reciprocal-ivf-ropa-methodIn vitro fertilization (IVF) is a popular fertility treatment for couples struggling”g with infertility. However, same-sex couples face unique challenges when it comes to starting a family. One solution that has gained popularity in recent years is the RECIPROCAL IVF (ROPA Method) standing for ‘Receiving oocytes from the partner’., and also known as reciprocal IVF or shared motherhood. We will discuss everything you need to know about the Ropa method, including its advantages, disadvantages, and success rates.

What is the RECIPROCAL IVF (ROPA Method)?

The Ropa method is a type of IVF that allows both partners in a female same-sex relationship to be involved in the pregnancy process. One partner undergoes ovarian stimulation and egg retrieval, while the other partner receives the embryo transfer and carries the pregnancy to term. Essentially, the Ropa method combines traditional IVF with intrauterine insemination (IUI) to create a unique and collaborative approach to starting a family.

How does the Ropa method work?

The Ropa method involves several stages, including:

Ovarian stimulation and egg retrieval

The partner who will provide the eggs undergoes ovarian stimulation to encourage multiple eggs to mature. This involves taking hormone injections for around 10-12 days, followed by ultrasound monitoring to check the progress of the follicles. Once the follicles are mature, the partner undergoes egg retrieval under sedation. This procedure takes around 15-20 minutes and involves using a needle to remove the mature eggs from the ovaries.

Sperm preparation and fertilization

Once the eggs are retrieved, they are fertilized with donor sperm in the laboratory. The resulting embryos are cultured for 3-5 days before being transferred to the uterus of the other partner.

Embryo transfer and pregnancy

The partner who will carry the pregnancy undergoes a cycle of hormone treatment to prepare the uterus for embryo transfer. The embryos are then transferred using a small catheter and ultrasound guidance. The partner then undergoes pregnancy testing two weeks later to confirm whether the transfer was successful.


What are the advantages of the Ropa method?

The Ropa method offers several advantages over traditional IVF for same-sex couples. These include:

Increased emotional connection

The Ropa method allows both partners to be involved in the pregnancy process and share a genetic connection with their child. This can create a stronger emotional bond between both partners and the child.

Equal involvement

The Ropa method allows both partners to share equal involvement in the pregnancy process, with one partner providing the eggs and the other carrying the pregnancy. This can help to create a more balanced and equitable partnership.

What are the disadvantages of the Ropa method?

While the Ropa method offers several advantages, there are also some potential disadvantages to consider. These include:


The Ropa method can be more expensive than traditional IVF due to the need for two cycles of hormone treatment and egg retrieval. Additionally, donor sperm is required for fertilization, which can add to the cost.

Emotional stress

The Ropa method can be emotionally stressful for both partners, particularly if one partner experiences difficulties with ovarian stimulation or egg retrieval. Additionally, the partner who carries the pregnancy may experience stress and anxiety related to the physical and emotional demands of pregnancy.


What are the success rates of the Ropa method?

Success rates can vary depending on several factors, including the age of the partner providing the eggs, the quality of the eggs retrieved, and the overall health of the partner carrying the pregnancy. According to a study published in the Journal of Assisted Reproduction and Genetics, the pregnancy rate for the Ropa method was around 60%, with a live birth rate of 40%. It is important to note that these success rates can vary depending on individual circumstances and the fertility clinic chosen.

What are the legal considerations of the Ropa method?

Legal considerations of the Ropa method can vary depending on the country or state where the procedure is performed and then the birth occurs. In some areas, both partners may be recognized as legal parents of the child, while in others, only the partner who carried the pregnancy may be recognized. It is important for couples considering the Ropa method to research the legal implications in their specific location and consult with a lawyer if necessary.

How can couples prepare for the Ropa method?

Couples considering the Ropa method should first consult with a fertility specialist to discuss their options and determine if the procedure is right for them. The partner who will provide the eggs will undergo a series of hormone injections to stimulate egg production, and the partner who will carry the pregnancy will undergo a cycle of hormone treatment to prepare the uterus for embryo transfer. Couples should also be prepared for the emotional and financial demands of the procedure.

The Ropa method offers a unique and collaborative approach to IVF for same-sex couples. While it may come with some challenges and considerations, it can also provide increased emotional connection and higher success rates compared to traditional IVF. Couples considering the Ropa method should consult with a fertility specialist and do their research to ensure they are fully informed about the procedure.