Should IVF (in vitro fertilisation) be carried out using sedation or under anaesthetic?

Follicular puncture, or ovarian puncture, is one of the fundamental stages of in vitro fertilisation (IVF). It consists of surgery in order to retrieve eggs from inside follicles in the ovary. Excellent patient satisfaction and well-being when using these techniques reduce the emotional stress that they generate.
Huge progress has been made in the field of assisted reproduction and these steps forward will always be thought of as historical milestones in medicine. Comfort and safety are some of the most significant improvements that have been made. During the early days of IVF, eggs were retrieved by means of ovarian puncture under general anaesthetic delivered by inhalation. This technique was relatively cumbersome and egg retrieval results were low in comparison with the technique used nowadays. Patients were required to stay overnight at the clinic. […]

2017-05-04T09:13:50+02:005 de May de 2017|0 Comments

Instituto Bernabeu discovers fertility genetic variants

Following years of research, the Poor Responder Unit at Instituto Bernabeu has, for the first time, discovered the genes that play a role in ovarian reserve. This makes choosing the most appropriate medication for the patient’s genetic make-up possible, thus optimising ovarian response.

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2016-10-13T10:19:12+02:0014 de October de 2016|0 Comments

A more reliable means of detecting anti-Müllerian hormone and evaluating ovarian reserve

A new, much more reliable, faster technique (results are obtained in 3 days) has been incorporated into our clinic and, since it is carried out directly in our laboratories, it has brought the price down to €50. The technique is carried out on a blood sample which can be taken at our clinics or a sample can be sent to us by courier.
Determining anti-Müllerian hormone levels in a woman’s blood helps us to evaluate ovarian reserve and, along with a transvaginal ultrasound used to carry out an antral follicle count, this provides us with information about her reproductive future and whether or not trying for a child is a matter of urgency.
It can also be used in order to personalise fertility treatment and to help predict how successful it is likely to be.
Cases of couples in clinics in which the female has impaired ovarian reserve are more and more common. A reduction in ovarian reserve of this kind might be expected in older women but not so in younger women, particularly when her menstrual cycles have not been irregular. […]

2016-09-22T17:40:01+02:0023 de September de 2016|0 Comments

Techniques for obtaining spermatozoa

There are currently many different solutions when spermatozoa are not present in ejaculate. Access to a trained urologist increases chances of achieving spermatozoa in greater quantities and with improved quality.
What is TESA (Testicular Sperm Aspiration)?
This is a question which many couples ask themselves as they turn to assisted reproduction treatment when the issue is an absence of spermatozoa in semen (azoospermia) with the aim of obtaining sperm. TESA (Testicular Sperm Aspiration) is a technique used for obtaining spermatozoa by testicular puncture.
Modern-day urology means that spermatozoa can be obtained for use in assisted reproduction techniques using different means. Over the last 10 years, we have improved the chances of achieving good results whilst reducing the invasive nature of the process and improving the quality of samples obtained in cases in which this was not previously possible. Men who have undergone a vasectomy, cases in which the sperm duct is obstructed or patients with cystic fibrosis are common examples in which adequate spermatozoa may be obtained through a simple testicular puncture under local anaesthetic. Different types of biopsy are also prescribed in certain cases. The differences between them are as follows: […]

2016-08-26T10:15:48+02:0026 de August de 2016|0 Comments

Ovarian stimulation: What is it? Are there any risks involved?

During the first few days of a period, a complex process takes place in the ovaries. The first step is to gather and initiate development in several follicles that contain eggs. Following this, only one egg is selected and it then develops. A mature egg is released during ovulation.
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2016-05-26T17:43:17+02:0027 de May de 2016|0 Comments

Cryopreserved embryos: Does biobank storage time affect their subsequent viability?

It has been almost 30 years since the first pregnancy from cryopreserved embryos was achieved (Trounson and Mohr, 1983). Ever since then, numbers have been steadily growing at biobanks in assisted reproduction centres, mainly due to the optimisation of reproductive treatments. Our goal is to retrieve a satisfactory amount of good quality embryos (one that is enough for a fresh transfer and also for cryopreservation) by means of an ovarian stimulation cycle. These embryos may be used for future pregnancy attempts, although couples can choose to donate them for reproductive purposes, assign them to specific research projects or dispose of them. Yet, general evidence shows that many couples, mainly those that achieve pregnancy in their first fresh attempt, choose to keep them frozen without a specific end or plan in mind for the future. […]

2016-08-04T13:23:29+02:0022 de January de 2016|0 Comments

Instituto Bernabeu strengthens is position as a European reference in matters of R&D at the Annual Congress of the British Fertility Society.

The British Fertility Society (BSF) Annual Congress, one of Europe’s leading fertility and assisted reproduction events, was held on 7th and 8th January in Newcastle (UK). Its scientific committee accepted a total of 11 pieces of research work prepared by Instituto Bernabeu (Alicante) as part of the group’s main lines of R&D. These include poor ovarian response – a pathology which is largely associated with attempts to fall pregnant later on in life –  embryo implantation failure and the impact of genetics on reproduction issues. […]

2016-08-12T13:46:29+02:0014 de January de 2016|0 Comments

Assisted Reproduction in women who do not have a male partner

In modern society, the increasing demand for assisted reproduction techniques from single women and same-sex couples has become a reality. From the perspective of reproduction, women only need to receive the male gamete (sperm). For years, these couples have solved the problem in ways that have not always been medically or legally safe and have had to face the possibility of infectious diseases and paternity suits.
Today, these inconveniencies are solved in assisted reproduction centres, where procedures that meet their demands and offer them a solid and safe foundation are regularly performed.
Thanks to Assisted Reproduction Techniques (ART), Reproductive Medicine enables us to distinguish the fact of reproduction from the act of intercourse between two people. Several options for motherhood are offered to both single women and […]

2018-11-23T10:32:29+02:008 de January de 2016|0 Comments

The Rafael Bernabeu Foundation and its social welfare calling

The Rafael Bernabeu Foundation, the social welfare foundation at Instituto Bernabeu, has been working towards helping to improve health, well-being and financial conditions in society since 2007. Support programmes for patients with financial difficulties, scholarships and long-term support for various NGOs and academic and medical institutions are just some examples of the work which is carried out “as part of our commitment to the people of Alicante.” To the company, “social responsibility is a must.”

The foundation was set up at almost the same time as Instituto Bernabeu in Alicante. Whilst work went on in the reproduction and fertility clinic, the needs of the local population surrounding the medical group as it grew and became more consolidated became clear. It was the company’s closest reality, its closest community, the people who could potentially one day walk past one of the groups newest branches. IB began donating part of its financial resources and this increased as the institution grew. Along with the company’s growth and strength came the decision to provide this giving spirit, which had been active for many years, with a more formal structure. The Rafael Bernabeu Foundation was born in the cold month of January 2007 with the aim of providing different causes and adverse circumstances with warmth and solutions.

“Our patients and everyone in the IB team are participants in this support aimed at the very same society which has enabled us to grow and to which we wish to return the favour,” says the Rafael Bernabeu Foundation. Since it was set up, its work, donations and activities have grown and centred around three core areas: health, training and financial support for NGOs. […]

2016-08-04T13:25:10+02:004 de January de 2016|0 Comments

The male factor in infertility

In contrast with the old-fashioned belief that reproduction issues are a female thing, current figures are clear: 47% of infertility cases in a couple are down to an issue with the man. Therefore, when a couple has infertility issues and they seek the help of a clinic specialising in assisted reproduction, the tests and analyses are carried out on both members of the couple. This practice of looking into both the female factor and the male factor is now common and carried out by all experts in the field, but there is still a lack of understanding of the fertility issues which men can have. What are they? What solutions do leading assisted reproduction clinics offer nowadays?
The most common issues amongst men are “changes in the sperm count with no apparent cause”, explains Instituto Bernabeu in Alicante. That is, a low number of sperm, poor sperm mobility or abnormal morphology. Additionally, there may be more concrete and identifiable reasons for changes in sperm such as obstruction issues, infection, diseases or genetic reasons which impede egg fertilisation or which affect embryo quality. […]

2016-08-04T13:30:33+02:003 de December de 2015|0 Comments
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