<em>in vitro<\/em>\u00a0fertilisation in Spain, for example,\u00a0<strong><a href=\"https:\/\/www.reproduccionasistida.org\/prices-medication-assisted-reproduction\/\" target=\"_blank\" rel=\"noopener noreferrer\">can cost more than a thousand euros<\/a><\/strong>.<\/p>\n<p>There are also the\u00a0<strong>long waiting lists<\/strong>. Cuevas calls them, \u201cthe fundamental problem.\u201d Long waits are also common, for example, in\u00a0<strong>Hungary<\/strong>. At one point Hungary did not permit sperm donors that were not Hungarian. Even after they removed that obstacle, things did not improve, Sandor says. Last summer, Hungary\u00a0<strong>nationalised all fertility clinics<\/strong>. \u201cEveryone knows that this means that they\u2019re going to be five- to 10-years-long waiting lists for those who don\u2019t have any money,\u201d S\u00e1ndor says.<\/p>\n<p>Calhaz-Jorge says this is not only a problem of rights: \u201cI\u2019d like to have more support in my country, Portugal, because there are too-long waiting lists and as in the rest of Europe.\u00a0<strong>Our fertility is declining<\/strong>. More support could help slow the decline. We have an intention of providing reproductive assistance to up to 5% of all babies born in Portugal. This is realistic but for that\u00a0<strong>we need more money<\/strong>.\u201d<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div id=\"art-babys-birth\"><!-- [et_pb_line_break_holder] --> <iframe loading=\"lazy\" height=565 data-layout=\"fixed-height\" scrolling=\"no\"<!-- [et_pb_line_break_holder] -->   src=&#8221;https:\/\/graphs.civio.es\/medicamentalia\/art-babys-birth?lang=en&#8221; vspace=&#8221;0&#8243; width=&#8221;100%&#8221;<!-- [et_pb_line_break_holder] -->   frameborder=&#8221;0&#8243;><\/iframe><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><\/p>\n<style><!-- [et_pb_line_break_holder] --> @media all and (min-width: 459px) {<!-- [et_pb_line_break_holder] -->   #access-ART-trans { position: relative; overflow: hidden; padding-top: 580px; }<!-- [et_pb_line_break_holder] -->   #access-ART-trans>iframe { position: absolute; top: 0; left: 0; width: 100%; height: 100%; }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --><\/style>\n<p>[\/et_pb_code][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><strong>Spain<\/strong>\u00a0is the country in Europe, together with Greece, in which\u00a0<strong>more children are born thanks to assisted reproduction procedures<\/strong>, reaching 7.9% of the total number of children born in 2017 (last year with comparable data, but in 2019 this number\u00a0<a href=\"https:\/\/www.registrosef.com\/public\/docs\/sef2019_IAFIVm.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">grown to 9,5%<\/a>). In\u00a0<strong>Italy, the UK, and Portugal<\/strong>, the rate is around 3%.<\/p>\n<p>Faced with all these difficulties, is a\u00a0<strong>common European regulation<\/strong>\u00a0possible that guarantees equal access for all? Russell, the LGBTIQ+ spokesperson, says that would be difficult. European countries, not the EU, have jurisdiction over this matter, so the only alternative when it comes to defending LGTBIQ+ rights are\u00a0<strong>the courts<\/strong>.<\/p>\n<p>Calhaz-Jorge, chairman of the ESHRE, says: \u201cI\u2019m convinced that it is not possible to have similar rules. If in one country it is not legal to treat single women, which kind of regulation will they have if going abroad?\u00a0<strong>The political views and the cultural sensitivities are very different<\/strong>.\u201d Indeed.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_cta _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1>Support us<\/h1>\n<p style=\"text-align: center;\">\u2014<\/p>\n<p style=\"text-align: center;\">For Independent investigative journalism, material resources and time are much needed.<br \/>We do not accept ads, so help us continue our work.<\/p>\n<p style=\"text-align: center;\">IBAN: GR08 0140 1040 1040 0200 2028 234 (Alpha Bank)<\/p>\n<p>[\/et_pb_cta][et_pb_button button_url=&#8221;https:\/\/www.paypal.com\/signin?forceLogin=false&#038;returnUri=https%3A%2F%2Fwww.paypal.com%2Fdonate&#038;state=%252F%253Ftoken%253DN9zqblSOy_EUHJbFR3Ojr4DFFGnRuNr6pf6WDwaEvw9TTtkZIl7G7yhSb8IRxyYtCWOoc0%2526fromUL%253Dtrue&#038;intent=donate&#038;ctxId=78cff814a59a41dba97b577ac32bd553&#8243; button_text=&#8221;Donate&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;20px&#8221; button_text_color=&#8221;#ffffff&#8221; button_bg_color=&#8221;#FF3D53&#8243; button_border_radius=&#8221;-2px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The situation is much more difficult for trans and intersex people. In addition to the legal barriers, they face economic stumbling blocks: most public health systems cover only part of the costs or have very long wait lists or narrow access criteria. &nbsp; Eva Belmonte, Mar\u00eda \u00c1lvarez del Vayo, \u00c1ngela Bernardo, Carmen Torrecillas, Antonio Hern\u00e1ndez, [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":12056,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[142,72],"tags":[201,202,203,204,205,206,199,193,109],"class_list":["post-12193","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-network","category-investigations","tag-lgbtq-2","tag-gay-rights-2","tag-lesbian-2","tag-assisted-reproduction-2","tag-edjnet-3","tag-ee-2","tag-lesbian","tag-dimosiografia-dedomenon-2","tag-edjnet-2"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - 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