Where do I go

for egg donation treatment

• Market in Europe.

• Patients and their preferences.

• Legislation.

Where do I go for egg donation

What we don’t know about egg donation...

What may influence the egg donation

market in the future?

Egg donation market

in Europe

EIM Consortium Report

Where do I go for egg donation

The European IVF Monitoring Consortium (EIM)for the European Society of Human Reproduction and Embryology (ESHRE)publishes every year in August:

ART in Europe Report: results generated from European registries by ESHREon Human Reproduction (Impact Factor 5.506).

Published by Oxford University Press.

Every report is approved by the Executive Committee of ESHRE.

Source: https://academic.oup.com/humrep/issue/33/10 accessed on 30/10/2019.

The most recent EIM Report comes from 2014 (published in 2018).

There was no additional report till 30/10/2019.

2015 - NO DATA2016 - NO DATA2017 - NO DATA2018 - NO DATA

We asked ESHRE

“We cannot publish the report because there are two countries that did not send us their reports: Slovakia (no national registry) and the UK, however, we are going to improve it next years.”

Source: https://academic.oup.com/humrep/article-pdf/33/9/1586/25591606/dey242.pdf accessed on 30/10/2019.

So, what we

know…

Egg donation market in Europe 2000-2014.EIM Reports: 2000, 2005, 2010, 2014.

Year Countries Clinics Cycles ED InhabitantsEgg Donation per

1 million inhabitants

2000 22 569 6,530 726,407,448 9

2005 30 923 11,475 729,007,469 16

2010 31 991 25,187 735,394,902 34

2014 39 1279 56,516 754,151,087 75

Where do I go for egg donation

Year IVF+ICSI Egg Donation IVF+ICSI (%) Egg Donation (%)

2000 226,937 6,530 97% 3%

2005 321,403 11,475 97% 3%

2010 398,765 25,187 94% 6%

2014 508,433 56,516 90% 10%

Treatment cycles structure in Europe 2000-2014.EIM Reports: 2000, 2005, 2010, 2014.

Where do I go for egg donation

ProcedureCAGR

(2000-2014)

IVF+ICSI 5.9%

IVF 1.0%

ICSI 9.6%

Egg Donation 16.7%

IVF cycles CAGR in Europe 2000-2014.EIM Reports: 2000, 2014.

Where do I go for egg donation

27 countries

reported egg donation

in 2014.

It does not include: the Czech Republic, Cyprus, Estonia, Russia, Ukraine and finally TRNC.

CountryEgg donation 2014

(total)Egg donation 2014

(total %)

Spain 30,576 54.1%

Czech Republic 4,868 8.6%

Greece 4,622 8.2%

Finland 687 1.2%

Cyprus 250 0.4%

Estonia 178 0.3%

TOTAL 41,181 73% Europen market

Countries with number of egg donation / 1M

inhabitants above European average.EIM Reports: 2014.

Where do I go for egg donation

7.825 egg donation cycles

(cross-border)

in 2014 according to EIM.

It does not include: the Czech Republic, Cyprus, Estonia, Russia, Ukraine and finally TRNC.

CountryCross-Border

Egg donation (cycles)Cross-Border

Egg donation (%)

Spain 27,086 76.3%

Czech Republic 4,075 11.5%

Greece 3,815 10.7%

Finland 274 0.8%

Cyprus 186 0.5%

Estonia 79 0.2%

6 countries performed 35,515 egg donation cycles for international patients.

Cross-border egg donation market in 2014.EIM Reports: 2014, own estimations.

Where do I go for egg donation

Egg donation Patients

and their preferences.

Where do I go for egg donation

Where do I go for egg donation

We asked 10,251

EggDonationFriends.com

users about their preferences

(before they chose the clinic).

Where do I go for egg donation

What we know

about

egg donation travellers?

Country Patients (%)

United Kingdom 33%

United States 9%

France 9%

Germany 6%

Australia 6%

Ireland 5%

Italy 4%

Scandinavia 5%

Canada 3%

Switzerland 2%

Others 19%

Country of residence.

Where do I go for egg donation

Country Av. Age

United Kingdom 42

United States 42

France 42

Germany 43

Australia 43

Ireland 42

Sandinavian 43

Italy 43

Canada 42

Switzerland 43

All 42

Age group ALL (%) UK (%)

18-29 2% 2%

30-39 24% 26%

40-49 63% 63%

50-55 9% 8%

56+ 2% 1%

Average age41 years 11 month 19 days

Where do I go for egg donation

Age profile.

CountryLesbian couples

Hetero couples

Single mother

United Kingdom 2% 87% 11%

United States 1% 89% 10%

France 3% 79% 18%

Germany 2% 82% 16%

Australia 0% 85% 15%

Ireland 1% 89% 11%

Sandinavian 1% 81% 18%

Italy 2% 87% 12%

Canada 1% 82% 17%

Switzerland 1% 79% 20%

All 2% 85% 13%

Relationship status.

Where do I go for egg donation

Single mother and lesbian couples - 15% and may increase in the future.

Country residenceHaven’t decided

yet

immediately

Within 1 month

Within 3 months

Within 6 months

Within one year

United Kingdom 6.2% 19.7% 16.8% 34.6% 17.6% 5.2%

France 10% 21% 20% 30% 15% 5%

Germany 6% 20% 15% 34% 18% 7%

United States 7% 16% 12% 36% 21% 8%

Ireland 4% 14% 12% 43% 23% 3%

Scandinavia 7% 18% 19% 34% 18% 3%

Australia 6% 10% 9% 35% 28% 12%

Italy 5% 24% 20% 37% 11% 2%

Switzerland 7% 34% 12% 39% 6% 1%

Canada 5% 13% 11% 35% 27% 8%

Other 8% 19% 20% 34% 13% 6%

ALL 6.7% 18.9% 16.5% 34.7% 17.5% 5.6%

ALL (cumulative) X 18.9% 35.4% 70.2% 87.7% 93.3%

Planned treatment start time.

Where do I go for egg donation

Decision takes longer according to distance (US, AU, CA).

Selection criteria ALL UK

Success rates 53% 63%

Treatment costs 26% 32%

Innovations 25% 27%

Doctor's experience 22% 22%

Customer Service & Communications 15% 19%

Quality proved by certificates 10% 10%

Clinic Location 7% 9%

Distance from home 4% 4%

Destination (country) 4% 4%

Friends / family recommendations 3% 3%

Where do I go for egg donation

Unfortunately, patients ask for success rates first.

Where do I go for egg donation

Clinic selection criteria.

Country Spain Czech Greece EstoniaNorth Cyprus

Poland UkraineDon’t know

yetOthers

United Kingdom 29% 10% 5% 0% 8% 2% 3% 35% 7%

United States 13% 13% 3% 1% 2% 4% 6% 40% 18%

France 19% 24% 6% 1% 5% 1% 7% 33% 3%

Germany 19% 22% 3% 1% 3% 9% 4% 33% 7%

Australia 15% 6% 12% 1% 4% 1% 2% 39% 20%

Ireland 28% 20% 1% 1% 3% 3% 4% 33% 5%

Italy 31% 10% 10% 0% 1% 2% 6% 26% 14%

Sweden 21% 5% 6% 5% 5% 4% 4% 37% 12%

Canada 16% 15% 8% 0% 5% 2% 5% 33% 18%

Switzerland 26% 12% 2% 0% 3% 4% 6% 37% 11%

Where do I go for egg donation

Spain, Czech Republic and Greece are the most popular choices.

Preferred European destination.

Legislation.

Where do I go for egg donation

Where do I go for egg donation

IVF treatment availability in popular destinations.

Legislation is not a piece of cake!

Patients do not realize that legislation is different in each country.

Where do I go for egg donation

55 pages,8 popular IVF destinations.

All you need to know about fertility treatment abroad, costs, the efficacy of IVF procedures, legislation regulating assisted reproduction.

Access to countries legislation in English is limited.

What may influence the egg

donation market in the future?

Where do I go for egg donation

❖ German government is considering to allow non-anonymous egg donation. Will

this stop the Germans from traveling?

❖ Spanish government is considering to allow non-anonymous egg donation.

Will this really happen? On the other hand, liberalization of oocyte recipient

age is under consideration.

❖ Italian Constitutional Court removed the prohibition on gamete donation in

Italy in April 2014. Has Italy joined the group of the most popular destinations

in Europe?

❖ Serbian government has adopted a new law regulating fertility treatment in

March 2017, however, there are still no specific regulations.

The future

Where do I go for egg donation

❖ Greek IVF market is growing very fast and has almost forgotten about the

crisis. Liberalization of oocyte recipient age is under consideration.

❖ Turkish government pushes Turkish Republic of North Cyprus to ban egg

donation. Will this really happen?

❖ Portugal ended the anonymous donation in May 2018. How it changed the

market?

❖ Poland has not changed the government after election in October 2019. Will

the Parliament change the ART law?

The future

Where do I go for egg donation

• There are 3 main destination for going abroad: Spain, Czech and Greece,

which covered more than 90% of international egg donation cycles (2014).

• Approximately 73% egg donation cycles in 2014 was performed abroad.

• The real number of cross-border egg donation treatments might be much higher

than shown in the EIM Report and reached even 35,515 (2014).

• The average number of egg donation cycles per 1 million European inhabitants

was 9 in 2000 and increased up to 75 in 2014.

• Egg donation CAGR is 16.7% (2000-2014).

• The number of egg donation travelers in Europe in 2020 may reach 142,537

(market value ~1 billion EUR).

Conclusions

Where do I go for egg donation

Thank you