Is assisted reproduction for you?
Do you have questions?Fertility specialists solving doubts.
It is common for many couples around the world to have doubts about the causes of their infertility. Our specialists will solve some of the most common doubts:
Human species has one of the lowest reproductive indexes in the planet compared to other animal species. Possibilities of a couple looking forward for kids, between one menstrual cycle and other, without any contraception and no fertility problems, having sexual active life twice a week, is about 12% monthly, with a total cumulate of 84% in a year; from where the left 16% will have considerable fertility problems. Causes may involve male origin alterations up to a 40%; while women alterations sum up to 30% ovarian, 15-20% in the uterus tubes and 5% uterine. When the combined alteration exists, there can be up to 60% infertility. There is a small percentage, approximately 10% of the cases, in which there seems not to be an apparent reason to achieve it, which is commonly referred to as infertility of unknown origin.
If you have one year trying to get pregnant without achieving it, or if you are over 35 years old and have been trying for at least 6 months, then it is really important for you to attend to a specialist.
If you have any previously diagnosed condition related to fertility (uterine myomas –commonly referred as fibroids, seminal alterations, ovulation disorders, uterine malformations, etc.) disregarding age, our recommendation is not to wait and search for specialized help right away.
There is a number of conservative treatments with the aim of reducing bleeding and inflammation, as well as decreasing the volume of the fibroid, and avoid greater blood lost and anemia during surgery preparation (in case it is required). Nevertheless, these treatments are not definitive and should be evaluated for each particular case, given the situation that when dropped, size and symptoms of the fibroids come back as strong as before.
In cases in which surgery is required and the preservation of the uterus is wished-for, fibroid(s) can be removed. The myoma is removed, but the inherited disposition to produce them is not extirpated (so they might appear again). Fibroids can be removed by laparoscopic or conventional abdominal laparotomy. As mentioned before up to 70% of fibroids won’t develop any symptoms, reason why the finding does not necessarily mean that they should be treated, in most cases they should only be kept in observation.
Most women who develop polycystic ovary syndrome (PCOS) have an alteration between masculine and feminine hormones, which produces an infrequent and irregular ovulation. Normally women ovulate when an ovarian follicle is developed and releases a mature ovule. PCOS avoids the growth and generates the accumulation of these follicles, forming small benign cysts which release estrogen. The combination of the estrogen with the masculine hormones unbalances the production of other two hormones, Follicle Stimulation Hormone (FSH) and Lutein Hormone (LH), which also contributes to ovulation inhibition. Without ovulation, male hormone levels are persistently high and the cycle repeats.
If you are trying to get pregnant, losing weight can help you improve the ovulation. There are medications that can support you to correct ovulation. Approximately 70-90% women succeed to ovulate; and half of them achieve pregnancy in a period between 6 and 9 months. In case of not achieving the pregnancy there are far more alternatives to give you a solution.
As age moves forward, our reproductive capability is directly affected. The previous can be reflected in the quality and number of spermatozoids. Also, it can affect the possibility of adequate ovulation. The ovules quality may also suffer alterations decreasing its fertilizing, implantation and gestation retention potential or increasing chromosomal disorders potential in a future baby.
Women fertility is topmost between 24 and 26 years old, and it declines gradually after 30 years old, with an acceleration rate after 35 years old. Fertility decreases after suspension of hormonal contraception but can be quickly recovered, age of the woman is the most important determinant, given that when reaching 35 years old, probabilities of a woman to achieve a pregnancy are decreased in relation to women in their 25's and after their 40's is even lower. Relaying on the incomes of the studies and tests show, the specific treatment to achieve pregnancy will be developed.
Many couples decide to get pregnant again after this procedure because of multiple reasons. Bilateral tubal occlusion or ligation (BTL) is a definite feminine sterilization method.
In order to give you a solution, now a days, with an adequate evaluation we can offer a variety of reproductive techniques from tubal cannulation with its potential risks and known and stablished success rates, to high complexity treatments (IVF/ICSI) to achieve the pregnancy.