When assisted reproduction service may be provided
31.—(1)  A licensee must not perform any assisted reproduction procedure on a patient unless —
(a)a qualified assisted reproduction practitioner who is the licensee’s personnel is of the view that the assisted reproduction procedure may be carried out safely on the patient; and
(b)any condition in paragraph (2) applies.
(2)  The conditions mentioned in paragraph (1)(b) are the following:
(a)where the assisted reproduction procedure is elective oocyte storage — the patient —
(i)has any medical condition that significantly, permanently and adversely affects the patient’s fertility;
(ii)is undergoing any medical treatment that will significantly, permanently and adversely affect the patient’s fertility;
(iii)is a patient in respect of whom there is otherwise a medical indication for the storage of the oocyte, and is undergoing an assisted reproduction procedure (other than elective oocyte storage) for that medical indication; or
(iv)is at least 21 years of age but below 38 years of age;
(b)where the assisted reproduction procedure is not elective oocyte storage — the patient —
(i)is above 35 years of age; or
(ii)is 35 years of age or younger and there are medical indications for the performance of the assisted reproduction procedure on the patient.
(3)  A licensee must not provide a restricted procedure to a patient unless —
(a)the patient is legally married to a man; and
(b)the patient’s husband consents to the restricted procedure.
(4)  A licensee must not provide any ovarian stimulation treatment where the licensee is not also providing any assisted reproduction procedure to a patient unless —
(a)a qualified assisted reproduction practitioner who is the licensee’s personnel is of the view that the provision of the ovarian stimulation treatment may be provided safely to the patient; and
(b)the purpose of the patient receiving the ovarian stimulation treatment is to enable the patient to undergo either or both of the following procedures on the following conditions:
(i)a procedure to collect one or more oocytes for storage that is to be performed by another person, whether in or outside Singapore, if any condition in paragraph (5) applies;
(ii)an assisted reproduction procedure (other than elective oocyte storage) that is to be performed by another person, whether in or outside Singapore, if all the conditions in paragraph (6) are satisfied.
[S 851/2023 wef 18/12/2023]
(5)  The conditions mentioned in paragraph (4)(b)(i) are any of the following:
(a)the patient has any medical condition that significantly, permanently and adversely affects the patient’s fertility;
(b)the patient is undergoing any medical treatment that will significantly, permanently and adversely affect the patient’s fertility;
(c)the patient is a patient in respect of whom there is otherwise a medical indication for the storage of the oocyte;
(d)the patient is at least 21 years of age but below 38 years of age.
[S 851/2023 wef 18/12/2023]
(6)  The conditions mentioned in paragraph (4)(b)(ii) are —
(a)either —
(i)the patient is above 35 years of age; or
(ii)the patient is 35 years of age or younger and there are medical indications for the performance of the assisted reproduction procedure on the patient;
(b)the patient is legally married to a man; and
(c)the patient’s husband informs the licensee in writing that he consents to the patient receiving the assisted reproduction procedure to be performed by another person, whether in or outside Singapore.
[S 851/2023 wef 18/12/2023]
(7)  A licensee must record a patient’s purpose of receiving any ovarian stimulation treatment as part of the patient’s patient health record.
[S 851/2023 wef 18/12/2023]
(8)  In this regulation, “ovarian stimulation treatment” is a treatment that is provided by a licensee to a patient to increase the number of mature oocytes of the patient available for fertilisation, without collecting any oocyte from the patient.
[S 851/2023 wef 18/12/2023]