Confering for a better TOMORROW FERTIVISION 2012
T“Infertility treatment in India as good as anywhere in the world”
he problem of infertility is more prevalent than imagined, and a growing number of young people in India are now getting affected by various forms of infertility. However, amid these concerns, the positive sign is that solutions and treatment to different problems for both men and women are not only available in India, but more and more individuals are getting forward to seek help.
Issues related to fertility and as- sisted reproduction techniques (ART) are now discussed quite openly in metros and small cities alike. This is evident by the growing visibility and acceptance of fertility clinics in even small town India. The Indian Fertility Society (IFS) is a platform that provides a great opportunity to experts in this field to exchange views about new techniques worldwide in infertility research and treatment. The society’s eighth annual conference by the name of Fertivision 2012 was hosted by Vasundhara Hospital and Fertility Research Centre in Jodhpur from December 7 to 9, 2012. The conference comprised six preevent workshops on December 7 providing the exposure and interactive session with national and international experts. About 550 delegates attended the historic event that also included a live surgery workshop held in Umaid Hospital in Jodhpur.
The issue of infertility is as critical for men as it is for women, and new techniques, including IUI, sperm function tests and testicular biopsy can lead to a successful management of male infertility. Dr. KR Sharma, Dr Sandeep Karunakaran from Delhi, Dr. Ajit Vaje from Mumbai, Dr Shrikanthrajah from UK and Dr Amnon Botchan from Israel explained new advances in this area.
Doctors have for long been relying upon ultrasonography as a diagnostic tool and now sonographic prediction and management of ovarian hyperstimulation syndrome has come up as a helpful tool, as described by Dr Renu Makwana, while Dr Meenakshi Soni, Dr Igal Wolman, Dr Ashok Khurana from Delhi, Dr CB Nagori and Dr. Sonal Panchal, both from Ahemadabad, talked about the role of ultrasonography in this area.
A first of a kind workshop on the role of counselling in infertility management was also held. It was discussed how various stress factors are leading to psychosexual tensions and infertility among young couples, and similarly how inability to bear child leads to stressful family life. Dr Jayant Mehta from UK, Dr Sudha Prasad, Dr Madhu Bhatt from Bikaner, Dr Daniel Seidman from Israel, Brig (Dr) RK Sharma talked about various aspects related to role of counselling in infertility management. While in-vitro fertilization (IVF) is a tried and tested technique for the treatment of infertility, new advances have made it safer and more reliable. However, problems during IVF and their solutions also came
up for discussion in which Dr Sanjay Makwana from Jodhpur, Dr Ethiraj Balaji from Singapore, Dr Lars Johanson from Australia, Dr. N Chimote and Dr Priya Bhave gave their views on related subjects. The useful topic of ‘how to set up an ART program’ was the subject of a workshop in which working in an IVF lab, maintaining quality, presentation of lab data, andrology setup and role of team work were described as being vital for successful running of an IVF lab. It was highlighted that Jodhpur’s Vasundhara Hospital is the first centre in Rajasthan to have an IVF lab with such an advanced technology and an embryoscope.
In the highly interactive live surgery workshop conducted in Umaid Hospital for Women and Children, the focus was on fertility enhancing endoscopy surgery. The endoscopic surgeries erformed during the workshop were telecast live. Dr Kuldeep Jain, President IFS, Dr Prakash Trivedi from Mumbai and Dr Parul Kotdawal from Ahemadabad were the operating experts. It was a highly successful and useful session.
The main programme was inaugurated by Dr Jagdish Prasad, Director General of Health Services, Ministry of Health and Family Welfare, while Dr Arvind Mathur, Principal and Controller, Dr. SN Medical College was the Guest of Honour. Dr Pramod Sharma moderated the program and Dr Sanjay Makwana welcomed the faculties and delegates. During the programme, Dr Raj Gaur was awarded the life time achievement award for her services in the medical field.
On the first day of the conference, more than 60 lectures, multiple discussions, free paper presentations and various orations were held. The topics included investigation of infertility and fertility enhancing endoscopic surgery, role of hormonal assessment in infertility workup, role of laproscopic surgery and its future in infertility cases. The IFS President Dr Kuldeep Jain in his address dwelt upon the past and present scenario of ART in India. IVF, he said, had grown over the years in India, and now our country needed many more IVF centers. But they must be developed under proper guidelines and their quality should be maintained. Dr Sanjay Makwana gave an insight into surgical techniques of perm retrieval in cases of male infertility and Dr Amnon Botchman from Israel threw light upon medical management of male infertility.
Hysteroscopic surgeons from India and abroad like Dr Jan Bosteels from Belgium, Dr Meenu Agarwal, Dr Parul Kotdawala, Dr Atul Kumar and Dr Prakash Trivedi shared their experiences. There was a session on free paper presentation as well as renowned experts like Dr Renu Makwana, Dr Rajul Tyagi, Dr Randhir Singh and others presented various papers related to field of infertility. On the second and last day, there
were multiple lectures, presentations and panel discussions. Dr Chantel Mathieu from Belgium described different aspects of polycystic ovarian syndrome. Dr Michal Kufprminc from Israel explained about causes of recurrent IVF failure and their solutions. Dr Jayant Mehta and Dr Srikanthrajah from UK talked about vitrification of oocytes and embryos in assisted reproduction techniques, and about newer strategies in evaluation of embryo quality respectively. Dr Dheeraj Ghade eruditely explained that so much work is going on in India in field of IVF but is still not recognised internationally because of lack of data maintenance and presentation. He said to be recognised at the international stage we need to develop many more institutes which should regularly carry out research activities. He also stressed upon development of IVF centres working like cooperative societies where investigations and treatment for infertile couples can be provided on subsidised rates for the member hospitals. Dr Marcos Messuger from Spain described about time lapse technology and IVF.
Dr Shehbaz Daruwala talked about embryo culture in 21st century. Dr Mrinalini Chaturvedi talked about role of stem cells, their usage and the treatment modalities available. Besides, there were lectures on ethical dilemmas related to ART, antioxidant therapy for male infertility, panel discussions on role of hormones in infertility, endometriosis and recurrent implantation failure. Dr Geeta Khanna from Lucknow told the conference that infertility treatment was likely to get less expensive with the adoption of ‘soft IVF technique.’ It was being tested and could lead to a 50 per cent reduction in the expenses. Dr N. Chimote from Nagpur revealed that an increasing number of males was suffering from infertility and cases of low sperm count were becoming quite frequent.
There were also many free paper presentations. In the valedictory function, while Rahul was awarded the first prize in poster presentation, Dr Monika Singh got the first prize in paper clinical category and Dr Randheer Singh won the first prize in embryology paper section. The conference proved to be a great platform for exchange of ideas, interactive sessions and insights from various nations, the high tech instrumentations and updations. The mouth watering Rajasthani delicacies and cultural feast which had traditional dance performance and a banquet with renowned gazal singer Jaswinder Singh made the event memorable for a long time to come.