What is Endometriosis?
Endometriosis is a benign, inflammatory, chronic and incurable disease that affects the health and fertility of nearly 180 million women worldwide. To get a global idea, it affects 1 in 10 women of reproductive age. Although it is an increasingly known disease in our society, there is still a large part of the […]
Did you know that if you’ve just turned 40, by your next
birthday you will have lost about half of your fertility you have at this
moment?
From the age of 36,
you lose 2% of your chance of pregnancy per month, which translates into 24%
less per year. And this decrease becomes even more vertiginous when you are
getting older.
Therefore, […]
Embryo fragmentation is a phenomenon that takes place in most embryos and its origin is not entirely clear. Some studies would seem to suggest that the fragments come from cell remains that have no nucleus or that they are the result of the decomposition of one or more cells from the embryo itself. The oocyte plays the most important role in fragmentation. Poor oocyte quality can lead to embryos that are highly fragmented. Embryo quality is determined by several characteristics such as the number of cells, their size or if the cell interior has an abnormality of any kind such as granularity or vacuolisation.
Types of embryo fragmentation
However, one of the factors that has most impact on embryo quality is the extent of fragmentation. Based on the amount, in percentage, of space that it occupies, fragmentation is categorised into 4 types or degrees.
[…]
Up until the past decade, assisted reproduction in the
Muslim world has been a taboo topic. Answers could not be found in the Quran,
and believers were unsure.
Over the years, the great experts of Islam have been solving various doubts about assisted reproduction techniques. These precepts have been included in the set of laws of Islam […]
Gamete donation plays a crucial role for a considerable number of patients willing to start a family and seeking the help of assisted reproduction techniques. These patients place their trust in the professionalism of Instituto Bernabeu in order to select the safest and most appropriate donor for them.
Gamete donation is a generous gesture that […]
The uterus, the organ where pregnancy takes place, has a cavity inside where implantation occurs. This cavity is covered by a soft tissue called endometrium, the “nest” that the uterus prepares every month for a possible embryo.
Phases of devolopement of the endometrium
During the menstrual cycle the endometrium goes through 3 main phases:
Menstrual phase, when it is shed in order to grow again. follicular phase or preovulatory, when it grows, and Lluteal phase or postovulatory when it reaches the proper state in which to produce implantation. These phases of the cycle are easily seen in an ultrasound.
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What happens following the wait (‘the beta hCG wait’) which generates so much anxiety whilst, at the same time, creating the hope that our lives may be changed forever when, in the end, the result is negative?
Many patients say that the absence of symptoms meant that they knew what was coming; Others were also expecting the worst because they had begun to bleed prior to getting the result of the analysis.
Presence or absence of pregnancy symptoms
It’s important to point out that the presence, or absence of ‘symptoms’ which women associate with pregnancy, are not a means of diagnosis. It’s also important to clarify that vaginal bleeding of varying intensity is not infrequent prior to the programmed pregnancy test date and this does not necessarily mean that the result will be negative. Indeed, the results obtained from an analysis of the pregnancy hormone in blood, is the only reliable proof available. A urine analysis is also an option, but needs to be carried out a little later on and is not one hundred percent reliable.
[…]
In Spain, we performed 40% of all egg donation cycles in Europe. The experience accumulated at Instituto Bernabeu in the last decades, 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. Matching the donor to each recipient patient allows a better quality and larger number of oocytes to be donated. We guarantee a minimum of 8 donated oocytes and a statistical average of 11.
Why an “x” number of eggs are donated? Why not only one?
[…]
A low ovarian response is an increasingly common situation for clinicians. It is mainly associated with delayed motherhood and, accordingly, with lower ovarian reserves. In this type of patients, the number of oocytes retrieved after puncture is normally limited. In this situation, choosing the most adequate fertilisation technique, conventional IVF or Intracytoplasmic Sperm Injection (ICSI), may stir a little controversy (of course, provided that the sperm quality and the medical history lead us to consider conventional IVF as a reasonable option).
[…]
We are often asked this question at our clinic because, following an unsuccessful attempt at in vitro fertilisation there is always the hope of another go. The recommendation has always traditionally been to leave a space of 3 months between each ovarian stimulation, which can be stressful for patients whose age is against them.
Research has been carried out with the aim of determining whether or not a wait is necessary. The studies compare a wait of one month with a wait of three months and the results obtained are the same.
It is for this reason that we do not recommend putting off a new attempt for more than one month in patients who need to carry out treatment as soon as possible.
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