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CREA Support Group

Fertility Support Group
This clinic is part of the Fertility Support Group Program.
Health Center approved by the Spanish Ministry of Health - License number (CNN): 1046000393

Get Answers from CREA

Which is better, egg or embryo vitrification?
By Victoria Moliner. Last Update: 01/18/2019

The truth is, there is no treatment better than other, since in both cases the survival rate after the thaw procedure is above 90% and the quality of both eggs and embryos is usually the same.

The decision between one option or the other depends on your personal decision and the advice of your doctor. If you are single at the moment of vitrification, you might wish to opt for egg vitrification only.

Is it normal to feel very uncomfortable during week 37 of pregnancy?
By Victoria Moliner. Last Update: 01/15/2019

Yes, having annoying symptoms is normal at this stage of pregnancy, not only because labor is getting closer, but because the pregnancy itself is becoming very uncomfortable.

It is normal if you feel pressure and pain in the pelvic area and the vagina due to the descent of the fetus to the birth canal. Nonetheless, in case you have very abnormal symptoms, or if pain is unbearable, you should visit your doctor as soon as possible.

What is a post-term or prolonged pregnancy?
By Victoria Moliner. Last Update: 01/15/2019

A prolonged or post-term pregnancy is a pregnancy that lasts longer than 42 weeks. The main risks include:

Aging of the placenta
If the placenta becomes too old, the supply of nutrients and oxygen to the baby decreases, which can affect his health severely.
Neonatal aspiration of meconium
If the pregnancy lasts too long, the baby may expel the meconium to the amniotic fluid. As a consequence, it can end up entering his lungs, which can cause inflammation of the fetal lungs. This is the reason why you should pay special attention to the color and consistency of your water in case of membrane rupture.
Fetal macrosomia
If the baby is too large, vaginal delivery might not be possible, forcing the doctor to schedule a C-section.
Can you induce labor naturally?
By Victoria Moliner. Last Update: 01/15/2019

Inducing labor is totally unadvisable unless medically indicated. Even if you are more than 40 weeks pregnant and your baby is still in your belly, you have to let your pregnancy continue unless otherwise determined by your doctor. However, in post-term or prolonged pregnancies, labor is typically induced to prevent problems in the baby and/or the mother.

Is it normal to have contractions at 6 months?
By Victoria Moliner. Last Update: 01/14/2019

Yes, it is possible that you have a type of contractions called Braxton-Hicks contractions. In fact, some women start having them from month 5. These contractions are typically so mild that most pregnant women do not even notice them. Their function is to prepare the body for labor.

What is the position of the baby at 7 months?
By Victoria Moliner. Last Update: 01/14/2019

He or she is likely to have moved into an anterior position, that is, with the legs bent, the knees close to the chest, and the arms folded. Inside the uterus, he might not have the head down yet, which is the ideal position for labor. Usually, babies settle into this position from week 32-34, although it varies from pregnancy to pregnancy.

Can you travel at 8 months pregnant?
By Victoria Moliner. Last Update: 01/14/2019

Long journeys at such an advanced gestational age are not advisable, not only due to the risks associated for both the mother and the fetus, but just because of the number of discomforts for the pregnant woman.

Most airlines require pregnant women to present a medical certificate stating that she is in good condition for traveling. In any case, whether you are traveling by plane or not, you should ask your doctor previously.

I've heard about the 4D ultrasound scan. Can you do it at 6 months?
By Victoria Moliner. Last Update: 01/14/2019

Yes. As a matter of fact, month 6 is a good moment for women to undergo this test. As explained above, the baby has a more human-like physical appearance by this time

I am 7 months pregnant and can't sleep, what should I do?
By Victoria Moliner. Last Update: 01/14/2019

Obviously, at this gestational age, sleeping face down is impossible. We recommend that you sleep on one side, especially the left side, which eases blood supply to the fetus. Sleeping with your legs bent, using a pillow between them if necessary, is usually the solution for women who suffer from swollen legs during pregnancy.

Is it safe to get the flu shot if you are 8 months pregnant?
By Victoria Moliner. Last Update: 01/14/2019

Pregnant women are one of the risks groups that should get vaccinated for the flu. Although the most advisable is to get the flu shot during the second trimester of pregnancy, there is no problem at all if you do it at month 8 or any time as long as your doctor agrees.

Is bleeding normal at 7 months pregnant?
By Victoria Moliner. Last Update: 01/14/2019

Bleeding during pregnancy is not a worrying sign in all cases. However, it is a rare situation in the final stages of pregnancy. For this reason, if you experience a bleeding at 7 months, we strongly recommend that you visit your doctor as soon as possible.

I see more vaginal discharge during the 8th month of pregnancy, is it normal?
By Victoria Moliner. Last Update: 01/14/2019

Having white vaginal discharge by the end of month 8 is a common symptom. It is usually derived from the mucus plug, which is eliminated due to the fetus pressing the area after settling into a head down position in the womb. Nonetheless, the mucus plus keeps on regenerating until the baby is ready for being born.

What is the average weight gain for 6 months pregnant women?
By Victoria Moliner. Last Update: 01/14/2019

Actually, there is no average weight range for this gestational age, as each woman has a different weight based on their body complexion. Nonetheless, according to experts, most pregnant women will have gained between 6 to 8 kg by this stage of pregnancy.

This is just an approximate range. As explained earlier, each body and pregnancy is different, and so their progression.

I am 6 months pregnant and do not feel my baby move, should I be worried?
By Victoria Moliner. Last Update: 01/11/2019

This stage of pregnancy characterizes for the fact that the baby starts moving vigorously. However, each pregnancy is different and fetal development does not always follow the same pattern. In any case, we suggest that you visit your doctor and tell him or her about these symptoms to see if it is a sign that something is not going as it should.

Can you have an abortion at 5 months of pregnancy?
By Victoria Moliner. Last Update: 01/11/2019

With 5 months of pregnancy, abortion is possible only if the pregnancy is a life-threatening factor for the woman or compromises her health severely. Also, if developmental abnormalities that are incompatible with life are detected in the fetus. A pregnancy can be terminated for these reasons up until week 22.

For a voluntary termination of pregnancy to be free of risks can be performed only until week 14.

What are the potential pregnancy complications in the second trimester?
By Victoria Moliner. Last Update: 01/11/2019

Potential risks or complications associated with this trimester of pregnancy are:

  • Gestational diabetes
  • Anemia
  • Urinary tract infections
  • High blood pressure
  • Threatened miscarriage
  • Sudden birth
Is it normal to have contractions at 5 months?
By Victoria Moliner. Last Update: 01/11/2019

Yes. In fact, from the 5th month onwards, you are likely to feel Braxton-Hicks contractions, which help your body to get ready for childbirth. Their intensity increases progressively as the pregnancy progresses and can become more frequent during the final weeks. They are different from birth contraction because they appear at this stage of pregnancy, occur often as an isolated event, and are painless.

Do too elevated LH levels translate into PCOS?
By Victoria Moliner. Last Update: 12/19/2018

No. In the past, the results of LH levels were used as a criterion to diagnose a woman with PCOS. However, since too high LH levels are not an indicator of PCOS in all cases, this criterion was dismissed finally.

I have PCOS but my body mass index is normal, should I lose weight to improve my insulin levels?
By Victoria Moliner. Last Update: 12/19/2018

Diet and physical exercise to lose weight are general recommendations in cases of PCOS where, additionally, the woman is overweight. If you are already on your weight, you do not need to start a weight loss diet plan. In fact, losing weight can even worsen the situation.

Do all women with PCOS develop hirsutism?
By Victoria Moliner. Last Update: 12/19/2018

Although symptoms can vary from woman to woman, given the variety of symptoms associated with PCOS, hirsutism is present in almost 80 percent of the cases. In most women, androgen levels are too high, which causes this peculiar side effect.

I have PCOS and I am about to undergo IVF, what are my chances of getting pregnant with multiples?
By Victoria Moliner. Last Update: 12/19/2018

In this case, the chances of having a multiple pregnancy do not rise due to PCOS, since it depends on the number of embryos transferred.

If a woman with PCOS undergoes a different treatment, namely timed intercourse or intrauterine insemination, the risk of multiple pregnancy would increase, though. In these cases, it is not possible to monitor the exact number of eggs released.

Why does a woman with PCOS have an increased risk of having gestational diabetes than a healthy woman?
By Victoria Moliner. Last Update: 12/19/2018

A pregnancy is a natural physiological state that generates insulin resistance. Insulin, due to the many changes induced by the pregnancy, becomes less effective and the organism needs to produce it in higher amounts for glucose to be effectively absorbed.

On the other hand, insulin resistance is a common symptom of PCOS. So, if both situations occur simultaneously (pregnancy and PCOS), the chances for the woman to develop gestational diabetes or type II diabetes in the future increase.

My ovaries have a polycystic appearance, can it turn into PCOS?
By Victoria Moliner. Last Update: 12/18/2018

Having polycystic ovaries does not mean that you will end up developing Polycystic Ovary Syndrome (PCOS) in the future. Nonetheless, if you develop other types of hormone irregularities, you are more likely to develop PCOS.

Simply put, the fact that your ovaries have multiple follicles does not mean you are going to have PCOS by default.

Can PCOS be treated naturally?
By Victoria Moliner. Last Update: 12/18/2018

The most common homeopathic treatment used for PCOS is vitex. This medicinal herbs is a home remedy that has been traditionally used to level off hormone levels, avoid irregular menstrual periods, and reestablish ovulation.

Women with PCOS are recommended to take between 150 and 200 g of vitex daily for at least 3 or 4 months for it to be effective.

My ovaries are plenty of cysts, does it mean I am less fertile?
By Victoria Moliner. Last Update: 12/18/2018

To determine if the presence of multiple cysts is affecting your fertility, you need to visit a doctor to run a series of tests: a blood test to check your hormone levels, as well as a physical exploration to look for potential signs of hyperandrogenism.

For how long should I try with clomiphene until moving on to letrozole to achieve pregnancy with PCOS?
By Victoria Moliner. Last Update: 12/18/2018

Normally, treatment with clomiphene is typically used for 2 to 6 months. If ovulation has not occurred during this time period, we recommend that you change to another protocol.

If I get pregnant after taking metformin, should I stop treatment?
By Victoria Moliner. Last Update: 12/18/2018

According to experts, once the patient achieves pregnancy, treatment with metformin should be immediately stopped, except in particular cases where the doctor determines that it should be continued.

Can PCOS be detected with a genetic analysis?
By Victoria Moliner. Last Update: 12/17/2018

No, this option is not a viable one presently. Although the results of a number of scientific studies have confirmed the presence of a genetic factor that is highly associated with PCOS, the particular genes causing this endocrine disorder are still unknown.

Can PCOS start at any age?
By Victoria Moliner. Last Update: 12/17/2018

Obviously, it is necessary that the woman has gone through menarche, that is, the first occurrence of menstruation. Nonetheless, this disorder is typically detected at ages 25 to 30 due to the high number of fertility problems associated and the difficulties it causes in women of childbearing age to get pregnant.

Why does PCOS cause hirsutism?
By Victoria Moliner. Last Update: 12/17/2018

Hirsutism appears as a consequence of high androgen levels in blood. One of the functions of androgens, such as testosterone, is to grow hair in sites that are more typical of men. If the levels of these hormones are too elevated, it is normal that the woman has more hair than usual.

Is varicocele a cause of male infertility?
By Victoria Moliner. Last Update: 12/12/2018

Yes, varicocele can lead to infertility in males. This condition has various levels of severity (from mild to severe), each one directly proportional to the degree of infertility. It can cause sperm disorders and hormone imbalances.

Is abundant white discharge normal during the 9th month of pregnancy?
By Victoria Moliner. Last Update: 10/26/2018

In the final weeks of pregnancy, it is normal that you experience an increase in the amount of vaginal discharge due to pressure of the fetus over the vaginal tract. However, if the discharge expelled is too thick and abundant, it might be the mucus plug. In such case, we recommend that you ask your doctor as soon as possible.

Can you go into labor without baby dropping?
By Victoria Moliner. Last Update: 10/26/2018

Yes. Normally, when a woman is nine months pregnant, the most likely is that the baby is already stuck in the pelvis. However, if that is not the case, it is convenient to schedule a C-section before the sac breaks and labor contractions start.

What if the baby is not moving during the 9th month of pregnancy?
By Victoria Moliner. Last Update: 10/26/2018

The movements of the unborn baby tend to slow down as the pregnancy progresses due to insufficient room in the uterus. However, if fetal activity stops totally, we recommend that you visit your doctor at once.

What should I eat during the ninth month of pregnancy?
By Victoria Moliner. Last Update: 10/26/2018

Keeping in mind that your baby is almost complete, at this stage he or she will be accumulating baby fat. For this reason, you should eat foods that are high in fiber, calcium, iron, vitamin C and A, and folic acid. Since your baby needs to add on weight during these days, it is recommended that you make your meals a little bigger in quantity.

Is varicocele a cause of male infertility?
By Victoria Moliner. Last Update: 08/14/2018

Yes, varicocele can be a cause of male infertility. This pathology can present in different degrees of affection. Therefore, its harmful effect on male fertility (mainly causes seminal and hormonal alterations) can be from mild to severe.

Can Asherman syndrome be completely cured?
By Victoria Moliner. Last Update: 08/14/2018

It depends on the degree of the condition, the more severe it is, the more likely the adhesions will reappear in the patient.

Can obesity cause infertility in men?
By Victoria Moliner. Last Update: 08/14/2018

Yes, it has been scientifically proven that those men with a body mass index higher than 30 have a worse seminal quality and, therefore, present greater difficulties to achieve a natural pregnancy.

In fact, men with excess weight tend to have low levels of androgens, such as testosterone, the hormone responsible for regulating the formation of sperm in the testicles. As a consequence of this decrease in male sex hormones, spermatogenesis is affected and oligozoospermia may appear.

Can intrauterine adhesions appear after a cesarean section?
By Victoria Moliner. Last Update: 08/14/2018

Yes, cesarean section may be a reason for intrauterine adhesions to develop because it is a surgical procedure that requires healing after the incisions made to extract the baby.

Is Male Infertility Reversible?
By Victoria Moliner. Last Update: 08/14/2018

It depends on the source of the male's reproductive problems. For example, if the infertility is due to a genetic factor it is not possible to reverse it, but if the infertility is due to an obstruction in the vas deferens or to the taking of a medication that is affecting sperm production, surgical treatment can be applied or the medication can be abandoned, respectively.

Are there male infertility treatments covered by public health system?
By Victoria Moliner. Last Update: 08/14/2018

Yes, it is possible to carry out a fertility treatment for a male factor through the public health system as long as the requirements (age, previous children) established by the corresponding health system are satisfied.

Is a pregnancy viable with Asherman Syndrome?
By Victoria Moliner. Last Update: 08/14/2018

The presence of intrauterine adhesions seriously compromises the fact that a pregnancy can develop normally. To do this, it is necessary to remove the tissues before the woman becomes pregnant.

Can Asherman syndrome be the cause of endometriosis?
By Victoria Moliner. Last Update: 08/14/2018

It is possible that blood clots retained by the adhesions can be evacuated retrograde into the abdominal cavity, landing on the tubes or ovaries and forming cysts. Suffering from Asherman syndrome may be a reason to develop endometriosis, as the retrograde menstruation mechanism results precisely from it.

How much does egg freezing cost?
By Victoria Moliner. Last Update: 08/10/2018

The average price of egg vitrification is usually between $10,000 and $18,000. However, it still depends on each fertility center. It should also be taken into account that hormonal medication for ovarian stimulation is not included in this budget and can cost between 500 and $1,000. Finally, after the first or second year of freezing, fertility clincis usually require that a maintenance fee of around $ 5-600 per year be paid for the frozen eggs.

Do Evopad patches cause weight gain?
By Victoria Moliner. Last Update: 12/23/2016

As this is a hormonal treatment, there may be some fluid retention that makes us feel bloated for the duration of the treatment. However, the side effects of the treatment are very variable among women. In any case, the symptoms derived from this treatment are attenuated when it is abandoned.

Is Evopad always used in IVF?
By Victoria Moliner. Last Update: 12/23/2016

Evopad is not always used in endometrial preparation during IVF treatments. There are many other commercial brands as well as other types of medication for the exogenous supply of estrogens, such as oral administration.

Can Evopad patches be used during pregnancy?
By Victoria Moliner. Last Update: 12/23/2016

No, it is completely inadvisable to use Evopad if you are pregnant.

What are the costs of Evopad patches?
By Victoria Moliner. Last Update: 12/23/2016

The price of Evopad depends on the dose of estradiol supplied. For example, Evopad 25 costs between $37.00 and 51.28$ whereas Evopad 50 is $45.00. The price of Evopad 100 is at approximately $172.00.

Is prostatitis contagious?
By Victoria Moliner. Last Update: 11/30/2016

No, prostatitis is not a contagious disease and is not considered a sexually transmitted disease. However, inflammation of the prostate can be a symptom of an STD.

Can you have sexual relations if you have prostatitis?
By Victoria Moliner. Last Update: 11/30/2016

In principle, there is no problem in having sexual relations, since this pathology does not prevent it physiologically speaking. The possibility of maintaining them will depend on the degree of illness suffered by the man as a result of the infection.

Can prostatitis cause impotence?
By Victoria Moliner. Last Update: 11/30/2016

There is no clinical evidence that prostatitis causes impairment of erection, since this gland participates in ejaculation but not in erection.

Achieving an erection does not depend on the functioning of the prostate, but on good vasodilation and correct functioning of the nervous and hormonal systems in men.

Does stress cause prostatitis?
By Victoria Moliner. Last Update: 11/30/2016

Although its effect is less evident, stress can cause prostatitis, especially in asymptomatic cases where the infection is not derived from a pathogenic organism.

During stressful times there is a tendency to increase muscle tension which can affect the pelvic floor area and encourage urine retention.

Is inflammation of the prostate the same as a urinary tract infection?
By Victoria Moliner. Last Update: 11/30/2016

Although discomfort may occur when urinating, no, prostatitis is not the same as a urinary tract infection. Prostatitis affects the prostate, while a urinary tract infection affects the urinary tract.

Is it normal for a young man to have prostatitis?
By Victoria Moliner. Last Update: 11/30/2016

Prostatitis is the most common urogenital infection in men. Although it is common in middle-aged men, it can also occur in young men.

From a later age the most common prostatic complaint is usually benign enlargement of the prostate.

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