Arab couples more open to state-of-the-art fertility treatment

Sunday 30/10/2016
Many fertility treatment centres having highly specialised medical personnel and state-of-art equipment are coming up in the UAE, as the need for infertility treatments are increasing significantly. (Medcare Fertility Centre)

Dubai - Infertility, often caused by hereditary genetic diseases, consanguineous marriages and factors related to obesity, tobacco use and heat, is no longer a taboo subject in conserva­tive Gulf societies.

With 18 government and private in vitro fertilisation (IVF) centres in the United Arab Emirates, infertil­ity treatment tops the list of medi­cal procedures sought by residents and medical tourists.

Dr Panayota Zarmakoupis, medi­cal director at Medcare Fertility Centre in Dubai, projected there would be more fertility centres opening in the UAE as the need for infertility treatments is increasing.

Noting that many factors, most­ly lifestyle-related, have contrib­uted to decline in fertility, she ex­plained: “Although the basics of infertility treatment are the same around the globe, geography and culture play a major role in the ac­tual treatment of patients here and many factors pose unique chal­lenges to the treatment of infertil­ity in the UAE and Gulf region.”

“In the GCC specifically, male infertility is related to obesity, to­bacco use, heat, steroid consump­tion for bodybuilding and possibly consanguinity. In the female, in­fertility is related to parental con­sanguinity, vitamin D deficiency and obesity,” Zarmakoupis said.

Increased rates of consanguine­ous marriages in the Gulf region’s conservative society give rise to genetic diseases and the need for preimplantation diagnosis and screening has to be discussed with the patients.

“Increasing awareness of the tools we have to eliminate the pos­sibility of certain hereditary ge­netic diseases and chromosomally screen the embryos before embryo transfer to choose healthy ones is one of our missions in the com­munity. We firmly believe that an educated patient is the best patient we can possibly treat, as education helps make better choices for one’s own medical care,” Zarmakoupis said.

From once being a taboo subject, there has been an increased aware­ness regarding infertility treat­ments and available resources for patients.

“This has dramatically changed over the last few years with the help of media coverage and the fact that IVF treatment has also be­come much more successful since the birth of the first IVF baby, Lou­ise Brown, in 1978. Many advances in reproductive medicine have contributed to higher pregnancy rates for patients who are undergo­ing assisted reproductive technol­ogy (ART) treatment,” she said.

The most common infertility procedures are IVF, intracytoplas­mic sperm injection (ICSI) and in­trauterine insemination (IUI) — ar­tificial insemination — explained Dr Pankaj Shrivastav, a pioneer in the field, having been invited by the Dubai government to set up and lead the first fertility facility in the UAE, the Dubai Gynaecology and Fertility Centre at the govern­ment-run Rashid Hospital in 1991.

The centre was successful with the birth of its first IVF babies as early as 1992 and more than 2,000 babies were born during his 12-year stint. With rising population and growing medical tourism, highly specialised private centres have since opened in the country.

“With government facilities in the UAE and the Gulf restricted to their own nationals and having long waiting lists, it is no surprise that couples from the UAE and nearby Gulf countries like Bah­rain, Oman and Qatar seek out the services of specialised private IVF centres in the UAE,” said Shriv­astav, who set up his own gynae­cology and fertility facility called Conceive in the UAE in 2004.

“An increasing number of cou­ples from Nigeria, Tanzania, Kenya, Djibouti, Ethiopia and also South Asia are coming here for advanced fertility treatment,” he said, arguing that the quality of services and the calibre of the medical personnel are the prime reason for the popularity of the UAE among childless couples.

“While earlier, Emirati couples used to seek treatment overseas, the availability of advanced fertil­ity treatment in the UAE itself has meant that a major portion of the government’s medical expenses could be saved,” Shrivastav said.

“GS” and her husband [name withheld due to privacy concerns] said they went through a demoral­ising experience at a top IVF clinic in London. After relocating to Dubai following a career change, the couple heard about Shrivas­tav and made an appointment. After that, they said, everything happened quickly, unlike in Brit­ain where there were long wait­ing periods. “GS” said she became pregnant through ICSI within two months.

The general cost for IVF treat­ment in the UAE is $5,445-$10,890, based on the kind of treatment, the credentials of the doctors, the location and the record of the fer­tility centre.

Costs increase if preimplanta­tion genetic diagnosis and screen­ing is undertaken. The technique allows doctors to check embryos for specific genetic disorders or the entire chromosomal panel before transferring the embryos to the uterus. This increases the chances of a healthy baby being born.