Specialists of the ISIDA clinic, head of the Miscarriage Treatment Center, reproductologist Ksenia Khazhilenko, head of the Department of Assisted Reproductive Technologies, obstetrician-gynecologist, reproductologist Natalia Alipova, Head of the Department of Regional Development, reproductologist Svetlana Turbanist, head of the biotechnological laboratory, geneticist, endocrinologist Evgenia Ulaeva, assistant biologist Anna Mikhailishina, attended the 35th Annual Symposium of the European Community of Human Reproduction and Embryology (ESHRE) in Vienna — an event that annually gathers at least 12,000 specialists in the field with simultaneous presentations in 10 different halls for 4 working days.
Reproductology as a whole is one of the most dynamic medical branches, but even inside there are leading directions that can be determined by the occupancy of the corresponding halls. First of all, these were sessions on medical and laboratory genetics, where they listened and argued about genome editing, mosaic embryos and the results of programs with preimplantation genetic diagnostics.
Despite the great efforts of scientists and practitioners, almost a third of cases of fertility disorders remain unexplained. This means not only limited diagnostic capabilities, but also an incomprehensible prognosis of treatment. The desire to mathematize everything has reached this area, so modern calculators allow you to objectively assess the chance of spontaneous pregnancy and decide on tactics.
Modern possibilities for vitrification of gametes and embryos allow us to implement the “IVF Clinic without complications” strategy, which is why, first of all, in the interests of the final result, the structure of cycles has changed with the transition to the dominance of cryocycles over the so-called. “Fresh.” On the other hand, a continuous discussion about the health of children after ART contributes to a constant analysis of the advantages and disadvantages of each type of program. According to the authoritative majority, ambiguous results on the increase in perinatal complications after cryocycles are primarily associated with the type of endometrial preparation for transfer. That is, embryo transfer in a natural cycle can potentially reduce the proportion of complications.
Every year more and more reports are devoted to issues of medical philosophy, such as, for example, the possibility of IVF to influence human evolution – after all, it is impossible not to take into account that ART sometimes gives the opportunity to become parents to those couples with complex pathologies who have never had a pregnancy naturally. Does this become an obstacle to the development of humanity or, conversely, is it a manifestation of humanism of the highest grade?
– to be continued…
