enero 2016

Your FiVER specialist answers your questions. Infertility specialists of FiVER answer all your doubts. As all information surrounding infertility is sometimes very technical and specific, not any doctor of physician is able to give a proper diagnosis or to answer all questions. In our webpage, we wish to bring you closer and answer all those questions you may have. Please consider that all these answers are general, as it is key that our FiVER fertility specialists know your case in depth. The success in our treatments depends in a correct and precise diagnosis, proposing the best treatment for every case. FAQ Select a question to see the answer Is it possible to have a baby after a vasectomy?It is indeed possible to have a baby after a vasectomy. A testicule biopsy extracts the sperm that should be used in an IVF (in vitro fertilization).  Same happens with women who have a tubal salpingectomy, and IVF is the treatment that offers more possibilities.I did and otb or a tubal salpingectomy in the past, can I still have a baby?Yes, you can. An IVF (in vitro fertilization) is the method offering better possibilities. Lot of patients ask for a tubal recanalisation but end of having an IVF instead.   Which alternatives do we have to have a baby?It is key to select a fertility clinic with all the means and technology to achieve a pregnancy. A good diagnosis and the selection of the right procedure are key for success. It is also very important that you choose a clinic with all the technology and installations at the same place, avoiding unnecessary displacements.  Which are the infertility causes?Recent studies reveal that infertility causes are split among men and women in a similar percentage. That is why it is very important to study the couple as a whole to have a proper diagnosis.What kind of studies do my partner and me need for a proper diagnosis?The studies should be done integrally, analyzing both the male and female infertility problems. Hence, these are the necessary studies: Women studies Gynecologic check up by a fertility specialist Blood analysis Ultrasound Hysterosalpingography (in some cases) Men studies Semen analysis Mostly all these studies can be done in Centro FiVERI can’t get pregnant, what would be my success rate? Can I be treated in Centro FiVER?In Centro FiVER, 9 out of 10 patients can be treated to have a baby. Nowadays, through the modern procedures available in our clinic, a wide number of people can reach their dream of having a baby.Why should I visit Centro FiVER?To receive a treatment and a proper diagnosis, it is necessary to have an integral study that will evaluate the couple having fertility problems. In general, when you go to a fertility clinic, the studies will be focused only in the woman or only in the man, without a global overview of the situation. In Centro FiVER, we perform an integral study of both women and men, allowing our specialists to diagnose the causes and to propose the exact treatment for the specific case.I can’t get pregnant, when should I visit Centro FiVER?If you are younger than 30 years old and have been trying for a year or more to become pregnant without any anticonception method, it is the moment for you to call Centro FiVER. If you are older than 30 years old, the waiting time shortens, so you should call Centro FiVER after trying to conceive for 6 months. Remember that time is a key factor to conceive a child, you shouldn’t wait long. Do you still have questions? Write us! *Name: Date of birth:01020304050607080910111213141516171819202122232425262728293031123456789101112193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016 City: *Telephone: *@mail: *Message

Testimonials We would like to share with you the stories of FiVER moms that decided to make their dream come true. Infertility is something very common nowadays and lot of people need support to accomplish their dream. In FiVER, we wish to make your dream come true, share your hapinness with us. f i v e rvideosf i v e rPhotosf i v e rExperiences

FiVER Community Discover the life changing experiences of families that already have a ‘FiVER baby’ home. Through its 10 years of existence, FiVER has made their dream of having a child come true. Your story could be the next one! Through FiVER community you have the opportunity to share your doubts and feelings when we walk together the path to accomplish your biggest dream. You will be able to ask your questions to other moms and dads as well as receive the advise of people that already when through your same situation. You will get to know FiVER better, all it has to offer as well as share and understand the success of the families that have come to Veracruz to have their life changed. Definitely, in this section of FiVER community you will be able to share the experience and emotions of making your dream come true. Testimonials We would like to share the stories of “FiVER moms” that decided to make their dream come true. Infertility is something very common nowadays and lot of people need support to accomplish their dream. Videos Images Experiences Show more Your FiVER specialist answers Our FiVER fertility specialist answers all your doubts. As fertility themes are very technical and specialized, we would like to have a first approach and answer, in general terms, all doubs that come up during your experience.Show more FiVER Blog In our blog, specialists from different areas share with you experiences and advise to help you get pregnant. First steps I can’t get pregnant, why do I feel like this? Everyone keeps asking: when will you have a baby? FiVER recommendations for your pregnancy More about fertility Show more FiVER Forum Through our forum, you will be able to share with other patients the path you go through until you accomplish your dream of having a “FiVER baby”. You can tell and read all about different treatments and steps in each of them. Besides, you can ask other moms that have already reached their dream and can tell you all they went through.Show more My FiVER applications With your FiVER applications, you will get to know more information that will help you 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. You can access and share this information through any device at any moment with internet connection.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.Show more Social Networks Follow us and leave your comments in our social media. Share your experience with other people wishing to reach their dream. Tell us how you feel with your “FiVER baby” and how your life has changed.Show more

Reproductive ladder: treatment protocole that brings the best results in infertile couples The specific treatment for each couple is chosen once the infertility diagnosis is done. To choose the treatment or assisted reproduction technique, we use what is called the “Reproductive ladder”. The objective is to start with the first simplest treatment that offers real possibilities to succeed with a pregnancy. From this treatment, or step, we go up the ladder. This makes us choose the right treatment for each case avoiding treatments that are more complex or more expensive than what is needed. The reproductive ladder is divided in low and high complexity treatments. Each treatment is considered a step. a) Low complexity Sexual intercourse Programmed intercourse Intrauterine insemination (IUI, with couple or donor’s sample) b) High complexity In vitro fertilization (IVF) / Intracytoplasmatic sperm injection (ICSI) ICSI + Pre-implantation genetic diagnosis (PGD) Egg donation (Ovodonación) Egg donation + semen donation Embryo donation When do we suggest low complexity? When the values in the semen analysis are higher than the stablished standard by the WHO. When women are younger than 39 years old (depending the case). When the couple has been trying to have a baby for less than 2 to 3 years (depending the case). Permeable Fallopian tubes, with no myomas, polyps or endometriosis. When do we suggest high complexity? When the values in the semen analysis are lower than the stablished standard by the WHO. When the couple has been trying to have a baby for more than 2 to 3 years (depending the case). Women older than 39 years old. Bilateral tubal oclussion. Any other factor (uterus, endometrial, embryonary). Women’s age is a basic factor to consider for the selection of the complexity, as the egg reserve can diminish if the treatments take long. Click here for more information. It is well known that, the success rates of having a baby dimish from age 35. As well, from this age, the chromosomic abnormalities increase in the fetus. There are some stablished studies that assign a percentage of this risk according to the patients age (from 38). This is why, it is recommended to perform a pre-implantation genetic diagnosis (PGD) from this age, to know if the embryo is healthy so it can be transfered to the patient. Nowadays, this practice has increased the pregnancy rates, as placing a healthy embryo diminishes the possibility of an abortion. Show more For the cases of any familiar sickness, an embryo biopsy is indicated in order to place a healthy one inside the patient. Other consideration for the embryo biopsy is the sex selection. This is a delicate subject as it can be used in an indiscriminatory way. There is no legislation about this in Mexico so, in Centro FiVER no sex selection is done, unless it is mandatory due to healthy reasons. When the possibilities of success for a couple with their own eggs is very low, it is moment to go up the ladder. As well, if the male also has any sperm abnormality blocking the pregnancy, a semen donor should be considered. There are semen banks in the reproduction clinics as well as women donating eggs or donated embryos. The embryo donation is less expensive than the creation of a new embryo. Sexual intercourse 85% of couples succeed in a pregnancy within the first year of having regular sexual intercourse with no protection (every 2 to 3 days) and up to 9% will succeed in the first 2 years. These rates drop significantly when women are older than 35. The effect of age in men’s fertility is less clear. Timed intercourse This is the 2nd step in the reproductive ladder and the 1st to be done together with a reproduction specialist. It consists in the orientation of the couple to have sexual intercourse in the best moment of the woman’s cycle. It can be done with or without stimulation with medicines. Up to 6 cycles can be tried (depending the case). Click here to read more. Intrauterine insemination This is the 3rd step in the reproductive ladder. Must be done in assisted reproduction centers. It consists in placing the capacitated semen (best selected semen) directly inside the woman’s uterus. This way, the sperm and egg do what they are supposed to do naturally, fertilizing and resulting in an embryo that should stay there during 9 months. The successful rate is limited. Normally, the rate is 88% after 3 cycles. This is why, in assisted reproduction centers, no more than 4 cycles are recommended. It should be considered to go up the reproductive ladder if the specialist recommends it. Click here for more information. In vitro Fertilization (IVF) / Intracytoplasmatic sperm injection (ICSI) This is the 4th step in the reproductive ladder. Due to its complexity, must be done in a reproduction center. It consists in the obtention of the sperm and eggs to do a fertilization in the lab, transferring afterwards the embryo inside the uterus. The successful rate is 45-60% per cycle and it will vary depending on the couple and on the infertility causes. Click here for more information. ICSI + Pre-implantation genetic diagnosis (PGD) This is the 5th step in the reproductive ladder and it can only be done in reproduction centers. Once the embryo are created in the lab, a hole is done in the external wall of the embryo to extract a cell and analyse all its chromosomes. This way, a healthy embryo can be transfered to the patient. If no healthy embryo is obtained, no transfer is done. The success rate is 50-70%, with variations depending on the infertility causes and the percentage of health corresponding to the age. For example, at age 38, there is a 26% possibilities of a healthy embryo, if the healthy embryo is obtainted, then the rate of success is 50-70%. A 4-8% of error should be considered. Show more This should be done between day 3 and 5 of the life cycle of the

Most of infertility cases both in men and women can be diagnosed with infertility basic analysis A correct diagnosis can be obtained in more than 90% of infertility cases thanks to the infertility basic analysis. For this purpose, both members of the couple should be studied, getting their clinical history, having a complete physical assesment and performing the indicated infertility tests. As some of these studies should be done in specific days of the woman’s cycle, it is very important to have a proper coordination in order to perform all necessary analysis and tests in less than two months, avoiding any loss of precious time. Each couple and each infertility case is different, that is why the tests should be individualized. Some tests or analysis will be necessary for some people and won’t be necessary for other. Basic studies for the couple: Ovaries and ovulation studies: hormonal test and pelvic ultrasound Fallopian tubes study: hysterosalpingography, laparoscopy Male study: spermiogram Study of the uterus: transvaginal ultrasound, hyterosalpingography, hysteroscopy, laparoscopy Ovaries and ovulation studies The purpose of the infertility studies in women is to investigate how the ovaries are performing, to know their eggs reserve and to know if the ovulation is happening correctly. The study of the ovaric function is done as follows: Menstrual cycle evaluation: to know if the cycle is regular (each month) or not. Ovaries evaluation with transvaginal ultrasound: the folicules in the ovaries are counted (dark images that appear inside the ovaries where we find the eggs) Hormonal studies in blood: female hormone profile, anti mullerian hormone. According to the regularity of the menstrual cycles and the ultrasound valoration, it will be decided if it is necessary to have a hormonal study or, given the case, the determination of the anti mullerian hormone. In most of the cases, only a hormone profile will be necessary and it should be done in the second to the fourth day of the menstrual cycle. Show more The ultrasound study is very important, it should be transvaginal and it should be performed by an expert. By counting the follicles in each ovary, the egg reserve can be counted, as there is supposed to be one egg in each follicle. It is ‘supposed’ as some folicules must be empty of eggs. A number of less than 6 folilcles in the first days of the cycle in both ovaries can be considered as a low ovaric reserve. Age should also be considered, as 6 follicles is not the same at 41 than at 34. Besides the follicles number, the ultrasound also searches for any abnormality or cysts in the ovaries. Fallopian tubes study It is necessary to confirm that the Fallopian tubes are permeable (unblocked). This confirmation is done through an hysterosalpingography, which consists in the introduction of a contrast media through the cervix, previous to a pelvic radiography to assest how the uterus cavity is filled and how is the road through the tubes and to the exterior. As this study can be painfull, some indications must be considered. An hysterosalpingography is not always necessary, it will depend on the results of the semen study and the number of sperm. Male study To study the male, a spermiogram is performed. This study should be done in a special assisted reproduction center that has all the tecnology and experience necessary for it. The WHO parameters should be used in terms of motility, quantity and normal shape, besides, some other data as the presence of cells showing infection will be also considered. Show more It is important to point out that the production of sperm is done in 3 months renewing constantly during men’s life. This is why the quantity and motility of sperm can vary from one moment to the other, being in some occassions necessary to repeat the semen study. The most common case is when there are no sperm present in a study, this study should be repeated in 2 weeks or even until 3 months, so we can confirm there is no sperm present. For the cases where a severe alteration of sperm appears, is recommended to request for karyotype studies of the male, as well as sperm fragmentation study in some cases. When no sperm is present in the semen (azoospermia), other studies will be necessary such as hormonal determinations to discard any infection and to consider if a testicle biopsy is needed. Show more The testicle biopsy is the confirmation of sperm in a sample of testicular tissue. For the cases of obstructive azoospermia, no sperm appear in the semen but they appear in the testicle, making possible to perform an in vitro fertilization with intracytoplasmatic sperm injection (ICSI). Study of the uterus This study is done through a transvaginal ultrasound where we can detect data suggesting any abnormality. When there is any suspicion of abnormality, the following studies can be requested: Hysterosonography: introduction of a saline solution inside the uterus that will give abnormal images by ultrasound. This procedure can be done at the doctors office. Hysterosalpingography: cointroduction of a contrast media in the uterus doing then a radiography that will show the complete uterus and help detect any abnormal image. This procedure is done in specialized radiology centers. Hysteroscopy: introduction of a small camera inside the uterus to see the uterine cavity directly and detect any abnormality. Laparoscopy: introduction of a camera in the abdomen to confirm any uterine abnormality suspected in the previous tests. This procedure is performed in an operating room. It would be the last study to request as it an invasive test compared to the other tests than can be done without anesthesia.

Infertility causes There are several causes or factors that cause infertility. For a better study and understanding, they are grouped as follows: Ovarian factor Tubarian factor Male factor Endometrial factor Embryonary factor Ovaric factor: anovulation We call ovaric factor the fact of women not ovulating. The most frequent causes for this factor are: Polycystic Ovary Syndrome (PCOS): : this is probably the most frequent endocrinologic alteration among infertile women. These patients suffer from a hormonal disadjustment and overproduction of certain masculine hormones, such as androgens, producing lack of menstruation and ovulation.

Infertility personalized diagnosis: key to choose the treatment and reach the pregnancy. Infertility has its origins in lot of causes that can come from both men or women. It is necessary to perform studies to the couple in order to discard possible causes and get to the personalized diagnosis. Once the correct diagnosis is done, it is possible to choose the treatment with better results. Origin of infertility problems When studying couples with infertility problems, it is found that 40% of the problems come from men, 40% from women and 20% from a combination of both. That is why, it is key to go to the appointment together in order to have all the necessary studies. What is the natural course of ovulation, fertilization and embryo implantation? Before going deep into the infertility causes, it is convenient to know how the ovulation, fertilization and embryo implantation happen in a natural way. For a natural pregnancy it is necessary that: Ovulation happens At least one Fallopium tube is permeable so the sperm can meet the egg Enough number of motile sperm that reach and fertilize the egg Integrity of endometrium and womb to allow the implantation of the embryo Infertility causes There are several causes or factors that cause infertility. For a better study and understanding, they are grouped as follows: Ovarian factor Tubarian factor Male factor Uterine factor Embryonary factor Necessary studies for an infertility diagnosis The results of some studies allow us to discard some infertility causes. As some of these studies most be done according the woman’s menstrual cycle, it is important to be coordinated in order to finish them as soon as possible. If well programmed, the results can take less than 2 months after the first appointment. There are 4 basic infertility studies: Hormonal blood test: to study ovulation Hysterosalpingography: to study the Fallopian tubes Sperm study: to study the male factor Transvaginal ultrasound: to study the uterus, ovaries and cervix With these 4 studies, it is possible to discard 90% of infertility causes; therefore it is very important to perform them accordingly. Infertility personalized diagnosis As we can see, infertility causes are very diverse and affect couples and people in different ways, thus it is very important to have a personalized diagnosis. This is accomplished by performing the right studies to the couple. Once the personalized diagnosis is done, it is possible to, together with the patients, choose the treatment that will bring the best results.

Infertility: common and general suffering that is increasing Infertility is a very common suffering affecting millions of people. It is estimated that, 2 out of 10 couples in reproductive age, have the problem. This means that, in the world, there are from 50 to 80 million people with it. Infertility does not respect races, social status, religion or nationality. Mexico is no exception. It is estimated that infertility affects more than 1 million people in our country. Infertility has increased in recent times due to environmental factors such as: pollution, change in life style producing stress, and also the wish of waiting longer to have a family. In the past, couples were searching for a pregnancy when the woman was between 20 and 30 years old. Today, lot of women wish to finish their studies and then develop professionally, thinking about maternity after they are 35 years old. It is at this age precisely that women start the slowdown of their eggs reserve until the menopause. Thus, the probability of having a child after 35 years of age decreases. Show more Infertility is considered a sickness Human beings have the procreation and protection instincts very well developed. Lot of people with infertility problems are affected emotionally; causing problems in their health, social relations with their partner, family and even at work. That is why the WHO considers infertility as a sickness. Due to its impact and the number of people who suffers it, in some countries it is considered an important health problem. Infertility definition: when can we consider the existence of infertility? The WHO and many societies of reproduction specialists define infertility as: a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse. Important considerations The consideration of 12 months is due to the fact that, the pregnancy rate in couples without infertility problems is of 10 to 20% per month. According to different studies with a wide number of couples, 100% of couples without any infertility problem, reach a pregnancy within 12 months. The consideration of regular sexual intercourse is 2 per week. Show more The effect of age in women infertility Since a woman is born, she has determined number of eggs that, will develop month by month to be ovulated and be fertilized. When time passes by and with every period, the eggs reserve in the ovaries diminishes. At 35 years of age, a slowdown starts until eggs are finished, with the arrive of menopause. The cells that produce the eggs have the peculiarity of, unlike sperm in men, not dividing to produce new eggs. So, the eggs of a 39 year old woman, will be also be 39. So, there is a higher probability of having problems with the eggs at an older age, having then a fertility problem. These problems mainly occur in women above 40 years old.

Understanding infertility It is totally normal that you have lots of questions around infertility. In this section, we give you all the information you need about infertility, so you can learn more about it and make the best decisions. Infertility affects a wide number of people A very common suffering, infertility has been growing in the last years. It is estimated that 2 out of 10 couples suffer from a kind of infertility.Show more Infertility causes and diagnosis Infertility can be caused by a problem in the male partner, in the female partner or in both. All people and couples are different, this makes fundamental to have a personalized diagnosis in a short time.Show more Infertility treatments 9 out of 10 couples can get pregnant when a precise diagnosis is reached and the right treatment is chosen. The younger the woman having the treatment, the better results.Show more Infertility news Find the latest information about infertility and assisted reproduction treatments.Show more

Your trip to FiVER Planning your trip We help you to make your trip more comfortable and relaxed. We offer you different services that will get you closer to Veracruz. We know that your tranquility and trust make our treatments successful, that is why we offer you the following exclusive services: Book your doctor appointment at the date and hour of your convenience Exclusive parking in our clinic Handicaped assistance Personalized service upon arrival Special parking for getting on/off the car just by our door Available installations for all our patients Hotel reservation Very close to our clinic and very close to the sea, our patients can enjoy all that Veracruz has to offer: culture, adventure, sports, entertainment or nature. This will make the dream of having a “FiVER baby” a wonderful experience. To improve your stay, we have special rates with hotels that are very close to our clinic and also to the beach. Contact us through our service “Your trip to FiVER” and we will show you all the options so you can choose according to your needs. FiVER assistance In FiVER, your treatment is performed with the joy and good weather of Veracruz. That is why our service does not end with your treatment in the clinic but also, with “Your trip to FiVER” service, we will inform you of all the touristic opportunities available so you can relax after being treated. The metropolitan area of Boca del Río-Veracruz, has lots of touristic spots to visit: restaurants, bars, museums, malls and of course, the beach. Everything in Veracruz is very close so you can enjoy your stay and treatment at their best.