Sunday, July 3, 2011

Latest developments in the treatment of infertility in men and women

on 5:45 PM
Held in Jeddah recently, Medical Conference (GCC) under the title «EPSA 2011 IBSA 2011», in collaboration with the company «EPSA» Switzerland, and the presence of a large number of doctors gynecology and obstetrics of the Kingdom of Saudi Arabia and the Gulf States, and with the participation of a number of prominent scholars of Obstetrics and Gynecology and Reproductive Medicine and embryology of the Saudi universities and European countries.


Infertility in Saudi Arabia
* Through the participation and chairing one of the scientific sessions at the conference, explained Professor Hassan Saleh Jamal, a professor of medicine and surgery, obstetrics and gynecology, infertility, IVF and Dean of the Faculty of Medicine, King Abdulaziz University in Jeddah, that the rate of infertility is a significant percentage in the Gulf region in general and Saudi Arabia (Eastern Region) particularly where the percentage of infertility in the Kingdom from 15% to 20%, According to a study issued by the King Faisal University in Dammam that the rate of infertility in men and 45% in women 55% of the total infertility in the Kingdom.


He added that most of the causes that lead to infertility in men and women are: the increasing pressures of life, and sexually transmitted diseases, and the absence of sperm in men, and the blockage of the fallopian tubes in women.
According to Professor beauty that is not recommended to visit the doctor a year ago after the marriage, at least, must first examine the man and the work of the required analysis before subjecting the wife of any of the tests. He also explained that the treatment has become easier and much better than before when the man, through ICSI and the use of a drug «Alphustimon» which has had the best results.




Fertilization within the body
* He spoke at the conference, Professor Mohamed Magdy El-Sheikh, head of the assisted reproductive technology, Dr. Suleiman Faqih Hospital, Jeddah, on the ways to treat infertility and the extent of its success, namely:


* First, fertilization inside the body, and includes:


1 - ovarian stimulation with an appointment sexual intercourse: it is given a wife drugs stimulating the ovaries on the second day to the fifth of the menstrual cycle, so that the composition of an egg or two, and keep pace with giving these hormones follow-up by a ultrasound (sonar), and then are given the wife an injection to help ovulation. And asks a couple to have intercourse after giving 36 hours of injection. Then after that the wife is given medications to install the pregnancy. And achieve fertilization success rate of this method is acceptable, especially in women who suffer from PCOS or irregular menstrual cycle. Often, this procedure depends on the event that the semen of the husband and there are no natural weakness in the absence of a clear reason for the delay in childbearing.


2 - injection of sperm into the uterus (Intrauterine Insemination) IUI: This method is used if there is a slight weakness or average in the semen, which is no less when the number of sperm motion after treatment laboratory 5 million in the sample, or in the case of the presence of antibodies the sperm of the husband, or lack of pregnancy for unknown reasons and for a double short. In this procedure the wife is given drugs to stimulate the ovary, and maturation of oocytes is followed by a ultrasound and measuring the hormone estrogen in the blood. Then given the wife a needle for spawning. The process of injecting sperm in the laboratory of the processor status, and by separating the good and the exclusion of the weak and deformed, within the womb of the wife. Given to the wife on the day of semen hormone injection to help install the pregnancy. Then forms a sensitive pregnancy test after 14 days of the injection in the absence of the descent of the menstrual cycle. The rate of pregnancy by this method to 17 per cent.




Artificial insemination
* Second, fertilization outside the body, including:


1 - IVF in the traditional way (Conventional IVF): It was the birth of first child in 1978 in the world by fertilization outside the womb of the largest developments in the treatment of infertility and assisted reproduction; as if this method has enabled many couples to get to the children after their hope was to get them more like impossible. In this method of treatment the doctor pull the eggs from the ovary of the wife, and is placed in a special container inside the incubator in the laboratory and then added to the sperm processed in the laboratory. And then left for 18 hours inside the incubator in the laboratory. After the vaccination and the split embryos are returned to the wife by a private pipe. This method is called fertilization classical (traditional) outside the body Classical IVF. However, this method was not suitable for all cases of infertility, especially for men who suffer from serious weaknesses in the sperm or no sperm in the semen, until the discovery of technology fertilization outside the body by ICSI Intracytoplasmic Sperm Injection. Where is the injection of sperm into the egg.



2 - Technology ICSI Intracytoplasmic Sperm Injection: This method is ideal and the current favorite, a very successful, especially for men who complain of lack of sperm is great, as well as when the type of sperm is not good and does not have the ability to fertilize an egg for his weakness or as a result of hardening of the the wall of the egg. The main introduction of the sperm directly into an egg by a very thin needle, and use the sperm of only one egg each, unlike the method of IVF that are put thousands of sperm on the egg, cure your wife's hormones are in the same way IVF mentioned in the preceding item. After 80-10 hours the embryo begins to divide into several cells until it reaches the stage of full development of the cavity returned to the woman's uterus. The results of this program has given way to treat medical conditions was hopeless before. This method does not increase birth defects at all, studies have demonstrated accurate global validity of this argument.




The development of artificial insemination
* Says Professor Marco Felixora, a professor of gynecology and obstetrics at the University of Bologna, Italy and a member of the European Society of Human Reproduction and Embryology and member of the American Society for Reproductive Medicine, and was one of the most prominent speakers at the conference, many of the couples resort to artificial insemination, which address many of the problems of infertility and fertility The husband and wife. For example, when clogged pipes when the wife, and the weakness and lack of sperm when the husband.


He explained that the mechanism of artificial insemination was used in the past on a small scale, but is now used on a large scale and high success rate.
It is also new in the treatment of infertility, the use of laboratories equipped to detect genetic diseases that may cause fetal malformation and the incidence of many serious problems in the newborn.


He stressed that modern medicine and new mechanisms and the use of drugs in an effective and safe led to the success of fertilization and maintain the health of the mother. Also explained that the choice of medications and dosage are determined by genetic standards for laboratory and experience of the treating physician to choose the appropriate medication and dose for each patient or the patient, as needed.




Hormone therapy
* And hormonal treatment for infertility, said Professor Helmi Salman, a professor at the University of Perugia, Ph.D. in Biological Sciences University of Sapienza Rome, Italy, that the hormone naturally, such as (Almiraonal and Alphustimon) has made a huge boom in the treatment of many cases of infertility, and are the best of the hormone per genetically, because the egg is the best impact on the improvement of the egg, and that the use of hormone natural hormone with GM gives much better results than the use of genetically modified hormone alone.


Medical conference in the GulfJeddah: d. Yahya Abdul Hafeez KhojaMiddle East Journal


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