Get Answers from Next Fertility Valencia
When the endometrium is less than 7 mm thick, fewer pregnancies may occur and the risk of miscarriage increases. However, this does not mean that it is not possible, as pregnancies have been achieved with endometrial thicknesses of up to 4 mm.
Antonio Forgiarini, gynaecologist at Next Fertility Valencia, tells us in this video whether oocyte quality is the same as oocyte quantity:
No. It's not exactly the same. In most of cases, quality and quantity goes in a parallel way. So, normally, they're related to the age of the woman. All women start, from the adolescence to the menopause, with a certain number of oocytes and they are losing them during the years. And the quality of the oocytes is also going worse during the years. But there's some cases like an early menopause, for example, where we have young women with good quality of oocytes, but a very low quantity, so they've few oocytes but of a good quality. And on the other side, for example, polycystic women, they can have 40-41 years so, normally, we expect low quantity but, for their condition, they have a lot of oocytes. But these oocytes are of bad quality. So, in this cases, they're not the same. So we need more oocytes to have a good pregnancy.
Antonio Forgiarini, gynaecologist at Next Fertility Valencia, talks to us about oocyte quality:
Well, we can define the quality of the oocytes as the possibility to achieve a good pregnancy and a healthy baby. So, the ability of the oocyte to fertilize, to develop a good embryo and this embryo to implant and give a a normal pregnancy.
Antonio Forgiarini, gynaecologist at Next Fertility Valencia, tells us in this video how egg quality is assessed:
It's not easy to evaluate the quality. I could say the best form to evaluate the quality of the oocyte is to see how they fertilize and how the embryo will develop, how the embryo will grow and, obviously, the result of the transfer and the pregnancy. So it depends not only on the oocyte but also on the sperm and on the ability of the biologist and the technique that is used in the laboratory, but most of all it depends on the quality of the oocyte.
Antonio Forgiarini, gynaecologist at Next Fertility Valencia, tells us in this video what are the causes of poor oocyte quality:
Causes could be different and a lot of them. I think the principal cause is the time. Oocytes are cells that they don't rejuvenate, they don't regenerate, so we start our life with these cells and they follow through the years to the menopause, so they're exposed to pollution, to oxidative stress, to radiations, to a lot of damage that can lower the quality. Obviously, there's some pathologies (like endometriosis or like some cancers, chemotherapy or radiation) that could lower more and more and more this quality.
Antonio Forgiarini, gynaecologist at Next Fertility Valencia, tells us in this video how egg quality can be improved:
It's very hard to improve it. Uhm, I think the best option is to prevent the loss of quality. So, having a normal life, normal habit, a good diet for example, avoid any kind of contamination, pollution... (what we can, obviously). And then we can use some vitamins and antioxidant products that will restore just a little the quality of the oocytes so to they can lower the effect of the oxidative stress.
Antonio Forgiarini, gynaecologist at Next Fertility Valencia, gives us the answer in the following video:
Well, it could be a good thing and a bad thing. Obviously it's a bad thing because nobody wants to have nausea and vomit and feel sick obviously, but normally it's cause by the beta hCG (by the pregnancy hormone), so it means that the pregnancy is going well and the embryo is growing and is producing its hormone.
Antonio Forgiarini, gynaecologist at Next Fertility Valencia, talks to us in this video about the importance of the fallopian tubes in women. As the doctor tells us:
Well, Fallopian Tubes are fundamental to achieve a normal pregnancy or a pregnancy with an artificial insemination because they're like pipes that connect the ovaries to the uterus, so they let the oocyte (that is ovulated from the ovary) to enter through the uterus and to meet the spermatozoa climbing from the uterus to the fallopian tubes. So, in this case, they let the fertilization. If we have no fallopian tubes it is impossible that the spermatozoa reach the oocyte, so we need to perform an IVF.
Antonio Forgiarini, gynaecologist at Next Fertility Valencia, tells us about the possible causes of female infertility due to tubal factor:
We can have a lot of causes. I think the most frequent are adhesions from infections, from pelvic infections or from endometriosis for example. So, these are pathologies that causes inflammation in the pelvis, some scars, some adhesions that can block the tubes and can close them. We have a lot of other causes that are very rare like agenesia, some women can be birth without the Fallopian tubes for example or they cannot function properly, but I think the two most important causes are endometriosis and infections.
Antonio Forgiarini, gynaecologist at Next Fertility Valencia, tells us about the process to diagnose a possible obstruction of the fallopian tubes:
We can use some diagnostic tests like hysterosalpingography or hysterosalpingosonography. They consist in putting some contrast medium in the uterus with a certain pressure. So, we can push this medium the liquid through the uterus and the Fallopian tubes to the pelvis. In this moment, we can perform an ultrasound scan or a radiography and see that the the contrast medium comes out from the tubes and goes to the pelvis, so in this case we can say that the Fallopian tubes are open. If we cannot see that the medium passes to the pelvis, it remains in the uterus or in the first part of the tubes, we can say that they are closed.
Antonio Forgiarini, gynaecologist at Next Fertility Valencia, answers this question:
This is very difficult. In some cases we have just a small light occlusion, so with the pressure of the contrast medium that we use to do the hysterosalpingography, for example, we can open them, but in some cases is not possible. We can try sometimes with surgery, with micro surgery, but it's a very complicated one and in the most cases it produces some scars that will close again these the tubes.
Antonio Forgiarini, gynaecologist at Next Fertility Valencia, tells us if pregnancy is possible in women with tubal obstruction:
Yes. Certainly it won't be a natural pregnancy. We need to perform an IVF (an in vitro fertilization), so we can retrieve your oocyte, fertilize them with a sperm in the laboratory, we can develop the embryos, select the embryos we want to transfer and put it in the uterus. So, in this case, the embryo is fertilized, it stays in the uterus (where it has to implant) and we don't need the fallopian tubes.
Dr. Antonio Forgiarini, gynecologist at Next Fertility Valencia, answers us in this video. As the doctor tells us:
Yes, of course. Generally, we advise to avoid sexual intercourses during the first two weeks after the embryo transfer, okay? Because, if we stimulate the uterus, the uterus will contract and it can make the implantation harder, but normally it's not a problem and if the woman is healthy (she's not bleeding, she's not having any problem) it's possible to maintain sexual intercourses.