Laws for In Vitro Fertilization Treatment in Turkey- Fertility Clinics

Is In Vitro Fertilization (IVF) Treatment Legal?

In Turkey, IVF treatment is legally practiced under the strict regulations and guidelines set by the Ministry of Health’s “Regulation on Assisted Reproductive Treatment.” This regulation aims to ensure that the treatment is conducted ethically and safely. For instance, treatment is only available to married couples, and the use of reproductive cells from third parties (donation) is strictly forbidden. Unauthorized centers conducting treatment are illegal and subject to severe penalties, which is why it’s crucial to choose a licensed clinic.

Is There a Marriage Requirement for IVF Treatment?

Yes, according to the IVF laws in Turkey, it is mandatory for couples seeking treatment to be officially married. The marriage certificate is one of the most essential documents required at the start of the treatment process. This condition is imposed to legally protect the child’s lineage and to ensure the process aligns with societal ethical values. It is legally not possible for single individuals or unmarried couples to receive treatment. This rule applies to all IVF centers in Turkey.

What is the Age Limit for IVF Treatment?

According to Turkish laws, there is generally an upper age limit for female IVF candidates. However, this limit can vary depending on the conditions for state support (SGK) and the clinics’ own policies. While the age of 40 is widely accepted as an upper limit for women, in some cases, with a physician’s approval and a special medical report, treatment attempts may be made at a more advanced age. There is no upper age limit for male candidates, but it’s important to remember that both egg and sperm quality can decrease with age.

What Documents Are Required for IVF?

At the start of IVF treatment, couples are required to provide essential documents such as a marriage certificate, photocopies of both individuals’ identity cards, and passport-sized photos. Additionally, medical reports from previous treatment attempts and medical documents proving the couple’s infertility are requested. For those seeking state support from the SGK, additional documents like an SGK record and a board report must be prepared. These documents are vital for completing the legal procedures and ensuring the treatment is carried out in compliance with the Ministry of Health’s regulations.

Is Egg Donation Legal?

No, egg donation is not legal in Turkey. The laws mandate that only the couple’s own reproductive cells (the woman’s eggs and the man’s sperm) can be used in IVF treatment. The use of an egg from another woman is strictly prohibited, and a violation of this rule leads to serious legal and criminal consequences. For this reason, couples who require egg donation are often forced to seek treatment in clinics abroad where legal regulations are more flexible.

Is Sperm Donation Legal?

Just like egg donation, sperm donation is also against the law in Turkey. The sperm used in IVF treatment must be obtained from the male partner. Using sperm from an outside donor for fertilization is considered a crime under the Turkish Penal Code. This strict rule is in place to protect the genetic link between the child and their parents. As a result, couples needing sperm donation must also seek treatment abroad.

Is Surrogacy Legal?

Surrogacy is strictly forbidden in Turkey. According to the Turkish Civil Code, the woman who gives birth to a child is considered the legal mother of that child. Therefore, it is not legally possible for a couple’s embryo to be carried and given birth to by another woman. Any contract or procedure related to surrogacy has no legal validity, and serious criminal penalties are applied to those who attempt such arrangements. This poses a significant limitation for couples wishing to have a child in Turkey.

Is Sex Selection Legal in IVF Treatment?

In Turkey, it is against the law to perform sex selection through IVF unless there is a medical necessity. Sex selection can only be performed if a genetic disease is specific to a particular sex (such as hemophilia) and is approved through a genetic screening (PGT) on the embryos, supported by a report from a genetics center. Arbitrary sex selection procedures are strictly prohibited, and any violation of this rule can lead to criminal liability for the healthcare providers and the clinic involved.

Are IVF Prices Subject to Legal Regulation?

IVF treatment prices are not subject to a specific floor or ceiling price set by the Ministry of Health. However, clinics are required to share their pricing policies transparently with patients. Prices can vary depending on the quality of the service, the technology used, and additional treatment methods. It is a legal requirement for clinics to provide patients with detailed information about any potential extra costs that may arise during the treatment process, such as medications or additional laboratory procedures.

How Many Attempts Are Allowed in IVF Treatment?

There is no legal limit to the number of IVF treatment attempts a couple can have in Turkey. Couples can make as many attempts as they are medically and financially able to, provided they are willing. However, there is a limit on the number of attempts for which state support (SGK) is provided. The SGK typically provides financial support for up to 3 attempts, provided the couple meets the required criteria. Even if a treatment attempt is unsuccessful, a new Health Board report is required for subsequent attempts.

Does the SGK Cover IVF Treatment?

Yes, the Social Security Institution (SGK) covers a portion of the IVF treatment costs for couples who meet certain conditions. These conditions include the woman’s age (generally under 40), being married for at least 3 years, having a certain number of unsuccessful IUI attempts, and having the couple’s infertility medically documented. Couples must obtain a Health Board report and meet other specified criteria to be eligible for SGK support.

Is the Use of Frozen Embryos in IVF Treatment Legal?

In Turkey, it is completely legal to freeze surplus and healthy embryos obtained during IVF treatment for use in future attempts. The freezing process gives couples a new chance without having to repeat the egg retrieval procedure after an unsuccessful attempt. The legal storage period for frozen embryos is 5 years, which can be extended with permission from the Ministry of Health.

In Which Cases Are Embryos Frozen in IVF Treatment?

In IVF treatment, healthy embryos that are of sufficient quality and remain after transfer are typically frozen for use in future attempts. Furthermore, if the expectant mother’s uterine lining is not suitable for embryo transfer, if there is a risk of Ovarian Hyperstimulation Syndrome (OHSS), or if the transfer needs to be postponed due to other health issues, all healthy embryos can be frozen and stored until the patient is ready for transfer. This helps preserve the couple’s chance of pregnancy.

What is the Maximum Number of Embryos That Can Be Transferred?

Legal regulations in Turkey strictly limit the number of embryos to be transferred to reduce the risk of multiple pregnancies. According to these regulations, for women under 35, only one embryo is transferred during the first two attempts. In the third and subsequent attempts, a maximum of two embryos are allowed. For women aged 35 and older, a maximum of two embryos can be transferred from the very first attempt. This number is set by the Ministry of Health, and clinics are required to adhere to this rule.

What Should Be Done in Cases of Recurrent IVF Failure?

In Turkey, recurrent IVF failures legally allow for the use of additional treatment methods and genetic diagnostic techniques. After unsuccessful initial attempts, physicians typically review the treatment protocol and investigate underlying causes such as uterine adhesions, embryo quality, or genetic issues. This means couples should undergo a detailed investigation and may require a different treatment strategy before starting a new attempt.

How Is the Age Limit for IVF Treatment Determined?

The age limit for women in IVF treatment is generally based on the fact that fertility potential decreases with age. In the official regulation set by the Ministry of Health, the upper limit for SGK support is typically 40 years of age. However, this doesn’t mean treatment is impossible after the age of 40. Private clinics can offer treatment to older women if the physician deems it appropriate and the patient’s health condition allows.

Can Foreign Citizens Undergo IVF in Turkey?

Yes, foreign citizens can undergo IVF treatment in Turkey. The country serves many international patients, especially from the Middle East, Europe, and the Balkans. However, foreign nationals must also comply with Turkish laws. Rules such as the marriage requirement, the ban on donation, and the ban on surrogacy apply to foreign patients as well. It is important to have all necessary documents, such as a passport and marriage certificate, prepared before starting treatment.

What Are the Legal Criteria for Choosing an IVF Clinic?

The most important criterion for choosing an IVF clinic in Turkey is the clinic’s license and authorization certificate from the Ministry of Health. Treatments performed at unlicensed and unauthorized centers are both illegal and pose a risk to the patient’s health. While not legal requirements, other criteria such as having an experienced team of specialists, high laboratory standards, and transparent patient information are also crucial for treatment success.

Is the Use of Frozen Eggs in IVF Treatment Legal?

Yes, the use of frozen eggs is legal in Turkey. Women are permitted to freeze their eggs before undergoing treatments like cancer therapy that may negatively affect ovarian reserves. Additionally, the eggs of a male partner’s wife can be frozen if the male is unable to provide a sperm sample during the IVF procedure. This process helps women preserve their chance of having children in the future and is supported by legal regulations.

Are There Mandatory Vaccinations for IVF Treatment?

There are no mandatory vaccinations that couples must receive before starting IVF treatment. However, physicians may recommend certain vaccines (such as for rubella or chickenpox) to protect the health of the mother and the baby. Getting these vaccinations is an important step in preventing potential risks during pregnancy. The physician will provide the most appropriate guidance based on the patient’s condition.

Is It Legal to Apply to More Than One Center for IVF Treatment?

Yes, it is not against the law for a couple to apply to and get information from more than one center for IVF treatment. Couples have the right to compare the success rates, treatment methods, and prices of different clinics to choose the one that is most suitable for them. However, it is not legally and ethically possible to start treatment at more than one center at the same time, as this can hinder the safe conduct of the treatment.

How Are IVF Success Rates Determined?

Pregnancy success rates are calculated based on each clinic’s own data, and it is a legal requirement to regularly report this data to the Ministry of Health. Success rates vary depending on many factors, such as the couple’s age, the cause of infertility, the treatment method used, and embryo quality. It is a legal requirement for clinics to inform patients about their success rates, but it is of great importance that these rates are presented accurately and transparently.

In Which Cases Is Genetic Testing Legal in IVF Treatment?

Genetic testing (PGT) in IVF treatment is legally applied in Turkey only to prevent the transmission of certain hereditary diseases to the embryo. This includes cases of single-gene disorders, chromosomal abnormalities, or a history of recurrent miscarriages. The decision to perform genetic testing is made by genetic specialists and is carried out in compliance with the criteria set by the Ministry of Health. Arbitrary testing is not legal.

What Are the Advantages of Frozen Embryo Transfer?

Frozen embryo transfer offers couples a new chance for an attempt without having to go through another egg retrieval process, which provides advantages in terms of both cost and physical exhaustion. Additionally, this method increases the chances of pregnancy in cases where a fresh transfer is not possible (e.g., due to an unsuitable uterine lining or risk of OHSS). With today’s technology, the success rates of frozen embryos are similar to those of fresh embryos.

Can Legal Issues Arise During IVF Treatment?

Legal issues can arise during the IVF treatment process if the legal regulations are not followed. For example, engaging in illegal practices such as donation, surrogacy, or sex selection can lead to serious criminal penalties for the healthcare workers and the clinic involved. It is of critical importance for couples to fully understand their legal rights and obligations before starting treatment and to seek treatment at a licensed center to avoid potential legal risks.

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