Patient selection criteria

 for assisted reproductive technology programs

(hereafter - ART) 

      

   I. General provisions:

1. A woman and a man who are married receive treatment in a safe and effective manner, particularly using the ART (as well as surrogate maternity);

For citizens of the RK: ID card, marriage certificate;

 For  foreigners - passport, marriage certificate. For foreigners, the passport and marriage certificate must be apostilled at the consulate and translated into the state or Russian language. The period of an officially registered marriage must be at least one year.

2. A single woman, receives treatment in a safe and effective manner, particularly using the ART (except for surrogate maternity). ART services are not available to same-sex couples.

 For citizens of the RK - Identity card;

 For foreigners- passport apostilled at the consulate and translated into the state and Russian languages.

3. A woman and a man who are not married to each other or to third parties receive treatment in a safe and effective manner, particularly using ART (except for surrogate maternity)

The citizens of RK - upon submission of a certificate from NJCS " State Corporation “Government for Citizens " of non-marriage, or a certificate from a Notary officer of the sample established in the Clinic;

The foreigners – passports of the partners, apostilled at the consulate and translated into Russian, certificate from the consulate on the absence of marriage. 

 

Apostille of documents is not required for citizens of the following countries:

Armenia, Azerbaijan, Belarus, Georgia, Kyrgyzstan, Moldova, Russian Federation, Turkmenistan, Tajikistan, Ukraine, Uzbekistan (if necessary, a notarized translation of the content of the documents into the state or Russian language is sufficient)

 

   II. The artificial insemination and embryo implantations (transfer) to the uterine cavity is not performed for the following contraindications:

      1) Somatic and mental health issues that are contraindicated for a pregnancy;

      2) Congenital defects, acquired uterine cavity deformities (hindering embryo implantation (transfer) and pregnancy development);

      3) Benign ovarian tumors requiring surgical treatment and/or preventing the oocyte retrieval;

      4) Endometrial hyperplastic processes;

      5) Benign uterine tumors requiring surgical treatment;

      6) Acute inflammatory diseases of any location;

      7) Malignant neoplasms of any location (except in cases in which oocyte retrieval is indicated before chemotherapy and radiation therapy, according to the opinion of a multidisciplinary team of specialists to perform multifollicular ovarian stimulation).

When performing an artificial insemination program, it is possible to use donor germ cells with the patient informed consent. 

 

   III. Age category for the patient, including donor germ cell programs:

- up to 50 years old;

- over 50 years old – by the decision of the board of doctors according to the age criterion (reproductologist submits the application to the medical director, attaching an extract from the electronic health record (EHR), examination data, conclusions of highly specialized doctors). 

The deputy director for general health maintenance arranges a consilium of fertility specialists, a general practitioner, an anesthesiologist, an obstetrician-gynecologist and other specialists. The consilium makes the final decision on the age criterion. The decision shall be minuted.

   IV. Age category for surrogate maternity program:

- for customers must not exceed 55 years of age;

- over 55 years old - by the decision of the consilium according to the age criterion (reproductologist submits the application to the medical director, attaching an extract from EHR, examination data, conclusions of highly specialized doctors). The medical director assembles a consilium of fertility doctors, general practitioner, anesthesiologist, obstetrician-gynecologist, etc. The consilium makes the final decision on the age criterion. The decision shall be minuted.

- age of the surrogate mother - from 20 to 35 years old, must have satisfactory physical, mental and reproductive health, confirmed by the conclusion of a healthcare organization, and have own healthy child.

V.  Information for foreign patients.  

In accordance with the Republic of Kazakhstan Law “On the Legal Status of Foreigners” of June 19, 1995: “The foreigners in the Republic of Kazakhstan use the rights and freedoms, as well as bear the obligations established for citizens of the Republic of Kazakhstan, unless otherwise provided for by the Constitution, laws of the Republic of Kazakhstan and international treaties ratified by the Republic of Kazakhstan. The use by foreigners of their rights and freedoms must not harm the interests of the Republic of Kazakhstan, the rights and legitimate interests of its citizens”.

When conducting ART programs for foreigners using surrogate maternity and donorship, proceed as follows: selection of foreign patients for surrogacy and donation programs is reviewed by a commission, and a group decision is made on each individual case. 

If there is an objection of one of the commission members for ART program for foreigners, the medical services may be denied to foreigners on medical and legal grounds. 

According to the official response of the authorized agency of the RK,  ART procedure requires unanimous decision of all commission members. 

Existence of an objection during the voting and review of the package of medical and legal documentation gives occasion to grounds for reasonable refusal. 

The refusal is recorded in the minutes of the commission meeting with subsequent notification of the patient.  

Terms and conditions of programs for foreigners:

1) Husband's seminal fluid + wife's ovum, embryo transfer to birthmother;

2) Husband's seminal fluid + wife's ovum, embryo transfer to the surrogate mother;

3) Husband's seminal fluid + ootid from a personal oocyte donor (we only considering cases where the POD is a close relative of the wife), embryo transfer to the customer (wife);

4) Husband's seminal fluid + ootid of the oocyte donor (we only consider cases where the POD is a close relative of the wife), embryo transfer to surrogate mother; 

5) Seminal fluid of the personal sperm donor (we only consider cases where the PSD is a close relative of the husband) + ovum of wife, embryo transfer to wife;

6) Seminal fluid of the personal sperm donor (we only consider cases where the PSD is a close relative of the husband) + ovum of wife, embryo transfer to surrogate mother.