Dr. Joaquín Llácer

Progress in treatment for patients with poor ovarian response

Personalising courses of treatment is undoubtedly currently the
most important area of change in the field of medicine. A specific strategy should be designed
depending on each patient’s individual characteristics.

One of the key areas for developing personalised medical healthcare is the use of pharmacogenetics. A patient needs different doses or types of pharmaceutical drugs depending on certain genetic variations. […]

2019-01-23T10:37:32+02:0025 de January de 2019|0 Comments

How long should I wait before beginning a new course of treatment following unsuccessful IVF?

In vitro fertilisation (IVF) treatment is not always successful. The reasons for this can include the cycle being cancelled during the stimulation phase or during the fertilisation and embryo development processes in the laboratory; or embryo implantation failing to take place following transfer and a negative pregnancy test result. […]

2018-05-30T12:09:02+02:001 de June de 2018|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

Instituto Bernabeu begins research on a new treatment for patients with poor ovarian response

From January 2016, Instituto Bernabeu will work on a clinical trial (free to participating patients) with the aim of evaluating the efficiency of a line of treatment in patients with poor response to ovarian stimulation.
The research, which has already been approved by the Spanish Drug Agency and has been published in the USA National Health Institute register, involves comparing ovarian response to two different stimulation protocols. One is conventional with drug administration starting at the beginning of the cycle. The other, new procedure carries out stimulation once it has been confirmed that the patient is ovulating. […]

2016-08-12T13:40:17+02:0027 de January de 2016|0 Comments

Stress and its role in infertility

Infertility is an issue which has significant emotionally taxing consequences for couples. The inability to fulfil such an important part of personal development as having children directly affects all aspects of the patients’ lives.
The individual’s core is affected and there is a breakdown in important matters such as self-confidence, future plans, life as a couple, family, social life, sexual relationships and so on. Stress and depression are common under these circumstances and, as if this were not enough, this difficult situation is often not given the attention it deserves and is even trivialised by others who make it out to be a matter of little importance. Indeed, some even suggest it has a positive side and come out with unfortunate comments such as ‘but you’re so much better off without children.’ […]

2016-08-04T13:26:51+02:0018 de December 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

Blocked fallopian tube. The involvement of “tubal factor” in fertility

The Fallopian tubes are trumpet-shaped structures that begin in the uterine cavity and end up opening by the ovaries. After ovulation, the fallopian tubes collect the released egg that is fertilized on the first portion, which is the closest part to the ovary. For this, the spermatozoa travel through the vagina, the cervix, the uterine cavity, and finally the route to the end of the tube. After fertilization occurs, the embryo (fertilized egg) launches its first divisions and travels through the fallopian tube towards the uterus where implantation occur and thus the establishment of pregnancy. […]

2016-09-22T11:41:26+02:005 de May de 2014|0 Comments

What is a Chemical Pregnancy?

 There are times when we give patients the results of  in vitro fertilization, we tell them that the test is positive but that it is not good news, and that the chances that it evolves into an ongoing pregnancy are slim. It is a very difficult situation, emotionally, since it is very hard for patients to understand what has happened. If it really is positive, then why isn’t that good news? If it’s not good news, then why do I still have to take medication? […]

2014-12-11T12:54:07+02:0017 de March de 2014|0 Comments

First Pregnancy Scan after IVF Treatment

 Confirming pregnancy after IVF and Egg Donation . The first ultrasound in which we can see the pregnancy  is a very emotional time for the parents, especially for patients who have gone through  treatments for assisted reproduction. For these patients, after having a positive pregnancy test , their anxiety does not go away but gets stronger until the pregnancy is seen to develop normally. Therefore it is very important to know what happens during this exploration, and what to expect. […]

2017-08-17T14:36:36+02:005 de March de 2014|34 Comments

Avoiding multiple pregnancy: Why is it important to avoid pregnancy of twins or triplets?

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. […]

2017-09-19T12:54:35+02:0029 de August de 2013|0 Comments
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