Dr Kate Van Harselaar

Size: px
Start display at page:

Download "Dr Kate Van Harselaar"

Transcription

1 Dr Kate Van Harselaar Obstetrician and Gynaecologist Fertility Associates Dunedin 8:40-9:00 Modern Fertility - Social Changes Impacting Fertility

2 Modern Fertility Social Changes Impacting Fertility Dr Kate van Harselaar Reproductive Medicine, Obstetrician, Gynaecologist FRANZCOG, PGDipOMG, MBChB, MSc (Distinction)

3 Latest NZ Research 1 in 4 experience infertility 1,037 couples, Dunedin 1 in 4 people experienced infertility Result entering parenthood later no or incomplete family

4 Career Starting a family comes after financial stability no time is the right time.. Too late decrease chance having a child completing family

5 Financial Both couples having to work Working 2 jobs 7 children children

6 Education Less educated women have more children Contraception Too good accessible, reliable and effective Need to plan

7 Lifestyle factors.. Smoking Decr sperm quality, bld flow to uterus, incr MC IVF halves success, decr quality/number eggs Weight (BMI) <19 and >32 (men and women) Alcohol >2units/day Incr RR Infertility 60% Coffee >250mg/d Decr fecundability 45%

8 Men they re never too old? But only need one

9 But. Sperm quality in men declining Older men Increased risk autism and schizophrenia Abnormal sperm Increase DNA fragmentation Decreases IVF pregnancy rate Increases rate of miscarriage Normal sperm No effect

10 Sperm Health Normal BMI Diets high in fruit, vegetables, fish and wholegrains Low alcohol No cigarettes Menevit Frequent ejaculation

11 Fertility Treatment

12 More opportunities Better technology - egg freezing Greater acceptance Learn history Education Sperm donors Egg donors Surrogate

13 Realization more is not better

14 IVF and age number eggs? How many eggs required per baby (for a 70% chance) required 10 oocytes required 14 oocytes required 25 oocytes required?50 oocytes

15 Sperm Donor Same sex couples Abnormal sperm Single women (increasing) Financially stable, educated Late 30s Have not met Mr Right Biological Clock is ticking

16 Sperm Donor - waitlist 2 years?! Requires advanced planning. Long wait list Changes in laws mean men reluctant to donate

17 Egg Donor Social media womens own eggs at 45yo? Growing need for egg donors women having children later Realistic option

18 Fertility preservation egg freezing Career Social Cancer No sperm at IVF Rapid reduction of ovarian reserve

19 Where are we at? Better health cares services earlier detection disease Eg PID, endometriosis Less complications Social media - Greater acceptance Inconceivable program Education Greater advances in technology, increased awareness of fertility options egg freezing, egg donor/sperm donor, surrogacy More chances of a baby

20 What do we need to work on? Disparity between supply vs demand of IVF/ICSI with public treatment Start early Meet criteria Requires >2 cycles Fertility treatment costly Only accessible to the few Education Social Media Understand fertility window Know limitations (BMI, smoking) Lifestyle (diet exercise) Criteria public funding

21 Fertility.. The future? Thinking about starting a family Early means. Time to try Time to act Maximise chance accessing pubic funding Time find egg donor/sperm donor/ surrogate Time to complete family

22

Fertility in the 21 st Century Dr Leigh Searle

Fertility in the 21 st Century Dr Leigh Searle Fertility in the 21 st Century Dr Leigh Searle Fertility Specialist, Obstetrician, Gynaecologist FRANZCOG, PGDipOMG, MBChB Dr Kate Van Harselaar Fertility Specialist, Obstetrician and Gynaecologist Overview

More information

Fertility What do GP s need to know? Richard Fisher Fertility Associates

Fertility What do GP s need to know? Richard Fisher Fertility Associates Fertility 2010 What do GP s need to know? Richard Fisher Fertility Associates New Zealand Source: Max Planck Institute Average age of mother at first birth in New Zealand 35 30 25 20 15 10 5 0 Median Mean

More information

Top 10 questions in fertility

Top 10 questions in fertility Top 10 questions in fertility Mr Rehan Salim MD MRCOG Head of Reproductive Medicine Consultant Gynaecologist & Subspecialist in Reproductive Medicine Imperial College NHS Trust Learning objectives Patient

More information

Recommended Interim Policy Statement 150: Assisted Conception Services

Recommended Interim Policy Statement 150: Assisted Conception Services Southampton City Clinical Commissioning Group (CCG) took on commissioning responsibility for Assisted Conception Services from 1 April 2013 for its population and agreed to adopt the interim policy recommendations

More information

SHIP8 Clinical Commissioning Groups Priorities Committee (Southampton, Hampshire, Isle of Wight and Portsmouth CCGs)

SHIP8 Clinical Commissioning Groups Priorities Committee (Southampton, Hampshire, Isle of Wight and Portsmouth CCGs) SHIP8 Clinical Commissioning Groups Priorities Committee (Southampton, Hampshire, Isle of Wight and Portsmouth CCGs) Policy Recommendation 002: Assisted Conception Services Date of Issue: September 2014

More information

Dr Guy Gudex. Gynaecologist and Fertility Specialist Repromed. 9:05-9:30 Advances in Assisted Reproduction What s New?

Dr Guy Gudex. Gynaecologist and Fertility Specialist Repromed. 9:05-9:30 Advances in Assisted Reproduction What s New? Dr Guy Gudex Gynaecologist and Fertility Specialist Repromed 9:05-9:30 Advances in Assisted Reproduction What s New? Rotorua GP CME June 2016 Advances in Assisted Reproduction-What s new? Dr Guy Gudex

More information

Clinical Policy Committee

Clinical Policy Committee Clinical Policy Committee Commissioning policy: Assisted Conception Fertility assessment and investigations are commissioned where: A woman is of reproductive age and has not conceived after one (1) year

More information

T39: Fertility Policy Checklist

T39: Fertility Policy Checklist Patient Name: Address: Date of Birth: NHS Number: Consultant/Service to whom referral will be made: Institution Lifestyle Information Latest BMI: Latest BP: Smoking Status: Has the patient been referred

More information

Infertility in Women over 35. Alison Jacoby, MD Dept. of Ob/Gyn UCSF

Infertility in Women over 35. Alison Jacoby, MD Dept. of Ob/Gyn UCSF Infertility in Women over 35 Alison Jacoby, MD Dept. of Ob/Gyn UCSF Learning Objectives Review the effect of age on fertility Fertility counseling for the patient >35 - timing - lifestyle - workup Fertility

More information

Dr Manuela Toledo - Procedures in ART -

Dr Manuela Toledo - Procedures in ART - Dr Manuela Toledo - Procedures in ART - Fertility Specialist MBBS FRANZCOG MMed CREI Specialities: IVF & infertility Fertility preservation Consulting Locations East Melbourne Planning a pregnancy - Folic

More information

Fertility 101. About SCRC. A Primary Care Approach to Diagnosing and Treating Infertility. Definition of Infertility. Dr.

Fertility 101. About SCRC. A Primary Care Approach to Diagnosing and Treating Infertility. Definition of Infertility. Dr. Dr. Shahin Ghadir A Primary Care Approach to Diagnosing and Treating Infertility St. Charles Bend Grand Rounds November 30, 2018 I have no conflicts of interest to disclose. + About SCRC State-of-the-art

More information

Policy statement. Commissioning of Fertility treatments

Policy statement. Commissioning of Fertility treatments Policy statement Commissioning of Fertility treatments NB: The policy relating to commissioning of fertility treatments is unchanged from the version approved by the CCG in March 2017. The clinical thresholds

More information

Clinical Policy Committee

Clinical Policy Committee Northern, Eastern and Western Devon Clinical Commissioning Group South Devon and Torbay Clinical Commissioning Group Clinical Policy Committee Commissioning policy: Assisted Conception Fertility treatments

More information

WHAT IS A PATIENT CARE ADVOCATE?

WHAT IS A PATIENT CARE ADVOCATE? WHAT IS A PATIENT CARE ADVOCATE? Fertility treatments can be overwhelming. As a member, you have unlimited access to a dedicated Patient Care Advocate (PCA), who acts as your expert resource for discussing

More information

What are the various Motives for Patients to Travel? -Dr Samit Sekhar Executive Director

What are the various Motives for Patients to Travel? -Dr Samit Sekhar Executive Director What are the various Motives for Patients to Travel? -Dr Samit Sekhar Executive Director Reproductive Tourism Assisted reproductive technology (ART) lures people across borders. The willingness to travel

More information

Director of Commissioning, Telford and Wrekin CCG and Shropshire CCG. Version No. Approval Date August 2015 Review Date August 2017

Director of Commissioning, Telford and Wrekin CCG and Shropshire CCG. Version No. Approval Date August 2015 Review Date August 2017 Commissioning Policy for In Vitro Fertilisation (IVF)/ Intracytoplasmic Sperm Injection (ICSI) within tertiary Infertility Services, in Shropshire and Telford and Wrekin Owner(s) Version No. Director of

More information

NICE fertility guidelines. Hemlata Thackare MPhil MSc MRCOG Deputy Medical Director London Women s Clinic

NICE fertility guidelines. Hemlata Thackare MPhil MSc MRCOG Deputy Medical Director London Women s Clinic NICE fertility guidelines Hemlata Thackare MPhil MSc MRCOG Deputy Medical Director London Women s Clinic About the LWC 4 centres around the UK London Cardiff Swansea Darlington The largest sperm bank in

More information

Fertility Preservation By Dr Mary Birdsall Chair, Fertility Associates

Fertility Preservation By Dr Mary Birdsall Chair, Fertility Associates Fertility Preservation By Dr Mary Birdsall Chair, Fertility Associates What can you put in the Freezer and why would you? Sperm Embryos Eggs Ovarian Tissue Freezing Sperm 60 years ago first human pregnancy

More information

CEL 09 (2013) 15 May Dear Colleague

CEL 09 (2013) 15 May Dear Colleague Director General Health and Social Care and Chief Executive NHS Dear Colleague Provision of Infertility Services in Scotland (updated IVF criteria) As you know a National Infertility Group was convened

More information

Blackpool CCG. Policies for the Commissioning of Healthcare. Assisted Conception

Blackpool CCG. Policies for the Commissioning of Healthcare. Assisted Conception 1 Introduction Blackpool CCG Policies for the Commissioning of Healthcare Assisted Conception 1.1 This policy describes circumstances in which NHS Blackpool Clinical Commissioning Group (CCG) will fund

More information

Assisted Conception Policy

Assisted Conception Policy Assisted Conception Policy NHS Eligibility Criteria for assisted conception services (excluding In vitro fertilisation (IVF) Intracytoplasmic sperm injection (ICSI) treatment) for people with infertility

More information

Fertility Policy. December Introduction

Fertility Policy. December Introduction Fertility Policy December 2015 Introduction Camden Clinical Commissioning Group (CCG) is responsible for commissioning a range of health services including hospital, mental health and community services

More information

Intrauterine (IUI) and Donor Insemination (DI) Policy (excluding In vitro fertilisation (IVF) & Intracytoplasmic sperm injection (ICSI) treatment)

Intrauterine (IUI) and Donor Insemination (DI) Policy (excluding In vitro fertilisation (IVF) & Intracytoplasmic sperm injection (ICSI) treatment) Leicester City Clinical Commissioning Group West Leicestershire Clinical Commissioning Group East Leicestershire and Rutland Clinical Commissioning Group POLICY DOCUMENT Intrauterine (IUI) and Donor Insemination

More information

INTRODUCTION TABLE OF CONTENTS. If you want to become a parent after cancer, we would like to give you the information you need to make that happen.

INTRODUCTION TABLE OF CONTENTS. If you want to become a parent after cancer, we would like to give you the information you need to make that happen. TABLE OF CONTENTS INTRODUCTION INTRODUCTION 1 MEN Fertility Risks 2 Fertility Preservation Options 3 Possible Fertility Outcomes 4 Parenthood After Cancer Options 5 Important Tips for Men 6 WOMEN Fertility

More information

Treating Infertility

Treating Infertility Treating Infertility WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 About 10% of couples in the United States are infertile. Infertility is a condition in which a woman has not been able

More information

SUBFERTILITY. (Defined as involuntary failure to conceive within 12 months with regular coitus)

SUBFERTILITY. (Defined as involuntary failure to conceive within 12 months with regular coitus) SUBFERTILITY (Defined as involuntary failure to conceive within 12 months with regular coitus) Clients attending with fertility concerns should have a medical, drug, menstrual, contraception, social and

More information

Wiltshire CCG Fertility Policy

Wiltshire CCG Fertility Policy Wiltshire CCG Fertility Policy Introduction This policy sets out the limits within which WCCG will fund treatment with either Intrauterine Insemination [IUI], ovulation induction medication or donor insemination

More information

Fertility Tourism. Dr Karen Buckingham. National Women s Annual Clinical Report Day August 2013

Fertility Tourism. Dr Karen Buckingham. National Women s Annual Clinical Report Day August 2013 Fertility Tourism Dr Karen Buckingham National Women s Annual Clinical Report Day August 2013 Cross Border Reproductive Care refers to the activity surrounding patients who travel outside of their country

More information

HALTON CLINICAL COMMISSIONING GROUP NHS FUNDED TREATMENT FOR SUBFERTILITY. CONTENTS Page

HALTON CLINICAL COMMISSIONING GROUP NHS FUNDED TREATMENT FOR SUBFERTILITY. CONTENTS Page HALTON CLINICAL COMMISSIONING GROUP NHS FUNDED TREATMENT FOR SUBFERTILITY CONTENTS Page 1. INTRODUCTION 2 2. GENERAL PRINCIPLES 2 3. DEFINITION OF SUBFERTILITY AND TIMING OF ACCESS TO TREATMENT 3 4. DEFINITION

More information

The Fertility Forum Bringing professionals and the public together

The Fertility Forum Bringing professionals and the public together 09:00 Registration 09:50 for 10:00 Welcome Kate Brian and Adam Balen to set the scene and to welcome Introduction to the day Sally Cheshire, Chair, HFEA and Lesley Regan, President RCOG Stream 1 Chair:

More information

Planning for Parenthood After a Cancer Diagnosis

Planning for Parenthood After a Cancer Diagnosis Cancer and Fertility Planning for Parenthood After a Cancer Diagnosis If you or someone you love is facing cancer, preserving fertility may be the last thing on your mind. But if you re a woman of childbearing

More information

They are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:

They are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see: Cryopreservation to preserve e fertility in people diagnosed with cancer bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They

More information

West Hampshire Clinical Commissioning Group Board

West Hampshire Clinical Commissioning Group Board West Hampshire Clinical Commissioning Group Board Date of meeting 25 July 2013 Agenda Item 9 Paper No WHCCG13/089 Priorities Committee Statement Assisted Conception/IVF Key issues An Interim Policy Statement

More information

Understanding IVF Processes in Surrogacy

Understanding IVF Processes in Surrogacy Melvin H. Thornton II MD Medical Director CT Fertility Understanding IVF Processes in Surrogacy The Basics Surrogacy involves multiple parties IVF CLINIC Egg donors screening and matching* Medical process

More information

Access to IVF. Help us decide Discussion paper. South Central Specialised Commissioning Group C - 1

Access to IVF. Help us decide Discussion paper. South Central Specialised Commissioning Group C - 1 Access to IVF Help us decide Discussion paper South Central Specialised Commissioning Group 1 C - 1 Access to IVF treatment Contents 1. Background 3 2. Developing a single policy for NHS South Central..4

More information

Cancer Fertility. Fertility Options to Consider Before Treatment Begins & Parenthood Options After Cancer

Cancer Fertility. Fertility Options to Consider Before Treatment Begins & Parenthood Options After Cancer & Cancer Fertility Fertility Options to Consider Before Treatment Begins & Parenthood Options After Cancer If you or someone you care about is faced with a cancer diagnosis, preserving fertility may be

More information

NHS FUNDED TREATMENT FOR SUBFERTILITY. ELIGIBILITY CRITERIA POLICY GUIDANCE/OPTIONS FOR CCGs

NHS FUNDED TREATMENT FOR SUBFERTILITY. ELIGIBILITY CRITERIA POLICY GUIDANCE/OPTIONS FOR CCGs NHS FUNDED TREATMENT FOR SUBFERTILITY ELIGIBILITY CRITERIA POLICY GUIDANCE/OPTIONS FOR CCGs CONTENTS Page 1. INTRODUCTION 2 2. GENERAL PRINCIPLES 2 3. DEFINITION OF SUBFERTILITY AND TIMING OF ACCESS TO

More information

Getting Pregnant, Staying Pregnant & Post Pregnancy by Siobhán Boucher.

Getting Pregnant, Staying Pregnant & Post Pregnancy by Siobhán Boucher. Getting Pregnant, Staying Pregnant & Post Pregnancy by Siobhán Boucher www.siobhanboucher.com Getting Pregnant, Staying Pregnant and After you have your baby 1. Types & Causes of infertility 2. What can

More information

Fertility treatment and referral criteria for tertiary level assisted conception

Fertility treatment and referral criteria for tertiary level assisted conception Fertility treatment and referral criteria for tertiary level assisted conception Version Number 2.0 Ratified by HVCCG Exec Team Date Ratified 9 th November 2017 Name of Originator/Author Dr Raj Nagaraj

More information

Fertility Issues Update. Dr Sarah Wakeman FRANZCOG, CREI, Medical Director, Fertility Associates Christchurch

Fertility Issues Update. Dr Sarah Wakeman FRANZCOG, CREI, Medical Director, Fertility Associates Christchurch Fertility Issues Update Dr Sarah Wakeman FRANZCOG, CREI, Medical Director, Fertility Associates Christchurch Disclaimer Attendance paid for by Fertility Associates Christchurch - Medical Director of Fertility

More information

Building Your Family. at Northwestern Medicine Fertility and Reproductive Medicine

Building Your Family. at Northwestern Medicine Fertility and Reproductive Medicine Building Your Family at Northwestern Medicine Fertility and Reproductive Medicine Building your family Medicine takes pride in helping all individuals and couples build their families. Procreation is a

More information

SpermComet DNA Test your results and what they mean

SpermComet DNA Test your results and what they mean SpermComet DNA Test your results and what they mean Sperm DNA damage and why it is important for your fertility. You and your partner are each going to give some of your DNA to your baby, so the health

More information

Realizing dreams booklet.indd 1 5/20/ :26:52 AM

Realizing dreams booklet.indd 1 5/20/ :26:52 AM Realizing dreams. 18891booklet.indd 1 5/20/2010 11:26:52 AM The Journey To Parenthood The first Gator Baby was born in 1988 through the in vitro fertilization program at the University of Florida. Since

More information

Reproductive Technology, Genetic Testing, and Gene Therapy

Reproductive Technology, Genetic Testing, and Gene Therapy Michael Cummings Chapter 16 Reproductive Technology, Genetic Testing, and Gene Therapy David Reisman University of South Carolina 16.1 Infertility Is a Common Problem In the US, about 13% of all couples

More information

Offering you the very best clinical service in friendly, modern surroundings

Offering you the very best clinical service in friendly, modern surroundings An introduction to IVF at Homerton Hospital Offering you the very best clinical service in friendly, modern surroundings Homerton Fertility Centre Welcome to the Homerton Fertility Centre The Homerton

More information

Infertility F REQUENTLY A SKED Q UESTIONS. Q: Is infertility a common problem?

Infertility F REQUENTLY A SKED Q UESTIONS. Q: Is infertility a common problem? Infertility (female factors). In another one third of cases, infertility is due to the man (male factors). The remaining cases are caused by a mixture of male and female factors or by unknown factors.

More information

East and North Hertfordshire CCG. Fertility treatment and referral criteria for tertiary level assisted conception

East and North Hertfordshire CCG. Fertility treatment and referral criteria for tertiary level assisted conception East and North Hertfordshire CCG Fertility treatment and referral criteria for tertiary level assisted conception December 2015 1 1. Introduction This policy sets out the entitlement and service that will

More information

Infertility: A Generalist s Perspective

Infertility: A Generalist s Perspective Infertility: A Generalist s Perspective Learning Objectives Fertility and Lifestyle: Patient education Describe the basic infertility workup Basic treatment strategies unexplained Heather Huddleston, MD

More information

The facts about egg freezing

The facts about egg freezing The facts about egg freezing 1800 111 483 qfg.com.au Who might benefit from egg freezing? Age-related infertility in women is one of the most common issues presented to fertility specialists each day when

More information

Adoption and Foster Care

Adoption and Foster Care GLOSSARY Family building via Adoption and Foster Care October 2018 www.familyequality.org/resources A Anonymous Donor: A person who donated sperm or eggs with the intention of never meeting resulting children.

More information

a nonprofit organization Cancer & Fertility: A Guide for Young Men supported by CBC Foundation

a nonprofit organization Cancer & Fertility: A Guide for Young Men supported by CBC Foundation a nonprofit organization Cancer & Fertility: A Guide for Young Men supported by CBC Foundation Partners Fertile Hope is proud to partner with the CBC Foundation, the Lance Armstrong Foundation and Planet

More information

Note: This updated policy supersedes all previous fertility policies and reflects changes agreed by BHR CCGs governing bodies in June 2017.

Note: This updated policy supersedes all previous fertility policies and reflects changes agreed by BHR CCGs governing bodies in June 2017. Fertility Policy 10 July 2017 Note: This updated policy supersedes all previous fertility policies and reflects changes agreed by BHR CCGs governing bodies in June 2017. Introduction BHR CCGs are responsible

More information

COMMISSIONING POLICY. Tertiary treatment for assisted conception services

COMMISSIONING POLICY. Tertiary treatment for assisted conception services Final Version COMMISSIONING POLICY Tertiary treatment for assisted conception services Designated providers for patients registered with a Worcestershire GP BMI The Priory Hospital, Birmingham - 1 - Commissioning

More information

Infertility. F r e q u e n t l y A s k e d Q u e s t i o n s. Q: What causes infertility in men? A: Infertility in men is most often caused by:

Infertility. F r e q u e n t l y A s k e d Q u e s t i o n s. Q: What causes infertility in men? A: Infertility in men is most often caused by: Infertility Q: What is infertility? A: Infertility means not being able to get pregnant after one year of trying. Or, six months, if a woman is 35 or older. Women who can get pregnant but are unable to

More information

ASSISTED CONCEPTION NHS FUNDED TREATMENT FOR SUBFERTILITY ELIGIBILITY CRITERIA & POLICY GUIDANCE

ASSISTED CONCEPTION NHS FUNDED TREATMENT FOR SUBFERTILITY ELIGIBILITY CRITERIA & POLICY GUIDANCE ASSISTED CONCEPTION NHS FUNDED TREATMENT FOR SUBFERTILITY ELIGIBILITY CRITERIA & POLICY GUIDANCE Version 1.0 Page 1 of 11 MARCH 2014 POLICY DOCUMENT VERSION CONTROL CERTIFICATE TITLE Title: Assisted Conception

More information

Haringey CCG Fertility Policy April 2014

Haringey CCG Fertility Policy April 2014 Haringey CCG Fertility Policy April 2014 1 SUMMARY This policy describes the clinical pathways and entry criteria for Haringey patients wishing to access NHS funded fertility treatment. 2 RESPONSIBLE PERSON:

More information

POGO SURVIVORS CONFERENCE

POGO SURVIVORS CONFERENCE POGO SURVIVORS CONFERENCE Dr. Karen Glass MD, FRCS(C), FACOG Director Fertility Preservation Program, CReATe Fertility Centre Assistant Professor, University of Toronto I HAVE NO CONFLICT OF INTEREST.

More information

Policy statement. Fertility treatments. This policy is unchanged from the version approved by the CCG in July 2014.

Policy statement. Fertility treatments. This policy is unchanged from the version approved by the CCG in July 2014. Policy statement Fertility treatments This policy is unchanged from the version approved by the CCG in July 2014. Title Policy statement: Fertility treatments v2.0 Author Jacky Walters Approved by Kingston

More information

The Fertility Forum. Kate Brian and Adam Balen to set the scene and to welcome

The Fertility Forum. Kate Brian and Adam Balen to set the scene and to welcome 09:00 09:50 Registration 09:55 10:15 Welcome Kate Brian and Adam Balen to set the scene and to welcome Introduction to the day Sally Cheshire, Chair, HFEA and Lesley Regan, President RCOG Stream 1 Chair:

More information

UTERINE LEIOMYOSARCOMA. About Uterine leiomyosarcoma

UTERINE LEIOMYOSARCOMA. About Uterine leiomyosarcoma UTERINE LEIOMYOSARCOMA Uterine Lms, Ulms Or Just Lms Rare uterine malignant tumour that arises from the smooth muscular part of the uterine wall. Diagnosis Female About Uterine leiomyosarcoma Uterine LMS

More information

w. ACUPUNCTURE +

w.   ACUPUNCTURE + see the benefits w. www.aquiliaacupuncture.com ACUPUNCTURE U C U + H E A L T H C A R E + Aquilia Fertility Fertility is our Passion. We love to help and support couples, overcome the effects of subfertility,

More information

INDICATIONS OF IVF/ICSI

INDICATIONS OF IVF/ICSI PROCESS OF IVF/ICSI INDICATIONS OF IVF/ICSI IVF is most clearly indicated when infertility results from one or more causes having no other effective treatment; Tubal disease. In women with blocked fallopian

More information

2019 INCIID Mission and Professional Programs

2019 INCIID Mission and Professional Programs The InterNational Council on Infertility Information Dissemination, Inc. (INCIID) presents: 2019 INCIID Mission and Professional Programs INCIID Family-Building Since 1995 INCIID s Birth: INCIID (The InterNational

More information

SOUTHEND CENTRES FERTILITY CLINICS. FOR APPOINTMENTS CALL , DELHI

SOUTHEND CENTRES FERTILITY CLINICS. FOR APPOINTMENTS CALL , DELHI SOUTHEND CENTRES DELHI Holy Angels Hospital, First Floor, Basant Lok, Vasant Vihar Saket City Hospital, Mandir Marg, Press Enclave Road, Saket Southend IVF & Fertility Centre, B 362-364, Outer Ring Road,

More information

Female Reproductive Physiology. Dr Raelia Lew CREI, FRANZCOG, PhD, MMed, MBBS Fertility Specialist, Melbourne IVF

Female Reproductive Physiology. Dr Raelia Lew CREI, FRANZCOG, PhD, MMed, MBBS Fertility Specialist, Melbourne IVF Female Reproductive Physiology Dr Raelia Lew CREI, FRANZCOG, PhD, MMed, MBBS Fertility Specialist, Melbourne IVF REFERENCE Lew, R, Natural History of ovarian function including assessment of ovarian reserve

More information

Fertility treatment and referral criteria for tertiary level assisted conception

Fertility treatment and referral criteria for tertiary level assisted conception Fertility treatment and referral criteria for tertiary level assisted conception Version Number Name of Originator/Author Cross Reference V2 East of England Consortium Commissioning Policy for Fertility

More information

Family Building for Transgender Men and Women

Family Building for Transgender Men and Women Family Building for Transgender Men and Women A Guide to Becoming a Parent PATH2PARENTHOOD path2parenthood.org Are you a transgender man or woman and think you might want to become a parent? If you re

More information

St Helens CCG NHS Funded Treatment for Subfertility Policy 2015/16

St Helens CCG NHS Funded Treatment for Subfertility Policy 2015/16 St Helens CCG NHS Funded Treatment for Subfertility Policy 2015/16 1 Standard Operating Procedure St Helens CCG NHS Funded Treatment for Sub Fertility Policy Version 1 Implementation Date May 2015 Review

More information

Approved January Waltham Forest CCG Fertility policy

Approved January Waltham Forest CCG Fertility policy Approved January 2015 Waltham Forest CCG Fertility policy Contents 1 Introduction 1 2 Individual Funding Requests 1 2.1 Eligibility criteria 1 2.2 Number of cycles funded 2 2.3 Treatment Pathway 3 Page

More information

TRENDS IN INFERTILITY 2017 SURVEY AND REPORT

TRENDS IN INFERTILITY 2017 SURVEY AND REPORT TRENDS IN INFERTILITY 2017 SURVEY AND REPORT Basking Ridge l Eatontown l Englewood l Freehold l Hamilton l Marlton l Morristown l Somerset l Springfield l West Orange WWW.RMANJ.COM 973-656-2089 2017 NIAW

More information

Placename CCG. Policies for the Commissioning of Healthcare. Policy for Assisted Conception Services

Placename CCG. Policies for the Commissioning of Healthcare. Policy for Assisted Conception Services Placename CCG Policies for the Commissioning of Healthcare Policy for Assisted Conception Services 1 Introduction 1.1 This document is part of a suite of policies that the CCG uses to drive its commissioning

More information

EGG BANKS program at clinique ovo

EGG BANKS program at clinique ovo EGG BANKS program at clinique ovo HISTORY The first pregnancy resulting from egg donation in an IVF cycle was in 1983 Egg donation plays an important role in assisted reproductive technologies since it

More information

1 - Advanced clinical course for ART with Hands on

1 - Advanced clinical course for ART with Hands on 1 of 7 1 - Advanced clinical course for ART with Hands on Duration: 30 days Course Fee: Rs 1,00,000 I. Anatomy & Physiology of Male & Female reproduction. II. Evaluation of infertile couple III. Counselling

More information

Do it Once, Do it Right

Do it Once, Do it Right Do it Once, Do it Right Craig Reisser Andrea Speck-Zulak Families Through Surrogacy 2016 Founded in 1989 - more than 25 years building families patients from 40 countries One of the largest IVF clinics

More information

Chris Davies & Greg Handley

Chris Davies & Greg Handley Chris Davies & Greg Handley Contents Definition Epidemiology Aetiology Conditions for pregnancy Female Infertility Male Infertility Shared infertility Treatment Definition Failure of a couple to conceive

More information

North Staffordshire Clinical Commissioning Group. Infertility and Assisted Reproduction Commissioning Policy and Eligibility Criteria

North Staffordshire Clinical Commissioning Group. Infertility and Assisted Reproduction Commissioning Policy and Eligibility Criteria North Staffordshire Clinical Commissioning Group Infertility and Assisted Reproduction Commissioning Policy and Eligibility Criteria Policy Infertility and Assisted Reproduction Commissioning Policy and

More information

The birth of tomorrow's world One in six couples in Canada have trouble conceiving, but there's hope

The birth of tomorrow's world One in six couples in Canada have trouble conceiving, but there's hope Thursday» May 24» 2012 The birth of tomorrow's world One in six couples in Canada have trouble conceiving, but there's hope Lina Toyoda The Province Thursday, May 17, 2012 After five years of trying to

More information

Prepare your first visit to Sakthi Fertility

Prepare your first visit to Sakthi Fertility Prepare your first visit to Sakthi Fertility Infertility History Form CONTACT INFORMATION FEMALE: First Name Middle Initial Last Name Date of birth (MM/DD/YY) / / Occupation Health card number Version

More information

How to advise the couple planning to conceive: Modifiable factors that may (or may not) impact fertility

How to advise the couple planning to conceive: Modifiable factors that may (or may not) impact fertility How to advise the couple planning to conceive: Modifiable factors that may (or may not) impact fertility I have nothing to disclose Disclosures Heather Huddleston, MD Associate Professor of Clinical Medicine

More information

Fertility care for women diagnosed with cancer

Fertility care for women diagnosed with cancer Saint Mary s Hospital Department of Reproductive Medicine Information for Patients Fertility care for women diagnosed with cancer Contents Page Overview... 2 Our service... 2 Effects of cancer treatment

More information

Policy updated: November 2018 (approved by Haringey and Islington s Executive Management Team on 5 December 2018)

Policy updated: November 2018 (approved by Haringey and Islington s Executive Management Team on 5 December 2018) Islington CCG Fertility Policy First approved: 29 January 2015 Policy updated: November 2018 (approved by Haringey and Islington s Executive Management Team on 5 December 2018) Introduction Islington CCG

More information

Cancer & Fertility: Patient Education Booklet. information suppor t hope

Cancer & Fertility: Patient Education Booklet. information suppor t hope Cancer & Fertility: Patient Education Booklet information suppor t hope 1 table of contents introduction 1 men Fertility Risks 2 Fertility Preservation Options 3 Possible Fertility Outcomes 4 Parenthood

More information

COMMISSIONING POLICY FOR IN VITRO FERTILISATION (IVF)/ INTRACYTOPLASMIC SPERM INJECTION (ICSI) WITHIN TERTIARY INFERTILITY SERVICES V2.

COMMISSIONING POLICY FOR IN VITRO FERTILISATION (IVF)/ INTRACYTOPLASMIC SPERM INJECTION (ICSI) WITHIN TERTIARY INFERTILITY SERVICES V2. COMMISSIONING POLICY FOR IN VITRO FERTILISATION (IVF)/ INTRACYTOPLASMIC SPERM INJECTION (ICSI) WITHIN TERTIARY INFERTILITY SERVICES V2.3 2017 Agreed at Cannock Chase CCG Signature: Designation: Chair of

More information

Fertility Preservation. Anne Katz PhD RN FAAN

Fertility Preservation. Anne Katz PhD RN FAAN Fertility Preservation Anne Katz PhD RN FAAN Why is fertility preservation important to YAs after cancer? Normality (Crawshaw & Sloper, 2010) Preference for biologic offspring vs. adoption (Schover 2002)

More information

PROCEDURES LAPAROSCOPY

PROCEDURES LAPAROSCOPY PROCEDURES - Further infertility work-up if indicated (ultrasound examination / semen decontamination etc.) - Office Hysteroscopy where indicated - Laparoscopic and /or hysteroscopic surgery where indicated

More information

Puberty and Fertility. Normal Female Puberty PUBERTY! What about girls with Galactosemia? E Puberty and Fertility Badik Spencer 1

Puberty and Fertility. Normal Female Puberty PUBERTY! What about girls with Galactosemia? E Puberty and Fertility Badik Spencer 1 Puberty and Fertility Jennifer Badik*, MD Pediatric Endocrinology and Jessica Spencer*, MD, MSc Reproductive Endocrinology and Infertility Part One PUBERTY! *no conflicts of interest to report Every girl

More information

Bonnie Steinbock University at Albany (emerita) Distinguished Visiting Professor, CUHK Centre for Bioethics 12th December, 2015

Bonnie Steinbock University at Albany (emerita) Distinguished Visiting Professor, CUHK Centre for Bioethics 12th December, 2015 Bonnie Steinbock University at Albany (emerita) Distinguished Visiting Professor, CUHK Centre for Bioethics 12th December, 2015 Defined as inability to get pregnant after a year of regular sexual intercourse

More information

Dr Devashana Gupta. Dr Karen Buckingham. Obstetrician and Gynaecologist Repromed. Repromed Auckland

Dr Devashana Gupta. Dr Karen Buckingham. Obstetrician and Gynaecologist Repromed. Repromed Auckland Dr Karen Buckingham Obstetrician and Gynaecologist Repromed Dr Devashana Gupta Repromed Auckland 8:30-9:25 WS #93: Optimising Fertility - Periconception Management 9:35-10:30 WS #105: Optimising Fertility

More information

COMMISSIONING POLICY FOR IN VITRO FERTILISATION (IVF)/ INTRACYTOPLASMIC SPERM INJECTION (ICSI) WITHIN TERTIARY INFERTILITY SERVICES

COMMISSIONING POLICY FOR IN VITRO FERTILISATION (IVF)/ INTRACYTOPLASMIC SPERM INJECTION (ICSI) WITHIN TERTIARY INFERTILITY SERVICES COMMISSIONING POLICY FOR IN VITRO FERTILISATION (IVF)/ INTRACYTOPLASMIC SPERM INJECTION (ICSI) WITHIN TERTIARY INFERTILITY SERVICES Version number V2.3 Responsible individual Author(s) Barry Weaver Trish

More information

Commissioning Policy For In Vitro Fertilisation (IVF) / Intracytoplasmic Sperm Injection (ICSI) within Tertiary Infertility Services

Commissioning Policy For In Vitro Fertilisation (IVF) / Intracytoplasmic Sperm Injection (ICSI) within Tertiary Infertility Services Commissioning Policy For In Vitro Fertilisation (IVF) / Intracytoplasmic Sperm Injection (ICSI) within Tertiary Infertility Services Reference No: Version: 2 Ratified by: EMSCGP006V2 EMSCG Date ratified:

More information

LCCG Fertility Services Commissioning Policy

LCCG Fertility Services Commissioning Policy LCCG Fertility Services Commissioning Policy Author: Emma Dwyer & Dr Fiona Sim Version No: V.4 Policy Effective from: 1 st December 2014 Review Date: December 2015 This policy replaces all previous versions.

More information

Fertility Assisted Conception Criteria Based Access Protocol Supporting people in Dorset to lead healthier lives

Fertility Assisted Conception Criteria Based Access Protocol Supporting people in Dorset to lead healthier lives NHS Dorset Clinical Commissioning Group Fertility Assisted Conception Criteria Based Access Protocol Supporting people in Dorset to lead healthier lives POLICY TRAIL AND VERSION CONTROL SHEET: Policy Reference:

More information

NHS Blackpool CCG. Policies for the Commissioning of Healthcare. Policy for Assisted Conception Services

NHS Blackpool CCG. Policies for the Commissioning of Healthcare. Policy for Assisted Conception Services NHS Blackpool CCG Policies for the Commissioning of Healthcare Policy for Assisted Conception Services This document is part of a suite of policies that the CCG uses to drive its commissioning of healthcare.

More information

What is polycystic ovary syndrome? What are polycystic ovaries? What are the symptoms of PCOS?

What is polycystic ovary syndrome? What are polycystic ovaries? What are the symptoms of PCOS? What is polycystic ovary syndrome? Polycystic ovary syndrome (PCOS) is a condition which can affect a woman s menstrual cycle, fertility, hormones and aspects of her appearance. It can also affect your

More information

LOW COST. Indira IVF CHANGES EVERYTHING INFERTILITY CARE SOLUTIONS HIGH QUALITY

LOW COST. Indira IVF CHANGES EVERYTHING INFERTILITY CARE SOLUTIONS HIGH QUALITY LOW COST HIGH QUALITY INFERTILITY CARE SOLUTIONS Facing difficulty in conceiving,our IVF specialist steps in to provide you the right treatment to bring you the joy of motherhood. Indira IVF superspeciality

More information

Fertility Services Commissioning Policy

Fertility Services Commissioning Policy Fertility Services Commissioning Policy Author: Commissioning Team Version No: Two Policy Effective From: 29 September 2016 Review Date: September 2017 Policy Amendment: 02 August 2017 Document Reader

More information

DRAFT Policy for Assisted Conception

DRAFT Policy for Assisted Conception NHS Birmingham and Solihull Clinical Commissioning Group NHS Sandwell and West Birmingham Clinical Commissioning Group DRAFT Policy for Assisted Conception 1 Document Details: Version: DRAFT v7. Ratified

More information