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.