Same rate, but causes of infertility differ in UAE



Although experts say infertility affects UAE couples at the same rate as those globally, about 10 per cent, they say the causes are different.

Dr David Robertson, medical director of the Bourn Hall fertility clinic in Dubai, said male infertility, metabolic conditions and polycystic ovary syndrome (PCOS) account for most cases in the UAE.

In the West the causes are more varied and include tubal disease and pelvic inflammatory disease, which are uncommon in the Emirates.

Estimates from the clinic show PCOS may affect up to 60 per cent of women in the UAE, compared with between 5 and 15 per cent of women worldwide.

The condition, an endocrine disorder marked by an imbalance in female hormones, can cause symptoms such as irregular menstrual cycles, weight gain and problems with ovulation.

Dr Robertson said the high rate was mainly reflective of the Arab and Gulf female population, adding most women who had the condition were genetically predisposed, and then it was triggered by lifestyle factors.

"It's predominantly an ethnic condition," he said. "It becomes a genetic issue over the years and it's not helped by the lifestyle here and with obesity and diabetes."

Dr Michael Fakih, founder of Fakih IVF in Dubai, said he saw more UAE men with a reduced sperm count. Dr Fakih, who also operates a clinic in Michigan, said of 100 patients in the US, 40 might have low sperm counts. In the UAE, the number rises to 60.

He attributed the figures to a lack of education among men as to what causes the condition.

"Many men use these protein shakes to buff themselves up and look good, not knowing that they're likely to cause reduced sperm count," Dr Fakih said. "What we do in this case is immediately stop them from consuming the shakes and start giving them treatment."

It can take three years for the body to recover from excessive protein-shake consumption, he said.

Experts said while most evidence linking high protein consumption to reduced sperm count was anecdotal, it was probably right.

"There's no hard and fast data, but there is some evidence that high protein increases DNA fragmentation in sperm," Dr Robertson said.

Heat and pollutants also play a role, said Dr Pankaj Shrivastav, director the Sharjah gynaecology and fertility hospital Conceive.

"Most of the toxins that get into the water table all seem to have an oestrogen effect," Dr Shrivastav said.

While loans for needy couples is a nice concept, there are challenges that must first be addressed, he said.

"It will definitely benefit those approaching their 40s who are having difficulty getting pregnant," he said. "[But] as it is, you've got this problem, then on top of that you have this loan … I'm just wondering if it will add to the psychological pressure."

And the income requirement will still stop those in the lower brackets being treated. Insurance companies could help to find a solution.

"It's really sad that they don't see it as a health condition," Dr Shrivastav said. "It causes marriages to fall apart and so much heartache for the couple and the family."

The smuggler

Eldarir had arrived at JFK in January 2020 with three suitcases, containing goods he valued at $300, when he was directed to a search area.
Officers found 41 gold artefacts among the bags, including amulets from a funerary set which prepared the deceased for the afterlife.
Also found was a cartouche of a Ptolemaic king on a relief that was originally part of a royal building or temple. 
The largest single group of items found in Eldarir’s cases were 400 shabtis, or figurines.

Khouli conviction

Khouli smuggled items into the US by making false declarations to customs about the country of origin and value of the items.
According to Immigration and Customs Enforcement, he provided “false provenances which stated that [two] Egyptian antiquities were part of a collection assembled by Khouli's father in Israel in the 1960s” when in fact “Khouli acquired the Egyptian antiquities from other dealers”.
He was sentenced to one year of probation, six months of home confinement and 200 hours of community service in 2012 after admitting buying and smuggling Egyptian antiquities, including coffins, funerary boats and limestone figures.

For sale

A number of other items said to come from the collection of Ezeldeen Taha Eldarir are currently or recently for sale.
Their provenance is described in near identical terms as the British Museum shabti: bought from Salahaddin Sirmali, "authenticated and appraised" by Hossen Rashed, then imported to the US in 1948.

- An Egyptian Mummy mask dating from 700BC-30BC, is on offer for £11,807 ($15,275) online by a seller in Mexico

- A coffin lid dating back to 664BC-332BC was offered for sale by a Colorado-based art dealer, with a starting price of $65,000

- A shabti that was on sale through a Chicago-based coin dealer, dating from 1567BC-1085BC, is up for $1,950

Race card:

6.30pm: Maiden; Dh165,000; 2,000m

7.05pm: Handicap; Dh165,000; 2,200m

7.40pm: Conditions; Dh240,000; 1,600m

8.15pm: Handicap; Dh190,000; 2,000m

8.50pm: The Garhoud Sprint Listed; Dh265,000; 1,200m

9.25pm: Handicap; Dh170,000; 1,600m

10pm: Handicap; Dh190,000; 1,400m