Measures should hinder access to the procedure and decrease the success rate; among the new rules is the limit of eight embryos generated in the laboratory in the process
The desire to be a mother made Daiana Gomes take an intense routine of consultations and exams for years. The dream almost came true in 23017, but little Olivia, the result of a in vitro fertilization, did not resist after a premature birth. Despite the difficulties, Daiana does not intend to give up. We went through a grieving process and decided to start over, start over, actually go back to where we left off. Today, we are in the middle of the treatment, we decided to interrupt it a bit because of the pandemic, the situation. We know the seriousness of Covid-19 for pregnant women, so we decided to wait a little before transferring the embryos and now we are in the middle of the treatment”, she says. From now on, however, it may be that many trying, the affectionate name given to women who undergo treatment to become pregnant, will find difficulties. That’s because the Federal Council of Medicine (CFM) changed the assisted reproduction rules in Brazil. A published ordinance limited the number of embryos that can be generated in the laboratory in the process to eight. Another change is the need for a legal guarantee to dispose of frozen embryos, which was not required.
The points have raised concerns among doctors and patients. Daiana, who is one of the creators of the Instagram page “FIV Depression”, even created a petition that already has more than six thousand signatures asking for the revision of the new norms. For the specialist in assisted reproduction, Cláudia Padilha, part of the measures should make access to the procedure difficult, reduce the success rate and increase costs, which are already high. “We know that the success of in vitro fertilization is associated with the number of embryos formed. The more embryos a woman forms, the more opportunities she will have for a future pregnancy and unfortunately not always placing an embryo results in pregnancy. This can reduce the effectiveness of the treatment when we limit the number of eggs to be fertilized and the formation of embryos in the laboratory.”
The president of the Brazilian Society for Assisted Reproduction, Hitomi Miura Nakagawa, recognizes, however, that there are positive changes in the new resolution. “The resolution in its general context is very welcome, there have been many advances. For example, it was much more inclusive in the sense that for donors, for example, the age limit was 35 years old and it became 37 years old. That it was as much to transfer two embryos up to 35 years as 37 years, the success statistic would be similar. With this determination, we know that there is a reduction in the risk of multiple pregnancies, triplets, for example. So these are advances that we have to consider”, he pointed out. According to the National Health Surveillance Agency (Anvisa), currently Brazil has 183 assisted reproduction centers, the majority in the private network. A survey by Anvisa shows that in 2019, 44,000 in vitro fertilization cycles were carried out in the country.
*With information from the reporter Letícia Santini