Republic - November 26, 2010
New Observatory data on reproductive tourism, as at July 2010: Italy, 65% will move to benefit from the donation of eggs or sperm, is prohibited by Law 40. The preferred destinations are Spain and Switzerland, but increased travel to the czech Republic. Experts: "Until we change the rules to be most affected will always be those who have more fertility problems
ROME - They are the 2700 Italian couples who go abroad each year to have groped for a child with the heterologous fertilization. A forced exodus before the prohibition of Act 40 which prohibits this technique in Italy Medically Assisted Procreation (MAP) implemented through the donation of sperm or ova from a person outside the couple. The Observatory on procreative tourism, with the investigation "procreative Migration" presented in Bologna, has updated the numbers of those moving across the border to benefit.
"The paradox - says Andrea Borini, President of the - that the couple is forced to cross national boundaries following una speranza sono proprio quelle con maggiori problemi di fertilità, cioè sterilità totale o parziale grave, per le quali il ricorso alle tecniche di procreazione medicalmente assistita omologhe non è sufficiente. Pazienti per cui l'unica speranza di avere un figlio è rappresentata dalla fecondazione eterologa, ovvero il ricorso a spermatozoi o ovociti di donatori esterni alla coppia. E il rammarico è dato dal fatto che molte strutture italiane potrebbero garantire sicurezza e qualità anche per questi trattamenti, ma purtroppo non sono ammessi dalla Legge 40".
Il divieto di ricorrere alla donazione di un seme o di un ovulo è l'unico paletto rimasto in piedi della legge che regola la riproduzione medicalmente assisted. In 2009, the Constitutional Court rejected the roof of a three embryos, the compulsory nature of the one and two contemporary system of embryos and the prohibition of cryopreservation.
Although the meshes of the law are wider, there are still many problems to solve. "In the absence of willingness to change the law 40 of the Parliament - said the lawyer Maria Paola Costantini, who follows many couples who challenged the law - or fled abroad or are seeking a solution by the appeals before the Italian courts to require the courts to raise the issue of the constitutionality of the article which prohibits the heterologous. To date, more than 10 appeals were lodged in various Italian cities.
numbers. A study published last March in Human Reproduction 3 analyzed the scope of the 'European procreative tourism "and estimated that the total number of" border crossing ", more than 31% (ie 3.500/4.500 pairs) is represented by the Italians. "Crossing numbers of Human Reproduction with those collected by - said Andrea Borini - it can be said that two out of three Italian couples go abroad because they have to resort to artificial insemination heterologous. And then having to go elsewhere to continue at least until the Italian law does not recognize in these patients the right to access to these techniques.
Research. To get to quantify the phenomenon, the analysis took into account the Centre's most popular tourist destinations procreative from June 2009 to July 2010: 36 centers abroad, a significant number of structures among those most frequented by Italian patients. These are centers in Austria, Belgium, Denmark, Great Britain, Greece, Czech Republic, Spain, United States, Sweden, Switzerland. Each facility was requested information concerning the presence of Italians between the patients and the average number of Italian patients (per year) in heterologous fertilization treatment.
The study revealed that Spain is a favorite of the Italians: in the 9 centers contacted were more than 1,400 Italian couples being treated for heterologous fertilization. Weighs heavily in these centers the ability of health workers, and not only to speak Italian. The couple "counted" in Spain mainly seek ovum donation.
The second goal for the Italians is Switzerland, where the four main clinics around 700 people reported contact Italians. Here the law only allows the donation of seed and married couples, but it affects the neighborhood. The Czech Republic is becoming an increasingly sought after: the four main centers of the country receiving more than 250 Italian couples a year. Affect the costs reduced, the presence of staff who speaks Italian and a law that allows the donation of both male and female gametes, and also that of embryos. About 150 Italians go hand in Denmark where the law allows the donation of sperm and egg cells to both married couples and those cohabiting, but not that of embryos. Same legislation in Sweden, where there are more than ten pairs per year.
In Austria, about 70 Italian couples per year (mostly from North-East) are to benefit from the donation of seed in the five main centers of PMA (not allowed that of female gametes). Phenomenon has the same size in Belgium in three main clinical practice heterologous fertilization, while almost half (thirty pairs, mainly from South Italy) moves up in Greece where the law allows married couples or partners to access the donation of sperm, oocytes and embryos.
observatory study finally proves that there is also a quota of Italians (with higher disposable income and good command of English) that chooses the United States: the center of New York included in the study has a score of couples each year. As for costs, finally, they range from € 3 thousand average 6/8mila Ukraine to Spain, while the most expensive country for the Italians and the UK.
Adele Sarno
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