Fertyplan: Pro-fertility planning

Reproductive health study to plan future fertility. “It’s better to be safe than sorry”; act against your biological clock.

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Nowadays, people of reproductive age increasingly delay the decision to become parents, mainly for professional and/or personal reasons, and this drastically reduces their possibilities of having children and therefore fulfilling their idea of a family.

These and other possible causes of infertility of a natural type can be solved if they are detected early enough, and different reproductive scenarios can be envisaged for the future.

The Instituto Bernabeu is the first private European centre to have developed pro-fertility family planning, where one visit is enough to evaluate all the factors related to the reproductive prognosis. 

Why is it important to know about your fertility?

Difficulty in becoming pregnant is more frequent than you may think. Medical or gynaecological history, family background or even behavioural habits may reveal possible future difficulties in achieving pregnancy; by knowing this in advance it is possible to prevent many of these difficulties and to ensure, to a great extent, future maternity. 

How can it help you to know about your reproductive future? 

Knowing the current situation will help you to take decisions in the reproductive future, ascertaining particularly the extent of the risks of delaying maternity/paternity and having access to fertility preservation techniques such as the oocyte vitrification (freezing) or sperm storage.

In this way, we can help women and men to achieve their reproductive plans and, therefore, to have the number of children they hope for at the desired age. 

What does pro-fertility planning consist of?

This is a preventive study, the aim of which is to provide maximum information to help people plan their reproductive life. It can be carried out at any time during the reproductive age, either for couples or for women or men who wish to carry out an individual assessment. The process involves different tests:

  1. Completion of a preliminary questionnaire. Once the first contact has been made, we will collect the data that may be relevant for the rest of the tests.
  2. Gynaecological study. Once the questionnaire has been completed, patients will be given an appointment with a gynaecologist specialised in reproduction in order to ascertain every detail of their medical history that may help in diagnosing and treating a future problem of infertility. Furthermore, during this appointment different diagnostic tests will be performed, such as a vaginal echography or the determination of AMH (the hormone that provides us with an indication regarding the ovarian reserve) in the case of women, or a spermiogram in the case of men.
  3. Report of the results. After the study, the patient will be given a final evaluation report which will include the results of the medical tests performed and recommendations for the future by our specialists in reproduction. 

What can we detect? How can future fertility problems be prevented?

With regard to women, it is fundamental to rule out some disorders such as endometriosis, myomas or malformations of the uterus that will have an impact on fertility and which will require treatment and/or monitoring. Furthermore, it is essential to analyse other aspects that have a direct influence on female fertility such as ovarian reserve.

In the case of men, the most common causes of infertility are related with sperm count parameters: having a low number of sperm, poor sperm mobility or abnormal morphology. Furthermore, there are also more specific problems such as obstructions, infections, diseases or genetic reasons that impede egg fertilisation or affect embryo quality.

During the evaluation an analysis is made of the habits related with fertility of both members of the couple. Giving up habits that represent a risk or beginning other healthy ones with regard to fertility may be the first step in avoiding possible future reproductive problems.

The gynaecologist will provide guidance in each case regarding the possibilities for action available to each patient. Patients will then be able to take the decision they consider most appropriate according to their life plans to preserve their fertility. For example, in cases where there are indications of poor ovarian response, or in women who are already sure that they want to be mothers but who want to wait for a long time before starting a family, patients will be informed of the possibility of preserving their own ova via vitrification (freezing), and thus being able to use them in the future.

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