JBRA Assist. Reprod. 2025;29(Suppl 1):43-43
POSTER PRESENTATION
doi: 10.5935/1518-0557.20250097
1Hospital Pereira Rossell
2Centro de Esterilidad Montevideo
Objective: According to the WHO, 1 in 6 adults will face a diagnosis of infertility, with a similar global incidence. This highlights the need for public policies to address this global issue. In Uruguay, in 2013, a law was enacted to regulate Assisted Human Reproduction (AHR) techniques and establish coverage for access to assisted reproduction treatments through a co-payment system.
Methods: A retrospective, descriptive study was conducted using publicly accessible data from the Fondo Nacional de Recursos (FNR), a public organization that funds high-cost treatments and medications.
Results: Between 2015 and 2023, the FNR authorized the financial coverage of 5,653 high-complexity ART procedures. The mean age of women at the time of application for financial coverage was 36.3 yo. Of this patient group, 76% chose to undergo their treatment at the Centro de Esterilidad Montevideo (FNR). Until March 31, 2023, a total of 3,883 women underwent at least one stimulation cycle, with 5,726 cycles performed, resulting in an average of 1.47 cycles per woman. The total number of transfers recorded during the period was 6,811, of which 3,230 (47.4%) were fresh embryo transfers and 3,581(52.6%) were frozen embryo transfers. A total of 2,071 deliveries were recorded from all embryo transfers in women who pursued ART, of which 301 (14.5%) were multiple pregnancies, resulting in a total of 2,373 live births from assisted reproductive techniques (Perna et al., 2024). Regarding gamete cryopreservation for oncological medical reasons, 177 procedures were performed between August 2022 and April 2024. Of these cases, 98 patients (55%) were female, and 79 (45%) were male. The average age of patients who accessed this service was 30.4 years, and the primary reasons for cryopreservation were breast and testicular cancer in women and men respectively. The average number of oocytes retrieved and cryopreserved was eleven (Perna et al., 2024).
Conclusion: The enactment of the ART law in 2013 and its amendment in 2022 has established Uruguay as a pioneer in reproductive rights. The Uruguayan Society for Human Reproduction will continue working to improve this law, with the goal of enhancing access and expanding coverage for all those who require it.
References
Perna et al.Técnicas de Reproducción Asistida de Alta complejidad. Reporte de Resultados. 2024