The spermiogram is a basic tool that provides us with some of the best information to assessmale 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. Continue Reading »
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. Continue Reading »
Scientific evidence from the last 15 years shows that without a doubt, environmental toxins before conception and during pregnancy cause long-lasting effects on reproductive health. An example of this is the exposure to mercury, which causes cognitive impairment in children. Another example is the exposure to agricultural pesticides, which is associated with sperm quality alterations and higher incidence of testicular and prostate cancer for men, and in women it interferes with the development of puberty, ovulation, fertility and menopause. Continue Reading »
Without a doubt, one of the most emotionally stressful stages a patient undergoing IVF has to face is the period between the embryo transfer and the pregnancy test result.
It is a natural instinct for someone in this situation to want to do everything in her power to increase the chances of success, which is why she is extra sensitive to any messages she receives from family members, friends, the internet, etc. This leads to a confusing situation because oftentimes the advice received is contradictory. As if that weren’t enough, the vast majority is unfounded and not validated by any scientific evidence. Their question is often “should I rest or not?” Continue Reading »
Multiple pregnancy is, along with ovarian hyperstimulation, the most significant complication in fertility treatments.
Most couples that go through assisted reproduction techniques consider multiple pregnancies to be desirable or the lesser evil. However, pregnancies of twins and even more so triplets are associated with a series of complications that challenge the pregnancy ending in the birth of a healthy baby. Let us not forget that the birth of a healthy baby is the only objective of assisted reproductive techniques. Continue Reading »
ROPA (Reception of Oocytes from PArtner, or Partner Assisted Reproduction) is a treatment in reproductive medicine that allows married same sex female couples to both participate in the important act of creating a family.
We’re dedicating this Instituto Bernabeu forum topic to a very common technique used in the human reproduction laboratory:ICSI or Intracytoplasmic sperm injection. We have prepared this explicative video on the topic, in which Dr. Jorge Ten simply explains what this technique involves, how it is performed, its indications, history and evolution, as well as our reproductive biology team’s efforts to perfect the results. We hope you like it! Continue Reading »
Endometriosis is a benign condition in women involving the appearance and growth of endometrial tissue, typical of the uterus, outside this organ. It most frequently appears in the ovaries and rarely outside the abdomen (in the lungs, etc.).
Every time a woman menstruates, this tissue also bleeds but is not able to leave the body. This is when pain, inflammation and fibrosis appear and in some cases, fertility problems.
There has been a lot of discussion about therapies aimed at improving pregnancy rates; especially in patients that have gone through several cycles of treatment without positive results.
This is one of the most frustrating situations that doctors and patients can possibly have.
The inevitable question is: What can we do to improve our chances? Isn’t there anything new?
We think that patients who have received 4 or more high quality embryos without any pregnancy should be thoroughly evaluated through an implantation failure study that should include the three fundamental elements for success: the female, male and embryo factors.
The information that we can offer online does not replace the direct professional opinion of the doctor after a comprehensive assessment of your personal case and medical history. Therefore, we encourage your to request an appointment with our medical team either in person or through an online video conference if you are unable to travel to one of our clinics in Alicante, Elche, Cartagena or Benidorm.