New communication service to GENIPLET patients

Our treatments are highly indivdual and require constant direct contact between the International Department, e.g.  Dimitrina Lisichkova, your attending physician and you as a patient. We will need ready access to you. Often during the preparation and treatment rapid  and urgent decisions are required. We therefore collect all available telephone numbers, email addresses, Skype, WhatsApp, SMS etc.

Please ensure that you are always reachable.

The communication contains medical information and treatment instructions. This must be documented in your electronic file. This requires that we focus on Telephone / Skype and email. These are automatically stored in your file. Other means of communication are not well suited for it, and should be used only in exceptional cases.

Full telephone calls should be kept always by appointment not to disturb our work and talking with other patients. Announce this please always with Dimitrina.

If you are overseas, it is imperative that we reach you by mail. So you should create a way to have access to the email account known to us. This is uncompfortable when using the local SIM cards due to overpriced roaming charges. It is recommended that  You buy in each country a prepaid - SIM card with a flat rate for data traffic.

Once you are in Mallorca we can recommend a partner who hires You a small portable wireless  router. You can book in advance on our and his website. He will then deliver it to the clinic for you. It and can be used during your stay with an affordable flat rate with costs from 5.70 to 10 € per day at any time with Internet availability for all WLAN - establish appropriate devices. These are for example Smartphones (eg iPhone) or laptops and tablets (eg iPad). You can use VOIP like Skype etc. quite normal. So you can leave the expensive roaming function of your devices turned off and get reached for us as well as for your personal or business contacts at any time via email or Skype.

Before departure bring WIFIrental router back at us. Book before you travel or even if you already here on the island, by putting in. Use our promotional code, you will get 5% discount on the offer price. The payment to be settled directly with the company WIFIrental Travel (www.wifirental.travel).

We have agreed with the seller for a discount of 5% off for our patients at the normal price.

http://www.geniplet.com/kliniken/klinik-palma/reise-service-palma/kommunikation/

http://www.geniplet.com/patienten/kommunikation/

Speech topics of Dr. Peter E.Hermann, GENIPLET - in NESA International Surgicial Conference, - Palma de Mallorca

OUT OF MAINSTREAM ART. HOW TO DECIDE ABOUT MEDICAL, LEGAL AND ETHIC BORDERLINE CASES.

Dr. Peter Hermann MD

While the world is becoming complex, new groups that were not accepted and that were facing suppression before are gaining their rights. Following this process we are confronted with the resulting questions concerning reproduction.

There are countries where even basic treatment modalities such as egg donation are no issue. This includes the German-speaking countries. We at Geniplet Group have been confronted for many years with many additional requirements. Besides classical egg donation, the issues we confront are:

• How do we treat women without a uterus who desire pregnancy through surrogacy?
• How should we respond to requests of singles without a partner who are "running out of time"?
• How can we help couples over 40 and 50 in second and third relationships that consult us for infertility and are in good health (a typical problem in Switzerland)?
• Same-gender couples and their constitutionally guaranteed rights for equal treatment 
• Should we help transsexuals?
• What do we do with sex-linked abnormalities at the time when we can offer an ethically acceptable pre-conception sperm selection?

New diagnostic methods make it possible to preserve fertility even with diminished ovarian reserve when diagnosed at young age. Identical the situation of the men knowing that the older than 40 will have an increasing number of mutations with psychological and psychiatric risks to the child as a consequence. Decisions are made which influence future profession and career. But these procedures also allow to preserve healthy gametes for a further use. This means at the end a desynchronization of chronologic age and gamete quality which helps to prolong the fertile phase.

We will try to answer these questions while functioning in the context of a substantial loss of tension between ethical and sectarian beliefs in the Western world and aggressively roaring archaic rule claim on our doorstep.

Identical twins start to differ in the womb, study shows

Dr Rebecca Hill Progress Educational Trust BioNews, London Despite sharing the same womb, identical twins are born with different alterations to their DNA that can affect the activity of individual genes. These modifications, known as epigenetic markers, are thought to be caused by environmental factors. The process adds chemical tags to the DNA, which alters a gene's activity, but not its sequence. Although previous studies have shown that identical twins do have different sets of epigenetic markers, it was thought that the changes occurred after birth, when the twins experience different environments. However, in this, the first analysis of the epigenetic profiles of newborn human babies, the team from Murdoch Children's Research Institute, Australia show that differences are already apparent straight after birth. 'Twins, like the rest of us, sit in their own amniotic sac and have their own individual experiences', lead researcher Dr Jeffrey Craig told International Business Times. The study, published in Genome Research, suggests that even small differences in womb environment, such as availability of nutrients or the influence of the placenta and umbilical cord, could be responsible. Dr Craig added: 'Sometimes one placenta could be in the best place in the womb, while the other twin might be shunted off to the side somewhere'. The results also showed that twins who shared a placenta were even more likely to be epigenetically different, potentially because the twins would have had to share the same source of nutrition, and so one would potentially get more than the other. The study, which analysed the umbilical cords, cord blood and placentas from 22 identical and 12 non-identical pairs of twins, showed that the epigenetic profiles of identical twins were more similar than those of non-identical twins. Additionally, differences in birth weight between the twins corresponded to differences in epigenetic markers on genes known to be associated with metabolism, growth and heart disease. Dr Karen Lillycrop, an epigeneticist at the University of Southampton, told Science News that current evidence suggests that 'in terms of metabolism these epigenetic changes can have very long-term effects'. Co-author Dr Richard Saffery hopes the work will add to our understanding of how epigenetic changes influence future health: 'This has potential to identify and track disease risk early in life, or even to modify risk through specific environmental or dietary interventions'.

Every sperm is special

Every sperm is special, genome sequencing shows

Antony Blackburn-Starza Progress Educational Trust 2 August 2012 Results of the first study to sequence the genomes of individual sperm cells obtained from one person have revealed significant genetic differences between them, confirming the belief that each sperm is unique. It is hoped the technique could be applied in fertility treatments to identify genetic mutations that may occur in the recombination process. 'For the first time we were able to generate an individual recombination map and mutation rate for each of several sperm from one person', said Professor Barry Behr from Stanford University in California, USA, who was involved in the study. 'Now we can look at a particular individual, make some calls about what they would likely contribute genetically to an embryo, and perhaps even diagnose or detect potential problems'. The team overcame significant technical obstacles to sequence each individual sperm cell, and by using a novel technique the researchers managed to separate 91 sperm cells and amplify their DNA for sequencing. The results showed that recombination - a naturally occurring process whereby chromosomes in the sperm are shuffled around during meiosis - was observed in unexpected places, suggesting this shuffling process is unique in each cell. The findings could explain why siblings have significant genetic differences between them, confirming the recombination process as being partly responsible for genetic diversity. Whereas previous studies have only looked at recombination across populations, this was the first study to observe the process in individuals. The team now hopes its findings can be applied to fertility treatments, with some commentators saying the technique could also be used to study cancer. Study leader Stephen Quake, professor of bioengineering at Stanford University, said: 'People have difficulty conceiving children due to reproductive disorders, and this will provide a very effective way to analyse when there are problems with their sperm'. Jianbin Wang, a member of Professor Quake's team, explained the technique could also be used to select eggs for IVF. 'We can use those cells to analyse an egg's genome, and screen for genetic diseases', he said. This would be an improvement on existing, more difficult techniques, explained the New Scientist. 'Our technique may make the process easier', said Wang. The research was published in the journal Cell.