Before you begin
What is the difference between sterility and infertility?
Strictly speaking, the currently supported definitions are:
- Primary infertility: when the couple after a year of relationships without contraceptive control has not achieved a pregnancy.
- Secondary sterility: when the couple, after obtaining the first child, does not achieve a new pregnancy after 1 year.
- Primary infertility: when the couple achieves a pregnancy but does not reach term with a newborn.
- Secondary infertility: when the couple, after pregnancy and childbirth, cannot achieve a new pregnancy at term with a newborn.
Should I go to a specialized center or can I wait to get pregnant on my own?
If you want to get pregnant and can’t get it after more than 1 year trying, or 6 months if you are over 35 years old, you should see a reproductive medicine specialist.
We believe that age is decisive, if you are young you can delay it longer, but if you are older than 35, it is not advisable to wait long, you should know that from that age fertility begins a clear descent.
Is it very common to have infertility problems?
Approximately 20% of couples of reproductive age have infertility problems. In Spain, some 800,000 couples suffer from fertility problems.
Is infertility a problem for women or men?
At IMF, we consider that infertility problems are a couple’s problem, and it is essential that both men and women are equally involved in all stages of diagnosis and treatment.
In any case, medical studies observe that the cause of infertility is attributed to women in 50% of cases and to men in 40%, although in many of these cases the causes they are mixed, that is, attributable to both.
In the remaining 10% of cases, it is stated that sterility is of unknown origin, even after performing all the diagnostic tests.
Can IVF and ovarian stimulation harm my ovaries?
There is no proven evidence that the ovaries decrease their follicular reserve or can be damaged by these techniques.
What is an assisted reproduction clinic?
It is a medical center highly specialized in methods of diagnosis and treatment of sterility problems. It is made up of modern facilities and highly qualified personnel to perform advanced Assisted Human Reproduction Techniques.
It is preferable to go to gynecologists specialized in reproduction, because the study of sterility includes tests that are not performed in the usual gynecological examinations.
Can the results of the studies confirm the fertility of the couple?
In general, studies can never ensure the fertility or infertility of women or men, since no test has an absolute value. But they give us a very precise and real approximation of the possibility of a pregnancy occurring.
Only the total absence of sperm, or the absence or reliable obstruction of the tubes allow us to absolutely affirm infertility.
Is there a waiting list? How long will it take to perform these techniques?
The current waiting list is about 8-10 days for the first consultation. If the diagnosis is clear, you can start treatments immediately. In any case, you can schedule these treatments for the month that best suits you (check with the nurses in this section).
If you are an egg recipient, the waiting list for our egg donation program is 2-3 months.
What are the chances of pregnancy?
The chances of fertilization and pregnancy vary depending on the conditions of each pairage, age, quality of gametes, etc. At this time, thanks to the evolution of assisted reproduction techniques, 87% of the cases we treat at MFI are solved.
To get your bearings you can consult our results.
My cycles and ovulations are not regular.
A common cause of infertility is ovulation disorders… In women with regular cycles (every 28–30 days), ovulation occurs in the middle of the cycle, approximately on day 12-14 of the cycle; but if, on the contrary, the intervals between menstruation are long, beyond 35 days, possibly, ovulation does not occur in a cycle, or it occurs 20-25 days after the rule.
The solution to this problem is the stimulation of ovulation with medications, always under strict ultrasound control, and if there is no other problem added to this cause, you can simply schedule sexual intercourse when the Ultrasound indicates that you are near ovulation.
My tubes are blocked.
The fallopian tubes are the meeting place of the ovum and the sperm, so if both the left and right tubes are obstructed it is almost impossible for a spontaneous pregnancy to occur. Long ago the solution was surgical recanalization of the tubes, but today in vitro fertilization (IVF) is much more effective.
I have been diagnosed with endometriosis
Endometriosis is a disease whose cause is unknown; it is endometrial tissue (which is tissue inside the uterus) located outside the uterus. It is not known with certainty how this tissue gets out of the uterus. This endometrium can be located in places other than the pelvic cavity. Sometimes it is operated and other times it is more prudent not to operate depending on the location and extent of the endometriosis.
My semen quality is poor.
Diagnostic tests (seminogram, sperm survival test, biochemistry or semen culture) provide us with information about the quality of your semen and the ability to fertilize it. These data, together with the results of the gynecological examination of the woman, allow the gynecologist to guide them about which assisted reproduction technique (Artificial Insemination, In Vitro Fertilization and Sperm Microinjection), is more appropriate in their case.
A woman who has endometriosis may have a more difficult time getting pregnant.
About 30 – 40% of women with endometriosis have fertility problems. The reason for infertility is not fully known, although it is believed that endometriosis triggers a hostile environment for the implantation of the embryo, in addition to sometimes causing mechanical problems such as adhesions and obstructions of the tubes. Some women with endometriosis will need fertility treatment in order to become pregnant.
I had a vasectomy or a tubal ligation but now I want to be a father or mother.
It is not strange that a man or a woman, who at the time decided to resort to surgery as a contraceptive method, now wants to have a child. In these cases, Assisted Reproduction Techniques emerge as an effective and fast option compared to the not always possible reconstructive surgery. Couples in this situation increasingly choose to resort to In Vitro Fertilization or Sperm Microinjection. The choice of one or the other technique depends on whether the couple has any other fertility problem, which will be diagnosed in the tests prior to treatment.
In the case of the man who underwent a vasectomy, it is necessary that he previously undergo a small surgical intervention known as TESA, which is a testicular biopsy with which it is intended to check if they continue to exist (as in the vast majority of cases) sperm in the testicle. If they do exist, they are frozen by the time the IVF cycle begins, so the biopsy is only necessary once.
The procedure is simple, is performed under local anesthesia and analgesia, does not require hospitalization and the patient can usually go back to work the day after the intervention.
In Spanish legislation on Assisted Reproduction Techniques, the possibility that any woman without a male partner can use these techniques to become a mother is considered a right.
If the woman does not present any fertility problems, which is determined in the previous tests, the recommended assisted reproduction technique is Artificial Insemination with Donor semen. In the event that a fertility problem is detected, you can resort to In Vitro Fertilization, again with donor semen.
The legislation obliges the medical center to keep the donor and the recipient anonymous. Semen donors are strictly selected and subjected to rigorous psycho-sanitary controls.
I am a menopausal woman and I want to be a mother.
In order to achieve a pregnancy, it is necessary for eggs to come out of the ovaries. When the ovaries stop working earlier than expected, and menopause arrives, the only possibility of achieving pregnancy is by using eggs (or, failing that, embryos) from another woman. This in vitro fertilization technique with donated oocytes offers a high success rate, since the eggs come from young women with no known fertility problems. There are no limits set by law regarding the age of women.
Although pregnancies as old as 60 years are possible, in IMF, except in exceptional cases, we do not include women over 50 years of age, since they increase gestational and fetal complications, and also because we It worries that the newborn is raised by a woman of sufficient age, health and energy to face the all-important mission of raising and educating a child.
I had no sperm detected in my ejaculate.
Faced with a seminogram with absence of sperm, the first thing indicated is to confirm the diagnosis by repeating the seminogram, subjecting the sample to a vigorous centrifugation. If they are detected, a sperm capacitation test is carried out in case it is possible to isolate live sperm, even in a small quantity, and they are frozen.
In any case, and if the diagnosis of absence of sperm is confirmed, your urologist will carry out a study to determine the possible causes; In this study, a series of tests will be carried out, including a genetic study and hormonal analysis. If all these parameters are favorable, we will proceed to perform a testicular biopsy, in order to recover sperm from the testicular tissue and, if there are any, freeze them. From this moment on, we can try to achieve pregnancy through in vitro fertilization with sperm microinjection, using previously frozen sperm.
My partner is a carrier of a hereditary disease, could we have a non-carrier child?
Thanks to the Preimplantation Genetic diagnosis, it is possible to differentiate in many cases, the embryos carrying the defect, from the healthy ones, selecting the latter to be transferred to the uterus, with which the newborn will be free of the disease.
I have been diagnosed with a Varicocele.
The andrologist will assess your case. In most cases, it is not necessary to undergo surgery, since the effect on the improvement in mobility and sperm count is doubtful, and with assisted reproductive techniques, the possible problem can be solved more effectively of fertility that is usually associated with varicocele. Consult your case with an appointment and we will advise you.
My partner is HIV positive.
Do reproductive techniques reduce the risk of infection to the partner or offspring in seropositive men for viral diseases such as hepatitis and AIDS?
In men with viral diseases such as Hepatitis or HIV, with a positive viral load in plasma and semen, it is possible by means of washing and gradient techniques to make this viral load negative, which is verified prior to use of semen with polymerase chain reaction (PCR) techniques. In this way, the risk of transmission of these diseases to offspring is almost completely eliminated.