Archives of Gynecology and Obstetrics

, Volume 287, Issue 3, pp 599–606 | Cite as

German guidelines for psychosocial counselling in the area of “cross border reproductive services”

  • Petra Thorn
  • Tewes Wischmann
Reproductive Medicine


An increasing number of couples and individuals with a desire for a child travel abroad for assisted reproductive technologies that are not available in their home country. This trend has been coined “cross border reproductive services” (CBRS), often comprising third party reproduction. In order to respect the welfare of all parties involved, the German Society for Fertility Counselling has developed guidelines for psychosocial counselling in this area in 2010. The following article raises some of the controversies in CBRS and introduces these guidelines.


Cross border reproductive services Psychosocial counselling Infertility Third party reproduction Welfare of the child ART 


Conflict of interest



  1. 1.
    Pennings G, de Wert G, Shenfield F, Cohen J, Tarlatzis B, Devroey P (2008) ESHRE task force on ethics and law 15: cross-border reproductive care. Hum Reprod 23(10):2182–2184. doi: 10.1093/humrep/den184 PubMedCrossRefGoogle Scholar
  2. 2.
    McKelvey A, David A, Shenfield F, Jauniaux E (2009) The impact of cross-border reproductive care or “fertility tourism” on NHS maternity services. BJOG 116(11):1520–1523PubMedCrossRefGoogle Scholar
  3. 3.
    Kraske M, Ludwig U (2005) Die Babygrenze. Der Spiegel 46:108–118Google Scholar
  4. 4.
    Schindele E (2006) Der Eierdeal—das globale Geschäft mit menschlichen Eizellen. Deutschlandfunk. Accessed 12 Feb 2009
  5. 5.
    Thorn P, Wischmann T, Blyth E (2012) Cross border reproductive services—suggestions for an ethically based minimum standard of care in Europe. J Psychosom Obstet Gynaecol 33:1–6PubMedCrossRefGoogle Scholar
  6. 6.
    Whittaker A (2011) Cross-border assisted reproduction care in Asia: implications for access, equity and regulations. Reprod Health Matters 19(37):107–116. doi: 10.1016/S0968-8080(11)37575-1 PubMedCrossRefGoogle Scholar
  7. 7.
    Pfeffer N (2011) Eggs-ploiting women: a critical feminist analysis of the different principles in transplant and fertility tourism. Reprod Biomed Online 23:634–641. doi: 10.1016/j.rbmo.2011.08.005 PubMedCrossRefGoogle Scholar
  8. 8.
    Shenfield F, Pennings G, De Mouzon J et al (2011) ESHRE’s good practice guide for cross-border reproductive care for centers and practitioners. Hum Reprod 26:1625–1627PubMedCrossRefGoogle Scholar
  9. 9.
    College of Physicians (2001) Reproductive medicine and Belgian register for assisted procreation. Verslag 1998–1999Google Scholar
  10. 10.
    Vandervorst M, Staessen C, Sermon K et al (2000) The Brussel’s experience of more than 5 years of clinical preimplanation genetic diagnosis. Hum Reprod Update 6:364–373. doi: 10.1093/humupd/6.4.364 CrossRefGoogle Scholar
  11. 11.
    Velasco JG (2007) Egg donation in Spain. The Spanish point of view. Focus on Reproduction 26–30Google Scholar
  12. 12.
    Shenfield F, de Mouzon J, Pennings G, Ferraretti AP, Nyboe Andersen A, de Wert G, Goossens V (2010) Cross border reproductive care in six European countries. Hum Reprod 25:1361–1368. doi: 10.1093/humrep/deq057 PubMedCrossRefGoogle Scholar
  13. 13.
    Culley L, Hudson N, Blyth E, Norton W, Pacey A, Rapport F (2011) Transnational reproduction: an exploratory study of UK residents who travel abroad for fertility treatment. Summary Report. Accessed 09 Jan 2012
  14. 14.
    Hudson N, Culley L (2011) Assisted reproductive travel: UK patient trajectories. Reprod Biomed Online 23:573–581. doi: 10.1016/j.rbmo.2011.07.004 PubMedCrossRefGoogle Scholar
  15. 15.
    International Consumer Support for Infertility (iCSi) (2008) Travelling abroad for assisted reproductive (ART) treatment. International consumer support for infertility. Accessed 21 July 2010
  16. 16.
    Kleinschmidt D, Thorn P, Wischmann T (2008) Kinderwunsch und professionelle Beratung. Das Handbuch des Beratungsnetzwerkes Kinderwunsch Deutschland (BKiD). Kohlhammer, StuttgartGoogle Scholar
  17. 17.
    Thorn P, Wischmann T (2009) German guidelines for psychosocial counselling in the area of gamete donation. Hum Fertil (Camb) 12(2):73–80. doi: 10.1080/14647270802712728 CrossRefGoogle Scholar
  18. 18.
    Thorn P (2008) Reproduktives Reisen—eine Expertise für den Pro Familia Bundesverband. Pro Familia Bundesverband. Accessed 24 Sep 2009
  19. 19.
    Pennings G (2004) Legal harmonization and reproductive tourism in Europe. Hum Reprod 19(12):2689–2694. doi: 10.1093/humrep/deh486 PubMedCrossRefGoogle Scholar
  20. 20.
    Karlstrom PO, Bergh C (2007) Reducing the number of embryos transferred in Sweden-impact on delivery and multiple birth rates. Hum Reprod 22(8):2202–2207. doi: 10.1093/humrep/dem120 PubMedCrossRefGoogle Scholar
  21. 21.
    Ombelet W, De Sutter P, Van der Elst J, Martens G (2005) Multiple gestation and infertility treatment: registration, reflection and reaction—the Belgian project. Hum Reprod Update 11(1):3–14. doi: 10.1093/humupd/dmh048 PubMedCrossRefGoogle Scholar
  22. 22.
    Blake D, Proctor M, Johnson N, Olive D (2005) Cleavage stage versus blastocyst stage embryo transfer in assisted conception. Cochrane Database Syst Rev (4):CD002118. doi: 10.1002/14651858.CD002118.pub2
  23. 23.
    Günther H-L, Taupitz J, Kaiser P (2008) Embryonenschutzgesetz: Juristischer Kommentar mit medizinisch-naturwissenschaftlichen Einführungen. Kohlhammer, StuttgartGoogle Scholar
  24. 24.
    Blyth E, Thorn P, Wischmannn T (2011) CBRC and psychosocial counselling: assessing needs and developing an ethical framework for practice. Reprod Biomed Online 23(5):642–651. doi: 10.1016/j.rbmo.2011.07.009 PubMedCrossRefGoogle Scholar
  25. 25.
    European Parliament and the Council of the European Union (2004) Directive 2004/23/EC of the European Parliament and of the Council of 31 March 2004.!celexplus!prod!DocNumber&lg=de&type_doc=Directive&an_doc=2004&nu_doc=23. Accessed 25 March 2011
  26. 26.
    Blyth E (2012) Guidelines for infertility counselling in different countries: is there an emerging trend? Hum Reprod 27:2046–2057. doi: 10.1093/humrep/des112 PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Praxis für Paar-und FamilientherapieMörfeldenGermany
  2. 2.Institut für Medizinische PsychologieUniversitätsklinikum HeidelbergHeidelbergGermany

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