Assisted Reproduction at Barcelona
It is estimated that between 10% and 15% of couples of childbearing age will have some difficulty in conceiving (approximately between 600 and 700,000 couples in Spain), which is an increase of a 25% compared to what happened 10 years ago.
Despite the increase of the number of couples who consult, the rate of infertility has hardly changed. What has undergone an intense change has been the demography of couples of reproductive age. There is, without doubt, a social change that leads to postpone fertility in the couple.
The treatment is absolutely personalized, fleeing of crowded waiting rooms and being visited always by the same doctor, because we believe that having a valid interlocutor in this stressful situation is very helpful and important. Obviously not giving up the help of all the professionals required for the process. In addition the wide opening hours may respond to the couple needs to alter their work life, always respecting the utmost discretion..
After a first study the problem is evaluated and the couple is informed on the most appropriate treatment or technique for their case.
During the study we will carry out:
Induction of ovulation
It is done with medication, in patients with very long cycles or no ovulation at all.
IVF-ICSI (In vitro fertilization with or without spermatic microinjection)
In this case a controlled ovarian hyperstimulation is induced to obtain ovules by puncture of the ovarian follicles through the vagina with ultrasound control and under sedation. Once obtained, they are fertilized in the laboratory with the semen of the couple and once we obtain embryos, these are introduced into the uterus through its neck. Fertilization can be done by contacting the egg with the sperm in a glass plate (In Vitro), or by picking the sperm one by one with a micro-needle with microscopic control and then by puncturing the egg and depositing the sperm inside it to obtain the fertilization (ICSI).
Freezing of embryos
In the case of IVF, the number of embryos obtained is higher than the number of embryos to be transferred, so it is possible to freeze them and use them once the couple wishes it again (if she does not become pregnant, or after a few years if she has been pregnant in the first transfer to have a second child).
Inseminations with the partner’s semen (CAI)
Performed with spontaneous ovulation, or, in case of wanting more effectiveness, with ovulation induction. The appropriate day, the properly prepared semen is introduced on inside of the uterus, ate day, the semen is prepared and deposited on the bottom Of the uterus with which we avoid its passage through the cervical mucus that, in some occasions, hinders its ascent, allowing to increase the possibility of pregnancy.
In this case, a donor is encouraged to perform the same controls as the sperm donor, and the eggs obtained will be fertilized with the sperm of the couple. Once the embryos have been obtained, they will be transferred to the patient who has been properly prepared for reception.
Vitrification of eggs
We can use this technique for a woman that needs to take chemotherapy and / or radiotherapy and wants to keep her eggs without being affected by such therapies. Nowadays we have the option of preserving the eggs to use them once the disease has been cured. Likewise, a woman who wants to keep her vitrified eggs for a later use, may benefit from this technique too.
Inseminations with donor semen (DAI)
Like the one explained in the previous section, but needed in the absence of a male partner, or in cases of not having viable spermatozoa. In this case the sperm donor has had a clinical and analytical history including serologies and spermiogram, to discard as far as possible any kind of disease that can be transmitted to the fetus.
The techniques described so far are carried out in the consultation (sperm training is carried out in the andrology laboratory of CIRH with which the consultation has signed a collaboration agreement).
Reception of donated embryos
This is used when it is needed a donation of an embryo that is not either of none of the partners. These embryos are the result of the donation of a couple who will not receive the transfer.