{"key":"op_400_ES","page":{"url":"https://fr.bookimed.com/clinics/country=spain/procedure=ivf-with-gender-selection/","procedure":{"id":400,"slug":"ivf-with-gender-selection","name":"FIV avec sélection du sexe","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"therapy","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"reproductology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":34,"iso":"ES","name":"Espagne"},"currency":"USD","data_date":"2026-10-01"},"pages":{"clinics_url":"https://fr.bookimed.com/clinics/country=spain/procedure=ivf-with-gender-selection/","cost_url":"https://fr.bookimed.com/clinics/country=spain/procedure=ivf-with-gender-selection/cost/","best_url":{"status":"missing","reason":"template not 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Puerta del Sol"],"sources":["https://en.wikipedia.org/wiki/Madrid","https://en.wikipedia.org/wiki/Madrid–Barajas_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":441,"slug":"alicante","name":"Alicante","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":5400,"profile":{"city_type":"Mediterranean port city in Spain","access":["Alicante Airport (ALC), 9 km from the city"],"sources":["https://en.wikipedia.org/wiki/Alicante","https://en.wikipedia.org/wiki/Alicante%E2%80%93Elche_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":98,"slug":"barcelona","name":"Barcelone","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":6800,"profile":{"city_type":"Mediterranean coastal city in Spain","access":["Barcelona Airport (BCN), 15 km southwest of city center"],"sources":["https://en.wikipedia.org/wiki/Barcelona","https://en.wikipedia.org/wiki/Barcelona–El_Prat_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Infertility requiring IVF with embryo sex selection","Preventing X-linked disease by selecting unaffected-sex embryos"],"contraindications":["Pregnancy","Uterine cavity abnormality preventing pregnancy, until treated","Severe active ovarian hyperstimulation risk (relative; may need freeze-all)","Uncontrolled systemic illness making pregnancy unsafe (cardiac, renal, hepatic)","Unexplored abnormal uterine bleeding or suspected gynecological malignancy","Very low ovarian reserve or poor response (relative)"],"operation_hours":{"min":0.25,"max":0.5,"unit":"hours","qualifier":"Egg retrieval procedure only; ovarian stimulation takes about 10-14 days and embryo transfer is a separate short visit."},"anesthesia":["local_sedation"],"sessions_or_stages":{"sessions":{"min":2,"max":2,"unit":"visits","qualifier":"Egg retrieval and frozen embryo transfer as treatment procedures, excluding monitoring scans and follow-up checks; further cycles may be needed."},"stages":[{"code":"egg_retrieval","label":"Egg retrieval after ovarian stimulation, fertilization and embryo culture","after":{"min":10,"max":14,"unit":"days","qualifier":"From start of stimulation."}},{"code":"embryo_biopsy_pgt","label":"Blastocyst biopsy, freezing and genetic testing including sex determination (laboratory 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Minor symptoms excluded."},"revision_rate_pct":{"min":30,"max":50,"unit":"percent","qualifier":"Share of patients needing a repeat stimulation cycle to obtain a euploid embryo of the chosen sex; rises with age."},"success":{"metric":"Live birth rate per single frozen euploid embryo transfer (sex-selected embryos)","value":56.7,"horizon":"Per transfer, to live birth","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"No visible scars are left, because egg retrieval is a transvaginal needle puncture and embryo transfer uses a catheter through the cervix.","pain":"Injections and monitoring cause mild discomfort; egg retrieval is done under sedation with mild to moderate cramping and bloating afterward. 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lab."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the clinic's policy on nonmedical sex selection before treatment starts","scope":"procedure","source":{"url":"https://www.asrm.org/practice-guidance/ethics-opinions/disclosure-of-sex-when-incidentally-revealed-as-part-of-preimplantation-genetic-testing-pgt-an-ethics-committee-opinion-2018/","host":"asrm.org","quote":"Clinics should inform patients of these policies prior to initiating treatment.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check that consent to the procedure is informed and given without coercion","scope":"procedure","source":{"url":"https://www.asrm.org/practice-guidance/ethics-opinions/use-of-reproductive-technology-for-sex-selection-for-nonmedical-reasons-an-ethics-committee-opinion-2022","host":"asrm.org","quote":"providers should ensure that consent is informed and that patients are not subject to coercion in choosing the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that you receive full counselling about the risks of the procedure","scope":"procedure","source":{"url":"https://www.asrm.org/practice-guidance/ethics-opinions/use-of-reproductive-technology-for-sex-selection-for-nonmedical-reasons-an-ethics-committee-opinion-2022","host":"asrm.org","quote":"she must be counseled fully about the risks of the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check whether the clinic has a national regulator and which laws it must follow","scope":"treatment_abroad","source":{"url":"https://hfea.gov.uk/treatments/explore-all-treatments/fertility-treatment-abroad/","host":"hfea.gov.uk","quote":"Ask your clinic if there's a national regulator or what laws they are required to follow.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check the clinic's multiple pregnancy rate","scope":"treatment_abroad","source":{"url":"https://hfea.gov.uk/treatments/explore-all-treatments/fertility-treatment-abroad/","host":"hfea.gov.uk","quote":"You should also ask about your clinic's multiple pregnancy rates.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C6","text":"Check in advance how complaints are handled if something goes wrong","scope":"treatment_abroad","source":{"url":"https://hfea.gov.uk/treatments/explore-all-treatments/fertility-treatment-abroad/","host":"hfea.gov.uk","quote":"You should find out in advance how a complaint will be handled in the event that something goes wrong.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C7","text":"Check the clinic's record on standards and safety","scope":"treatment_abroad","source":{"url":"https://hfea.gov.uk/treatments/explore-all-treatments/fertility-treatment-abroad/","host":"hfea.gov.uk","quote":"What is the clinic’s record on standards and safety?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Difficulty breathing","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/ivf/","host":"nhs.uk","quote":"you have difficulty breathing","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W2","text":"Very thirsty and peeing less than usual","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/ivf/","host":"nhs.uk","quote":"you're very thirsty and peeing less than usual (dehydration)","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W3","text":"Swelling in any part of the body","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/ivf/","host":"nhs.uk","quote":"you have swelling in any part of your body","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W4","text":"Pain and bloating in the tummy","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/ivf/","host":"nhs.uk","quote":"you have pain and bloating in your tummy (abdomen)","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W5","text":"Vaginal bleeding or brown watery discharge","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/ivf/","host":"nhs.uk","quote":"you have vaginal bleeding or a brown watery discharge","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["local_sedation"],"back_to_work_days":{"min":1,"max":2,"unit":"days","qualifier":"Light or office work often resumes 1-2 days after retrieval; embryo transfer needs little or no time off."},"complication_rate_pct":{"min":0.2,"max":1,"unit":"percent","qualifier":"Major events per cycle: severe OHSS needing hospitalization or serious retrieval complications (each about 0.1-0.5%). Minor symptoms excluded."},"contraindications":["Pregnancy","Uterine cavity abnormality preventing pregnancy, until treated","Severe active ovarian hyperstimulation risk (relative; may need freeze-all)","Uncontrolled systemic illness making pregnancy unsafe (cardiac, renal, hepatic)","Unexplored abnormal uterine bleeding or suspected gynecological malignancy","Very low ovarian reserve or poor response (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Egg retrieval and embryo transfer are performed as day-case procedures without overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Avoid strenuous exercise while ovaries are enlarged after retrieval; light activity is allowed earlier."},"final_result_months":{"min":10,"max":14,"unit":"months","qualifier":"Birth about 9 months after successful transfer; lead-up is about 1-3 months. 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Trip 2: frozen transfer 40-90 days later, stay 3-7 days."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the clinic's policy on nonmedical sex selection before treatment starts","scope":"procedure","source":{"url":"https://www.asrm.org/practice-guidance/ethics-opinions/disclosure-of-sex-when-incidentally-revealed-as-part-of-preimplantation-genetic-testing-pgt-an-ethics-committee-opinion-2018/","host":"asrm.org","quote":"Clinics should inform patients of these policies prior to initiating treatment.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check that consent to the procedure is informed and given without coercion","scope":"procedure","source":{"url":"https://www.asrm.org/practice-guidance/ethics-opinions/use-of-reproductive-technology-for-sex-selection-for-nonmedical-reasons-an-ethics-committee-opinion-2022","host":"asrm.org","quote":"providers should ensure that consent is informed and that patients are not subject to coercion in choosing the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that you receive full counselling about the risks of the procedure","scope":"procedure","source":{"url":"https://www.asrm.org/practice-guidance/ethics-opinions/use-of-reproductive-technology-for-sex-selection-for-nonmedical-reasons-an-ethics-committee-opinion-2022","host":"asrm.org","quote":"she must be counseled fully about the risks of the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check whether the clinic has a national regulator and which laws it must follow","scope":"treatment_abroad","source":{"url":"https://hfea.gov.uk/treatments/explore-all-treatments/fertility-treatment-abroad/","host":"hfea.gov.uk","quote":"Ask your clinic if there's a national regulator or what laws they are required to follow.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check the clinic's multiple pregnancy rate","scope":"treatment_abroad","source":{"url":"https://hfea.gov.uk/treatments/explore-all-treatments/fertility-treatment-abroad/","host":"hfea.gov.uk","quote":"You should also ask about your clinic's multiple pregnancy rates.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C6","text":"Check in advance how complaints are handled if something goes wrong","scope":"treatment_abroad","source":{"url":"https://hfea.gov.uk/treatments/explore-all-treatments/fertility-treatment-abroad/","host":"hfea.gov.uk","quote":"You should find out in advance how a complaint will be handled in the event that something goes wrong.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C7","text":"Check the clinic's record on standards and safety","scope":"treatment_abroad","source":{"url":"https://hfea.gov.uk/treatments/explore-all-treatments/fertility-treatment-abroad/","host":"hfea.gov.uk","quote":"What is the clinic’s record on standards and safety?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Difficulty breathing","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/ivf/","host":"nhs.uk","quote":"you have difficulty breathing","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W2","text":"Very thirsty and peeing less than usual","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/ivf/","host":"nhs.uk","quote":"you're very thirsty and peeing less than usual (dehydration)","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W3","text":"Swelling in any part of the body","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/ivf/","host":"nhs.uk","quote":"you have swelling in any part of your body","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W4","text":"Pain and bloating in the tummy","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/ivf/","host":"nhs.uk","quote":"you have pain and bloating in your tummy (abdomen)","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W5","text":"Vaginal bleeding or brown watery discharge","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/ivf/","host":"nhs.uk","quote":"you have vaginal bleeding or a brown watery discharge","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer testing for genetic disease during pregnancy rather than on embryos","name":"Chorionic villus sampling","source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4028-chorionic-villus-sampling-for-prenatal-diagnosis","host":"my.clevelandclinic.org","quote":"CVS can help identify certain genetic diseases, including problems with chromosomes.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"technique_details":{"status":"ok","items":[{"id":"ivf-icsi-blastocyst","name":"IVF/ICSI with blastocyst biopsy and PGT-A (chromosomal screening with sex determination)","how_it_works":{"text":"Embryo chromosomes are screened, with newer platforms checking all chromosomes","source":{"url":"https://www.asrm.org/practice-guidance/practice-committee-documents/the-use-of-preimplantation-genetic-testing-for-aneuploidy-a-committee-opinion-2024/","host":"asrm.org","quote":"Originally limited to subsets of chromosomes with FISH analysis, more recent platforms evaluate all 24 chromosomes.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/treatments/22457-ivf","host":"my.clevelandclinic.org","quote":"Many people will return to normal activities right after their egg retrieval procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}},{"id":"ivf-m-sex","name":"IVF with PGT-M and sex determination for X-linked disease","how_it_works":{"text":"Embryos are made outside the body and tested for the condition","source":{"url":"https://www.guysandstthomas.nhs.uk/our-services/pre-implantation-genetic-testing-pgt-msr","host":"guysandstthomas.nhs.uk","quote":"Embryos are created outside of the body and are tested for the genetic condition in the family.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":403}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/treatments/22457-ivf","host":"my.clevelandclinic.org","quote":"Many people will return to normal activities right after their egg retrieval procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1}}},"techniques":[{"id":"ivf-icsi-blastocyst","name":"IVF/ICSI with blastocyst biopsy and PGT-A (chromosomal screening with sex determination)","how_it_works":{"id":"H1","text":"Embryo chromosomes are screened, with newer platforms checking all chromosomes","source":{"url":"https://www.asrm.org/practice-guidance/practice-committee-documents/the-use-of-preimplantation-genetic-testing-for-aneuploidy-a-committee-opinion-2024/","host":"asrm.org","quote":"Originally limited to subsets of chromosomes with FISH analysis, more recent platforms evaluate all 24 chromosomes.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/treatments/22457-ivf","host":"my.clevelandclinic.org","quote":"Many people will return to normal activities right after their egg retrieval procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"suits_whom":"Couples wanting aneuploidy screening with sex information, where legally permitted","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Same as egg retrieval; embryos frozen pending results."},{"id":"ivf-m-sex","name":"IVF with PGT-M and sex determination for X-linked disease","how_it_works":{"id":"H1","text":"Embryos are made outside the body and tested for the condition","source":{"url":"https://www.guysandstthomas.nhs.uk/our-services/pre-implantation-genetic-testing-pgt-msr","host":"guysandstthomas.nhs.uk","quote":"Embryos are created outside of the body and are tested for the genetic condition in the family.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":403}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/treatments/22457-ivf","host":"my.clevelandclinic.org","quote":"Many people will return to normal activities right after their egg retrieval procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"suits_whom":"Carriers of X-linked conditions","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Same as egg retrieval; longer test preparation may be needed."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer testing for genetic disease during pregnancy rather than on embryos","name":"Chorionic villus sampling","source":{"url":"https://my.clevelandclinic.org/health/diagnostics/4028-chorionic-villus-sampling-for-prenatal-diagnosis","host":"my.clevelandclinic.org","quote":"CVS can help identify certain genetic diseases, including problems with chromosomes.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"passport_validity","audience":"uk","volatile":true,"text":"The passport must have an expiry date at least 3 months after you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication in its original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"prescriptions","audience":"us","volatile":false,"text":"Medications that require a prescription in the United States also require a local doctor's prescription in Spain","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Medications requiring prescriptions in the United States also require a local doctor’s prescription in Spain.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"ghic","audience":"uk","volatile":false,"text":"A GHIC or EHIC is needed to get medically necessary state healthcare in Spain","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Spain, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V5","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals usually require payment or proof of insurance or funds before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Private hospitals usually require payment or proof insurance or funds before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["azerbaijan","china","cyprus","egypt","italy","malaysia","mexico","northern-cyprus","poland","republic-of-korea","thailand","ukraine","united-arab-emirates"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.7,"count":497,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>IVF with gender selection in Spain typically costs from _op_400_price_from_ to _op_400_price_to_. Prices primarily depend on the required genetic testing complexity and the specific fertility clinic tier. In the US, similar procedures cost around _price_compare_US_average_ on average. Spain offers savings of around _price_percent_discount_%. Costs generally cover clinical consultations, ovarian stimulation monitoring, egg retrieval, and embryo transfer.</p>\n\n<ul>\n<li><strong>Medical genetic screening:</strong> Often adds 25-40% to base IVF costs for sex-linked disease prevention.</li>\n<li><strong>Technological hub premiums:</strong> Prices in Barcelona and Madrid may run 15-20% higher than smaller cities.</li>\n<li><strong>Advanced diagnostics:</strong> Preimplantation genetic testing (PGT) typically requires a separate laboratory fee beyond the cycle.</li>\n<li><strong>Medication protocols:</strong> Hormonal stimulation drugs usually require a separate budget from the clinical procedure fee.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing high-volume centers in Barcelona offers significant value due to integrated specialist expertise. Centro Médico Teknon, a JCI-accredited facility, serves 10,000 patients annually with elite teams like Dr. Cayetana Barbed. Her programs often achieve success rates exceeding international standards. While base costs are competitive, the value lies in specialized ultrasound certifications and advanced egg donation programs. For complex cases, these clinical advantages justify the investment over standard mid-tier clinics.</p>","faq":[{"q":"Is elective gender selection legal in Spain?","a":"<p>Elective gender selection is strictly illegal in Spain under Law 14/2006. Clinics cannot perform sex selection for social reasons or family balancing. The law classifies non-medical gender selection as a very serious offense. This results in heavy penalties for healthcare facilities.</p> <ul> <li><strong>Medical exception:</strong> Permitted only to prevent severe sex-linked hereditary genetic diseases.</li> <li><strong>Authorized conditions:</strong> Includes Hemophilia A, Duchenne muscular dystrophy, and Fragile X syndrome.</li> <li><strong>Testing method:</strong> Doctors use Preimplantation Genetic Testing (PGT) to identify male-linked risks.</li> <li><strong>Clinic compliance:</strong> Facilities like Centro Médico Teknon strictly follow these national regulations.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While Spain ranks third globally for fertility requests, its regulations differ from countries like Cyprus. Spanish clinics prioritize embryo quality over sex preference. Even when tests reveal gender, medical viability dictates the transfer. Seek centers with JCI accreditation to ensure legal compliance.</p> <p><strong>Patient Consensus:</strong> Patients find clinic responses regarding sex selection can be vague. You should ask directly in writing if elective selection is permitted. Many warn that Europe has diverse laws and Spain is not for family balancing.</p>"},{"q":"What are the medical exceptions for sex selection?","a":"<p>Medical exceptions for sex selection in Spain allow embryo screening exclusively to prevent the transmission of serious sex-linked genetic disorders. Spanish law prohibits elective gender selection, permitting the practice only when Preimplantation Genetic Testing (PGT) identifies specific hereditary risks like hemophilia or Duchenne muscular dystrophy.</p> <ul> <li><strong>Genetic risk:</strong> Primary justification involves X-linked recessive disorders carried on the X chromosome.</li> <li><strong>Condition types:</strong> Exceptions include Duchenne muscular dystrophy, Fragile X syndrome, and Hemophilia.</li> <li><strong>Documentation:</strong> Clinics require formal proof of family history from a genetic specialist.</li> <li><strong>Clinical process:</strong> Embryo biopsy during IVF identifies sex to avoid transferring affected embryos.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While Spanish clinics like Centro Médico Teknon must follow strict legal limits, their infrastructure is superior for diagnosis. Dr. Cayetana Barbed teaches reproductive biology, ensuring testing follows elite standards. Patients should know that ethics committees review every medical exception case individually. Spain ranks as our third most requested destination because this high-level screening is combined with clinical success.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that Spanish clinics focus strictly on embryo viability and disease prevention. Documented medical history is essential as mental health or family balancing reasons are not accepted.</p>"},{"q":"Can I find out the gender of my embryos during routine IVF testing in Spain?","a":"<p>You cannot find out your embryo gender during routine IVF testing in Spain for personal choice or family balancing. Spanish Law 14/2006 strictly prohibits sex selection unless it prevents severe sex-linked genetic disorders like Haemophilia or Duchenne muscular dystrophy.</p> <ul> <li><strong>Legal restriction:</strong> Spanish law classifies elective sex selection as a very serious legal offense.</li> <li><strong>Medical exceptions:</strong> Disclosure is permitted only for preventing hereditary diseases tied to sex chromosomes.</li> <li><strong>Genetic testing:</strong> PGT-A reveals chromosomal data, but clinics must withhold sex info by law.</li> <li><strong>Specialized care:</strong> Centers like Centro Médico Teknon provide PGT-M for these specific medical cases.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While Spain ranks third globally for IVF requests, its regulations remain strictly therapeutic. Patients should note that even with high-end diagnostic tools, doctors like Cayetana Barbed must prioritize medical Necessity over preference. If family balancing is your primary goal, destinations like Mexico or Northern Cyprus offer legal avenues that Spanish clinics simply cannot provide due to local mandates.</p> <p><strong>Patient Consensus:</strong> Many feel Spain is more conservative than the U.S. regarding transparency. Most recommend explicitly asking clinics about their disclosure policies before starting PGT-A to avoid frustration later.</p>"},{"q":"Where do families go if they want elective gender selection?","a":"<p>Families travel to the United States, Mexico, Northern Cyprus, Thailand, and the United Arab Emirates for elective gender selection. These hubs allow family balancing through IVF and Preimplantation Genetic Testing with 99.9% accuracy. Spain also serves international patients seeking advanced reproductive care under specific regulatory frameworks.</p> <ul> <li><strong>Top destinations:</strong> The United States and Mexico lead for North American and European travelers.</li> <li><strong>Legal status:</strong> Elective selection is legal in Northern Cyprus, the USA, and UAE (married couples).</li> <li><strong>Procedure method:</strong> Clinics use IVF with PGT-A to identify biological sex before embryo transfer.</li> <li><strong>Spanish centers:</strong> Facilities like Centro Médico Teknon in Barcelona offer comprehensive reproductive genetic screening.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain is a unique mid-range option for families who prioritize high-level clinical credentials over the lowest price. While Northern Cyprus offers lower costs, Spanish clinics like Centro Médico Teknon hold prestigious Joint Commission International accreditation and serve high-profile global patients. Our data shows patients choose Spain when they want a balance of European medical standards and experienced specialists like Dr. Cayetana Barbed.</p> <p><strong>Patient Consensus:</strong> Many families emphasize that this process requires a full IVF emotional and physical commitment. Patients frequently recommend confirming in writing that your chosen clinic permits gender disclosure for your specific case before traveling.</p>"},{"q":"Does selecting the gender alter the success rate of the IVF cycle?","a":"<p>Gender selection does not biologically alter IVF success rates, as pregnancy odds depend on embryo quality rather than sex. However, the required preimplantation genetic testing (PGT) increases success per transfer by ensuring only chromosomally normal embryos are used, significantly reducing miscarriage risks.</p> <ul> <li><strong>Genetic screening benefit:</strong> PGT identifies healthy embryos, raising implantation success regardless of gender.</li> <li><strong>Embryo attrition risk:</strong> Prioritizing a specific sex may reduce the available pool of transferable embryos.</li> <li><strong>Testing accuracy:</strong> Modern biopsy techniques allow for nearly 100% accurate sex identification and screening.</li> <li><strong>Selection priority:</strong> Choosing lower-quality embryos based on gender can slightly lower overall pregnancy chances.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Success in Spain often depends more on lab precision than the selection itself. Clinics like Centro Médico Teknon utilize JCI-accredited labs where surgeons like Dr. Cayetana Barbed oversee complex PGT protocols. Data shows that while gender selection is popular for family balancing, the highest success rates occur when patients allow specialists to prioritize the highest-graded embryo from the tested pool.</p> <p><strong>Patient Consensus:</strong> Patients often reflect that while choosing a gender provides peace of mind, the emotional reality revolves around the number of healthy embryos available. Many suggest focusing on lab quality and transfer strategy rather than viewing gender as a factor that changes biological outcomes.</p>"},{"q":"How is gender selection performed technically?","a":"<p>Gender selection is technically achieved through In Vitro Fertilization combined with Preimplantation Genetic Testing. Embryologists biopsy 2–5 cells from a day 5 blastocyst to analyze the 23rd chromosome pair. This method identifies biological sex with virtually 100% accuracy while screening for chromosomal abnormalities like Down syndrome.</p> <ul> <li><strong>Embryo biopsy:</strong> Experts remove cells from the trophectoderm using a specialized laboratory laser.</li> <li><strong>Genetic analysis:</strong> Technicians identify XX for female or XY for male embryos via PGT-A.</li> <li><strong>ICSI technique:</strong> Surgeons often use Intracytoplasmic Sperm Injection to ensure high-quality embryo development.</li> <li><strong>Cryopreservation step:</strong> Clinics freeze embryos while awaiting genetic results before the final transfer.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish fertility centers like Centro Médico Teknon integrate PGT-M into selection protocols. This approach allows doctors to screen for specific monogenic disorders alongside sex identification. Dr. Cayetana Barbed’s coordination of advanced programs ensures that only the highest-viability embryos reach the biopsy stage.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that success relies on embryo quality rather than just sex preference. Many prepare for the emotional reality that not every biopsied embryo is viable for transfer.</p>"},{"q":"What paperwork is needed if I qualify for medical gender selection in Spain?","a":"<p>Qualifying for medical gender selection in Spain requires genetic evidence proving the need to prevent sex-linked hereditary diseases. Documentation must include official genetic counseling reports, a multi-generational family tree, and laboratory DNA results. All foreign records must have notarized Spanish translations to satisfy Spanish Law 14/2006 requirements.</p> <ul> <li><strong>Genetic documentation:</strong> Diagnostic reports mapping specific sex-linked risks or monogenic disorders are mandatory.</li> <li><strong>Laboratory results:</strong> Certified karyotype and DNA reports must confirm the parents' carrier status.</li> <li><strong>Legal verification:</strong> Valid passports for both partners and an apostilled marriage certificate are required.</li> <li><strong>Clinical consent:</strong> Signed informed consent forms specifically for PGT-M or structural rearrangement testing.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish clinics like Centro Médico Teknon prioritize a complete medical dossier over simple applications. Our data shows successful approvals depend on a specialist's referral letter documenting medical necessity. We recommend using a genetic counselor to organize your family-history packet before your first consultation. This proactive approach significantly speeds up the clinic's internal medical board review process.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that documentation must strictly focus on medical necessity rather than personal preference. Most administrative work involves proving genetic risk through detailed records of affected relatives and prior lab work.</p>"}],"h2":[{"text":"Quel est le Coût pour votre FIV avec sélection du sexe en Espagne ?","kind":"content"},{"text":"Vos avantages et garanties avec Bookimed","kind":"content"},{"text":"Votre coordinateur médical personnel","kind":"content"},{"text":"Découvrez les Meilleures Cliniques pour Votre FIV avec sélection du sexe en Espagne : 1 Options Vérifiées et Prix","kind":"content"},{"text":"Aperçu de FIV avec sélection du sexe en Espagne","kind":"content"},{"text":"Avis sur Bookimed : Découvrez l'Expérience des Patients","kind":"content"},{"text":"Partager ce contenu","kind":"content"},{"text":"Histoires vidéo des patients de Bookimed","kind":"content"},{"text":"FAQ de FIV avec sélection du sexe en Espagne","kind":"content"},{"text":"Obtenez une consultation gratuite","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}