Research in the field of assisted reproduction provides us with more and more answers to situations which previously had none. It gives us solutions, options and new ways of overcoming the many difficulties which arise in reproduction. What’s more, progress in science also helps diagnosis and treatment to be increasingly specific, personalised and individual. In fact, we might even say that the aim is to reach a point where one of a kind treatments are designed for one of a kind patients. […]
Assisted 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. […]
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. […]
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). […]
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. […]
For 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.
From fertilization and until the embryo transfer takes place in the womb, embryos follow a development that is valued by embryologists daily. Those embryos that have kept a correct evolution and are in better condition are selected to be transferred. […]
In Spain, we performed 40% of all egg donation cycles in Europe. The experience accumulated at Instituto Bernabeu for over 15 years, allows us to offer to our patients a high quality and personalized treatment.
When a patient decides to go for an Egg Donation treatment, a chain work is set in the organization, in which we guarantee a commitment of trust, reliability and professional quality.
Why an “x” number of eggs are donated? Why not only one?
The spermiogram is a basic tool that provides us with some of the best information to assess male fertility. It is also very useful in order to formulate a personalized treatment plan for the couple.
The World Health Organisation (WHO) has published several editions of the “Manual for the Examination of Human Semen and Sperm-Cervical Mucus Interaction”, the last one in 2010. Those manuals help and guide andrology laboratories to determine sperm quality. Moreover, in recent years, the European Society for Human Reproduction and Embriology (ESHRE) in collaboration with the WHO have developed a program to improve standardization between laboratories in terms of sperm sample diagnosis and assessment criteria. […]
When one starts an in vitro fertilisation (IVF) treatment, one of the most frequent concerns is the number of high quality embryos that can be obtained.
This number is variable and depends on several factors such as the ovarian reserve and gamete quality (egg and sperm). Once the eggs are fertilised, they are considered embryos, which begins after their early division. The embryo division is observed in the IVF laboratory on a daily basis and is key information to determine the embryo quality. The Spanish Association of Reproductive Biology (ASEBIR) establishes a classification according to various observed morphological parameters, which indicate the embryo quality according to their capacity to implant in the womb. […]