enero 2016

Sperm testingAs the male factor causes 40% of infertility cases, the semen test is one of the most important.What is a sperm testing?.It is the obtention of a semen sample in an special container to be analyzed in the andrology lab.The obtention of the sample is simple, it takes few minutes and in normal conditions won’t cause any pain. In general, is the only necessary study for men and, compared with other studies, it is economic. The results can be ready in a few hours or the next day.The sample is obtained through masturbation: not through sexual intercourse, oral masturbation or use of condoms as, vaginal discharge, saliva and latex have substances than can affect semen.The container for the sample must be special, should not contain embryotoxic substances that can affect semen. The container must be the one provided by the clinic, never use your own or one bought at a pharmacy.It is recommended to take the sample at the clinic, where there must be a room specially for that purpuse. This room should be right next to the andrology lab.The sample can also be taken at home or at your hotel. This can be useful for patients who can feel unconfortable or pressed outside their own privacy.In case you take the sample home or at your hotel, you must comply with the following:Ask for the study budget in advanceApply and use the container provided in the clinicObtain the sample through masturbationWhen booking the appointment, you mus specify that the sample will be taken outside the clinic, as well as the time of the sample deliveryShow moreHow should I prepare for the semen testing?You must have between 3 to 7 days of abstinence (no ejaculation):Deliver the sample in no more than 40 minutes after the sample was obtainedTransport the container closed and close to the body (inside your pocket) to keep the body temperatureDeliver the sample only to the lab personnel who will receive it, label it and get the delivery signatureIn case you cannot deliver it personally, the sample can be delivered by your spouse or by a close relative who will sign the corresponding papers and present identificationsShow moreWhich information is obtainted with the semen testing?The goal of sperm testing is to try to predict how sperm will behave in the female reproductive tract and when they meet eggs.The semen test used to study infertility is called spermiogram and consist in the analysis of a sample of semen to:if less than 3 days have passed, there will be low seminal liquid, if more than 7 days have passed, there can be low motile sperm that can alter the result.Take a shower or wash the genital areaWash your hands before taking the sampleTo perform and interpret the testing, one must use the reference values from the World Health Organization (WHO) that will be referred in the result. The testing won’t work if these values are not considered.For patients with fertility problems, the spermiogram must be done instead of conventional basic studies done in conventional labs. The spermiogram considers the following very important parameters:Presence of antisperm antibodiesQuantity of live spermSperm capacitation: this is the most important test of the study. Here, the sample will be processed to get the live sperm to go to culture in special incubators in order to know the useful sperm number recovered. This numbers will indicate the specialists the correct treatment to propose: programmed intercouse, IUI or IVF.For example, if after a sperm capacitation less than 5 million of useful sperm are obtained, it will be necessary to do an IVF, avoiding wasting time with IUI or programmed intercourse.Due to the complexity and importance of a complete spermiogram, this study must be performed in an assisted reproduction clinic, where they have the necessary personnel and technology. This may be why probably the specialist will ask the patient to perform the studies in the clinic instead of relying in a previous study from a conventional lab.ConsiderationsIf you don’t comply with the requirements, for example, the abstinence days, you must inform your specialists or the lab staff.Show more

You are pregnantCongratulations!!We did it! All the steps and road walked has been worth it! The first step to have our “FiVER baby” is done, you are pregnant!Once you had your doctor’s appointment where you received the news, you only have 9 months left of care and wait until you meet your baby. During these 9 months, you should take care as in any normal pregnancy. Our gynecologist knows this and, as well as your FiVER specialist, will let you know. In any case, the FiVER specialist will write a file with all your information. You just need to relax and enjoy this coming 9 months, months that will be full of changes for which you need some recommendations.It is important to take care of your diet. On some ocassions, during the first days of the pregnancy you can feel anguish and disconfort, something common among pregnant women so, a light diet will help you overcome this situation. Besides, during your whole pregnancy, it is important to be well nourished and fed without gaining any necessary extra weight. For this reason, you can visit your nutritionist at Centro FiVER to help you during this period so, you don’t gain extra weight and help you recover easily after you give birth.Here you have some other recommendations:Drink at least 2 litres of water/day, avoid drinking caffeine (coffee, tea, sodas). Don’t do long fastings.Visit your gynecologist once a month for yourself and your baby’s follow up. Perform the corresponding clinical analysis.It is possible to have genetic studies of your baby during your pregnancy.Perform the 4th Dimension ultrasound that will allow you to see the development of your baby. Besides, you will be able to see a very realistic image of your baby (this study can be done in Centro FiVER). We also recommend the pre birth gymnastics.During the previous days of giving birth you should not forget everything you may need during your stay in the clinic. Please consider that we never know the moment your baby will decide to come out and you should have everything ready for you and for the baby (clothes, diapers, bottles, etc).Besides, you should also prepare all that’s necessary for the arrival of the baby, as well as the organization of the “baby Shower” to welcome your pregnancy and present him/her officialy. Choosing the name will also be an important desition.All of us in Centro FiVER want to give you the warmest congratulations in this important moment of your life, moment when you will start sharing a new life, a life you have long been waiting for.To read more advice and recommendations, you can periodically visit “FiVER recommendations for your pregnancy” in fiver.mx

Waiting time and pregnancy testOnce the treatment is over, ther is no other thing to do but wait for the pregnancy test. This time is, in lots of cases, a time of anxiety to get the results but, we must rest assure that we are under the care of our FiVER specialist that has explained us every detail of the process. We have all used all our efforts and energy to accomplish your dream: your “FiVER baby”.This phase of the treatment is known as “beta-hCG” or “The two week wait”The name of “beta-hCG” is the waiting time of aproximately 14 days to perform the pregnancy test known as the pregnancy hormone level measurement (human chorionic gonadotropin). This test is a blood test that measures the hormone levels in the blood, different from the common pregnancy tests sold in pharmacies.During the aproximately two week wait, it is important not to alter the rythm of life, keeping it as usual, relaxed and distracted. During this time, besides the anxiety and the need to know of the result, it is not adviced to use any other traditional pregnancy test that, can give a wrong result. During this time, we advice you to visit fiver.mx where you will find the video experiences of other women and couples that have gone through the same as you as well as read the advice to pass this time as easy as possible. Once this time has passed, we should get back to Centro FiVER to book our appointment for the test and receive the last recommendations previous to it.Once the test is done, the results will be handed over and explained by your specialists as they should be interpreted only by them. The same way, in the doctor’s appointment, you will receive an explanation of the next steps, being a positive or a negative result, in order to continue with the best decision. You should consider that, if you are pregnant, this will be the first step before you have your “FiVER baby” home and you will need to know all the recommendations for your actual state: your pregnancy. The treatment in Centro FiVER does not finish with a pregnancy, it is also important to have a last appointment where, for the first time, you will see your baby, you will listen to its heart beat and you will have the first picture of your “FiVER baby”.

Starting the assisted reproduction treatmentThe most important thing for all of us in Centro FiVER is to accomplish your dream together: having your “FiVER baby”. For this, we have done the proper steps: find a specialized clinic, Centro FiVER; go to the doctor’s appointment and, perform all the necessary tests for the proper diagnosis. Only one step is missing in this road we’ll walk together: the assisted reproduction treatment.The treatment at Centro FiVERAll the reproduction treatments of Centro FiVER are performed in our installations in Veracruz, without having the need of moving anywhere else. Any case can be treated here. This is the only way of ensuring the best results. Also, it will be important to visit the installations where the treatment will be done, get to know the team of specialists that will perform the treatment and know exactly all the steps of the treatment as all these will help us to relax and trust, thus increasing the success rates of the treatment.Centro FiVER is a certified and renowned clinic, endorsed by the Secretaría de Sanidad, where the pregnancy rates are the most efficient in each treatment, similar to any other clinic around the world. Our specialists, with international studies and experience in Europe and USA, use the most advanced techniques that will let us obtain the best results and so have that, 9 out of 10 women that come to our clinic Centro FiVER can be treated to have a “FiVER baby”.It is also important to know that, the FiVER treatments are only done in Centro FiVER. There is no other place or installation or authorized specialists by FiVER to perform the treatment in other place or by any other specialist.You, as patient, are key for the successOnce we are going to start the treatment, it is very important to follow the recomendations of the FiVER specialist as, he/she will be the only one that knows every detail of your case and, thanks to the experience and deep knowledge of the treatments, will take the best decision with the highest rates among his/hers patients.Big part of the success of a treatment is the patient’s participation and frequency. The specialist and all the team at Centro FiVER will join you during the treatment that, thanks to the used medicaments and to the deep hope, will generate changes in the mood thus an increase in sensibility. You should not worry, it is something common among our patients. It is important to know that we have a profesional team behind us, a team that is supporting us to reach our dream, you should not forget the reason why you are here: to have your “FiVER baby”. During the whole treatment, the doctor will give you written information about the medicine you need to apply, as well as the way to apply it. Besides, all the team in Centro FiVER, specifically the nurses, will support you in every step of the treatment. Starting the treatmentIn general, the reproduction treatments have in common a series of steps that we can previously know about:- Stimulation All treatments start with the initial period known as women stimulation. In this phase, before the procedure, the specialist will prescribe medicine to stimulate the ovaries.During this phase, the FiVER specialist will book continuous visits where you and the evolution of the treatment will be checked up.In some cases, also the male partner can receive a treatment to improve the results.- Medical and lab proceduresOnce the woman stimulation is over, your FiVER specialist will inform you that you are ready for the procedure and will set the date for it. In this phase, it is important the coordination with the assisted reproduction lab, for this reason, the fact that the lab and the specialist are at the same place is key as it will facilitate all the procedure. Besides, this will avoid any movement of the patient from one place to another, improving the treatment.During the medical and lab procedures, besides the coordination of the doctor with the lab, the role of the couple is also important as, they will go through medical procedures to perform the treatment.The medical procedures are done in Centro FiVER installations that, also have an assisted reproduction lab with the ultimate technology where the complex fertilization processes (IVF/ICSI) and samples preparations are done. In the lab, located next to the procedure room, all the different assisted reproduction methods are performed in order for your specialist to do the treatments for which you have been preparing.At this moment of the treatment, is key to be relaxed and focused on the most important: accomplishing the pregnancy. For this, we have the support of specialists that will help you with relaxation techniques.- Beta hCG or The two week wait and result (pregnancy test)It is the time from when the treatment is finished until the reception of the pregnancy test. We explain it below.

Diagnosis appointment and treatment proposal When the basic infertility studies are ready, you will decide together with your FiVER specialist, the treatment that better suits your needs, both in medical terms as well as economic terms. Importance of a personalized diagnosisAs every person is different, every couple and every infertility case is different. That is why, not all infertility treatments can be the same nor will have the same percentage of success. This is why is important to analyse all the involved factors and, together with your FiVER specialist, choose the best treatment as well as the schedule to follow during the whole treatment. In fertility, there is not one unique treatment but, different procedures both of low or high complexity, each directed to a different diagnosis. All these treatments can be performed in Centro FiVER. It is important that, during the selection of your fertility clinic, you investigate if all the treatments can be done there and, if they are done within the same center/clinic. The selection of the proper treatment will be the one responsible for having your “FiVER baby” home.Schedule to follow during the treatmentChoosing the schedule together with your FiVER specialist will make the decision making easier as well as it will generate tranquility. To know all the steps, without any improvisation and, being sure that this is the best option for your case, will bring you confidence in yourself, in your specialist and in the treatment, increasing then the successful rates. During this whole process, it is important the trust in Centro FiVER and, it is important also to ask all questions and clear all doubts. The transparence and trust with the clinic is very important in order to settle the schedule and beginwalking this road together.Depending on every diagnosis and kind of treatment, the probabilities of pregnancy will be different. As well, costs vary from one treatment to another depending on their complexity. It is very important that, before asking for information and making any decission, we receive the proper diagnosis in an specialized center as, lots of patients that ask for information of only a certain kind of treatment, don’t know that they can be subject of a simpler and more economic treatment that can give them the same pregnancy rates of even higher rates.For us in Centro FiVER, is very important that you take part in the selection of the treatment that better suits your needs. The objective is not to get pregnant at any cost or any way, it is not to promise a pregnancy with the decisions of others; our objective is, to help you get pregnant in the safest and reliable way, knowing all the possibilities and indications and, above all, being part in the selection of the steps to follow. Our goal is to walk the road together with a common objective: your “FiVER baby”.Finally, once the treatment and path are chosen, the administration team will hand you over the file of your treatment. Once you know the kind of treatment, we are ready for the next step: start the assisted reproduction treatment.

Infertility studiesEvery treatment starts with a good diagnosis done by your FiVER specialists. For this, it will be necessary to perform specific studies.The goal of the infertility studies is to provide the FiVER specialist with the necessary information for a correct fertility diagnosis. It is very important that these studies are done to both members of the couple, focusing not only on the female partner. The diagnosis is the base to perform the correct treatment, without it, random treatments can be done that will not bring the expected result and, most important, there will be losses of valuable time to acomplish the desired pregnancy.most important, there will be losses of valuable time to acomplish the desired pregnancy. As some of the studies must be done during certain days of the menstrual cycle, it is important to coordinate the dates of the mentioned studies to perform them at the right moment. This information is given during the first doctor’s appointment in Centro FiVER. If you are having your menstrual cycle, it’s okay to assist to the appointment and perform the studies as, in many cases, it is indicated in order to reduce the diagnosis duration and beginning of the treatment.The basic infertility studies are:For women:Hormonal study: performed during the first days of the cycle, when the folicules grow.Hysterosalpingography (fallopian tube examination):It is a study that measures the tubes permeability (of the fallopian tubes and uterus). This study is very important and will mostly determine the complexity of the needed treatment.This relatively simple and quick study is done with X rays equipment and a contrast media that will go through the Fallopian tubes. Through the image obtained (radiography), the specialist will determine the tubes permeability.For men:Hormonal study: blood analysis that measures the hormones levels. Sperm study / Spermiogram:This is the main study for men, must be done in an specialized center with the proper equipment that will measure the behavior and quality of sperm.After having the seminal sample, for which we need to book a previous appointment, the sample will be processed and studied in the assisted reproduction lab to obtain the results some hours later.If the sample will not be taken in a specialized center, it will be necessary to receive proper indications from the specialized team of the reproduction lab, about the sample recolection and transportation.For the couple (when necessary):Stress levels measurement:Through this study, other infertility causes – non medical related – are analyzed.It consists of and interview and application of simple tests to both members of the couple before starting the treatment. These measures are done in Centro FiVER. Also, during the whole treatment, relaxation therapy is done as well as a personalized follow up of all the procedure that is intended to increase the success rates. With the mentioned studies, your FiVER specialist will perfectly know your case in order to decide, together with you, the treatment that best suits your specific case as well as the schedule to follow.

First step: initial infertility check up or appointment We are very happy that you made the decission of treating your infertility problem at a specialized clinic, being FiVER your best option. Request your first appointment Before requesting this first appointment, you need to consider the following: There will be a long process: since you will first go to your check up appointment to have your diagnosis, until you have your treatment to get pregnant. It is very important that you plan this process carefully as any lost time can be key for a woman older than 35 years old. In FiVER, there are several specialists that will treat you as soon as possible so you don’t have any time to lose. Any moment of the menstrual cycle is fine for the first appointment. In fact, it would be better if the woman is having her period at that moment. For the patients that live outside Veracruz, we recommend you to come to FiVER once to have the first appointment as well as the basic infertility studies. We ask you to contact our patient support staff that will book you everything in one day. In some cases, some studies will be necessary but won’t be possible to have them the same day. As the infertility problems can come from both men and women, we recommend you to come with your partner (if you have one). Please click here to read more about infertility rates in men and women.Click here to know more To book your first appointment you can reach us here: Telephone: 229 922 64 95, 229 922 64 93, 229 922 53 95, Monday to Friday: 8.00 to 20.00 hours Saturday: 8.00 to 14.00 hours Requesting your appointment here: Request your first appointment Writing an email to: info@fiver.mx The first appointment Recommendations You should bring all your previous infertility tests results. If you haven’t done any test in the past, we recommend to the male partner to have from 3 to 5 days of sexual abstinence. You can have breakfast before arriving to your appointment. I will only be necessary for the patients having the tests on the same day to arrive with an empty stomach. Our staff will give you all the information if this is your case. Your first appointment will be a medical valoration with one of our infertility specialists as well as a stress and anxiety valoration with our patient support team. When you arrive to FiVER, our team will give you our data protection notice and will open a file with your data before seeing our specialist. Appointment: our specialist will listen closely to your case and will create a trust relation with you. This appointment will last for aproximately 1 hour and you will have: Check up of previous studies Creation of your medical history Physical exploration and gynecologic review: our specialist will review the cervix and vagina. This exploration may not be necessary in some cases. Vaginal ultrasound: this is the only tool that allows us to see the ovaries and uterus. Infertility studies appointment: in case you need more studies than the ones already handed over to the doctor, he will explain you all about them, how to prepare yourself and the time they will take. o Clear explanation of the infertility problem and answer to all your questions. Stress and anxiety evaluation: this evaluation lasts around one hour and is done in a different appointment the same day (for the patients living away from Veracruz) or on a different date. This evaluation will be done by our psycologist who will evaluate the stress and anxiety levels of the couple (or single person) with a large conversation. This will create a trust relationship to have the emotional needed support through all the treatment process. If you would like to know more about emotional support in assisted reproduction please click here Our advise to make the most of your first appointment Please follow these points to be prepared and make the most of your appointment: You most have lots of doubts about your problem, mostly if you have been going through treatments for a while with different doctors. You will have also lots of mixed up information with all your previous results, studies, treatments and information taken from internet and other people. It is normal. We recommend you the following when attending your first appointment: Bring all the previous studies you have: separating them by person (you and your couple) and ordering them by date, from the oldest to the latest. Gather all the prescriptions you may have, separating them the same way as above Have a little calendar notebook to: Write the date of the first moment of the period (first stain) and the last day. Write any blood loss you may have between your periods and any relevant information. Write all your doubts along the way Read all the information in our section If you are having your period at the moment of the appointment it’s okay, it will be even better for the doctor that you are starting your period so he can gather important data. All specialists are used to do the check ups at this stage. The ultrasound and vagina check up last only few minutes. These easy recommendations will make the doctors job faster and easier, remember that all time is precious and all info is key to clarify all your doubts. Show more

My fertility treatment in an assisted reproduction center In this section, you will find very useful information about all the steps you need in order to get pregnant. We will answer all the questions you may have such as: will I be checked during the doctor’s appointment? How should I prepare for the first appointment? What do I need to know about the specific studies? What will I feel when applying the medicines? Will I feel pain in any part of the procedure? Etc We will guide you step by step during all the process. Register and access to all this information, it is free and you don’t need to be a FiVER patient. Register First appointment Congratulations! You have made a great decision by deciding to go to a reproduction center to treat your problem. What you need to do first is to make the first appointment. We’ll explain you what to do.Show more Infertility studies It is time to perform some studies that will get us to the proper diagnosis. We’ll tell you all about them and how you need to be prepared.Show more First diagnosis appointment and treatment proposal At this moment, your infertility doctor will explain you the causes for your infertility and will guide you to chose the best treatment for you.Show more Starting the assisted reproduction treatment Finally, we will start with the treatment that offers you real possibilities to make your dream come true. It is important that you follow every step, being as relaxed as possible, trusting yourself and your doctor.Show more The waiting and the pregnancy test The moment has arrived! Even though very nervous to know the results, you can rest assure that you are going through the right path and you made the best decision to attend a fertility center.Show more We succeded! Congratulations! After all your dedication, your dream has come true! Now you have to take care of yourself and enjoy this period, we’ll give you some recommendations.Show more

FiVER with you In Fiver, we know how important it is to make your dream of having a child come true. This is why we would like to bring all fertility treatments to couples that, with low resources, wish to make their dream come true. FiVER with you Program The program a FiVER baby for all wants to bring the possibility of our treatments to couples that subscribe to our program. Infertility is very common in our societies. It does not respect, culture, religion, raze or country. It is even considered a sickness by the OMS. People with low resources do not have the chance to access a treatment that will make their dream of having a child come true. The costs of the treatments are not covered by social security and require complex technology and specialized doctors. Support FiVER with you Any person that has a child, knows exactly how that love changes your life. In our program “FiVER with you”, we would like to bring the opportunity of having a child to couples with low resources so they can also experience that love. If being a father has changed your life and you would like to help others to experience the same, leave your information here. We will contact you and let you know how to collaborate with us. You can be a man, woman, business or a public entity, your help is precious and we count on you. Besides collaborating economically, there are some other ways to help this project, being medicine donations or doing the follow up of the mothers to be, you only need to fill the information below and we’ll contact you when we start the annual program. Name or Company Name Occupation Telephone Mail Location Your collaboration “FiVER with you” collaborators

My FiVER applications With your FiVER applications, you will get to know more in order to get pregnant. In a quick and easy way, you will access lot of useful information to help you in your way of conceiving a child. It is important to consider that FiVER applications bring basic recommendations and they do not substitute any indication that your FiVER specialist has given you. Your specialist is the one that deeply knows your specific case. Remember that the succes of the treatment depends on a personlized diagnosis.