The Ramblings of a Middle Aged Fertility Physician whose life revolves around Eggs, Sperms & Embryos....
Thursday, July 24, 2008
Wednesday, July 23, 2008
Tuesday, July 22, 2008
No IVF please, we're British
An overwhelming majority of infertility patients in the UK said they would contemplate travelling abroad for fertility treatment, according to the first comprehensive study on the strength and motivations behind the fertility tourism industry. Among the 339 infertile patients who responded to an online poll conducted by Infertility Network UK, 76 per cent stated they would be willing to seek fertility treatment outside the UK with 70 per cent citing their reasons would be to avoid higher costs and long wait-lists at UK clinics. Infertility Network UK performed the survey for this year’s National Infertility Day on Saturday, 19 July 2008, when it announced its findings at a conference in central London.
Other popular reasons provided by the patients for why they might prefer to receive fertility treatment abroad were high success rates (61 per cent) and the greater availability of donor eggs and sperm (54 per cent). The UK has suffered a decline in the number of egg and sperm donors since removing donor anonymity by law in 2005. The 24 per cent opposed to treatment in overseas clinics were commonly concerned about lower standards, lack of regulation and language-barrier difficulties.
Clare Brown, Chief Executive of Infertility Network UK, blames the current ‘appalling’ difficulties - such as ‘postcode lottery’ arbitrary provision - that infertile couples face in Britain in order to access fertility assistance: ‘If the NHS funded three full cycles of treatment as recommended by NICE, many couples would not be forced to consider going abroad for treatment’, she said. She warned that regulations can be totally different for foreign fertility clinics and it is ‘absolutely vital’ for individuals to do ‘thorough research beforehand’.
Yet the study revealed an 88 per cent level of satisfaction from those who received treatment abroad, reportedly not only due to lower costs, shorter waiting-lists and successful pregnancy rates but also due to general staff attitude, atmosphere and state of the facilities. Clare Brown added that she hopes ‘that clinics in the UK take into account the findings of this survey and learn from the good experiences many couples have had at clinics abroad’.
Among those who were dissatisfied, 47 per cent experienced problems due to language and communication difficulties and 37 per cent due to unregulated practice. Prime Minister Gordon Brown stated, ‘The Government is working directly with Infertility Network UK, as well as experts in the NHS to ensure the needs of people with fertility problems are recognised and addressed’.
This Friday, 25 July, marks the birthday of Louise Brown, who was the world’s first IVF-conceived child born in England. Thirty years onward, roughly 3.5 million IVF-assisted babies have been born worldwide, averaging at least 200,000 annually. However, infertile individuals in the UK are among the least likely in the developed world to receive IVF with one of the lowest annual IVF performance rates in Europe - under 700 per million Britons. In 2005 just 1.6 per cent of total births were assisted pregnancies compared with rates of 3-3.5 per cent in Scandinavia.
A special-focus Economist article attributed the low statistics to the lack of public funding available and the low-priority ascribed to infertility as a medical condition in the UK. Only nine out of the 152 local primary-care trusts provide the three recommended IVF cycles. In 2005, two-thirds of the IVF cycles performed in Britain were privately funded.
Other popular reasons provided by the patients for why they might prefer to receive fertility treatment abroad were high success rates (61 per cent) and the greater availability of donor eggs and sperm (54 per cent). The UK has suffered a decline in the number of egg and sperm donors since removing donor anonymity by law in 2005. The 24 per cent opposed to treatment in overseas clinics were commonly concerned about lower standards, lack of regulation and language-barrier difficulties.
Clare Brown, Chief Executive of Infertility Network UK, blames the current ‘appalling’ difficulties - such as ‘postcode lottery’ arbitrary provision - that infertile couples face in Britain in order to access fertility assistance: ‘If the NHS funded three full cycles of treatment as recommended by NICE, many couples would not be forced to consider going abroad for treatment’, she said. She warned that regulations can be totally different for foreign fertility clinics and it is ‘absolutely vital’ for individuals to do ‘thorough research beforehand’.
Yet the study revealed an 88 per cent level of satisfaction from those who received treatment abroad, reportedly not only due to lower costs, shorter waiting-lists and successful pregnancy rates but also due to general staff attitude, atmosphere and state of the facilities. Clare Brown added that she hopes ‘that clinics in the UK take into account the findings of this survey and learn from the good experiences many couples have had at clinics abroad’.
Among those who were dissatisfied, 47 per cent experienced problems due to language and communication difficulties and 37 per cent due to unregulated practice. Prime Minister Gordon Brown stated, ‘The Government is working directly with Infertility Network UK, as well as experts in the NHS to ensure the needs of people with fertility problems are recognised and addressed’.
This Friday, 25 July, marks the birthday of Louise Brown, who was the world’s first IVF-conceived child born in England. Thirty years onward, roughly 3.5 million IVF-assisted babies have been born worldwide, averaging at least 200,000 annually. However, infertile individuals in the UK are among the least likely in the developed world to receive IVF with one of the lowest annual IVF performance rates in Europe - under 700 per million Britons. In 2005 just 1.6 per cent of total births were assisted pregnancies compared with rates of 3-3.5 per cent in Scandinavia.
A special-focus Economist article attributed the low statistics to the lack of public funding available and the low-priority ascribed to infertility as a medical condition in the UK. Only nine out of the 152 local primary-care trusts provide the three recommended IVF cycles. In 2005, two-thirds of the IVF cycles performed in Britain were privately funded.
Monday, July 21, 2008
Sunday, July 20, 2008
Saturday, July 19, 2008
Friday, July 18, 2008
Increased Fertility Problems For Men Over 40
Scientists have found further evidence to suggest that, like women, fertility drops in men as they age, heard delegates at the annual meeting of the European Society of Human Reproduction and Embryology. The research, led by Dr Stephanie Belloc of the Eylau Centre for Assisted Reproduction in Paris, France, said that the results - the first to show such a strong paternal effect on pregnancy and miscarriage rates - will have important implications for couples wanting to start a family.
'I think it's important to consider not only the woman, but both members of the couple in natural conception but also in assisted reproduction', Belloc told the Times, adding: 'We believe that the use of IVF should be suggested to infertile patients where either party is over 35 years of age'.
The researchers recorded rates of pregnancy, miscarriage and birth in 12,000 couples undergoing fertility treatment in the form of intrauterine inseminations (IUI), where sperm is injected into the woman's uterus while she is ovulating. They also examined the quality and quantity of the sperm, including their ability to swim, size and shape.
The results showed that, independent of the woman's age, the chances of miscarriage rose from 16.7 per cent if the man was 30-35 years old, to 32.5 per cent if he was over 40. Although the impact of the female 'biological clock' on fertility has been widely studied, this is the first time that such a strong paternal effect on reproductive outcome has been shown, said Belloc. 'Some recent studies have established a relationship between the results of IUI and DNA damage, which is also correlated with is also correlated with a man's age, suggesting that it might be an important factor, but until now there was no clinical proof', she said.
'I think it's important to consider not only the woman, but both members of the couple in natural conception but also in assisted reproduction', Belloc told the Times, adding: 'We believe that the use of IVF should be suggested to infertile patients where either party is over 35 years of age'.
The researchers recorded rates of pregnancy, miscarriage and birth in 12,000 couples undergoing fertility treatment in the form of intrauterine inseminations (IUI), where sperm is injected into the woman's uterus while she is ovulating. They also examined the quality and quantity of the sperm, including their ability to swim, size and shape.
The results showed that, independent of the woman's age, the chances of miscarriage rose from 16.7 per cent if the man was 30-35 years old, to 32.5 per cent if he was over 40. Although the impact of the female 'biological clock' on fertility has been widely studied, this is the first time that such a strong paternal effect on reproductive outcome has been shown, said Belloc. 'Some recent studies have established a relationship between the results of IUI and DNA damage, which is also correlated with is also correlated with a man's age, suggesting that it might be an important factor, but until now there was no clinical proof', she said.
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