ROPA Method

Your best option for shared motherhood.

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What is the ROPA method?

The ROPA method (Reception of Oocytes from the Partner) allows both women in the couple to actively participate in the pregnancy. One of them provides the eggs, which will be fertilised in the laboratory with donor sperm, and the other is the woman who will receive the embryo and carry the pregnancy.

Who is the ROPA method treatment recommended for?

Female couples

It is the ideal option for female couples (married or cohabiting) who both wish to actively participate in the pregnancy, each playing a key role during the procedure.

Benefits of the ROPA method

Bonding

Strengthens the couple’s emotional and biological bond with the baby.

Outcome

It takes advantage of the best oocyte quality and the most suitable uterus of the couple to optimize the process.

Success rate

It has a high pregnancy rate, as fertility problems can be reduced as two women are involved.

Genetics

Qualities from both mothers are transferred to the baby: from one, by providing the egg, and from the other thanks to the epigenetics that she shares as the gestational carrier.

Peace of mind

Sharing the challenges of the treatment between the couple can help ease the psychological burden and stress, making it easier to cope with.

Safety

The genetic compatibility between the woman who provides the eggs and the sperm donor avoids hereditary mutations.

Step-by-step guide to the ROPA method

Based on the diagnostic tests and medical history, the doctor recommends the best candidate to provide the eggs, although the final decision will always be the patient’s own. She begins her ovarian stimulation with a personalised plan and a unique medication regimen to produce the highest number of mature oocytes.

The duration of ovarian stimulation lasts between 8 and 11 days.

During stimulation, we monitor follicular development by means of vaginal ultrasound scans and hormone blood tests. The first ultrasound scan is performed at the beginning of the cycle and the rest during the next 10 to 12 days. Once a good number of dominant follicles are developed, the egg retrieval is scheduled.

3 to 4 controls are required during the stimulation.

When the follicles reach the right size, ovulation is induced by a subcutaneous hormone injection.

10 to 12 days after the start of the treatment.

We retrieve the oocytes in the operating room in a procedure that lasts 5 to 15 minutes, with sedation and painkillers. Each follicle is punctured to extract the liquid that will be examined by biologists to determine the presence of oocytes and whether they will be able to be used in the treatment.

36 hours after ovulation induction.

The sperm donor is chosen with the closest physical resemblance to the woman carrying the pregnancy. The laboratory also selects the best sperm based on morphology, and injects one spermatozoa into each mature egg.

ICSI procedure achieves excellent fertilisation rates.

Our biologists monitor the embryos for the next 5 to 6 days, using state-of-the-art incubators, to cultivate as many embryos as possible to blastocyst stage.

Blastocysts have a higher implantation capacity.

The woman who will be carrying the pregnancy will undergo endometrial preparation by means of hormonal treatment for optimal embryo implantation. This can be synchronized with the ovarian stimulation of the donor partner.

The endometrium is usually ready after 14 days.

We select the best embryo available, using Artificial Intelligence, and transfer it into the patient’s uterus. After a few minutes of rest in the clinic, you can return to your normal routine.

The embryo transfer takes approximately 15 minutes.

We vitrify and preserve the embryos that have not been transferred so that they can be used in subsequent transfers if necessary, or when you wish to seek a new pregnancy.

2 years of storage is included in the treatment.

10 days after the embryo transfer, a blood test (Beta-hCG) is carried out to check for pregnancy. If the result is positive, the patient should go for an early pregnancy ultrasound scan to confirm everything is correct. Two weeks later, the patient should go for another follow-up ultrasound scan.

Approximately 12 days after the embryo transfer.

Techniques included


Genetic compatibility study
We perform a DNA test on both parents (or donors, if applicable) to detect whether they share the same mutations that could be passed on to the baby. Although most people are healthy carriers without knowing it, when there is a match in the same genetic alteration, the risk of inherited disease increases. This test makes it possible to identity more then 16,000 potential mutations before starting treatment and, if necessary, adapt the reproductive strategy to reduce risks. It is an essential test that provides safety and peace of mind from the very beginning of the process.
Matcher System
An advanced electronic traceability system that ensures the correct identification of all biological samples at every stage of treatment. Using barcodes and electronic verification, the correspondence between the patients and the samples is automatically verified before any procedure. This system provides complete control and added peace of mind for the medical team.
Sperm selection techniques
Sperm quality is a determining factor in the success of treatment. For this reason, we apply the most advanced sperm selection techniques that make it possible to identify and isolate the sperm with the highest fertilisation chances. Using techniques such as MACS, Zimot or FertileChip, we aim to remove those sperm with DNA fragmentation or lower viability, selecting the most suitable in terms of their mobility, morphology and genetic integrity.
Sperm Cryopreservation
A process that allows sperm to be preserved when the male partner is unable to provide a sample on the day of fertilisation. A semen sample is collected and treated with cryoprotectants to prevent cellular damage during cooling. The sample is then frozen at very low temperatures (-196ºC) using liquid nitrogen and is recorded and stored in our sperm bank. From that point on, it can be used whenever the patients require it for their treatment, without compromising its quality over time.
In Vitro Maturation and freezing of eggs
During the egg retrieval, it is common to obtain both mature and immature eggs. Rather than discarding them, we make the most of their potential through the use of in vitro maturation (IVM). This technique consists of culturing immature eggs under controlled laboratory conditions to support their development until they reach maturity. Those that successfully mature can then be vitrified and used in the future, thereby increasing the patient’s reproductive opportunities without the need for additional stimulation. These eggs have a lower developmental potential and are therefore not included in the minimum number required to proceed with ICSI. However, they represent a valuable additional reserve that can sometimes make a significant difference in the final outcome of the treatment.
Oocyte activation using calcium ionophores
Following ICSI, the oocyte is exposed to a solution that promotes its activation through a controlled calcium influx, enhancing the initiation of fertilization and subsequent embryo development. This technique may improve fertilization rates in cases of previous fertilization failure or severe male factor infertility.
Blastocyst culture
At IGIN, we systematically culture all embryos to the blastocyst stage (day 5-6), a more advanced phase of development in which the embryo reaches greater cellular complexity and its quality can be assessed more accurately. This process makes it possible to identify the embryos with the highest developmental capacity and implantation potential. In addition, it improves synchronization with the endometrium, creating optimal conditions for embryo transfer and enhancing the chances of pregnancy.
Embryoscope+ with Time-Lapse technology
Embryoscope+ is a state-of-the-art incubator that provides the best possible environment for embryo development up to the blastocyst stage. It maintains optimal temperature, humidity and gas conditions to support embryo growth through to the blastocyst stage.
It incorporates time-lapse technology, allowing continuous image capture and monitoring without the need to remove the embryos from the incubator, thereby avoiding any disruption to their environment.
This real-time monitoring enables us to observe every cell division and analyze embryo development with a level of detail that conventional methods cannot achieve. As a result, embryo selection becomes more precise, increasing the chances of implantation.
Artificial Intelligence: IDAScore and KIDScore
We apply advanced artificial intelligence systems that take embryo selection to a new level. IDAScore (Intelligent Data Analysis) and KIDScore (Known Implantation Data) are algorithms based on morphokinetic analysis that study the development of each embryo and compare it with millions of data points worldwide. These systems assess not only morphology, but also the timing and patterns of cell division, identifying the embryos with the highest implantation potential. This information enables our embryologists to make more objective and precise decisions, increasing the likelihood of success with each transfer.
Single Embryo Transfer (SET)
Thanks to advanced embryo selection and blastocyst culture, we are able to perform Single Embryo Transfer (SET), a strategy aimed at achieving pregnancy while minimizing the risks associated with multiple gestation. This approach enhances safety for both the mother and the baby by reducing complications during pregnancy and childbirth.
Personalized embryo transfer
The transfer can be carried out using a fresh or frozen cycle, adapting to the characteristics and needs of each patient. This allows the optimal timing for implantation to be chosen, either by taking advantage of the patient’s natural hormonal cycle or through controlled endometrial preparation. Adapting the strategy instead of following a standard protocol significantly improves the chances of success and reduces the risk of implantation failure, offering a truly personalized approach.
Cryopreservation and storage of vitrified embryos and eggs
Vitrification is an ultra-rapid cryopreservation technique that prevents the formation of ice crystals, protecting the cellular structure of embryos and eggs during storage. This allows them to be kept in optimal conditions for long periods, facilitating their use in future attempts or to expand the family later on.
At IGIN, you will have two years of storage included for the vitrified eggs and embryos obtained during your treatment. You can use them whenever you decide.
In addition, the storage of embryos and gametes will always depend on your decision to continue preserving them. Unlike there clinics, no costs are incurred and you will not pay any fees if you choose not to continue with storage.
Luteal phase hormonal monitoring and thyroid function
Progesterone testing allows us to assess the progression of the luteal phase and the adequate preparation of the endometrium for implantation. In addition, we perform blood tests to ensure optimal hormonal support levels.
The evaluation of TSH (thyroid function) in patients with a history of thyroid abnormalities complements this assessment, as proper thyroid balance is essential for ovulation, endometrial receptivity and the early development of pregnancy.
Endometrial Platelet-Rich Plasma (PRP)
It is an innovative technique that uses the patients own biological resources to improve endometrial receptivity in certain situations. From a blood sample, a platelet concentrate rich in growth factors is obtained. These factors help stimulate the regeneration and repair of the endometrial tissue. It is a simple and quick procedure, particularly beneficial for patients with a thin endometrium, low receptivity or previous implantation failures associated with those over 45 years old, whenever the medical team consider it may be beneficial.
Specialised transfer media
In cases of implantation failure and recurrent miscarriage, during embryo transfer we use next-generation media designed to mimic the natural conditions of the uterus and support implantation. These media create an optimal environment during the transition of the embryo from the laboratory to the uterus, helping maintain its stability and viability during this particularly critical phase.
At IGIN we use EmbryoGlue, a hyaluronan enriched medium. Its composition enhances the interaction between the embryo and the endometrium, facilitating adhesion and increasing the chances of implantation.
We also use cytokine-enriched media, which contain proteins that act as cellular messengers and regulate communication between the embryo and the endometrium, as essential process for implantation and for creating a more receptive environment.
Early pregnancy scan monitoring
After pregnancy is confirmed, we monitor two ultrasound pregnancy scans to verify the correct progression of the pregnancy during its first weeks. This follow-up allows us to confirm implantation, assess embryonic development, and support the patient during a key stage of the process, ensuring continuity of care from the same clinic and providing reassurance from the very first positive result.
«Pregnancy loss» Cariotest
Up to 70% of early pregnancy losses are related to chromosomal abnormalities. Knowing the cause provides answers during a particularly difficult time and allows for the assessment of recurrence risk, helping to guide the next steps in treatment. The Cariotest ´Pregnancy Loss’ is an advanced genetic test that analyzes fetal DNA from a maternal blood sample, without the need for invasive procedures. It allows us to obtain reliable information even in very early stages of pregnancy, assessing the risk of recurrence and helping to define the best strategy for future treatments.
Transfer of embryos and samples
When a patient choose to undergo treatment at IGIN, we include the safe and controlled transfer of embryos, eggs and sperm from the originating clinic, hospital or laboratory at no additional cost.
If the patient wishes to transfer their embryos and/or samples from IGIN to another center, we take care of preparing, processing and protecting the material for transport. We do not charge for this service. In addition, we can advise the patient on selecting the most appropriate transport company, which may involve an associated cost depending on the required service.

Pregnancy success rate of the ROPA method

Our success rates are high thanks to the latest technology and total customisation of endometrial stimulation and preparation procedures. This is our cumulative pregnancy rate per cycle, with gestational discharge at eight weeks.

79%

ROPA method price and financing

Our closed treatment package includes all of the techniques you may need to help achieve pregnancy. There may be the option to pay the total cost in instalments without any interest.

ROPA Method

6.170€

The best option for shared motherhood in an LGBTQIA+ couple.

  • Genetic compatibility study of 16,592 mutations (between the patient and sperm donor)
  • Ultrasound and hormone analysis controls (unlimited)
  • Egg retrieval
  • IMT Matcher: for electronic identification and traceability of genetic samples
  • IVF -ICSI
  • Sperm selection techniques: FertileChip, PICSI, MACS, Zymot, Microfluidics (if necessary)
  • Assisted hatching by laser (if needed)
  • Donor´s sperm (sample frozen)
  • Embryo culture (day 0 to 6) up to blastocyst stage using Embryoscope+ with time-lapse included (unlimited)
  • KIDScore / IDAScore (AI for embryo selection)
  • IVM (In Vitro Maturation) of oocytes and their vitrification, including 2 years storage
  • Oocyte activation using calcium ionophores (if necessary)

  • Embryo transfer (1 or 2 embryos)
  • Endometrial P.R.P Platelet-Rich Plasma (if needed)
  • Progesterone monitoring pre-/post-transfer
  • Specific transfer procedures (if needed)
  • Vitrification of remaining embryos (unlimited)
  • Beta-hCG blood test to check for pregnancy (unlimited)
  • Two gestational checks
  • Cryopreservation and storage of vitrified embryos for 2 years
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We love hearing success stories like these

We asked about IVF because we were not familiar with the ROPA method. When they explained it to us, we didn’t hesitate: the best decision of our lives. Thanks to IGIN, we have a family of 3 at home!

Joana and Miriam

Our most sincere and eternal thanks to the entire IGIN team for making our dream come true. It wasn’t easy but they did a great job.

Tessa

Your free consultation

The best way to clear up all your doubts about the ROPA method is to book your appointment with us today. We will be able to analyse your medical history, examine the state of your reproductive health and clarify anything you need – without obligation or cost.

Book your free consultation

FAQs about the ROPA method


Are all female couples eligible for the ROPA method?
Yes, as long as they medically present the necessary conditions: ovarian reserve, uterus without many morphological alterations, etc. In addition, they must be legally married or in a common-law relationship.
How much does the ROPA method cost?
At IGIN, the ROPA Method costs €6,170. It includes everything necessary to achieve pregnancy, with state-of-the-art techniques and procedures.
How long does the ROPA treatment last?
A complete cycle of the ROPA method, including ovarian stimulation and endometrial preparation, lasts approximately 4 to 5 weeks.
What is ovarian stimulation?
It is a fundamental and integral procedure of treatments such as In Vitro Fertilisation. It consists of administering hormonal medication to the woman in order to increase the production of mature oocytes in her ovaries. Normally, a woman produces only one egg during her menstrual cycle. However, in an assisted reproduction cycle the aim is to stimulate the ovaries to obtain the maximum number of mature oocytes in that cycle, which will be crucial to go ahead with the treatment and increase the chances of success.
What is egg retrieval like and does it hurt?
It is a simple procedure that is usually completed in about ten minutes, but can vary depending on the number of follicles present. It is usually performed under sedation and intravenous painkillers under the constant supervision of an anaesthetist. The recovery period afterwards lasts one to two hours. Slight bleeding sometimes occurs, which is completely normal. Discomfort in the form of pelvic discomfort may persist into the next day, but is usually controlled with oral analgesia (Paracetamol or Nolotil). Normal routine activity should be possible the next day.
Can we know the quality of the eggs before starting treatment?
The quality of the eggs cannot be determined beforehand by any technique (analytical or ultrasound). Eggs of varying quality are found in the ovary and it is during the fertilisation process that the individual quality of each egg is determined. It is, however, possible to orientate oneself according to certain parameters. The most important is age. And there are pathologies that can reduce the quality of eggs, such as endometriosis or polycystic ovarian syndrome. But they are only indicative and we will rarely be able to determine with certainty the quality of the oocytes before the treatment is carried out.
Can we know how many eggs we are going to obtain in the egg retrieval?
As with quality, the quantity of eggs in the puncture is not something we can know exactly, as there are many fluctuations between a woman’s cycles. There are indicators, such as the anti-mullerian hormone, which give us clues as to the possible quantity of eggs that can be found. But this is only an indication and it will not be until the procedure itself that we will know.
Is it possible to choose a sperm donor?
No, by law, donation in Spain is secret and anonymous, guaranteeing the confidentiality of the identity of both the donor and the patients who use the samples.
How is it decided which of the women will carry the pregnancy?
The decision is up to the couple, although medical advice will determine who has the best ovarian reserve and who is in optimal endometrial and reproductive health.
Can a baby born thanks to the ROPA Method be registered as the child of both mothers?
Children born from this procedure can be registered as children of both women in the Civil Registry, provided that both women are married or in a common-law relationship and have given their informed consent prior to treatment.
What happens to the unused embryos?
As in other reproductive procedures, the remaining embryos that have not been transferred are frozen. The treatment includes free maintenance for two years.
Is it normal to experience spotting as the date of the pregnancy test (Beta) approaches?
It is common. Up to 80% of patients who undergo embryo transfer may have vaginal spotting that can even be confused with the onset of menstruation or embryo implantation. For this reason, vaginal bleeding at this time does not allow us to determine whether the pregnancy test will be positive or negative. You must continue taking all medication and follow the guidelines without varying the dosage until you have the results of the pregnancy test. In case of spotting, it is recommended not to have sexual intercourse and not to do high-intensity sports. Bed rest is not necessary.
How long will I have to stay on the medication if I am pregnant?
Each patient has a personalised therapeutic plan that is tailored to their individual needs. This means that some medications may be stopped at week 12, for example, but others will be maintained throughout the entire pregnancy. Once discharged from the clinic, we send you a report by email explaining to you how long you will need to continue taking each medication.