Opt for quality facilities to achieve success in fertility treatments

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Opt for quality facilities to achieve success in fertility treatments
The doctor and health care team will lead you to achieve that goal, so it is critical that you have a bond of trust and caring.

Dubai - A couple, who had been trying to conceive for the past five years without success, tells Khaleej Times why they chose the clinic they did and met success.

by

Asma Ali Zain

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Published: Sat 29 Jul 2017, 7:04 PM

Last updated: Sat 29 Jul 2017, 9:15 PM

With plenty of fertility treatments being offered in the UAE, couples have to make choices based on their finances, the reputation of the treatment centres and quality of services being offered.
A couple, who had been trying to conceive for the past five years without success, tells Khaleej Times why they chose the clinic they did and met success.
Z.G., who got her treatment done at Bourn Hall and had a baby daughter in June last year, said: "We had been trying to conceive for five years before we came here. We looked at many places internationally and in the UAE before commencing our treatment here."
"We chose this clinic because I wanted a female doctor. From the very first appointment, we were very comfortable. This was one of the most stressful times of our lives, and the calm environment helped more than we can explain," she said. 
Costs are also a major factor in the selection of fertility treatment. "Finances were an issue for us which is why we took the time to find the right place," she said.
"We kept a budget of how much to spend but my advice to others is when you look at your beautiful child after they are born, money shouldn't even be an issue."
The main factor for Z.G. while choosing a clinic was the presence of female doctors. "A female doctor was very important for me, and I kept looking for one that made me feel comfortable," she said, adding that of course there were so many things to consider such as how many cases the clinic had done, what are the laws of the country, how many years of experience the doctor and the team have, their success rates and pricing.
"Every couple needs to have their own priorities of what matters most to them," she said.
Dr David Robertson, group medical director of Bourn Hall International, said that finding a doctor you connect with and feel comfortable with is an important step.
This is an important chapter that connects you to your dream of a family. "This doctor and health care team will lead you to achieve that goal, so it is critical that you have a bond of trust and caring," he said. 
He also said that it is important to ask questions about the laboratory. "This is the central component in any fertility clinic. The IVF lab is where fertilisation occurs, where the embryos are cultured before transfer, and where highly sophisticated procedures such as ICSI, assisted hatching, and genetic testing are performed," he said.
Bourn Hall has invested a lot in the laboratory and is the only 'clean room' lab in the Middle East. "This means the temperature, wavelength of lights, airflow are all an optimal environment for embryos to grow."
"While success rates are important to understanding, it is important to drill down on what success rates really mean - is it based on live birth rate or clinical pregnancy, is it aggregate success rates or based on age group," he said.
"Paying for IVF cycles can be a financially draining process, so check if your clinic provides financial flexibility such as payment plans," he added.
asmaalizain@khaleejtimes.com
 

Five questions to ask your fertility specialist

1. When should I seek treatment?
Most doctors would advise a couple to seek advice if they have been actively trying to conceive for more than a year. If there are any specific problems, such as irregular periods, or if the woman is older, more than 35, they should seek advice earlier. 
2. What specific tests would you recommend to diagnose infertility?
Firstly, the couple should be aware of the woman's menstrual cycle - is it regular; what is the fertile time of the month etc. They can test for this using ovulation kits that are widely available in pharmacies and supermarkets. Once they see a fertility specialist, there are some basic tests that will be done first:
> A sperm count (semen analysis) for the man
> Blood tests for the woman, to check her hormone levels
> An ultrasound scan of the woman's uterus and ovaries, and a check of her fallopian tubes, to see if there is any anatomical problem
> Other tests may be needed in particular circumstances
3. What are my 'ovarian reserves' and how does this determine my fertility? What tests can I do to measure this?
Women are born with a finite supply of eggs and, as they get older, the supply gradually reduces. Usually, the supply doesn't finish until she is well into her forties but sometimes this happens earlier than expected. The doctor can check the egg supply, or ovarian reserve, by measuring a hormone known as AMH (anti-Müllerian hormone) and by performing an ultrasound scan of the ovaries during a period, to check the number of small egg-containing follicles that are present (antral follicle count).
4. Does smoking, drinking or other lifestyle related factors affect my fertility?
Undoubtedly. Women who smoke regularly have a reduced ovarian reserve and their eggs tend to be of poorer quality than those from women who have never smoked. This is also true for regular heavy consumption of alcohol. These women, if they do get pregnant, also have more complicated pregnancies and their babies are less healthy with lower birth weights. 
5. Should I consider genetic testing? 
Genetic testing of embryos during IVF treatment is certainly of benefit if there is a specific disease that runs in the family and it is known that a couple have an increased risk. Many diseases can be detected this way, but not all. There are many conditions where genetic diagnosis is not possible, so it is important to discuss this issue with your doctor.
Some couples would like to be reassured that their baby will be healthy and genetic testing of an embryo may help with this. For example, older women, more than 35 are more likely to deliver babies with genetic problems such as Down Syndrome, and this can be picked up by genetic testing, so that the problem is avoided. It may also be useful for women who have previously experienced a number of miscarriages and increase their chance of having a successful pregnancy.
 

Quality check essential part of fertility treatments

How does quality labs become integral in IVF success and how can they result in higher pregnancy rates? 

The best possible laboratory conditions are essential for the best results in IVF treatment. Eggs, sperm and embryos are very sensitive to temperature, air quality and other environmental conditions.

What are the factors that measure quality in labs? 

The best measure of quality is results - a high number of successful pregnancies. Of course, we measure the air quality, temperature and many other parameters, every day, in order to achieve the best possible outcomes.

What are the important quality indicators in infertility care?

We have long established protocols and quality measures, developed over more than 30 years' experience in our UK clinic, and strict adherence to those ensure consistency of care and high-quality outcomes.
Currently, we have only one IVF laboratory in the UAE and are in the process of setting up others in Abu Dhabi and the Northern Emirates. Our main centre in Dubai is the only fertility centre outside of America to be JCI accredited.
(As told by Rania Jafari, principal embryologist at Bourn Hall)
 
 
 


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