Infertility and ART in Russia: the solved problems and new questions

The problem of infertility became aggravated in Russia from the depopulation beginning in the 1990th when 15-17% pairs of reproductive age fixed inability to the birth of own children (80% female, 45% male factor). Inclusion in practice of public health care Assisted Reproductive Technologies allowed to solve essentially this question and by 2010 apprx. 0,5% of all newborns were born after conceptions with help of In Vitro Fertilisation. ART – the only way of treatment of often meeting forms of man's infertility therefore «classical» IVF (46,4%) and IKSI (33,6%) are most demanded, and in every seventh or eighth case are supplemented with a cryopreservation of cells or embryos that allows parents to choose time of repeated childbirth. Availability of ART raised after introduction of the state financial support (2007 - quota from the federal budget on hi-tech treatment in state hospitals, 2013 - payment on system of obligatory medical insurance working). New problems – multiple pregnancies as result of transfer more than 1 embrio (25-30% twins, 3% triplets), «hereditary infertility», «hereditary subfertility», ART application in not medical purposes, refusal of customers of children in case of surrogacy, unreasonable Cesarean section.