New criteria for IVF: Only men and women aged 20 to 35 are eligible for egg or sperm donation

The age of the donor should be between 20 to 35 years, the absence of any communicable disease should be proved by a medical examination and in the case of a married couple, the written consent of the couple has been made mandatory.

Bhadra 2, 2082

Prashant Mali

New criteria for IVF: Only men and women aged 20 to 35 are eligible for egg or sperm donation

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The Ministry of Health and Population has approved the 'Infertility Management Service Operation Standards, 2082' to organize and regulate infertility treatment (IVF) services. The criteria also stipulate clear arrangements for donors who donate sperm or eggs.

 

The age of the donor should be between 20 to 35 years, it should be proved by a health examination that there is no communicable disease and in the case of married, the written consent of the couple has been made mandatory. 

In the same standard, men can donate sperm only 10 times and women can not donate more than 6 times and the identity of the donor must be kept completely confidential. Also, it is strictly prohibited to induce or pressure any person to donate. Men can donate sperm at intervals of 15 days, while women can donate eggs only at intervals of three months.

Minister of Health and Population Pradeep Paudel approved the standard by making a ministerial decision. The Ministry has prepared this standard after intensive discussions with stakeholders and experts in the relevant fields. With the approval of the standard, for the first time in Nepal, 'infertility treatment (IVF)' service and the necessary laboratory, manpower management and sensitive sperm and egg donation (donor) process will be more organized.

In the absence of law, the ministry has issued standards to regulate the rampant abuses in the name of childless treatment. Earlier, the Central Investigation Bureau (CIB) of Nepal Police started an investigation against five people including three doctors of 'Hope Fertility and Diagnostic Pvt Ltd' in Babarmahal, Kathmandu, on the charge of selling teenage girl's eggs. 

CIB arrested them on the basis of a complaint that this organization, which helps childless couples to have children with the help of various technologies including IVF, deals in the eggs of girls under 18 years of age.

According to CIB spokesperson SP Yuvraj Khadka, a complaint has also been registered against them for crimes against children. CIB for research Dr. Fossil Officer, Dr. Swasti Sharma, Dr. Justina Pradhan and Alisa Wali were arrested along with Malina Chaudhary. CIB is investigating after leaving them in attendance. 

Standards have been issued to effectively regulate childless treatment centers on the legal basis, to bring consistency to childless treatment services, to set the minimum physical infrastructure, manpower and laboratory levels, to make service fees transparent and to ensure the rights of service recipients and donors, the head of the Quality Measurement and Regulation Division of the Ministry, Dr. Saroj Sharma said.

'Infertility is not only a sensitive health problem but also a deep social and psychological issue. This standard will serve as a milestone to make childless treatment services more safe, transparent and of international level, Dr. Sharma said, "According to this standard, the service provider will be held fully responsible and anyone who does not follow the specified standard will be brought under strict legal jurisdiction." Prakash Budhathoki said that this standard will play an important role in making the reproductive health sector organized and effective. Recently, the problem of childlessness is increasing, but many questions were raised about the quality and process of the institutions that provide treatment. There was a danger that many couples could be cheated and their lives would be at risk if they did not get quality services,' said Dr. Prakash Budhathoki said, 'This standard will play an important role in making the service safe and reliable.' As mentioned in the

standard, it is mandatory to obtain permission from the Ministry of Health to conduct specific services such as IUI and IVF. Skilled manpower including infertility specialists, trained embryologists and anesthesiologists are required in each licensed center. In terms of infrastructure, the standards have been set to include a building in accordance with the National Building Code, a specialized andrology and embryology laboratory, a surgery room and an emergency intensive care room.

 

Technical standards have been set for the environmental quality of laboratories and operating rooms that directly affect fetal development. The temperature, relative humidity and air quality of those rooms should be as per the prescribed standards. The service fee will be charged only as determined by the Ministry, while each organization will have to provide 10 percent of services to the poor and underprivileged for free. It has been arranged that the committee of the ministry will regularly monitor the quality of service, the condition of manpower and equipment and can cancel the permission of the organization that does not follow the standards.

Prashant

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