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Fertility Madrid 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): 1328019580

Get Answers from Fertility Madrid

What is the EndomeTRIO test and what results does it offer?
By Óscar Oviedo Moreno. Last Update: 11/28/2019

The EndomeTRIO test is used to find out more about the patients' endometrium. It is a complete analysis of endometrial health that includes the following tests: ERA, EMMA and ALICE.

The ERA test analyses endometrial receptivity, the EMMA test analyses endometrial microbiota to increase reproductive success and the ALICE test detects the bacteria that cause chronic endometritis.

Numerous studies show the importance of a good endometrium as one of the fundamental keys to assisted reproduction treatment, as it is known that 20% of infertility is due to an endometrial factor.

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When should childbirth classes begin?
By Óscar Oviedo Moreno. Last Update: 11/27/2019

Childbirth preparation courses usually begin around the 6th-7th month of pregnancy, although they also can be started at the first pregnancy trimester.

They consist of a theoretical part and a prenatal gymnastics part.

The most common decision of couples is to carry out a course of 6/8 sessions during the last months of pregnancy.

How is tokophobia treated in a pregnant woman?
By Óscar Oviedo Moreno. Last Update: 07/04/2019

Tokophobia is defined as the irrational fear of pregnancy and childbirth. Like any other phobia, it can be treated by putting yourself in the hands of the right specialist. Psychological help, understanding of the couple and family support are essential to overcome it.

Why can't the GnRH hormone be detected in blood?
By Óscar Oviedo Moreno. Last Update: 04/15/2019

Gonadotropin-releasing hormone (GNRH) is a hormone released by neurons in the hypothalamus in a pulsatile form. It stimulates the release of gonadotropins (LH and FSH) by the adenohypophysis.

This hormone is rapidly metabolized and for this reason cannot be quantified in the blood.

What are the signs and symptoms of placenta previa during pregnancy?
By Óscar Oviedo Moreno. Last Update: 04/15/2019

Placenta previa is a pregnancy problem in which placenta grows in the lower part of the cervix causing a complete or partial obstruction of its opening.

The main symptom is sudden painless vaginal bleeding. It is detected by ultrasound, which shows the position of the placenta.

It is convenient to have an exhaustive ultrasound control in these cases in order to avoid premature birth.

Sometimes it may be necessary to perform an emergency caesarean section.

I don't get my period after using three-month Decapeptyl. Can I be pregnant?
By Óscar Oviedo Moreno. Last Update: 01/31/2019

The probability of being pregnant is minimal, as decapeptyl is a medication that inhibits ovulation at a central level, making it virtually impossible for ovulation to occur.

The ideal thing would be to do an ultrasound scan to confirm that there is no pregnancy.

How many IUI cycles should you do before moving on to IVF?
By Óscar Oviedo Moreno. Last Update: 09/24/2018

In couples with a good prognosis, that is, under the age of 37, with a normal sperm sample, we recommend 4 IUI attempts before moving on to IVF. In the case of single women or donor insemination cycles, up to 6 attempts are recommended. It depends on the clinical history of each patient, though.

How is a Hysterosalpingogram performed?
By Óscar Oviedo Moreno. Last Update: 09/24/2018

A HSG is a type of x-ray examination that aims to examine the presence of pathologies in the uterine cavity, and well as tubal patency. It is recommended to evaluate potential causes of primary sterility. It involves inserting a cannula until the entrance of the uterus, through which a special radio-opaque contrast material dye is inserted. The contrast material dye will fill in the cavity and the tubes. Then, a series of x-rays will be done to detect potential abnormalities or blockages in the different structures. It is a simple procedure that is typically done in the first 10 days of the cycle. During its performance, the woman may feel period-like symptoms. Hospitalization is not required, and its duration ranges between 15 and 30 minutes approximately.

What is a therapeutic abortion?
By Óscar Oviedo Moreno. Last Update: 09/24/2018

A therapeutic abortion is a type of abortion that is performed for medical reasons. Common basic medical causes include:

  • In case a pregnancy is a life-threatening condition for the mother.
  • To protect the physical and/or mental health of the mother.
  • When there exists risk of birth defects or genetic disease.
  • In multiple pregnancies, it is possible to perform a selective reduction or multifetal pregnancy reduction (MFPR) to a number of fetuses that removes serious risks and makes the pregnancy a viable one.
  • When there is a serious risk for the life of the developing baby, either because there exists a malformation, or because there is a high risk of being born dead (stillbirth) or death right after being born
Is Klinefelter syndrome a genetic disease?
By José Luis de Pablo. Last Update: 09/21/2018

Klinefelter syndrome or 47,XXY is a genetic abnormality that occurs as a consequence of an incorrect division of homologous chromosomes during meiosis, which give raise to the gametes of one of the parents. It can also occur during the first divisions of the zygote.

Males affected by it suffer from hypogonadotropic hypogonadism, gynecomastia, learning disabilities, and infertility. It is the most common genetic disease in males. Some men, however, do not have symptoms, and they don't know that they have this condition until they are adults and have infertility issues.

Is a zygote a fertilized egg?
By Aitziber Domingo Bilbao. Last Update: 09/21/2018

An egg is the female reproductive cell, which is fertilized by the male reproductive cell, that is, the sperm. Gametes are haploid cells (23 chromosomes), that is, they have half the number of chromosomes than other cells, which are diploid (46 chromosomes). The fusion between both reproductive cells (male and female) gives raise to a zygote (diploid cell, 46 chromosomes), in which we can find a female pronucleus (23 chromosomes) and a male pronucleus (23 chromosomes).

Which one do you recommend in patients with HIV? IUI or IVF?
By Aitziber Domingo Bilbao. Last Update: 09/21/2018

When a man is affected by HIV, the first thing we would do is washing the semen sample, which removes the seminal plasma, so that the sample contains spermatozoa only. Thanks to this technique, we are able to remove the virus from semen samples. After the washing, we examine the sample to detect copies of the virus using the PCR (Polymerase Chain Reaction) test. If the PCR is negative or the number of copies is low, the sample can be used for a fertility treatment. In this cases, we recommend patients to choose ICSI, as a sperm washing affects the sperm count and motility.

How do I know if I have hypospadias?
By José Luis de Pablo. Last Update: 09/21/2018

Hypospadias is a birth defect that affects male babies. With this conditions, the urinary meatus is located in a place other than the external urethral orifice, such as the scrotum. There exist various types of hypospadias, from mild to most severe.

I have a history of recurrent miscarriage, when should the embryo transfer be done in my case?
By José Luis de Pablo. Last Update: 09/21/2018

The fact that a woman has had repeated miscarriages in the past has nothing to do with the day of the embryo transfer. In most of the cases, it is associated with the chromosomes of the embryos. Keeping this in mind, ideally the best treatment option in these cases would be IVF with PGD (Preimplantation Genetic Diagnosis). With PGD, we examine 6-8 cells of each embryo. It allows us to find out which embryos are genetically norma and which don't.

What are the advantages and disadvantages of ICSI over IVF?
By Aitziber Domingo Bilbao. Last Update: 09/21/2018

Both techniques are reproductive technologies, and as such, we cannot say that one is better than the other. Actually, it depends on the diagnosis of each couple. In the case of conventional IVF, we put the oocyte in contact with a determined concentration of sperm, so that the sperm itself fertilizes the egg, which resembles natural fertilization to a large extent. In many cases, sperm quality is altered, in which case using the sperm won't be possible. In such situations, we use ICSI. It consists in microinjecting the sperm, which is subjectively selected by the embryologists, into the oocyte.

Can alterations in the cervical mucus lead to female infertility?
By Óscar Oviedo Moreno. Last Update: 09/20/2018

Yes, alterations in the cervical mucus can are a common cause of female infertility. The cervical mucus is a secretion produced before ovulation and it disappears after the woman ovulates. It has a sticky texture, and its mission is to pave the way for sperms toward the tubes. It is, in fact, a good indicator of female fertility.

What are the success rates with blastocyst embryo culture?
By José Luis de Pablo. Last Update: 09/13/2018

By blastocyst culture we refer to keeping the embryos in the incubator until day 5-6 of development, that is, until they reach blastocyst stage. By doing this, we perform a much more thorough embryo selection process. The fact they they are capable of making it to blastocyst means that they have a greater implantation potential, as it was able to stay longer in the lab. Pregnancy success rates depend on age, though.

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