What are the different stages in the process of medically assisted procreation?

Medically assisted procreation is intended to respond to a parental project. All couples (one man and one woman, two women or unmarried women) have access to medically assisted procreation, following individual interviews with members of the multidisciplinary clinical-biological medical team.

Stage 1: Medical assessment: this is compulsory. The woman or couple meet one or more doctors, and sometimes a psychologist or psychiatrist and/or a social worker. There are several stages involved:

• Verification of the motivation of both members of the couple or of the unmarried woman.

• Full information on techniques, the possibility of success or failure, side-effects, short- and long-term health risks, the different stages of the procedure and their timeframes, alternatives and the possibility of natural conception, support methods, the risk of incidents as in any medical procedure (malfunctions, technical problems at the laboratory, etc.), the AMP-vigilance system, the existence of user associations. In the case of medically assisted procreation with a third-party donor, inform both members of the couple or the unmarried woman of the procedures for access to non-identifying data and to the identity of the third-party donor by the adult resulting from the donation.

• Prior assessment: - Objectives: - to identify and assess the causes of any infertility ;
  - assess the risks to the physical and mental health of the persons concerned, and in the interest of the unborn child;
  - assess the chances of success and the risks of failure;
  - assess the benefit-risk balance of PGM treatment for the persons concerned
  - evaluate the most appropriate technique

  • Procedure: - Consultations with one or more doctors

    • Complementary examinations to determine how the ovaries, uterus and fallopian tubes are functioning (ultrasound, blood test, fallopian tube examination using hysterosalpingography, for example).

    • For men: sperm analysis

    • For all, a blood test to check for infections

    • And other tests as required

• Step 2: Obtaining consent to carry out the MPA, 1 month after the medical assessment has been carried out.

• Stage 3: Decision by the clinical-biological team to carry out (or not to carry out) MPA, and choice of treatment strategy, in consultation with the patient.

• Stage 4: Organization of the MPA attempt

• Step 5: Carrying out the MPA attempt

• Step 6: Follow-up after the MPA attempt