TAILIEUCHUNG - Good Clinical Treatment in Assisted  Reproduction ‐ An ESHRE position paper

Following the conclusion of the “Strengthening country office capacity to support sexual and reproductive health in the new aid environment” project, a series of four country case-studies were undertaken in Malawi, Lao People’s Democratic Republic, Senegal and Tajikistan in early 2011. These provided an opportunity to explore more broadly the changes that have occurred in the 5 years since implementation of the project, and to reflect on the changing roles of United Nations Population Fund (UNFPA) and World Health Organization (WHO) country offices, in what continues to evolve as a complex and dynamic context for sexual and reproductive health (SRH) | Good Clinical Treatment in Assisted Reproduction - An ESHRE position paper EXECUTIVE SUMMARY June 2008 The prevalence of infertility is increasing in the developed world. The postponement of pregnancy greater prevalence of obesity and sexually transmitted infections all contribute to the problem. This trend has been acknowledged by the European Parliament which in February 2008 called on Member States to ensure the right of couples to universal access to infertility treatment . As a result there exists a progressive need for medical help in resolving reproductive disorders. ESHRE as the European body for professionals in reproductive medicine and biology has through its membership always aimed to provide childless couples with the best possible management of their fertility problems while at the same time ensuring that they are not exposed to unnecessary risks or ineffective treatments. It is ESHRE s view that the treatment of infertility should be based on a balanced choice from the best available evidence with respect both to efficacy and safety. ESHRE promotes improvements in medical and laboratory practice and encourages through its educational activities and training high quality medical care and laboratory procedures. It is the objective of ESHRE to describe in this position paper the principles of good clinical treatment in assisted reproduction from an evidence-based professional perspective. Accessibility is a key feature of good clinical care. Treatments of proven benefit should be made easily available throughout Europe irrespective of the patient s income or place of residence. Reimbursement policies have an impact on the use of reproductive health care a lack of reimbursement constitutes a barrier for those seeking treatment. Individual EU countries should provide access to publicly funded health care inclusive of but not limited to assisted reproductive technologies such as intrauterine insemination IUI in vitro fertilisation IVF and intracytoplasmic

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