Dr. Belén Lledó

The latest in pre-implantation genetic diagnosis (PGD)

Pre-implantation genetic diagnosis(PGD) consists of studying chromosomalabnormalities and genetic abnormalities in the embryo prior to transfer to the mother. Itspurpose is to ensure that children are healthy and to bring thetransmission of a given condition to an end.

Significant progress that has revolutionised this area ofreproductive medicine has been made over the last few years and specificallywith regards to one type […]

2018-12-17T18:43:53+02:0028 de December de 2018|0 Comments

The importance of embryo nutrition in achieving a successful cycle of in vitro fertilisation (IVF): metabolomics

One of the main limitations of assisted reproduction techniques are its embryo implantation failure rates. The implantation rate is the embryo’s ability to implant in the mother’s uterus. In other words, not all embryos are able to give rise to a pregnancy. Some have a greater chance of doing so than others. If it were possible to select embryos with the greatest ability to implant, it would be possible to improve assisted reproduction technique success rates. […]

2018-12-14T10:23:05+02:0014 de December de 2018|0 Comments

Can the immune system have an impact on implantation failure and recurrent pregnancy loss?

The immune system plays a very important role in the health of human beings, acting as a defence barrier against harmful organisms or substances.
Immunology is a very complex area when trying to get pregnant or as a pregnancy progresses and it involves an elevated number of cell types and molecules that need to work in a coordinated and balanced manner. […]

2017-10-11T09:25:32+02:0020 de October de 2017|0 Comments

The advantages and disadvantages of pre-implantation genetic diagnosis (PGD)

Pre-implantation genetic diagnosis (PGD) consists of studying chromosomal abnormalities and genetic abnormalities in the embryo prior to transfer to the mother. Its purpose is to ensure that children are healthy and put an end to the transmission of a specific condition.
There are two types of PGD: the PGD aimed at selecting embryos that are free of a genetic disorder affecting a single gene (PGD) and the PGD that analyses genetic diseases affecting one or more chromosomes (PGS/PGT-A/CCS or PGS). Their names are sometimes a cause for confusion. The post entitled Are PGD, PGS and CCS all one and the same? clarifies the differences between them. […]

2018-03-28T10:52:16+02:0019 de May de 2017|0 Comments

The immune system and pregnancy

Numerous factors are involved in making the amazing miracle of pregnancy possible. Many of them are very well understood whilst others, such as the immune system and its role in embryo implantation, given their importance, are still being studied and researched in depth. If the immune system is what protects the body against infection and diseases thanks to its defences, what role does it play in achieving pregnancy? […]

2016-08-04T13:06:25+02:0020 de May de 2016|0 Comments

Comprehensive Chromosomal Screening (PGS/PGT-A/CCS): More reliable and less damaging for embryos

The necessary information for an adequate development of human beings is contained in some “books” called genes; they are written in an “ink” called DNA. Our total number of genes is found in the 46 chromosomes that we inherit from our parents, and it should have no excesses or deficiencies, since these could cause serious diseases and malformations, and even put our life in danger.
Human embryos have a high rate of chromosomal alterations, especially in the case of couples with fertility problems, such as recurrent miscarriages and implantation failures. For this reason, when we are in the In Vitro Fertilisation (IVF) laboratory with a couple’s embryos, we already know it is very likely that many of them are chromosomally abnormal.
Only embryos with no excesses or deficiencies in their DNA have the capacity to produce a healthy newborn. Therefore, by identifying and selecting an embryo with a full chromosome count, we manage to guarantee that the embryo has maximum capacity to produce a healthy child. […]

2018-05-31T14:11:03+02:0024 de December de 2015|0 Comments

New diagnosis technique for male sterility and missing genetic material (Y chromosome microdeletions).

We all have 46 chromosomes: 23 of them are inherited from our father and 23 are from our mother. The genetic information for our entire body is stored within these chromosomes. Two of the 46 are sex chromosomes and determine whether we are male (XY) or female (XX). Therefore, the Y chromosome contains all the necessary information for differentiating males from females as well as for sperm production.
The study of Y chromosome microdeletions consists of checking if chromosome Y is complete and, as such, has all the necessary information for satisfactory sperm production or if, on the contrary, small fragments are missing. The loss of such fragments leads to altered spermiogramme which can mean poor sperm production (oligozoospermia) or even no production at all (azoospermia). […]

2017-08-28T13:31:45+02:0023 de September 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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