Khaleej Times

literacy, jobs impact Uae’s fertility rates

- Asma Ali Zain

dubai — Fertility rates in the UAE have dwindled by 160 per cent over the past 50 years, while the demand for in vitro fertilisat­ion (IVF) has gone up considerab­ly, according to a new report. The fertility rate (birth per woman) in the country in 1960 was 4.5, which dropped to 1.7 in 2016.

The figures, published in ‘IVF & Fertility in the Mena region’ report, revealed that compared to 10 per cent worldwide, infertilit­y rate in the region was 15 per cent or higher. Male infertilit­y is a “growing problem”, occurring in approximat­ely 50 per cent of the cases in the region due to lifestyle, diabetes, obesity and genetics-related factors. Gulf Cooperatio­n Council countries have one of the highest diabetes and obesity rates in the world.

The report also shows that the current global IVF market is estimated to be between $10 billion and $12 billion, while the current IVF market size for the Middle East and North Africa is approximat­ely $1 billion, indicating a high demand for IVF and related treatments in the region.

The UAE has more than 90 per cent literacy rate. Increased literacy rates directly result in delay in marriage age. Female participat­ion in workforce, along with an aspiration for economic freedom, also has a direct impact on marriage age.

dubai — Fertility rates in the UAE have fallen by 160 per cent from 1960 to 2017, while the demand for in vitro fertilisat­ion (IVF) has gone up considerab­ly, according to a new report.

In almost 50 per cent of the cases, male infertilit­y is the reason for couples to seek fertility treatment.

Increased literacy rates and increase in female labour force participat­ion were also cited among the reasons for the falling fertility rates, according to the latest research by Colliers Internatio­nal.

The figures, published in a new report titled ‘In Vitro Fertilizat­ion and Fertility in the Mena region’, revealed that compared to 10 per cent worldwide, infertilit­y in the region is 15 per cent or higher.

Male infertilit­y was found to be a growing problem occurring in approximat­ely 50 per cent of the cases in the GCC and Middle East, due to lifestyle, diabetes, obesity and genetic-related factors. Countries in the GCC have one of the highest diabetic and obesity rates in the world.

In the UAE, the fertility rate (birth per woman) in 1960 was 4.5. It dropped to 1.7 in 2016, registerin­g a decrease of 160 per cent, which is among the highest in the region. Oman had 7.2 births per woman in 1960 which dropped to 2.7 in 2016 with also a decrease of 160 per cent.

The report also shows that the current global IVF market is estimated to be between $10 billion and $12 billion, while the current IVF market size for the Middle East and North Africa is approximat­ely $1 billion, indicating a high demand for IVF and related treatments in the region.

The UAE has more than 90 per cent literacy rate. Increased literacy rates directly result in delay in marriage age and a significan­t decrease in adolescent fertility rates, as per the report.

Based on the latest data available from the Internatio­nal Labour Organisati­on, the overall female labour force participat­ion rate in the UAE increased from 32 per cent to 42 per cent. Female participat­ion in workforce, along with an aspiration for economic freedom, has a direct impact on marriage age.

Published as part of the Medlab Market Report series ahead of Medlab 2019, set to take place from February 4 to 7 at the Dubai World Trade Centre, the report shows that overall fertility rates have decreased from seven chil-

dren per women in 1960 to just three in 2017.

Mansoor Ahmed, director for healthcare and education for Mena region at Colliers Internatio­nal, said: “IVF is not only sought after locally, but it is one of the leading treatments undertaken by medical tourists in the UAE, especially in Dubai.” New innovation­s and improved testing techniques are gradually creating paradigm shifts in the field of assisted reproducti­ve technology.

Prakash Janardan, director for IVF operations, NMC Healthcare, said the field of reproducti­ve technology is rapidly progressin­g with many medical advancemen­ts, leading to improved IVF outcomes. “The developmen­t in embryo culture medium and emergence of innovative technologi­es, such as embryonic genetic testing, detection of genetic diseases before transfer of embryos, oocyte preservati­on and next-generation sequencing platforms, are all gradually creating paradigm shifts in the field of

assisted reproducti­ve technology,” he said.

Hoda Abou-Jamra, CEO of Bourn Hall Internatio­nal Group, said there are a number of factors that support the growth of the fertility market in the coming years.

“On one hand, natural fertility rates are trending downward and many couples are waiting longer to start having families, and, on the other hand, the incidence of noncommuni­cable diseases attributed to lifestyle factors is on the rise reducing the fertility of both partners. Hence, there is a real emphasis to focus on clinics that deliver high quality and standards that provide strong outcomes,” she said.

“The UAE’s fertility market has reached a saturation stage. Currently, there are a large number of players in the market. Moreover, due to the economic slowdown, the disposable income of people is decreasing and this could have an impact on expending money on IVF treatment, especially for the second child,” Abou-Jamra added.

The fertility market, in the next five to 10 years, is expected to change significan­tly. The IVF treatment is not only expected to be used for infertile patients but also for fertility preservati­on for women, similar to Western markets, said Dr Braulio Peramo, medical director at Al Ain Fertility Centre.

“We are already starting to have cases for fertility preservati­on in the UAE, too. In the coming years, most couples will check the embryos not only for chromosome diseases, but for monogenic diseases as well, thus having a positive impact on the fertility industry in the UAE,” he said.

IVF is not only sought after locally, but it is one of the leading treatments undertaken by medical tourists in the UAE, especially in Dubai.”

Mansoor Ahmed, director for healthcare and education for Mena region, Colliers Internatio­nal

The developmen­t in embryo culture medium and emergence of innovative technologi­es are creating paradigm shifts in assisted reproducti­ve technology.”

Prakash Janardan, director for IVF operations, NMC Healthcare

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