Monday, 7 September 2015

A black hole of infertility and treatment

Our country, according 9 gynecologists, urologists and urologists of 10 is afflicted by the serious problem of low birth rate is what emerges from Censis survey "Becoming parents today: the point of view of the specialists' in collaboration with the Foundation and presented IBSA in Rome by Giuseppe Zizzo, Secretary of the Foundation IBSA, and Ketty Vaccaro, Head of Health and Welfare of Censis, and discussed by Andrea Lenzi, Professor of Endocrinology at the University 'La Sapienza' in Rome and President of the National University Council, Happy Petraglia, director of Obstetrics and Gynecology of the School of the University of Siena, William Pepper, former Director of "Health-the Republic," and Maurizio Roman, Vice President of the Health Commission of the Senate. And the reluctance of Italians to have children is attributed mainly to economic reasons (75.3%). 75% of specialists is also convinced that the economic crisis discourages couples who have to resort to medically assisted procreation. Couples treated in Italy with assisted reproduction techniques were 54,458 in 2012 (latest official figures available): + 77% compared to 30,749 in 2005. In 23.2% of cases it comes to pregnancy. Children conceived in a test tube that came to light were 9,818 in 2012: + 169% compared to 3,649 in 2005. Half of the specialists consulted by Censis believes that infertility problems affecting 20-30% of couples Italian, against estimates the World Health Organization that speak of 10-15%. And it is certain that the problems of infertility and sterility have increased compared to the past: I think 91.3% of the doctors surveyed.
When you start to worry. Half of specialists believes that a couple should start worrying about between 12 and 24 months after the first attempts at conception. But 36% believe that we should worry about before, after 6 to 12 months from the first attempts. 4.7% is useful to anticipate within 6 months, 9.3% expect at least 2 years. Among the population, however, it increases to 44% the percentage of those who believe that we should wait for more than two years from the first attempts before worrying. According to a little less than half of the specialists, the age at which a woman who aspires to be a mother should start worrying is over 35 years. The majority of the sample identified after age 25 the right age to start screening examinations infertility (the inability to carry their pregnancies to term with the birth of a healthy child) and infertility (the inability to conceive) . 77.3% favored the activation of regional and national programs to screen infertility of women and in favor of screening for men and an even higher percentage equal 81.3%.
Who takes care of it. Patients with infertility problems are followed in almost half of cases in private (46.6%), 39.7% in public and 13.7% in both the public and private sectors. Nearly 75% of specialists believe that couples with infertility problems tend to consult more than one specialist before committing to the care of one chosen at the end. 62% of specialists judging their patients with little or no informed both about the problems of infertility and sterility, is on the techniques of medically assisted procreation. The gynecologists, urologists and urologists agree on the importance of the law 40/2004 on assisted reproduction (89.3%). But it indicates that there are significant geographical differences in law enforcement. The 88.7% of the doctors emphasizes that not all Italian regions is assured the same level of quality in treatments for medically assisted procreation and that, despite declarations of principle, not in all regions is assured of the free ' access to treatment for the LDCs (83.3%). In Italy 54% of centers where you can make the PMA enrolled in the National Register are private, and the percentage rises to 69% in the South. 76% of the specialists agree with a revision of the law 40/2004. The aspect that should be changed first of all to the possibility of actually offer couples the opportunity to access all'eterologa (60.5%).

"The Foundation has strongly supported this second IBSA research on infertility that is ideally complements the more held last year on the whole population. I posed the question about the infertility experienced by those who come in contact with every day, so the specialists. And this time were many interesting ideas and even surprising, demonstrating that very often the daily reality is a source of valuable information too often underestimated. How, for example, strong demand and unique to activate as soon as screening programs for infertility and sterility, national and regional, both for women than for men, "said Joseph Zizzo, Secretary of the Foundation IBSA. "Another element that shows how the growing infertility is a real critical in Italy is the appeal of the specialists to increase the population's awareness about the problem, either through a broader confrontation with your gynecologist well before deciding to have a child , with both proactive and counseling to the forefront on these issues by the general practitioners. The hope is that these IBSA Foundation data and research done with Censis are another step in this direction, for increased awareness and information, "concluded Zizzo.

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