In relation to the implementation of our surrogacy code
This code will be implemented and communicated in accordance with the instructions
The Management undertakes to monitor compliance with this code and will resolve the
consequences that may imply the violation of the same.
Finally, it will establish deadlines and procedures for control, review and update
of the code.
The code of ethics and deontology also controls professional standards and
ethical when performing Assisted Reproductive Technology (ART) treatments and
Surrogacy Gestation (GS).
The Code is used as a reference point for all fertility centers
of whom we work with in an effort to seek and guarantee the highest standard of
practice for all personnel involved in clinical activities, as well as in
Ethical / Moral Medical Dilemmas.
The Code of Ethics is based on the four main principles that exist in the
First, do no harm (primum non nocere): the safety and health of
patients is the most important value in medicine. Health professionals
they should always ensure that no harm is caused to patients.
b. Beneficence: Health professionals must always act in their best
interest of the patient, doing everything in their power to improve the
health situation of patients and their quality of life. They are expected to choose
most suitable and beneficial methods for treatment.
c. Autonomy: patients must have the full right to make a free decision and
independent when considering medical treatment. The consent for the
treatment will be sought solely on the basis of clear and balanced information
provided by doctors.
d. Justice: all patients should be treated equally and have access
similar to medical advice, diagnosis and treatment.
and. Frequent scientific and technological advances in the field of medicine
fertility constantly poses new ethical dilemmas. The Code of Ethics will be
a dynamic document that will require continuous development as they emerge
The Key Principles provide a clear statement of good standards
doctors who support the provision of care within the Centers of
INVESTMEDICAL fertility. These key standards serve as a means of
communication for staff, patients, donors, conceived persons
by the donors and the public with which the Fertility Centers of
to. We will treat potential and current patients and donors fairly, and
We will not illegally discriminate against you.
b. We will have due respect for privacy, confidentiality, dignity,
the comfort and well-being of patients and donors.
c. We will have due respect for the special status of the embryo when performing
clinical and laboratory procedures.
d. We will take due account of the welfare of any child born as
result of the treatment provided by INVESTMEDICAL clinics.
and. We will provide current and potential donors and patients with information
sufficient, accessible and up-to-date so that they can make decisions
F. We will ensure that patients and donors have provided all
the relevant consents before carrying out any activity
g. We will carry out all activities with the appropriate skill and attention and in
an appropriate environment, in accordance with good clinical practice, to
ensure optimal results and minimal risk to patients, donors and
h. We will ensure that all facilities, equipment, processes and
procedures used in carrying out authorized activities are safe,
safe and fit for purpose.
i. We will ensure that all personnel engaged in authorized activity are
competent and recruited in sufficient numbers to ensure clinical practice
and safe laboratory.
j. We will keep correct and accurate records and information on all
clinical and laboratory activities.
k. We will keep records of all adverse incidents (including events
adverse reactions and reactions) and we will investigate all complaints in a
appropriate and we will share the lessons learned throughout the organization.
l. We will ensure that all authorized investigations conducted comply with
with appropriate ethical standards, and are only carried out when there is a
clear scientific justification.
m. We will conduct all activities with due consideration of the frameworks
regulators governing treatment and research with gametes or embryos
within the particular country where the services are provided.
The next section explores a number of specific situations encountered in the
provision of fertility services that raise ethical issues of concern
for professional staff and service users. A
brief background overview, highlighting key issues and establishing a
policy for practice related to the Key Principles (above).
1. The moral state of the pre-implantation embryo
The embryo prior to implantation is a symbol of human life. This status
special treatment of the embryo will be properly respected when performing
Assisted Reproductive Technology, reflecting a responsible attitude towards the
child that will be born as a result of these treatments. The preimplantation embryo
cannot reach its potential to become a fetus and potentially a child
unless it is transferred to the uterus. Therefore, the attitude towards the previous
and post-implantation should be classified according to its potential to lead to
development of a human being
2. The handling of cryopreserved embryos and the fate of the
After one IVF cycle, 1-2 of the previously created embryos are transferred
to the patient's uterus, while the remaining good-quality embryos are
cryopreserve. In some cases, when patients have not expressed their wishes
about the fate of their embryos and cannot be contacted, surplus
Cryopreserved embryos are stored, causing problems in the clinic of
fertility due to high maintenance costs.
Cryopreserved preimplanted embryos represent the first stage of life
human, its main use will be for the original couple, but the
option to donate to another couple or to investigate.
to. In all the INVESTMEDICAL Fertility centers, an agreement is signed with the
parents expected before the start of treatment on the destination of the embryos
supernumerary cryopreserves; this includes a request to keep them for the
partner, including the obligation to cover costs, and consent to
donate them to another couple or for research. Within the contract / consent
For storage, it is imperative that patients commit to informing
the clinic for any changes in contact details. Consent must
refer to the problem of handling the embryos if couples are
b. Pre-implantation embryos can be offered for donation only
after proper medical evaluation of the donor couple and after the
counseling and consent of both partners.
When a woman cannot use her own oocytes for IVF,
we can use donor oocytes. Young and fertile women are willing to
donate their oocytes. Donors are generally awarded compensation for
cover your efforts. Short-term medical risks (due to hormones
used for ovarian hyperstimulation, anesthesia and the procedure
surgical) and potential unknown long-term health outcomes may
be associated with the oocyte donation process.
to. All oocyte donors and recipients will be informed about possible
legal, medical and emotional issues involved in donating
b. An egg donor may receive compensation to reasonably cover
any financial loss incurred in connection with the donation.
c. Donors should be offered the option to enter the donation program
egg cells as an identifiable or anonymous donor, but are encouraged to remain
identifiable in the interests of the resulting child or children.
d. Donors will be informed that they no longer have dispositional control over their
oocytes once they have been retrieved, and they have no legal or
Resulting duties to raise children.
and. Donors will be informed that they will be screened for
infectious diseases and other health-related risk factors, which
will be provided with the test results, and recommended to more
counseling or medical attention if necessary after the evaluation. 6. INVES
MEDICAL has the duty to provide written information on the form and the
moment of conception, both to the recipient and to other professionals of the
involved in your care if requested.
4. Gender selection prior to conception for medical reasons
After natural conception, the probability that a child is of a gender in
particular is approximately 50%. People may want to choose the sex
of your baby for medical or non-medical reasons:
• Medical reasons: avoid or reduce the risk of inheriting genetic diseases
known to affect children of a specific sex or diseases that show a
Unequal sexual incidence.
• Non-medical reasons: social or economic reasons for preferring a child of one
specific sex over the other, "sex balance" when there are only children or
predominantly of one sex.
to. Sex selection must be allowed if the risks to sexual activity are to be avoided.
offspring's health, including reducing the chances that a child will become
be affected by a disorder with unequal sexual incidence.
b. Gender selection for non-medical reasons is not accepted. It is also not accepted
when it can be applied as an additional selection in the context of
PGD / PGS Preimplantation Genetic Diagnosis procedures medically
5. Fertility treatments when the prognosis is useless or very
Patients may reach a point where their chances of achieving a
live births are very low or non-existent. Some of these patients have
difficulties stopping treatment These situations can generate
conflicts of interest between physicians and their patients. While the
patients will try anything to have a child and may wish to take
autonomous decisions regarding medical treatments, physicians have
professional interests in minimizing the harm and avoiding the frustration (and
provide virtually useless treatments.
6. The well-being of the child in medically assisted reproduction
Fertility treatments treat or prevent medical problems that may be
interfering with the ability to have children. The fertility specialists
usually focus on the medical aspects of the situation, but sometimes they
face patients who do not appear to be well adapted to provide care
safe and suitable for children. Concerns about parenting ability
children and the possibility of causing significant harm to a future child are
to. Those seeking treatment have the right to a fair evaluation. Will be held in
the wishes of all involved are taken into account and the assessment will be
conducted in a non-
b. Services may be withheld based on well-founded judgments of
the inability of the patient to provide minimally adequate or safe care
for the offspring. The assessment of the patient's inability to care for a
child or the possibility of causing harm to a child must be done jointly between
the different professionals of the team, always including an opinion
Independent. The psychological evaluation must be complemented in some cases
by social assistance professionals.
c. People with disabilities should not be denied fertility services
solely because of your disability.
7. Medically assisted reproduction in single, lesbian couples
and gays and transsexuals
Medically assisted reproduction is offered primarily to couples
heterosexual (whether they are married or in a stable relationship). Without
However, there are more and more requests from single people and people with other
sexual partners, including gay (lesbian) female partners, male partners
homosexuals (homosexuals) and, more recently, men and women
Reproduction is a basic element of people's autonomy
regardless of your sexual orientation. Medically assisted reproduction in
The situations described above is morally good in many cases. There is no
a good reason to rule out access a priori in these situations.
Health is not only defined by medical facts but also by conventions and
social justifications. Medically assisted reproduction in these cases is
you can see in this broader sense.
to. INVESTMEDICAL fertility clinics will always consider frames
legal in the countries where they operate, while fulfilling their mission of helping
who wish to procreate and create a family.
b. If there are concerns about the implications of assisted reproduction in the
welfare of any of the persons involved, including the future child, a
surrogate mother or the applicants themselves, these concerns should be considered
carefully in light of the available evidence.
A gestational carrier (pregnant) is a woman who has a child that she does not have
no genetic relationship with herself, for a person or partner who pretends to be
the legal father or mother of that child. Initially, gestational surrogacy is
applied to cases of alleged parents of the opposite sex who had problems with
fertility or doctors who prevented the female partner from carrying the pregnancy.
Currently, the process is also used for individuals and couples of the same sex who
they want to become parents.
to. Surrogacy can be facilitated through reproductive technology
assisted, but only if permitted by law within the country where it operates
b. There must be legal agreements to spell out and then protect the roles and
responsibilities of each participant.
c. The surrogate mother must be at least 21 years old, healthy, have an environment
stable social status and having had at least one pregnancy that resulted in the
d. It is the duty of the treating physician to inform all parties about the problems
medical, social, psychological, emotional, moral and legal related to
and. When permitted by local laws and regulations, Surrogate mother should
Receive fair and reasonable financial compensation.
F. Surrogate mother have the right to receive adequate medical care during the
treatment and throughout pregnancy.
g. Surrogate mother will be evaluated and will receive adequate advice to consider
the potential impact of Surrogacy on their own families.
h. The same precautions should be implemented as for gamete donation,
including the detection of infectious diseases (HIV, hepatitis B and hepatitis C)
those that the doctor deems appropriate.
i. Only one or two good quality embryos will be transferred as a general rule, no
being able to exceed in no case more than 3 embryos.