Ethics and good practice: Let the truth be told

Feb 09 2015

medico_paciente1Assisted Human Reproduction is undoubtedly an area with ethical and moral implications. There are common issues that arise with the generation of new embryos when a couple undergoes ART and with transfers of previously frozen embryos. Some of the most frequent issues are: embryo manipulation and genetic diagnosis; the use of donor gametes and the possible coexistence of their legal children with the biological ones in the future; the option of discarding embryos by parents for no other purpose when they don’t wish to donate them to other couples with reproductive problems or for research purposes; the age of women accessing ART, along with a long list of legal, ethical and moral issues pertinent to each assisted reproduction centre. Continue Reading »

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Genetic Health of the Embryo: Science Applied to Life

Jan 28 2015

Instituto-Bernabeu-lowThis is not science fiction, it’s reality. It is reproductive medicine and advanced genetics together to achieve healthy children who are free of diseases. Before, medicine focused on a person’s health. Now thanks to genetics and scientific research we are able to go one step further and take care of the embryo. Continue Reading »

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A more reliable technique for detecting anti-Mullerian hormone and estimate ovarian reserve

Oct 20 2014

_SAR0477-lowWe have built a new much more reliable, rapid technique (in 3 days the result is obtained) and as we do it directly in our laboratories the price is reduced to 50€. Only requires a blood test that can be performed in our clinics or send the sample by courier.

The determination of AMH levels in the woman’s blood helps us to assess the ovarian reserve and, together with the completion of an ultrasound to count antral follicles, provides information about their reproductive future and if there is or not a need to rush in getting pregnant.

It is also useful for individualizing the treatment for your fertility problem and helps predict the success of it.

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Genetic incompatibility between the couple, does it exist?

Sep 29 2014

01It is estimated that about 20% of reproductive problems are genetic or chromosomal type. That is why today genetic testing is an essential part of the fertility study in couples who come to our clinic looking for descendants.

For the diagnosis of fertility problems there is a set of genetic studies very useful in the assistance of couples with reproductive desire. Tests such as the karyotype in both partners, microdeletion of the Y chromosome in the male or the molecular study of fragile X syndrome in women are usually required tests to determine a possible genetic basis of fertility problems in couples. Continue Reading »

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What are follicles? Number, growth and other characteristics

Sep 01 2014

What are ovarian follicles?

To start with, let’s state what follicles are not. Follicles are not oocytes (eggs). Many patients confuse these terms, believing that follicle equals oocyte.

The female gamete is the egg, and the male gamete is the sperm. These are the cells involved in embryos obtained after fertilization. Continue Reading »

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Selection of egg donors at Instituto Bernabeu

Aug 18 2014

01Currently, oocyte donation is probably the most demanded technique in fertility centers, mainly due to the increase of maternal age. Voluntary participation of donors is essential, but donors must be evaluated carefully in order to avoid unsatisfactory results (do not forget that the ultimate goal is the birth of a healthy child without prejudice to the donor or the recipient couple).
In a recent study carried out in our center and presented at the Congress of the British Fertility Society, the leading causes of rejection in our program were evaluated in 560 potential egg donors. Continue Reading »

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Can we avoid the Genetic Ammiocentesis?

Aug 04 2014

01 Genetic Amniocentesis is a prenatal diagnostic technique aimed at obtaining fetal karyotype. The karyotype is the number of chromosomes that are endowed with all people. Normal people we have 46 chromosomes distributed in 23 pairs (22 pairs of chromosomes called autosomes and 1 pair of sex chromosomes, XX or XY, which determine the sex of the fetus). Down syndrome or trisomy 21 is the most common chromosomal abnormality in new born infants; in this case, the individual has 47 chromosomes, and the alteration is that there are 3 21 chromosomes rather than two. Continue Reading »

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Assited Reproduction Techniques: FIV vs ICSI

Jul 21 2014

01 Currently there are two main techniques used to achieve Assisted Reproduction IVF. These two techniques are conventional in vitro fertilization (IVF), and intracytoplasmic sperm injection (ICSI). Continue Reading »

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Why aren’t all embryos obtained from an IVF cycle suitable for freezing?

Jul 03 2014

01 Today, in In Vitro Fertilization treatments, it is not extraordinary to find ourselves on the day of embryo transfer with a high number of good quality embryos. For a fresh transfer we shall be electing the embryo or embryos that morphologically and kinetically demonstrate greater development and ‘the other’ good quality ones can be cryopreserved. Continue Reading »

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Normal and abnormal embryo division

Jun 25 2014

01For as long as we can remember, we assume that we belong to certain standards. These standards are set based on the average population, just as children in pediatric check-ups are assessed by a percentile of height and weight. As adults we are assessed by our body mass index. In both cases, we try to reach an “average” rate.

What do we consider average?

This also happens at the embryonic stage. The process of embryo division observation is established to assess whether or not embryos are normal. This observation should be performed at specific times, so that each embryo is observed and evaluated daily.

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