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The HSE has released details of a scheme to fund IVF

The HSE has released details of the scheme, which will fund IVF for people who meet certain eligibility criteria. The scheme came into effect from September. Budget 2023, released in September 2022, allocated 10 million euros for free infertility treatments, but it took until today to confirm the specifics of the plan.

This will be the first time Ireland has publicly funded assisted human reproduction (AHR) treatments. Funding for IVF is limited to one cycle, although no renewal period is offered, meaning that the current criteria are a "first step" and that the scheme is likely to be expanded further in the future to give the greatest possible opportunity for IVF to the greatest number of people based on the resources available in the country now, and that it will eventually become a publicly provided service. 

The HSE center, Ireland's first national centre, is opening in Cork next year and is set to carry out 500 IVF cycles. But as the HSE waits years to build that level of capacity, what it does now is use private providers as well. By offering a cycle to start now, we can give that opportunity to as many couples as possible. Minister Donnelly said.


In-Vitro Fertilization IVF ?

A great way to fulfill your desire to have a child in the family is in-vitro fertilization. In vitro fertilization (IVF) is a technique in which fertilization takes place outside the human body. In this technique, a man's sperm and a woman's egg unite to create an embryo(s) in a laboratory. Often, women take stimulant drugs to produce several eggs before they are fertilized with sperm. After fertilization and development into an embryo, it is implanted in the woman's uterus to establish a successful pregnancy. The IVF process is highly successful and the most commonly used "Assisted Reproductive Technology (ART)" among people with fertility problems.

You will know what the scheme covers and who is eligible for assistance. What does IVF scheme involve?

The scheme covers fertility treatments such as in-vitro fertilization (IVF), intrauterine insemination (IUI) and intracytoplasmic sperm injection (ICSI). Funding for IVF or ICSI is available for an entire cycle to eligible couples. For IUI, this scheme consists of up to three treatment cycles. It will work with government-funded private clinics to provide treatments.

A number of strict eligibility criteria have been set for the fertility scheme:

  • Individuals must reside in the Republic of Ireland and be referred through their GP to a regional fertility hub
  • eligible couples must have no living children from their existing relationship, at least one partner in the relationship must have no living child
  • individuals must have either had no previous treatment or a maximum of one previous IVF cycle where all embryos created have been used
  • neither partner can have had voluntary sterilisation
  • a self-declaration form to assess the welfare of future children must be completed
  • there cannot be more than two intending parents as a result of the treatment
  • the couple must have been in a relationship for at least one year
  • the intending birth mother should be a maximum age of 40 years plus 364 days at the time of referral to the regional fertility hub
  • the maximum referring age for males is 59 years plus 364 days
  • the intending birth mother must have a BMI within the range of 18.5 kg/m2 to 30.0 kg/m2

Involves couples or individuals using donated sperm or eggs?

Anyone using donated sperm or eggs, including heterosexual couples, same-sex couples and single women, will not be included in the program immediately in September, but will be in the future as the program expands. The Department of Health stated that "as complex regulatory and clinical issues related to the treatment of certain categories of AHR need to be resolved, public funding of a number of specific services is being structured and phased in". Therefore, treatment using donated gametes (sperm and eggs) for heterosexual, same-sex couples or single female patients will not be available in September. This treatment will be available as soon as possible.

How can one access the scheme?

To begin the process, patients must obtain a referral from their GP to their local regional fertility hub. Self-referrals to the Hub are not enabled.

Why the age limit?

The expert group's rationale for age is that as a woman moves from about her mid-30s to her 40s, the odds of success drop significantly. Those under the age of 35 have a one in three chance of winning from a cycle. As age moves from 35 to 39, it drops from one in three to one in five. By the time you get from 40 to 42, that drops to less than one in 10. Above 44, it drops to one in 50,

More information is available in the official statement of the Department of Health on its website.

https://www.gov.ie/en/press-release/c2e96-minister-for-health-announces-full-funding-for-assisted-human-reproduction-treatment-from-september/#

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