Close Ask the doctor popup form

ASK THE DOCTOR

CONTACT US

Your communication is confidential. Our Doctors/IVF Coordinators team will reply to you as soon as possible.

    LEGISLATION

    Legislation on Medically Assisted Reproduction (MAR) is considered to be one of the most liberal and patient-friendly in Europe. 

    It includes all methods of assisted reproduction techniques such as In Vitro Fertilization (IVF), Intrauterine Insemination (IUI), surgical sperm retrieval (PESA, TESE, MESA), Intracytoplasmic Sperm Injection (ICSI), sperm or oocyte donation cycles, number of embryos for transfer, Preimplantation Genetic Testing (PGT), surrogacy et al. 

    The Greek law focuses on ensuring that the practice of assisted reproduction techniques is in the best interest of the conceived child. 

    The first law in the field of Medically Assisted Reproduction was enacted in 2002 (law 3089/2002) while a second law (law 3305/2005regulates MAR treatments.

    Since then many improvements in Greek legislation in specific fields of MAR have been introduced 

    Important intersection for MAR in Greece is the Presidential Decrees that set the terms and conditions for the license to establish and operate Medically Assisted Reproduction Units (MARU/ MYIA) and Cryopreservation Banks 

    The recent law 4958 (law 4958/2022)  is considered extremely important because:

    • increases the age limit for women up to 54 years old
    • abolishes the exclusive anonymity of the third donor
    • prolong the duration of the cryostorage of the cryopreserved genetic material specimens 

     

    General Issues

    Medically assisted human reproduction is permitted in the case of inability to have children in a natural way or to avoid the transmission of a severe genetic disorder to the child.

    The legal framework consents to artificial reproduction for cohabiting couples, married couples or to an unmarried or single woman. According to the legislative frameworks in other EU countries, whenever consent to use these techniques is given to single women, it also covers single women who have identified themselves as homosexual. Such medical assistance in Greece is permissible provided that the assisted person is within the reproductive age. 



    Women up to 54 years old can have access to Medically Assisted Reproduction after a specific consent and permission from the Greek National Authority of Assisted Reproduction.

    For all Assisted Reproduction techniques and methods, in case of unmarried couples or single women, a notarial deed is necessary so that they can have access to the indicated treatment.

    Woman <35 years old 35>x<40 – 1st cycle 35>x<40 – 2nd cycle and over 35>x<40 – 3rd cycle and over >40 years old All the ages for Egg donation treatment
    EMBRYO TRANSFER 1 or 2 embryos 2 embryos 2 embryos 3 embryos 4 embryos 2 embryos

    Consent to all relevant treatments and procedures must always be given in a written form and after appropriate information about the risks and consequences of the techniques of artificial reproduction. Gametes, embryos, gestation and relevant intermediations cannot be objects of a contract that involves financial retribution.

    The following procedures are prohibited: cloning of a human being for reproductive reasons and the gender selection. The latter is allowed only to avoid gender-transmitted hereditary diseases.

    Preimplantation genetic testing ( PGT) is allowed upon consent and permission from the Greek National Authority of Assisted Reproduction, in order to prevent certain genetic diseases or disorders from being passed on to the child (PGT-M, PGT-SR or PGT-A). PGT-A can also be used to identify causes of infertility in couples with repeated miscarriages or failures after IVF cycles (at least three failed attempts)

    Heterologous Artificial Fertilisation

    Heterologous fecundation is permitted and when for artificial-fertilization the sperm or the oocytes of a third donor is/are used; because both partners have given their written consent for the treatment, they have the paternity of the child, even if the child does not draw their own origin.

    Sperm donors should be up to 40 years old, while oocyte donors should be up to 35 years old. Only frozen semen samples are allowed to be used.

    Candidate donors, must undergo clinical and laboratory tests and would not be eligible if suffering genetic or infectious diseases, have burdened family history or hormonal disorders.

    For oocyte donors IVF Athens Center requests additional tests recommended by the European Society of Human Reproduction and Embryology (ESHRE).

    IVF Athens Center does not run their own sperm donors, but we are in cooperation with valid and certified Cryopreservation Banks of male genetic material either in Greece (Cryogonia) or in Europe ( Cryos International, European Sperm Bank, Ceifer BioBanco)

    For oocyte donation cycles we can either use oocytes from fresh cycles or vitrified-warmed oocytes. For the second case, we are in cooperation with certified Cryopreservation Banks in Cyprus (Cryos International, Cyprus) or in other countries in Europe (Ovobank, Ceifer BioBanco) Ovobank

    Until 2022,the identity of the donor of reproductive material was strictly anonymous and could not be disclosed to the persons who want to have a child. Medical information concerning the donor was kept strictly confidential. Access to medical history information was permissible only for the child’s medical benefit.

    Since 2022, there are more options. Donors can be anonymous or non anonymous (open donors) or can be a close blood relative in a lateral line.
    For cases excluding blood relatives (whereas identity is known), the identity of the child and its parents is never disclosed to the donor and strictly confidential protocols are followed.

    Surrogate Maternity

    Greek legislation differs substantially from the vast majority of European countries whose legislations prohibit any form of surrogate maternity. The transfer of fertilized ova to another woman and her pregnancy is permitted by court authorization before the transfer.

    The authorization is issued after an application by the woman who wants to have a child (“commissioning mother”), providing, among other, that there is a written agreement between the two parties and is confirmed that the commissioning mother is medically unable to conceive.

    Τhe surrogate mother should not have exceed the age of 54 (1704/2022, 5524/Τ.Β’/26.10.2022), not undergone more than two caesarean sections and fertilized ova do not belong to her (the surrogate mother).

    For surrogate mothers aged 50-54 years old, in order to protect the wellbeing of the child to be born, an additional specific consent and permission from the Greek National Authority of Assisted Reproduction is mandatory, based on the evidence of her good health condition.

    The agreement must be with no financial benefit for the latter. The law clarifies that the following do not constitute financial gain: a. the payment of expenses involved in the achievement of a pregnancy, the gestation, delivery and post-partum period, and b. any incidental loss of profit by the child-bearing woman because of absence from work, or the loss of remuneration for salaried employment which she has missed because of absence related to the purpose of pregnancy, gestation, labor or post-partum period.

    One of the prerequisites for granting the judicial authorization for surrogacy was the fact that both the surrogate mother and the commissioning parents should be obligatorily Greek citizens or permanent residents of Greece.

    Following a modification of the above provision, the surrogacy is now allowed disjunctively to either applicants or surrogate mothers who have their permanent or temporary residence in Greece, thus extending this possibility also to applicants or surrogate mothers who have their permanent residence outside Greece.

    
Under this new regime, surrogacy in Greece is open for foreigners as well,
    while Greece is one of the few countries worldwide to provide a comprehensive framework to regulate, facilitate and enforce surrogacy all by giving legal protection to intended parents even coming from abroad.

    Further information on the surrogacy proceedings in Greece you may find here.

    Postmortem Fertilisation

    Medically assisted reproduction after the death of the spouse or the partner is permitted only if both of the following requirements are met: a. the spouse or the partner suffered from a disease that either could affect fertility performance or endangered his/her life, and b. the spouse or the partner had consented via a notary document for post mortem fertilization. Artificial fecundation is carried out not earlier than six months and not after two years from the death of the spouse or partner.

    Cryopreserved Fertilised OVA

    The patients resorting to assisted reproduction should decide in common and declare in written form their desire for the future of the cryopreserved reproductive material.

    Any cryopreserved reproductive material that is not going to be used for their own treatment (surplus) could be:

    1. donated anonymous for fertility treatment of other patients that the doctor or fertility unit decides
    2. used for research or therapeutic purposes
    3. destroyed

    According to law 4958/2022, cryopreservation can last up to 5 years. After this period a new consent form must be signed and send to the Cryopreservation Bank (C.B.), for the prolongation of the cryo-storage.

    This application must be renewed every 5 years in case of desire without a specific time commitment, on the condition of paying the annual storage fees as defined by the C.B.

    In case of no more interest of cryo-storage, the cryopreserved material can either be used for research and therapeutic purposes or be destroyed, according to patients’ final willing and decision.

    If the above joint statement does not exist, as well as in case of disagreement regarding their use, divorce, annulment of marriage, separation, termination or termination of the cohabitation agreement, termination of free association zygotes and fertilized eggs are preserved or used for research or therapeutic purposes or are destroyed, following the decision of the Authority, at the request of the Cryopreservation Bank.

    In case of above mentioned circumstances, the unfertilized reproductive material (gametes, sperm or unfertilized oocytes) are not destroyed, but are preserved and used by the person to whom it belongs.

    Fertilized ova and zygotes are obligatory destroyed after the completion of the 14th day post fertilization, without taking into account the possible intermediate cryopreservation period.