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Wednesday, July 23, 2008

Reproductive Tourism

Introduction : Gaining popularity in leaps and bounds is Reproductive tourism, which is the practice of cross-border health care that specializes at in-vitro fertilization(IVF) and other assisted reproductive technology treatments. The primary reason being cited at for this burgeoning trend in the tourism sector has been attributed to moral policing at its ostensible heights and, or medical infrastructure and expertise at its woeful depths. More and more couples are travelling abroad for fertility treatments which are banned in their own countries. An IVF specialist, for instance, complains that he must send British patients to a Spanish clinic for commercial egg donation and to the US for pre-implantation genetic diagnosis, because both practices are banned in the UK. Women are travelling to the Ukraine, Greece, Russia or India for cheaper treatment and to find egg donors. Even within the European Union, a legal patchwork of fertility legislation allows couples to shop for a country which allows the treatment they need. The legal system in the EU has instituted several curbs in the fertility treatment. It is illegal to use IVF for sex selection in the UK and to use surrogate mothers in France and Spain. In Spain, commercial egg donation is legal, while donation from someone related is not. In Denmark, it is illegal to receive an egg from someone unrelated. A recent article in the Washington Post has highlighted the story of a Virginia couple who after $70,000 worth of unsuccessful fertility treatments, have resorted to 'reproductive tourism' for one last shot at pregnancy. What motivates tourists to travel thousands of miles in search of treatments that they cannot obtain in their own country is the illusion of having children and thence, an enriched life. Internet and international communications allows them to have a fluent communication with the doctor before and after the trip. In countries like Sweden, England and the Netherlands, new legislation against anonymous donors has been enacted, resulting in endless waiting lists due to fewer donors.

Destinations : Among destination spots, Argentina, is receiving more and more patients from the United States and Europe. In certain countries such as Germany, Italy, Mexico and Chile ovule donation is expressly prohibited by law. Therefore, there are more and more couples looking for destinations such as Argentina, where the cost of the treatment can be one third of the price that they would have to pay in first-world countries. However, in this issue so related to illusions and personal realization, price is not the only thing that matters. When patients were asked about the reasons for choosing Argentina, they mentioned the warm treatment and comfort they received, in addition to the quality of the operations and availability of state-of-the-art technology. Argentina has had an experience of over 20 years in the field of Assisted Reproduction, which has generated well-trained and qualified professionals who perform each of the available techniques worldwide, achieving success indexes in line with international scores. The first-choice treatment for most of the patients who have traveled to this country is ovule donation. Due to their European physical features, Argentinean voluntary donors are quite requested. Pregnancy rates are about 50% for each attempt, taking utmost care in avoiding the fearful complication of a multiple pregnancy (more than two babies). Therefore, there are increasingly higher possibilities for a woman who receives embryos with donated ovules to come back home pregnant.

US citizens are crowding in to Israel and NewZeeland where fertility treatment is being effectively promoted. Several British couples keen to have children have been travelling to India for fertility treatment. In what is called "reproductive tourism" in India, the couples—many of them of Asian origin—find arranging for surrogate mothers in India far cheaper than the thousands of pounds they spend on fertility treatment in Britain.

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