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Access to in vitro fertilization for same-sex couples

Since the implementation of the ruling of the Inter-American Court of Human Rights in the case of Artavia Murillo et al. against Costa Rica, couples who wish to do so can have access to in vitro fertilization after complying with institutional requirements and protocols. With the annulment of article 14, paragraph 6) of the Family Code, this technique is also a reality for same-sex couples. In this blog we tell you more about this procedure.

At CELIG we have consulted with the CCSS, who have confirmed that same-sex couples can have access to IVF after meeting the requirements. This treatment is provided at the hospital level and requires that women who want to receive this treatment must have previously complied with the low complexity protocol and be eligible for high complexity, based on medical criteria.

It is important to take into account that the person must have CCSS insurance and go first to a consultation with the first level of care, EBAIS. From this consultation, the referrals are activated and, if appropriate, the person is referred to the High Complexity Reproductive Medicine Unit of the CCSS. The procedure to be followed is regulated in the Procedures Manual of the High Complexity Reproductive Medicine Unit in the CCSS UMRAC Health Services Network, available at 20.500.11764/3664/Manual%20of%20Procedures%20of%20la%20Unit%20of%20Medicine%20Reproductive%20of%20High%20Complexity%20in%20la%20Network%20of%20Services%20of%20Health%20of%20la%20CCSS% 20UMRAC.pdf?sequence=1&isAllowed=y.

As of January 6, of this year, the Presidency of the Republic reported that 28 girls and 42 boys have been conceived using this technique.

At CELIG we provide specialized services to the LGBTQI+ community. If you want more information or make an appointment with us, call us at 2253-0256 or write to us at

We are located in San José, Barrio Escalante.

M.Sc. Ana Isabel Sibaja Rojas

CELIG – Center for Equal Litigation