Eggs cost 10 times more to freeze than embryos

The technology known as ‘oocyte vitrification’ – which involves the freezing of unfertilized human ova (eggs) instead of fertilized embryos - may have assuaged the conscience of government MPs who face a moral dilemma to regulate assisted fertility therapy in Malta… but it comes with a hefty price tag.

Medical experts who spoke to MaltaToday confirmed that the expenses involved in using this technology are significantly higher than with the freezing of fertilized embryos. One doctor estimates that oocyte vitrification may cost up to 10 times as much - with serious implications for the public health service, already creaking under the strain of an ever-increasing health bill.

This is of direct relevance to the ongoing parliamentary discussions on assisted reproduction techniques, as both Prime Minister Lawrence Gonzi and Health Minister Joe Cassar have pronounced themselves in favour of the more expensive technology on ‘ethical’ grounds.

Assisted fertility treatment has been on offer in Malta for over 20 years, but there is no legislative framework regulating the sector locally. The major stumbling block has so far proved to be the freezing and storage of fertilised human embryos.

Proscribed by the Church, the controversial practice also has its opponents in the medical sector: with a recently formed lobby group, Professionals Against Embryo Freezing, pushing for a total ban. Government MPs are understood to be divided on the issue: Jean-Pierre Farrugia, a medical doctor who piloted the bill through the Bio-Ethics Committee stage, defends embryo freezing so long as excess embryos are not discarded (as is commonplace elsewhere).

But Edwin Vassallo, chair of the Social Affairs Committee which discussed the issue this week, passed the bill back to parliament without making any direct recommendation one way or the other.

In a recent interview on Radio 101, Dr Gonzi argued that the delay in regulating this sector has allowed for medical advances that render Catholic objections redundant.

“Thank God we waited because we discovered technological advances that will help us overcome difficulties of conscience over this matter... thanks to scientific developments, these difficulties can be addressed or reduced,” Dr Gonzi told his interviewer on Radio 101.

Cassar has also giving his blessing to the technology, as it obviates all the morally contentious aspects of the therapy.

“Why enter into a dilemma whether you should or should not freeze embryos when there is a system which provides for the same result, without having to freeze the embryos?” he asked last Sunday.

Doctors could easily answer the question by pointing towards the exorbitant costs involved in the technology. However, whether the taxpayer will be willing to make good for the price difference is another question entirely.

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Joseph Galea
A question to Paul Vincenti, who seems to agree with the freezing of eggs. Let us take this scenario: an egg is frozen and then fertilised for implanting in a woman but at the last moment the woman has second thoughts and refuses to go on with the procedure. Unlikely but possible. What happens then to the embryo? Should it be discarded or frozen? What is the position of Gift of Life?
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P. Vincenti, serious journalism does not quote or name any sources when it comes to such issues as IVF or abortion when it happens to be discussed on this sacred island. Or else the sources might end up with dead rabbits plastered at their front door or alternatively set on fire. All excused with religious principles.
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The seminar in question was organized by the Bioethics Committee. Dr Eleanora Porcu manages a state run IVF university clinic, Bologna. The statistics are easily verifiable, quoted also by WHO. She is an expert who actually worked with both embryo freezing in her early years and then switched to freezing before the Italian law was changed. She has written and had published numerous scientific papers. Had Mr Vassallo attended the presentation, he would not have been so quick to fire from the hip and make such a wild statement. The report by Vassallo does not mention who these experts are. This is not the first time that the MT has quoted mysterious sources without telling us who these so called experts are. Those who believe these kind of reports so blindly are the usual suspects. Dr.Porcu is a world expert who in May stated clearly that the only difference in investment is in the set up costs which are comparable. Treatment costs are identical. Dr Porcu has worked with both freezing of embryos and egg freezing. She should know. Who are the local experts, who have never worked with either of these? Who are these experts that Mr. Vassallo mentions who claim it will cost ten times more? In all likelihood, they do not exist. If they do, then they should come out and debate, not hide behind Mr. Vassallo. If they are so convinced, they should have spoken up in the social affairs committee. They did not. Why? Are these experts a fabrication of Mr Vassallo’s overactive imagination? If they do exist, then where are they? Why are they so reluctant to express their opinions openly? Serious journalism does not make such wild statements without at least quoting a source.
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Of course, it was predictable to find a comment from GoL when the article is about IVF or similar issues. Paul Vincenti, the seminars that you are attending are based on religious beliefs and twisting the truth as they please. "Medical experts who spoke to MaltaToday confirmed that the expenses involved in using this technology are significantly higher.." I choose scientific facts over religious zeal.
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Mr vassallo obviously does not have a clue about what he is talking about. If he had bothered to attend the seminar by Dr E Porcu from Bologna in May, he would have discovered that iegg freezing is not at all more expensive. It costs the same. This is more like Raphael trying to cause alarm.
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Raphael, are you sure there isn't a mistake in your article? Gonzi and Cassar favouring the more expensive technology? Conscience over money ? But then again...in this case it's all about winning back the votes that are in limbo due to the anti-divorce stance.
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Raphael, an embryo cannot be fertilized again, it has already passed that stage. Only an egg can be fertilized to become an embryo.