CCS (Comprehensive Chromosome Screening) and unexplained sterility

Any couple that turns to a fertility clinic undergoes a number of tests in order to diagnose the fertility issue that is making natural conception impossible. It is estimated that, at the end of the process, 1 in 4 couples are provided with no apparent reason for the reproduction issue. In these couples, no significant findings came up in the diagnostic tests carried out both on the male and the female partner.
Circumstances such as these generate a great deal of uneasiness and doubts in couples because, with no known reason for their infertility, they feel as if they were in no man’s land. […]

2017-10-04T13:53:00+00:006 de October de 2017|0 Comments

The ethical issues faced in assisted reproduction clinics

Although Spanish law led the way in regulating the practice of assisted reproduction and made significant progress in comparison with legislation in neighbouring countries, and even though Spain is, furthermore, a leader in the field both in terms of the quality of some of its clinics and health specialists, as well as in terms of the excellent results obtained, it […]

2017-09-15T13:24:24+00:0015 de September de 2017|0 Comments

Using stem cells as the answer to ovarian failure: hope for the future or reality?

Significant progress has been made over the last few decades in the field of fertility in order for patients to be able to have children of their own. However, one of the greatest challenges in reproductive medicine is pregnancy in women with slim chances of obtaining their own eggs. For example, women with premature ovarian failure (in other words, egg loss at a young age) or, quite simple, women over the age of 40. […]

2017-07-21T08:55:55+00:0021 de July de 2017|0 Comments

How might salpingitis or inflammation of the fallopian tubes affect my fertility?

In order for natural conception to take place, three basic factors need to be come together: ovulation needs to take place, there needs to be an appropriate quantity of spermatozoa with appropriate mobility in the ejaculate and, in third place, the uterine tubes need to be permeable. The latter is essential in order for both gametes to join together (egg and sperm) and for fertilisation to then take place. […]

2017-06-09T09:11:02+00:009 de June de 2017|0 Comments

The importance of the Fallopian tubes in fertility

The Fallopian tubes are two, very thin elongated structures measuring around 12 centimetres in length which connect the peritoneal cavity to the uterus. In this external abdominal part, they are in very close contact with the ovaries.
The Fallopian tubes play a vital role or function in human reproduction: in the first instance, they are responsible for suctioning the egg from the ovary each month and later for waiting 24-72 hours for fertilisation. Should this not happen, the egg is simply absorbed. If it is fertilised, the Fallopian tube allows the fertilised egg to travel to the uterus thanks to contractions and to the hair cells lining it. The fertilised egg (or zygote) remains in the Fallopian tube for around 48-72 hours on its journey to the uterus where it will eventually implant the embryo. […]

2017-03-30T19:11:01+00:0031 de March de 2017|0 Comments

Oligozoospermia: What is it? How can it be detected? What course of treatment can be used in order to get pregnant? What about criptozoospermia?

Oligozoospermia is the presence of an abnormally low number of sperm in a semen sample.
According to the criteria in the 5th edition of the World Health Organisation (WHO) manual, normal sperm content in a sample of semen should be equal to or above 15 million per millimetre. If a sperm count gives a result below this figure, this is known as oligozoospermia and it may be associated with fertility issues. More than one sample will need to be evaluated in order to confirm this.
The diagnosis method consists of a spermogram which, amongst other things, gives a sperm count per millimetre of semen. […]

2016-11-03T13:48:55+00:004 de November de 2016|0 Comments

Genetic compatibility in couples

When faced with fertility issues, many people believe that this is often due to the couple’s incompatibility. The reason behind this inability to fall pregnant is often unknown and quite simply a mystery due to some form of irresolvable  ‘genetic issue’. When faced with such circumstances, we can but give in and accept it and, as with all popular beliefs, there is some truth in it.
It’s estimated that around 20% of reproduction issues are down to genetics. In fact, many of the tests carried out as part of patient fertility analyses in our clinic, aim to determine if there is a genetic issue behind the couple’s difficulties falling pregnant. […]

2016-10-06T18:55:15+00:007 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+00:0023 de September de 2016|0 Comments

Reduced mobility and fertility

Reproduction issues always need to be dealt with with a degree of sensitivity. When there is also a disability within the couple, the emotional side of things calls for even greater care and steps should be taken in order to deal adequately with any implications the disability in question has from a medical point of view.
In 2006, the United Nations (UN) published guidelines on the rights of people with reduced mobility. These guidelines indicate disabled people’s rights across all levels of society and include the right to have children and access to sexual health.
At Instituto Bernabeu, we aim to comply with the aforementioned guidelines and provide our patients with the means and solutions they need and which adapt to the circumstances of each physical disability. This covers disabilities resulting from a genetic condition (hereditary), disease or an accident and, from a fertility point of view, each case is given personalised treatment. […]

2016-08-04T12:57:51+00:008 de July de 2016|0 Comments

Beta hCG (β-hCG) result table

ACCESS INFORMATION PRIOR TO THIS POST ON BETA
β-hCG (human chorionic gonadotropin) is a glycoprotein that is initially secreted by trophoblast cells in the embryo shortly after it implants in the uterus. The rapid increase in serum levels of hCG following conception means it is an excellent early indicator of pregnancy. It’s also a parameter which is widely used for monitoring that a pregnancy is progressing correctly.
On a physiological level, hCG triggers the corpus luteum and thus facilitates progesterone and oestrogen synthesis. Progesterone stimulates the maturing of blood and capillary vessels that help the foetus to develop correctly.
hCG levels can be measured in blood or in urine.
Urine tests have a detection limit of 20 to 100 mUI/ml depending on the brand. If the measurement is to be taken in urine, a sample of the first urine of the day is recommended. This is particularly true during the early days of pregnancy because, if the urine is too diluted, the test can return incorrect negative results.
hCG levels in blood can be used to detect levels as low as 5 mUI/ml and the concentration levels of the hormone can therefore be calculated.
hCG levels in multiple pregnancies are 30-50 % higher than in pregnancies where there is only one foetus. However, a multiple pregnancy should be confirmed by means of an ultrasound.
[…]

2016-08-04T12:59:04+00:0017 de June de 2016|0 Comments
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