Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to...
-
Upload
informa-australia -
Category
Travel
-
view
286 -
download
0
description
Transcript of Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to...
![Page 1: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/1.jpg)
Medical Tourism
Dr LYNDON HALE
MBBS, FRANZCOG, CREI
![Page 2: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/2.jpg)
Presentation Content
• IVF/ART Terminology
what are we talking about
• Australian/Virtus : IVF clinics
features of Australian IVF
clinics
• Who might want to access treatment
in Australia
![Page 3: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/3.jpg)
IVF/ART Terminology
• Gametes
• IVF
• IVF/ICSI
• PGD, PGS
• Embryo transfer • Cleavage stage
• Blastocyst stage
![Page 4: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/4.jpg)
Human oocyte (egg) in cumulus
![Page 5: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/5.jpg)
Human Sperm
Morphology
Sperm washed, smeared
on glass slide, fixed,
stained (Shorr stain) and
examined under oil
immersion (1000x).
Note many abnormally
shaped sperm (arrows)
![Page 6: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/6.jpg)
Catching sperm for ICSI
![Page 7: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/7.jpg)
IntraCytoplasmic Sperm Injection
![Page 8: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/8.jpg)
Micromanipulation (ICSI)
equipment
![Page 9: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/9.jpg)
Human embryo development (
day 2 )
![Page 10: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/10.jpg)
Extended culture of human embryos
Day 3 Day 4/5 Day 5 Day 5/6
Morula Early blastocyst Blastocyst 8 cells
![Page 11: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/11.jpg)
Storage of frozen embryos
![Page 12: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/12.jpg)
Time lapse imaging of human
embryo development in vitro
![Page 13: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/13.jpg)
PGD: Pre-implantation genetic diagnosis
• Aneuploidy screening
• Monogenic screening
• Sex selection
![Page 14: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/14.jpg)
Embryo biopsy
![Page 15: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/15.jpg)
Embryo biopsy (video)
![Page 16: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/16.jpg)
Preimplantation Genetic Diagnosis
(PGD)
NORMAL 13, 16, 18, 21, 22 - 22
FISH
![Page 17: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/17.jpg)
CGH Microarray 46XX (Template 46XY)
![Page 18: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/18.jpg)
Who do we treat?
• Couples Heterosexual Same sex
• Single Patients
• 3rd Party reproduction
![Page 19: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/19.jpg)
3rd or more party reproduction
• Donor
– Sperm
– Egg
– Embryo
• Surrogacy
![Page 20: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/20.jpg)
3rd party remuneration
• Altruistic: expense reimbursement
• Commercial arrangement
![Page 21: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/21.jpg)
Australian/Virtus IVF
• Longevity
• Scale
• Scientific excellence
• Accreditation
• Success rates
• Range of treatment options
• Legal framework
![Page 22: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/22.jpg)
Australia’s 1st IVF Baby: I980
![Page 23: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/23.jpg)
Longevity
• Were at the beginning
• MIVF 3rd birth in the world
• Very few units disappeared
• No multi-clinician units closed
![Page 24: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/24.jpg)
Scale
• Virtus ~ 12,000 cycles per year (40% of
Australian market)
– Melbourne IVF
– IVF Australia: Sydney
– QFG: Queensland Fertility Group
• Monash IVF Group
• City Fertility
• Genea
![Page 25: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/25.jpg)
Scientific excellence
• Many IVF initiatives originated in
Australia
• Early adoption of new techniques
• Preferred research partners for large
pharma groups
![Page 26: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/26.jpg)
Research & Development
Our research department is the largest and most productive of any Australian IVF program
• Egg freezing & tissue transplantation • Chronic viral illness group • Molecular biology • Follicle health physiology • Psycho-social & epidemiology • Implantation failure study group • Male infertility • Endocrine & Metabolic disorders • Clinical trials
![Page 27: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/27.jpg)
World firsts
![Page 28: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/28.jpg)
World firsts
Melbourne IVF & The Royal Women’s
Hospital Fertility Preservation Service
achieved world’s first pregnancy and
births from ovarian tissue grafted in the
anterior abdominal wall of a Victorian
woman
![Page 29: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/29.jpg)
Accreditation/Legislation
• RTAC
• ISO
• State-based health law
• NHMRC Guidelines
![Page 30: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/30.jpg)
Success Rates
• All pregnancies reported to ANZARD
• National yearly report
• Victoria yearly report
– Transparency of outcome
![Page 31: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/31.jpg)
Who may want to access treatment?
• Expatriate Australians
• Reputational/scientific excellence
• Legislative assurance
• Anonymity
• Privacy
![Page 32: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/32.jpg)
What is not allowed
• Commercial gamete donation
• Commercial surrogacy arrangements
• Embryo sex selection for family
balancing
![Page 33: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/33.jpg)
Emerging trends
• Social egg freezing
• Genetic screening; increasing use for
screening for disease? Role for
desireable traits
• Uterine transplantation, 1st birth
reported
![Page 34: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/34.jpg)
![Page 35: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/35.jpg)
Thank you
![Page 36: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/36.jpg)
Thank You
![Page 37: Dr Lyndon Hale - Melbourn IVF - Why Australia’s IVF programs are drawing international patients to Australia](https://reader033.fdocuments.in/reader033/viewer/2022060120/559319231a28abf67b8b47b7/html5/thumbnails/37.jpg)