In Vitro Fertilisation (IVF). What are the potential complications?

In vitro fertilisation is the most common form of reproductive medicine and, since the issues which need to be solved are often complex, it is not always possible to get the desired result.
Over the last few decades, the risks associated with in vitro fertilisation (FIV) have gone down considerably. […]

How long should I wait following unsuccessful assisted reproduction treatment?

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. […]

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

Asthenozoospermia is a decrease in the percentage of motile sperm in a sperm sample and it is identified by means of a seminogram or semen analysis.
Nowadays, seminograms are a basic tool which provide us with information in order to evaluate a man’s fertility and they are very useful when determining personalised treatment for the couple concerned. The analysis can be used to evaluate numerous factors such as the concentration, motility and morphology of sperm present in the ejaculate, amongst others.
According to the criteria included in the 5th edition of the World Health Organisation (WHO) (2010) manual, a man has asthenozoospermia when less than 32% of sperm in the ejaculate have progressive motility (sperm which move around) or when there it less than 40% total motile sperm (motile sperm which do and do not move around). […]

A negative beta hCG test. Now what?

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.
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. […]

Teratozoospermia and male infertility

Teratozoospermia is an increase in the percentage of abnormal sperm in a sperm sample and it is identified by means of a seminogram or semen analysis.
According to the criteria in the 5th edition of the World Health Organisation (WHO), 2010 manual, a man has teratozoospermia when the percentage of normal spermatozoa in the ejaculate is below 4%.
Defects in sperm […]

Progesterone and its role in reproduction

What is progesterone? Just a simple look at the word itself gives us an idea of what its functions are. PROGESTERONE: the hormone which facilitates pregnancy. This is a good point from which to start out.
Progesterone plays an essential role in pregnancy and it has many and varied effects. It is a natural substance which is secreted from the ovaries following ovulation and continues throughout the second half of the menstrual cycle. Progesterone ensures that a woman’s uterus is receptive and, when production is insufficient, the embryo does not implant correctly or runs a high risk of leading to a miscarriage. It also relaxes the muscles in the uterus, making it better suited for the early days of pregnancy. […]

Helping a relative or friend with fertility issues.

Infertility can have an impact on many levels: it can affect the person with the issue as well as that person’s partner. When a couple embarks upon such a significant project as maternity and is faced with failure month after month, despite every effort, negative feelings such as anger, resistance, frustration, despair and sadness arise and they are difficult to manage. This can lead to feelings of depression and anxiety. On the whole, it is an issue which patients find difficult to speak about and, as a result, they are not surrounded by a strong social or family support network.

If you know anyone who may be suffering from the emotional impact of infertility, here are 10 pieces of useful advice: […]

Male fertility tests

When a couple is faced with difficulties getting pregnant, there is approximately a 50% chance of the reason for this being a factor in the male partner.
The main cause of fertility issues in men is poor semen quality. Therefore, various parameters in semen need to be analysed in order to determine what the quality of the semen is. Two parameters are particularly important: the concentration or quantity of sperm in semen and their motility. This needs to be adequate in order to ensure that the egg is fertilised.
There are several quick tests available on the market. They are similar to female ovulation tests and they are understood to carefully evaluate semen quality and determine if a man is fertile or not. But are these tests really useful in understanding semen quality? […]

By |2016-10-20T18:04:30+00:0021 de October de 2016|Fertility, News, Pregnancy, Sterility, Urology|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. […]

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. […]