The endometrial receptivity array (ERA) test

Embryo implantation is the least well known phase of reproduction within the field of reproductive medicine. This fact is of special relevance if we also take into account that the human embryo is not very efficient when compared to other closely-related species in the evolution timeline.
We currently know that pregnancy is based upon three basic pillars: the embryo, the endometrium and the tolerance of the mother’s immune system. Not only is it essential that all three function correctly, but there needs to be optimum interaction between them. We have already covered the role of the embryo and the immune system in detail. Therefore, we will now concentrate on the endometrium and, more specifically, on studying endometrial receptivity. […]

2017-10-02T14:50:28+02:009 de September de 2016|0 Comments

Can I choose the sex of my embryos when I undergo embryo transfer?

The human genome consists of 46 chromosomes: 23 of these are inherited from our father and the other 23 are inherited from our mother. Our organism’s entire genetic make-up is stored in these chromosomes. The 23 pairs are organised as follows: 22 pairs, known as autosomes, and one pair of sex chromosomes (X and Y) which differentiate the two sexes (XY for males and XX for females).
From a technical point of view, using pre-implantation genetic diagnosis, we have the means of analysing an embryo’s entire chromosomal make-up. This technique, which is known as PGS/PGT-A/CCS (Comprehensive Chromosome Screening), means additional or a lack of any chromosomes in the embryo can be detected. Therefore, we can use PGS/PGT-A/CCS to analyse the entire make-up of the embryo and determine that there are neither DNA excesses nor deficiencies which will stop the embryo from developing properly. But, if we focus on the sex chromosomes, we can also determine if the analysed embryo has two X chromosomes and will, therefore, be a girl (XX) or one X chromosome and one Y chromosome (XY) and will be a boy. […]

2018-03-26T19:17:10+02:0029 de July de 2016|0 Comments

What is the significance of FSH hormone levels in fertility?

Follicle-stimulating hormone (FSH) is essential to reproduction. It is produced by the pituitary gland situated just below the brain (behind the palate) and is released into the bloodstream. The hormone regulates the ovaries and is involved in the processes dealing with the growth and selection of the follicle which will later release the egg during ovulation.
Fluctuations in FSH levels are responsible for menstrual cycles and also for the fact that only one egg is produced during each cycle. It is essential, therefore, that there is constant dialogue between the ovaries and the pituitary gland so that the latter can consistently produce the correct quantity of FSH for a normal cycle.
This permanent exchange means that, in cases of poor ovarian function, the pituitary gland will try to compensate for this situation by increasing FSH excretion levels. It is for this reason that FSH levels in women going through the menopause are 20 times greater than in women whose ovaries are functioning normally. Therefore, when the ovary does not respond correctly, FSH increases significantly and systematically. […]

2016-08-12T14:21:26+02:0022 de July de 2016|0 Comments

Diagnostic hysteroscopy and endometrial scratching

We consider an evaluation of the uterine cavity and a check to ensure normal structure in the tissue that lines it (the endometrium) to be a standard part of any implantation failure study. In order to carry out such a study, the most appropriate diagnosis consists of a diagnostic hysteroscopy and an endometrial biopsy.
A hysteroscopy is an endoscopy of the uterus. In other words, direct inspection of the uterine cavity using an optical system. It’s a simple test and practically pain free in most cases. Therefore, it is generally carried out during an appointment with minimal patient preparation and no impact on her daily life. […]

2018-02-02T10:42:00+02:003 de June de 2016|0 Comments

The 600 recessive disorders detected by the Genetic Compatibility Test (GCT)

Nowadays, all couples who wish to avoid passing on genetic disorders to their children can choose to do so through a Genetic Compatibility Test (GCT), also known as Prenatal Recessive Disorder Screening.
The Instituto Bernabeu GCT is a groundbreaking analysis that uses next-generation DNA sequencing (NGS) through which we study 555 genetic mutations which cause over 600 autosomal recessive disorders in a simple blood sample.

Please see below the list of mutations analysed by the GCT we do at INSTITUTO BERNABEU:

The 600 recessive disorders detected by the Genetic Compatibility Test (GCT)
[…]

2018-04-17T17:25:29+02:0025 de May de 2016|0 Comments

Obesity and embryo implantation failure

It has long been known that patients who are overweight face increased reproduction and pregnancy loss issues.
Issues achieving a successful pregnancy are even greater if, as well as being obese, the patient also has illnesses such as diabetes, thyroid issues or other metabolic disorders (refer to further information on endocrinology and pregnancy).
However, little was known about the direct effect of obesity on endometrial receptivity and successful or unsuccessful embryo implantation. […]

2016-10-13T12:26:59+02:006 de May de 2016|0 Comments

Recurrent pregnancy loss: an issue that does have a solution

Clearly one of the most difficult situations a couple trying for children may have to face is pregnancy loss. Suffering is even greater when, prior to this, the couple has gone through fertility treatment such as in vitro fertilisation, insemination or egg donation.
Pregnancy loss is not always the result of an illness or underlying abnormality. It can be the response nature provides in order to block the development of an abnormal embryo. In fact, when the tissue from the pregnancy loss is examined, a large number of chromosomal abnormalities can be detected. […]

2016-10-13T12:23:48+02:008 de April de 2016|0 Comments

Adenomyosis and recurrent implantation failure

Adenomyosis occurs when the tissue that lines the inner part of the uterus (the endometrium) is found in the outermost part of the uterus (myometrium), which is a muscle layer. It is sometimes referred to as endometriosis of the uterus, given that endometrial tissue is found where it should not be, just like it happens in endometriosis. […]

2018-09-17T09:21:43+02:0021 de October de 2015|0 Comments

Fertility research: one of a kind treatment for one of a kind patients

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. […]

2018-03-26T18:11:08+02:0017 de July de 2015|0 Comments

Genetic approach to embryo implantation failure and repeated miscarriage

Couples that don’t achieve pregnancy after in vitro fertilization treatments and those who lose their pregnancy in early stages require a multidisciplinary approach in order to diagnose and treat their reproductive problem.
 
From a genetic point of view, these patients are more likely to produce embryos with chromosomal abnormalities. To improve these couples’ pregnancy rates, the preimplantational genetic diagnosis (PGD) can be applied. In these cases, the goal is to select the embryos with the highest capacity of resulting in an ongoing pregnancy thanks to the fact that the PGD allows us to identify the number of chromosomes in the embryo. Only embryos with the correct number of chromosomes can lead to a healthy child, others will arrest in their development or will lead to a miscarriage. […]

2018-03-27T19:29:38+02:0016 de December de 2013|0 Comments
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