Cross-border reproductive care in Belgium.
BACKGROUND
Cross-border reproductive care indicates the cross-border movements made by patients to obtain infertility treatment they cannot obtain at home. The problem at present is that empirical data on the extent of the phenomenon are lacking. This article presents the data on infertility patients going to Belgium for treatment.


METHODS
A survey was conducted among the centres for reproductive medicine that are allowed to handle oocytes and create embryos (B-centres). Data were collected on the nationality of patients and the type of treatment for which they attended during the period 2000-2007.


RESULTS
Sixteen of 18 centres responded to the questionnaire. The flow of foreign patients has stabilized since 2006 at approximately 2100 patients per year. The majority of foreign nationals seeking treatment in Belgium were French women for sperm donation. The next highest group was patients entering the country to obtain ICSI with ejaculated sperm.


CONCLUSIONS
There are clear indications that numerous movements are motivated by the wish to evade legal restrictions in one's home country, either because the technology is prohibited or because the patients have characteristics, which exclude them from treatment in their own countries.
Pennings
G
G
Bioethics Institute Ghent, Ghent University, 9000 Ghent, Belgium. Guido.Pennings@Ugent.be
Autin
C
C
Decleer
W
W
Delbaere
A
A
Delbeke
L
L
Delvigne
A
A
De Neubourg
D
D
Devroey
P
P
Dhont
M
M
D'Hooghe
T
T
Gordts
S
S
Lejeune
B
B
Nijs
M
M
Pauwels
P
P
Perrad
B
B
Pirard
C
C
Vandekerckhove
F
F
D000328:Adult; D001530:Belgium; D005260:Female; D005602:France / Q000208:ethnology; D019538:Health Care Surveys; D006801:Humans; D007246:Infertility / Q000628:therapy*; D007316:Insemination, Artificial, Heterologous / Q000706:statistics & numerical data; D008297:Male; D057193:Medical Tourism / Q000706:statistics & numerical data* / Q000639:trends; D008875:Middle Aged; D009313:National Health Programs / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D009426:Netherlands / Q000208:ethnology; D018579:Patient Selection; D019836:Preimplantation Diagnosis / Q000706:statistics & numerical data; D034121:Reproductive Health Services / Q000706:statistics & numerical data*; D027724:Reproductive Techniques, Assisted / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D020554:Sperm Injections, Intracytoplasmic / Q000706:statistics & numerical data; D055815:Young Adult