The new bioethics law voted in June 2021 changes the legal framework for medically assisted procreation (MAP) or medically assisted procreation (MAP).
What techniques are authorized in France?
Different assisted reproduction techniques are authorized in France:‘artificial insemination, the in vitro fertilization (IVF) , the gamete donation (sperm, oocytes), the frozen embryo transfer, the egg freezing.
The use of a double gamete donation during a single assisted reproduction attempt is permitted by the new law.
On the other hand, it is forbidden to use a surrogate mother.
The new law provides for the end of anonymity for gamete donors. A child born of anonymous donations will be able to access non-identifying data of the donor (age, physical characteristics, etc.) or his identity when he comes of age, if he wishes. All donors must now authorize the communication of this data before proceeding with the donation (source 1).
PMA becomes accessible to all women
The revision of the bioethics law authorizes theopening of the assisted reproduction to couples of women and to those who are single. This measure received the favorable opinion of the National Consultative Ethics Committee in 2018, but it was not unanimous and took more than two years to complete with a particularly chaotic parliamentary course.
Until then, the law in force (that of August 6, 2004, amended in 2011) provided that only a man and a woman in a couple could benefit from a technique against infertility if this infertility has been medically proven.
With this new law of June 2021 the medical criterion of infertility disappears. And assisted reproduction is reimbursed for female couples and single women who wish to use it (source 1).
An evolution of the recognition of parentage
The new law also provides for securing the filiation of the children of a couple of women, born by PMA. “Regarding the woman who has given birth, her filiation link will be established in the birth certificate, as is the case for heterosexual couples”, specifies the text. As for the spouse, she can formalize her family relationship via a joint recognition performed during pregnancy at a notary.
In principle, you are entitled to go to the center of your choice. However, the additional costs generated by the distance remain at your expense. As for choosing the best … it is always difficult to establish a clear ranking, even if the Biomedicine Agency published in 2018 the delivery rates of the 100 French centers specializing in infertility (source 2). It is therefore best to choose a center that is geographically close to your home. Another important concept: the confidence that we can have in the medical team.
To find a center, rgo to the website of the Biomedicine Agency dedicated to the AMP.
Medically assisted procreation: how much does it cost? is this reimbursed?
The rreimbursement by the health insurance of the PMA is now open to everyone: heterosexual couples, homosexuals and single women.
If the law does not define age limit to benefit from a medically assisted reproduction, Social Security only covers these techniques until the woman’s 43rd birthday, then you have to pay out of pocket. The age criteria allowing reimbursement have not changed with the law passed in June 2021.
What to remember: after prior agreement, Social Security reimburses six artificial inseminations, four in vitro fertilizations for the women under 43.
There is no need to advance the costs. The doctor just has to sign the request for exemption from the user fee to be sent to his health insurance fund. If there are fees overruns, talk to the organizations (Social Security and Mutual) and to the doctor.
What are the chances of a successful MPA?
Each case is specific. The chances of success of an AMP are therefore closely linked to you, your spouse, your desires, your respective states of health and ages.
The Biomedicine Agency has estimated that one in seven couples see a doctor at least once for suspected infertility. And among them, one in ten has received treatment to remedy it.
The success rates remain low: 10% to 12% chance of a pregnancy set in motion after an insemination process and 20% to 23% after IVF.
Should you stop working during treatment?
It is not necessary to stop working during infertility treatment, which can last from six months to a year. Staying alone at home could increase stress and tension. For the management of his schedule, it is possible to benefit fromleave of absence for medical acts. Try to choose a quiet period at the professional level to limit stress.
Know that the ovarian stimulation is the most restrictive step because it involves many appointments (which can sometimes be changed at the last moment) and daily injections (women often do them themselves in the evening at home). The doctor may also issue certificates of attendance without disclosing the reason to your employer.
It is important not to sacrifice your couple to follow-up of infertility treatments. If you feel that everything is going badly, do not hesitate to take breaks and resume a little later, of course everything depends on your age.
It is essential to talk about stress, anguish with his / her spouse. You can get help through sessions with a psychologist or psychiatrist. There is one in each assisted reproduction center. Also find out about your chances of success. They will help to see more clearly and especially to overcome setbacks.