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July 25, 1978 is a historic and revolutionary date in the field of medically badisted procreation. In Oldham, a city in northern England, is born Louise Brown, the first girl to be tested through badisted fertilization, a technique that will be fundamental to cope with infertility and infertility.
and during these 40 years PMA has developed increasingly safe techniques, providing patients with increasingly sophisticated options and achieving unthinkable results up to that point. You think that today, thanks to artificial fertilization, more than five million were born
And in Europe, if in 1995 there were 100,000 cycles, in 2014 this number reached 700,000. Currently, in the United States and the Old Continent, a percentage between 1 and 3% of births occur as a result of an LDC technique.
"Medically badisted procreation represents the fulfillment of a dream for couples Daniela Galliano, director of the IVI Center in Rome – In the future, scientific research is preparing to make Facing new and fascinating challenges: from ovarian rejuvenation to the preservation of fertility in cancer patients, through studies on oocytes and spermatozoa, it will be possible to further investigate infertility. only that: the development of pre-implant diagnosis will help fight against serious genetic diseases "
Spain is the country in the foreground but also in Italy, especially in recent years, very exceptional results have been obtained. From insemination to in vitro fertilization and intracytoplasmic sperm injection (ICSI): in 2016, 97 656 cycles were performed; with 12,836 thousand children born alive, accounting for 2.6% of the total number of children born.
Every year in our country there are more than 22,000 cycles of first-level treatment (simple insemination) and more than 55,000 in vitro cycles Level II and III (IVF, ICSI and GIFT), while there were 2,800 cycles performed with gamete donation: a number that corresponds to 2.9% of all performed pma techniques.
According to summary data of the activity pma for the year 20161, if all the techniques, homologous and heterologous, level I (insemination) and level II and III (in vitro fertilization) are taken in account, from 2015 to 2106 treated couples (from 74.292 to 77.522), completed cycles (from 95.110 to 97.656) and children born alive (from 12.836 to 13.582)
The average age of women undergoing fresh homologous techniques remains constant: 36, 8 years old. It confirms the gradual increase of women over 40 who access these techniques: they are 35.2% in 2016, they were 20.7% in 2005. In heterologous fertilization the age of the woman is higher if the donation is oocytes (41.4 years) and less if the donation is from seed (35.2).
Since 2014 in Italy it is possible to resort to heterologous fertilization, although this technique has to cope with the small number of ovodonators and regional inhomogeneity in access to health services Forty years after the extraordinary birth of Louise Brown, now a mother of two, PMA experts are facing exciting challenges. The techniques and therapies are now personalized, that is, they are tailor-made for each patient. In addition, today, we tend to transfer only one embryo to the uterus to avoid multiple pregnancies that can be dangerous for mothers and children.
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