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In vitro fertilization and embryo transfer in Egypt
G I Serour1, M el Ghar, R T Mansour
1Endoscopy and Microsurgery Unit, Al-Azhar University, Cairo, Egypt.
Summary
Medically assisted human reproduction (MAHR) faced challenges in the Arab world. In Egypt, in vitro fertilization (IVF) and embryo transfer (ET) achieved a 20.13% pregnancy rate, highlighting the need for infertility prevention over costly treatments.
Area of Science:
- Reproductive Medicine
- Infertility Treatment
- Medical Ethics in Developing Countries
Background:
- Medically assisted human reproduction (MAHR) adoption in the Arab world was hindered by cultural, social, religious, and financial barriers.
- Early implementation of IVF and ET faced significant limitations in Egypt.
Purpose of the Study:
- To discuss the challenges and limitations of IVF and ET in Egypt.
- To analyze the outcomes of an IVF and ET program in Cairo.
- To evaluate the feasibility of advanced MAHR techniques in the Arab and Islamic world.
Main Methods:
- Retrospective analysis of 359 patients undergoing IVF and ET.
- Application of different treatment protocols at the Egyptian IVF and ET Center.
- Focus on the period between March 1986 and March 1989.
Main Results:
- A maximum pregnancy rate of 20.13% per transfer was achieved using the GnRH analogue agonist protocol.
- Various protocols were employed, with varying success rates.
Conclusions:
- In developing countries, preventing tubal factor infertility is more effective and less costly than treatment.
- Certain advanced MAHR techniques may not be suitable for implementation in the Arab and Islamic regions due to cultural and religious considerations.