Fertility forced abroad as NHS cuts back on IVF treatment

Nicosia looks nice. The clinic website shows pictures of boats bobbing on blue-green Cypriot waters. Spain feels more familiar, but the Ukraine is cheaper. Or what about Mexico, where you can choose whether to have a boy or a girl?
The fertility business is global and booming. As the NHS cuts back on free treatment for the childless, lumping IVF with tattoo removal as an act of kindness rather than treatment for a disease, the competitive prices of private clinics overseas compared with their UK rivals will look ever more tempting. This weekend a number of them will be touting for business at the Fertility Show, now in its second year, at London's Olympia.

Their websites are in English, their blandishments are soothing and the success rates they advertise are eye-popping to those unversed in the complexities of such data. You can get an instant email quote (in sterling) – I was offered IVF using donor eggs (difficult to obtain in the UK) in Kiev for £5,277, in Nicosia for £3,945 (including six days in a hotel and airport transfer) and in Mexico for £4,316 – or £5,091 if I wanted to choose the sex of my child. The UK has some of the best and safest IVF clinics in the world. It is the home of the pioneers – Bob Edwards, responsible for the world's first IVF baby, Louise Brown, recently won a Nobel prize, putting reproductive medicine firmly in the category of humane treatments that have advanced us as a species. But the government's yearning towards the free market and its dislike of red tape are threatening the quango which keeps standards high and clinics safe. The Human Fertilisation and Embryology Authority (HFEA), this week celebrating the 20th anniversary of the Act that set it up, is down for abolition. Its various roles are to be picked apart and handed to other bodies.

These are rocky times for the unhappy childless. North Yorkshire and York, Bury, South West Essex and West Kent have already cut back or suspended NHS fertility treatment. IVF, in a cash-strapped health service, is one of the first things to go. Funders know that desperate people will do it anyway. Houses will be re-mortgaged.

"Couples know they can't wait for the recession to be over," says Clare Lewis-Jones, chief executive of Infertility Network. "There won't be as much NHS IVF, but patients will find the money at least for one cycle. They have had to in the past and they will do it again."

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I couldn't be a mother.... until I went to Spain

As more and more hopeful parents are forced abroad to seek donor eggs, Victoria Macdonald recalls the agony and joy of her IVF quest
In a coffee shop the other day, a woman came over to tell me, at some length, just how cute my baby daughter is. Of course, I was hardly likely to disagree, but after a while the woman straightened up, looked long and hard at me and said: “So, does she take after her father, then?”

Later that week I was telling a friend just how determined Gabriella was becoming. My friend laughed and said: “Well, we know who she gets that from.”

There was an awkward pause. Because Gabriella does not get that from me. And, yes, she does look a lot like her father and not one bit like me. She has brown hair with a hint of red, chubby little cheeks, a perky nose and elegant long fingers. I do not.

But then it is not surprising we are so different in appearance. Although I carried her through 36 weeks of pregnancy and gave birth this time last year, there is no genetic link between us at all since Gabriella was conceived after we travelled to Spain for a donated egg.

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What's driving UK fertility tourism? First study published

Expensive UK fertility treatment and long waiting times related to a shortage of egg and sperm donors are the major reasons people seek fertility treatment abroad, according to the first academic study into cross-border reproductive care.
Researchers from De Montfort University (DMU), in collaboration with the universities of Sheffield, Huddersfield and Swansea, interviewed 51 people. They found that 71 per cent of those interviewed went abroad to seek treatment using donor gametes. Out of those, 46 per cent of couples were having treatment using donor eggs, 12 per cent using donor sperm and 10 per cent using donor egg and sperm.

The high cost of treatment in the UK was cited as another reason couples seek treatment abroad; most IVF (in vitro fertilisation) is not funded by the NHS and can cost a minimum of £4,500. The participants were also interviewed about their experiences abroad. The majority of couples were very positive and reported high standards of care.

Lead researcher Professor Lorraine Culley from De Montfort University said the research has: 'helped to dispel some of the myths commonly associated with having fertility treatment abroad'.

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