From July 5 to 8, representatives from Carrot attended the 36th annual (and first fully virtual) conference hosted by the European Society of Human Reproduction and Embryology (ESHRE). ESHRE collaborates with scientists, clinicians, embryologists, midwives, nurses, psychologists, mental health experts, ethicists, representative patient groups, legal experts, and policy makers globally to promote continuous improvement in scientific research and clinical practice in fertility care and broader reproductive health issues. This year, there were over 12,000 virtual attendees representing 136 countries at the fully-virtual conference, with 47% of attendees from Europe and 53% from the rest of the world.
There were many important lectures and plenaries throughout the conference. Our team was unable to attend them all, but here are a few of biggest takeaways from the sessions we attended.
The European IVF Consortium (EIM), which collects data from 91% of European countries active in assisted reproductive technology (ART), presented data covering a number of areas including fertility preservation, number of transferred embryos, and usage of preimplantation genetic testing (PGT). Based on data from 11 countries, their findings show that the use of both semen and oocyte cryopreservation continues to significantly rise where legally allowed. Their data also indicated that the number of transferred embryos is declining for the majority of reporting countries, leading to a decrease in the percentage of twin and triplet deliveries after IVF/intracytoplasmic sperm injection (ICSI).
Data from the International Committee Monitoring Assisted Reproductive Technologies (ICMART) also revealed a decrease in multiple births and an increase in single embryo transfer (SET), although the ICMART study did not differentiate their data between single embryo transfer (only one embryo available for ET) and elective single embryo transfer.
Throughout one lecture series, there was a general agreement that an individual’s right to know their genetic origins is a fundamental component impacting psychological well-being. Additionally, health professionals and organizations generally expressed a positive view towards having access to identifying donor information.
Similarly, a discussion about the rise of low-cost DNA testing kits pointed out that this availability has given adoptees and children born through donor assisted reproduction the ability to identify their genetic origins and vice versa. Final remarks questioned whether there is a need for new legislation to best maintain privacy and the wishes of donors as well as those born through donor-assisted reproduction.
While there have been positive developments in fertility awareness and education, opportunities for patients to increase their knowledge on the topic and its subsequent impact on their future plans remain. One fertility clinic in the Netherlands referenced data showing that 80% of patients forget information presented by their doctor immediately after their visit — and 50% remember the information incorrectly.
The study presented during this lecture used a mobile application to provide interactive educational information to assess change of knowledge, self-reliance, and consumption of fertility care. Conclusions revealed that patients who used the app ultimately achieved a higher level of knowledge and perceived quality of care. This suggests that huge gaps in knowledge remain, and few individuals think about future planning or when to start attempting pregnancy, if a future family is desired.
Multiple lectures addressed how loss of access to care due to COVID-19 relates to mental health and the patient experience. Many speakers attributed increased levels of stress and anxiety to uncertainty.
Many speakers shared their suggestions for how clinics and practitioners can best help their patients manage stress and anxiety during uncertain times, including:
Many new initiatives and innovations in reproductive medicine were highlighted during ESHRE, both inside and outside the laboratory. A few of the most notable we saw included:
At Carrot, our members are at the core of everything we do. We look forward to putting these insights into action and collaborating with leading global experts to support Carrot members throughout their journeys across our 40+ (and growing) supported countries. If you would like to learn more about Carrot, reach out today.