Helen kendrew eshre key findings presentation
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Transcript of Helen kendrew eshre key findings presentation
Infertility
WHO definition
no pregnancy after 12 months
One in six couples
seek medical advice and
help to create a family
Prevalence
25 million EU Citizens
Education Stigma
Methodology
Country selection -balanced geography
Questionnaire
Interviews -one to one, patient groups, fertility specialists
Written input
Overview
Key facts and figures
Infertility policies
Screening and diagnosis
Treatment
Reimbursement/state funding
Awareness raising activities
Future outlook
Country chapter structure
United Kingdom
• Infertility rate - 2.1% Primary; 8.6% Secondary
• Mean age of first delivery - 30.2 years
• Treatments offered
• Investigations
• Fertility drugs
• Intrauterine Insemination
• IVF
• ICSI
• Embryo freezing
• Oocyte freezing
• Sperm freezing
• PGD
• PGS
• Surrogacy
United Kingdom
Fertility Treatment success rates
27% IVF,
27.8% ICSI
Reimbursement/state funding
England:
• Varies by region
Scotland and Wales:
• 2 cycles of IVF
• State funded up to the age of 40
Northern Ireland:
• 1 fresh and 1 frozen
• State funded up to the age of 40
Awareness raising campaigns
National Fertility Awareness
Week
Fertility Fairness Campaign
United Kingdom
• Private and NHS Clinics
• Fertility Clinics regulated by the Human Fertilisation and
Embryology Authority (HFEA)
• 2013
• 41.3% NHS
• 58.7% Private
• Psychological counselling
Education
HFEA Website
Professional societies
Clinics
Newspapers, Magazines
television and radio
Websites
Patient forums
Novel and miraculous
interventions
Future outlook
Reduction in state funded treatment
Tariff payment
Underestimation of the psychological burden on the NHS
Brexit
Key findings: Health literacy, education and information
Common to all countries in the study
Limited information
and education
Underestimated and misunderstood
Infertility and fertility protection
Patient groups
HCP organisations
Some government involvement
Awareness raising
campaigns driven by:
Prevailing perception that it is a social, not a medical condition
Considerable issue to be addressed
Difficulty discussing with partner/HCP
Male infertility stigma
Infertility stigma and
taboos
Key findings
CZ, UK largest no of options followed by ES
Available treatment
options vary Making treatment availability more restrictive
Rules, conditions
and structures in place
Patients identify a common need not only before but also during and after treatment
Psychological counselling
Key findings
Variety of biological factors (age most common)
Italy and Spain –medical certificate
Poland ceased state funding in June 2016
Eligibility for treatment
reimbursement
1st line of treatment available
IVF
Surrogacy, gamete and embryo donnation
Public debate
Key findings
UK
Italy
Spain
Germany
Intra-regional variation state funded MAR
Sweden
UK
Wait times, psychological counselling variability
High variability
Reimburse-ment