Dr. Salem Abu Khaizaran
History of IVF
1977, first IVF pregnancy
(ectopic).(By Edwards &Stepto).
IVF IN Palestine
 1995 , establishment of first IVF center in Palestine (
Razan medical Center), using conventional IVF
 1996 , introduction of ICSI .
 1998, introduction of freezing system.
 2009, PGD was introduced.
PSFG
 Established in 2000.
 Members are Palestinians inside & outside the
country.
 Legislation : NO of embryos to be transferred.
Faith of embryos
Training
Peculiarities OF IVF IN Palestine
 Male Factor ..
 Prisoners
 No borders.(High tech medicine)
Palestine … Many Centers
 5 centers in Gaza .
 8 centers in West bank.
Multiple Gestational Pregnancies
 The transfer of multiple embryos in a
single cycle may increase success rate
 BUT also: increases the rates of
multiple births
PGD Ethical Issues
 What is PGD?
 Technology used in conjunction with in vitro
fertilization to screen embryos for genetic
conditions prior to transfer:
 • Remove a cell from a 3-day old embryo fertilized
in vitro
 • Analyze cells for specific genetic or
chromosomal abnormalities (PCR or FISH)
PGD Ethical Issues
 1990: PGD first used to screen against genetic
mutation for cystic fibrosis and Aneuploidy .
 Since 2003, the procedure was able to select against
100 different genetic conditions.
 Another uses :
Avoidance of late-onset diseases
Tissue-typing to save the life of another child
sex selection
Fertility preservation
 Female fertility is well documented to
decrease with age .
 For cancer patients
 Social reasons
Do we need regulations ??
 Definitely we need regulations.
Do we need regulations ??
 PSFG
 Medical association through GYNE & OBS society
 Ministry of health
Conclusion
 IVF is a big industry now in Palestine , with hundreds
of people working in this industry with millions of
dollars per year .
 This industry needs regulations.