Once the study of the couple is complete, and depending on the findings, there are several recommended treatments, depending on the diagnosis:
Timed intercourse is the first recommended step. It attempts to sensitise the couple to have intercourse on fertile days. The pregnancy rate is low, not exceeding 15% and common in young couples with little time and whose cause of sterility in principle is of unknown origin.
It can be done with:
By ovarian stimulation with medication, especially in cases where clinical history shows the suspected existence of anovulation.
Artificial insemination is a simple technique which involves depositing a suitable sample of semen in the female reproductive tract.
It is recommended when there is tubal permeability, adequate sperm samples and young couples. The number of cycles to be performed may vary. Our advice is that with patients under 35 years, if after 3 attempts no pregnancy is achieved, IVF should be considered.
The cycle of artificial insemination can be performed either in a natural cycle, as a cycle of ovarian stimulation so as to achieve the development of several follicles, thus providing more eggs thereby increasing the probability of success. Once they reach the right size, ovulation is induced by HCG, scheduling insemination once 36 hours have elapsed.
The day of insemination, a semen sample is collected in a sterile bottle which is delivered to the laboratory, where it is processed to improve and increase its potential. This is achieved by different washing techniques that remove the seminal plasma, cellular debris, dead, immobile or slow sperm and finally a small volume is obtained in which the entire population is more mobile and capable of fertilization. This material is then used to proceed with insemination.
After insemination, the patient should rest for about 15 minutes.
At 15 days, pregnancy test is performed by obtaining a blood sample to quantify the HCG.
IAC (Artificial Insemination Conjugal): This is when partner’s sperm is used.
IAD (Artificial Insemination by Donor): This is when a compatible donor sperm is used.
(Cycle with oocyte donation) is a procedure similar to IVF except that the eggs used are from a young female donor and are fertilized with the sperm of the leading pair, if successful, to a pregnancy in the recipient woman.
(Cycle with oocyte donation and Semen Bank): A procedure similar to in vitro fertilization in which the oocytes used come from a young woman donor and oocytes are fertilized with sperm received from a fully accredited sperm bank.
Assisted Reproduction Techniques (ARTs), allow the cryopreservation of oocytes and embryos for future use.
These techniques are used in the following causes:
Medical: different types of cancer treatments can cause a great involvement of ovarian reserve and result in a decrease in the number of oocytes, early menopause syndrome, autoimmune diseases, and others.
Social: in recent years, a desire to delay motherhood due to personal, socio – economic or working conditions is evident. With this delay the ovaries have aged and this has the consequence that the ovarian reserve has decreased. The consequent reduction in the quantity of oocytes, accompanied by an alteration of the quality and as time passes, the deterioration is progressive.
This technique will facilitate the ability to have a child in the future without having to give up the genetic material of the egg being from the patient herself.
We recommend this technique when there is still adequate ovarian reserve in patients generally up to 35 years of age. In any case, to practice this technique in women aged above 35 years, each case must be assessed individually.
Method for cryopreservation of oocytes
A subsequent ovarian stimulation is performed similar to an IVF process, for the development of an adequate number of oocytes. Through acquisition / puncture guided by transvaginal ultrasound and under sedation, oocytes are obtained.
Oocytes are cryopreserved by vitrification technique and stored in liquid nitrogen until further use by the patient.
Method of cryopreservation of embryos
This is performed as above, oocytes are fertilized with sperm from the couple or sperm bank, using cryopreservation of the embryos until such time desired by the couple for transfer
Segrelles IVF Assisted Reproduction Techniques
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