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Question Time: What do the changes to the Biotechnology Act mean – for you?

In this Q&A session, fertility coach Mari Fevaag Heger answers submitted questions. She has prepared the Q&A session in collaboration with Medicus' own fertility specialists, which is also among Norway's most experienced.

NB: Updated information has been released since the Question Time recording in 2020. See comments under the questions.

How to easily find the questions that are relevant to you

To make it easy for you to find what you are most interested in, we have created an overview of all the questions that are answered.

The number behind the question shows when in the video the question appears., so you can fast forward to what interests you most.

1. When can you start the process towards assisted fertilization as a single person? Is there still any chance of having children with your own eggs with AMH 1.2 pmol? (08:25)

*Since the recording of the Q&A, we are well underway with assisted reproduction for singles. We have already started the process of helping many single women with their dream of having a child.

2. Is there anyone? upper age limit for assisted reproduction for singles? (10:34)

*The law sets an upper age limit of 46 years. This means that you cannot start treatment after you have reached the age of 46. We basically have an age limit of 43 years, but make individual assessments when you are 44–45 years old when it comes to starting new trials.

3. How much will it cost? cost of assisted reproduction for singles? How long will the wait be? How do you proceed, when you already have started the process abroad? Will it then just be possible to move it to Norway? Do I have to go through all the blood tests and gynecological tests again before I can possibly get the help I need here in Norway? (11:30)

*The price is basically the same as for couples. This means that a single attempt for insemination will cost 9.500,– and a single attempt with IVF treatment 35.500,– (prices as of January 2021). We also have package prices for this. Costs for donor and medicine are additional.

**We are continuously updating the financial guide with the services we offer.

4. Assisted fertilization for singles: Can one choose a donor in the same way as in Denmark, i.e. via a sperm bank? What is the advantage of choosing assisted fertilization privately in Norway vs. publicly vs. Denmark/abroad? In which cases do you not recommend insemination? (14:00)

*The procedure is similar to that of a sperm donor for couples. You can Read more about it here.

**Only the child himself or herself has the right to know who the donor is, when he or she turns 15. This assumes that the child knows that he or she was conceived with the help of donor sperm, and according to the Biotechnology Act (§2-7), the parents are obliged to inform about this as soon as it is advisable.

5. Do you want to get covered IVF treatment for singles if you perform it at a private clinic in Norway? What about public? What documentation is required, what must you obtain from your GP, if any? And are there any “rules” for a single person to do this alone? (17:31)
 
*Everyone who applies for assisted reproduction must present a childcare certificate from July 1, 2020.
 
6. How does it work egg freezing? How much does it cost, extraction and having them frozen? How long does the treatment take? (19:35)
 

7. Is there a upper age limit in the woman with regard to egg freezing and when it can be used? (21:35)

*As a starting point, you should be between 25-35 years old, but individual assessments are made. The egg must be fertilized and transferred before the age of 46. 

8. Do all eggs survive freezing? Would you like to ensure pregnancy by freezing your eggs? (23:40)

9. Will you be less fertile after freezing eggs? (24:20)

10. We were going to start treatment in Denmark and have already reserved a donor through that clinic, can we use the same donor if we choose treatment with you? (25:25)

11. What is the criteria for receiving egg donation? (26:21)

12. How quickly can you become an egg donor? Who should you contact to get permission to donate eggs? / How do I become an egg donor?? (27:25)

13. Do we know anything about Who can become an egg donor?? For example, could it be a donor from your own family, like a sister – or will the donor be from a common registry and anonymous? (28:50)

14. How to type compensation is obtained by donating eggs? Can anyone within a certain age and in good health donate eggs? (29:55)

15When will the practice of egg donation becomes available to women in Norway? (31:30)

16. Wondering if I can get eggs from my partner? Eggs that she has frozen. We are two women. (32:15)

*Lesbian couples can donate eggs to each other from January 1, 2021 if there is a medical reason for it. That is, if the woman who will carry the child has minimal or no chance of becoming pregnant with her own eggs.

17. Is it legal to egg donation for lesbians? That is to say double donation? And what about singles and heterosexual couples? (33:32)

*If the donated egg comes from a partner (partner donation), and there is a medical reason for it, egg donation is legal for lesbians. 

**The law states that one of the parties must have a biological connection to the child. Therefore, single and heterosexual couples cannot have both eggs and sperm donated.

18. How will the queue system work? which patient groups will be prioritized or how will prioritization take place? (36:03)

19. Will it be as strict? BMI requirements for egg donation, like IVF treatment with your own eggs? (37:20)

20. I wonder if this opens up embryo screening? So that one knows for sure whether they are viable or not? (38:15)

21. Can I as single and with fertility problems few treatment in public hospital now? Or do I buy a trial privately? (38:56)

22. Who should assess "suitability"?, is there a doctor at the clinic/hospital where the treatment will be carried out? (39:45)

23. How long can eggs be frozen?? If we have embryos frozen, how long can they be frozen? And if we have embryos frozen before the Biotechnology Act is changed, do the changes also apply to us? (41:25)

24. How long do I have to wait to seek help to get pregnant?? (42:30)

25. Can you sit on it? waiting list for egg donation already now? (43:54)

26. Can you choose between simple or extended donor profile? What's the difference? (44:30)

27. How can such treatment be carried out at your place if one lives in Northern Norway, when there is no fertility clinic here as of today? (47:20)

28. I want to get pregnant and am single and have a teenager from before whose father is African American. Can I get semen from someone who is dark-skinned so they will have the same color? (49:22)

29. When will NIPT test allowed for everyone? (50:15)

30. When do you get free early ultrasound? And from which week are we talking about? (50:55)

Note: As these legislative changes are very recent, we reserve the right to change them, and at the same time we inform you that we do not have all the answers about how the practice will be. We will continue to share information as things become clearer.

Mari Fevaag Heger

Fertility coach at Medicus
Mari has a professional background as a social worker, coach and several years of experience from child welfare and her own company. At Medicus she works with couples undergoing IVF treatment and has experience from the IVF process herself. After several failed attempts, she has had a total of three beautiful children – all from Medicus.