enero 2016

Andrology lab This is where the semen is received and prepared for study to be used later for assisted reproduction treatments. This lab is key in an assisted reproduction center as it is only used to handle the semen sample. The difference with conventional labs where other samples are handled: blood, fluids, bacteria culture, etc. is that the andrology lab has the environment that protects the sperm from any contamination or affectation. It is essential to go to an andrology lab for the sperm tests, avoiding the conventional labs. In FiVER, we have an andrology lab fully equipped for the assisted reproduction treatments and for the cryopreservation of the sperm. Sperm studies The sperm studies are key for the infertility diagnosis. As 40% of cases are due to masculine causes, these sperm studies become essential. Sperm in urinalysis The urinalysis study allows us to detect if retrograde ejaculation exists. This problem appears when, at the time of ejaculating, the semen goes to the urine instead of going out. This can happen to diabetic patients or patients with neurological problems. This study will allow us to detect this problem and, if needed, use the sperm found in the urine. Sperm preparation Is the preparation of the sperm that will be used in the intrauterine inseminations or in vitro fertilizations. With this method, the seminal liquid is eliminated; the sperm with motility is chosen and prepared to fertilize the egg. Sperm retrieval When a man has little to no sperm in his ejaculate, it may be possible to retrieve sperm from his testicles or epididymis. This is a procedure performed by an urologist. The sperm retrieved can either be frozen for future use or used immediately for an in vitro fertilization cycle. This is the solution for the vasectomy cases. The sperm retrieval is a simple procedure, with local anesthesia and lasts only some minutes. Sperm freezing The sperm freezing allows it to live during years and be used after. The freezing is used in patients that will be subject of testicule or prostate surgery, chemotherapy or radiotherapy due to testicular cancer. This way, these patients can preserve their healthy sperm so, in the future, have a child with the support of assisted reproduction techniques. The freezing is also used in patients that, for some reason, are separated from their couples for long periods of time. This way, intrauterine insemination is possible without the physical presence of the father. Besides freezing the semen, also testicular tissue samples obtained through testicular biopsy are frozen. Semen bank Lot of cases of infertility are due to men not producing sperm. In these cases, a semen sample can be used. This option is also used for women with no male companion that wish to have a baby. The semen bank is formed by young healthy samples that have been through strict medical studies, lab, psicological and genetic studies so any hereditary, infectious or chromosomal disease is discarded. In FiVER, all our donors are closely studied, following strict international standards and all samples have a quarantine period of 6 months before using them. Semen donation is anonymous. It is recommended to choose the donor according to the physical characteristics of the future father.

Egg donation: assisted reproduction technique This infertility treatment is the last step in the assisted reproduction techniques ladder. There are a lot of women whose fertility problem is the lack of egg reserve or, the low quality of the eggs. For these cases, the only possibility of reaching the dream of having a baby is through egg donation. To perform this technique, it is necessary to have an in vitro fertilization in an assisted reproduction center. This center should have an egg donation program. Candidates for egg donation: Aged women After trying 3 cycles of in vitro fertilization Women with ovarian failure, menopause or ovarian surgery Repeat abortions Women with low quality eggs Genetic and chromosomal abnormalities In vitro fertilization with egg donation is the fertilization of the donor’s eggs with the father’s sperm, in order to obtain embryos that will be transferred to the mother’s uterus. This technique has allowed thousands of couples to reach the dream of having a family. There are lot of doubts and, in some cases, even rejection from couples around the eggs donation technique; this is totally normal. As the couples get to know the details and other couple’s experiences, their perspective changes. The couples that decide to try this technique feel very grateful of having had this option to conceive a child. Show more Choosing the egg donor The egg donation is totally anonymous. The objective of the selection is to find a donor with similar physical characteristics to the mother. The donors are young and healthy women with no fertility problems. They are subject of medical, gynecologic and psychological tests in order to discard any sickness. Blood tests and, if necessary, genetic tests are performed to minimize the risk of any infectious or hereditary sicknesses. In vitro fertilization procedure with egg donation The in vitro fertilization with egg donation procedure involves 6 main stages: Endometrial preparation of the receptor Some days after the patient’s period, she will start taking medication orally or through patches. She will go for check ups every 5 to 7 days so, through an ultrasound, we can confirm that the endometrium is developing properly, in order to receive the embryo that she will have transferred. Ovarian stimulation of the donor It consists in stimulating the donor’s ovaries with oral or injected medicines, so she can produce a good number of eggs. When it is observed through ultrasound that the follicles reach the right size, this is the moment when they are ready to ovulate with an injection. The doctor will indicate this exact moment. The eggs extraction will be done 36 hours later, just before ovulation. It is important to synchronize the timing of the endometrial preparation of the receptor and the donor’s stimulation. Show more Laboratoy Sperm preparation The day of the donor’s egg extraction, just a few hours before the procedure, the father’s semen sample is prepared. This sample is prepared in the andrology lab in order to select the best sperm. Once selected, they are prepared to fertilize the egg. Egg ultrasound-guided aspiration: donor’s eggs extraction Before the ovulation, the donor’s eggs are extracted and placed in a culture media inside special incubators in the embryology lab. Eggs fertilization and embryo culture Once the father’s sperm and the donor’s eggs are ready, the fertilization is done in the embryology lab. The fertilization can be done in 2 ways: Conventional in vitro fertilization: in a drop of culture media, the selected sperm and eggs are placed together. The fertilization should happen naturally. Intracitoplasmatic sperm injection: with the help of micro pipettes and a special microscope, an individual sperm is injected into each individual egg. Show more Embryo transfer to the mother After 3 to 5 days in the culture media, the embryos are transferred inside the mother’s uterus. This procedure doesn’t need anesthesia, lasts a couple of minutes and the discomfort is similar to the one of a Pap test. 15 days later, a pregnancy test is performed. The embryos that are not transferred are vitrified (frozen) to preserve them for later use, reducing the need for additional IVF treatment cycles. Show more

In vitro fertilization: assisted reproduction technique This infertility treatment is the third step in the assisted reproduction techniques ladder. This treatment brings the best pregnancy rate. Also called in vitro insemination, this technique is performed in assisted reproduction centers due to its high complexity. Indications for in vitro fertilization Couples that didn’t succeed with 4 intrauterine insemination cycles. Woman with obstructed Fallopian tubes. Moderate or severe decrease in the number and motility of sperm. When men have had a vasectomy in the past. In vitro fertilization consists in impregnating the eggs with the sperm in the lab, in order to obtain embryo that will after, be placed inside the uterus. This technique exists since 1978 when, Louise Brown, first baby to be conceived by this technique, was born in England. Through all these years, this method has improved and is used nowadays in thousands of clinics around the world. When first starting with this technique, the question of affecting the development or growth of the child was a big issue. After some decades, today we know that the use of this technique does not affect the child. 5 million babies have been born through in vitro fertilization since 1978. The objective of this technique is to ensure the impregnation of the egg by the sperm, correcting any factor causing infertility both in the male or female companion. In this technique, both male companion or donor semen can be used. In vitro fertilization procedure The in vitro fertilization procedure has 5 steps: Ovarian stimulation It consists in stimulating the ovaries with oral or injected medicines, making them produce one or two eggs. This stimulation lasts between 8 and 14 days. It is very important to have ultrasounds every 3 or 4 days to control – adjunting the dosis – the number and growth of eggs that are being developed. When it is observed through ultrasound that the folicules reached the right size, this indicates the prefect moment to make them ovulate through an injection. The doctor will indicate the exact moment when the medicine to ovulate should be applied, having the extraction of the eggs done 36 hours before the ovulation. This control should be done by specialists, through vaginal ultrasound, in order to avoid any complication such as a multiple pregnancy or ovaric hyperstimulation syndrome. Show more Semen preparation in the lab The day of the eggs extraction, just a few hours before the procedure, the semen sample is prepared. This sample is capacitated in the andrology lab to select the best sperm. Once selected, they are prepared to impregnate the egg. Ovarian punction: egg extraction Before the ovulation happens, the eggs are extracted and placed in culture media inside special incubators in the embriology lab. The extraction is performed with a needle that is introduced in the vagina with the help of an ultrasound. This step is known as ovarian punction. This procedure lasts about 20 minutes and a light sedative is used in order to ease the pain. It is not necessary any incision so, there will be no scar. After the punction, the patient remains at ease for some hours, waiting for the effects of the sedative to go away. The patient can go home righ after. Insemination of the eggs and embryo culture Once we have the sperm and eggs, the impregnation is done in the embriology lab. This can be done in 2 ways: Conventional in vitro fertilization: in a drop of culture media, some capacitated sperm is placed together with the egg. This way, the Intracytoplasmic sperm injection joins the egg to fertilize it. Sperm Intracytoplasmic sperm injection: with the help of pipettes and an special microscope, one sperm is chosen and injected directly inside the egg After, the inseminated eggs are placed inside incubators and left in the culture during 19 hours, when then they are observed to know if they are fertilized or not. Embryo transfer After 3 or 5 days in culture media, the embryo are transfered inside the uterus. This is a procedure that does not need anesthesia, lasts a couple of minutes and the disconfort is similar to that of a Pap test. 15 days later, a pregnancy test is done.

Intrauterine insemination: assisted reproduction techniqueThis infertility treatment is the second step in the assisted reproduction techniques ladder. It is one of the most used methods due to its good results, to its low complexity and price. It is accessible to a wide range of patients.Indications for Intrauterine insemination: Women under 39 years old. Couples that already tried 4 timed intercourse without success. Women having ovulation problems. Women with alterations in the uterus cavity. Women with no male companion. Slow sperm counting and motility in the male companion. Women with at least one permeable Fallopian tube Intrauterine insemination consists of introducing a semen sample inside the uterus. This sample is previously prepared in the lab, selecting the best sperm. This corrects any masculine factor and shortens the path between sperm and egg.After a sexual relationship, only a small number of sperm make it to the uterus. The objective of Intrauterine Insemination is to increase the quantity and quality of sperm reaching the Fallopian tubes to facilitate the fertilization.In this technique, the semen of the male companion can be used or, if necessary, donor semen.Ovulation induction and intrauterine inseminationThe procedure of Intrauterine Insemination has 3 steps:Ovulation inductionIt consists in stimulating the ovaries with oral or injected medicines, making them produce one or two eggs. This stimulation lasts between 8 and 14 days. It is very important to have ultrasounds every 3 or 4 days to control – adjunting the dosis – the number and growth of eggs that are being developed.When we observe through ultrasound that the folicules have the right size, this indicate that they are ready to make then ovulate through an injection. The doctor will indicate the exact moment when the medicine should be taken to ovulate, performing the insemination 36 hours later, just in the moment when the ovulation will be taking place. Eventhough an easy technique, as we are stimulating the ovary to produce eggs, a strict control is necessary. This control should be done by experts, through vaginal ultrasound, in order to avoid any complications such as a multiple pregnancy. Show more Semen preparation in the labThe day of the insemination, just hours before the treatment, the semen sample is prepared. This sample is capacitated in the andrology lab to select only the living and moving sperm. Once selected, they are prepared to impregnate the egg.Introducing the capacitated semen inside the uterusOnce the capacitated semen is obtained, it will be introduced through a small cateter inside the uterus, being placed inside the womb. This procedure is simple, doesn´t need anesthesia and lasts a couple of minutes. A vaginal mirror is introduced and the disconfort to the patient is very similar to the one of a Pap test. Afterwards, the patient should rest for some minutes and then go home. Fifteen days after, a blood pregnancy test is done.“It is recommended to try only 3 or 4 times” The success rate of this technique is between 20 and 25% per cycle. It is recommended to try only 3 or 4 times before moving to the next assisted reproduction technique. It is very important to move on to another treatment, avoiding waste of time, money and eggs reserve.

Timed Intercourse: very common and used pregnancy method The timed intercourse, if used correctly and used with the right patients, can solve lots of fertility problems. This low complexity method is the first step in the ladder of assisted reproduction. It is the most simple and economic treatment. Indication for timed intercourse Young couples with less than 2 years of infertility problems, with unknown reasons for these problems. With one Fallopian tube permeable at least. Normal sperm counting. Ovulation induction and timed intercourse It consists in stimulating the ovaries with oral or injected medicines, making them produce one or two eggs. This stimulation lasts between 8 and 14 days. It is very important to have ultrasounds every 3 or 4 days to control – adjunting the dose – the number and growth of eggs that are being developed. When we observe through ultrasound that the folicules have the right size, this indicate that they are ready to make then ovulate through an injection. The doctor will indicate the exact moment when the medicine should be taken to ovulate, then the couple is asked to have sexual relationships 36 hours later, just in the moment when the ovulation will be taking place. This way, we are helping the ovaries to produce mature eggs and make the ovulation happen. It is a very effective method, mostly with couples whose only problem is that the woman does not ovulate. Eventhough an easy technique, as we are stimulating the ovary to produce eggs, a strict control is necessary. This control should be done by experts, through vaginal ultrasound, in order to avoid any complications such as a multiple pregnancy. “We recommend to have only to try from 3 to 4 times only” The success rate of this technique is between 10 and 15%. It is recommended to try from 3 to 4 times only, otherwise the couple should move to the next assisted reproduction treatment. Using another treatment is very important, as trying the same method several times is just a waste of time, eggs reserve and money. Aproximately 40% of couples that go through timed intercourse succeed after going through 4 cycles. Some, of course, can succeed in the first one, others in the last cycles.

Doctor appointment services, diagnosis and infertility treatment The first step when treating infertility is to have a proper diagnosis. To acomplish this diagnosis, it is necessary to study both men and women in order to discard any infertility causes. All people and couples with infertility problems are different, that is why it is vital to get a personalized diagnosis in order to offer a proper treatment. Infertility doctor appointment and counseling In the infertility doctor appointment, our specialists in reproductive medicine develop a trustful relationship doctor-patient in order to determine the infertility causes and the necessary analysis that will integrate a diagnosis. During the appointment, a deep analysis of the patient is done, including an ultrasound study. Also, our department of patient support performs an analysis of the stress and anxiety levels. Besides listening carefully, the doctor kindly explains the way the specific case will be treated, the different infertility causes and the reason for the necessary analysis, as well as details and duration. Once the diagnosis is done, our specialists explain the different options, in order that, together with the patients, the best alternative is chosen. If you need more information and wish to prepare for the appointment, click here Show more Emotional support Infertility is considered as a sickness due to the emotional impact that can be caused to the patients. This is why the emotional support is key during the infertility treatments. Our group of psicologysts evaluate and bring support before, during and after the treatment. It is very common that patients arriving to a doctor appointment or to a treatment are under some level of stress and anxiety. Having the treatment in the more relaxed way possible allows the treatment to achieve better results. In FiVER, we try hard that, the stay of our patients in the city and the emotional support generate a more relaxed and optimal environment. If you wish to know more about our support service, click here Show more Infertility clinical analysis During the couples analysis and during treatments, it will be necessary to have hormonal blood analysis. These studies bring key information that will help our specialists in the diagnosis and treatment follow up. In FiVER, we have an analysis lab, as it is key for any fertility clinic to perform the necessary studies at all times. Show more Hysteroscopy It is a very useful technique for the infertility study and treatment. It consists in introducing a small video camera in the uterus. This allows our specialists to directly see the status of the cervix and womb in order to discard any abnormality or treat it if necessary. The advantage of this technique is that it does not need a surgery, does not leave any scar, it lasts a couple of minutes and the patient is back to normal life in a few hours. Show more Study and treatment of endometriosis Besides causing infertility, endometriosis affects quality life of women who have it. Lots of women with endometriosis have constant pain that will increase during their period as well as during sexual intercourse. In lots of cases, this problem is not diagnosed and women suffer for a long time. In FiVER, our specialists use the most advanced medical and quirurgical treatments to treat this problem. Show more Folicular monitoring For the reproductive treatments, it is necessary to stimulate the ovaries with hormones in order to produce an adequate number of eggs. It is important to have a proper control through ultrasound and hormonal determinations to adjust the dose and detect the exact moment of the treatment, that is, just before ovulation. In FiVER, we have a strict control during monitoring. Having enough personnel with more than a decade of experience, we make sure that an expert is available to monitor, no matter the day of the year or hour of the day. Also, our nurses take care of injecting our patients as well as training them, this way our patients can inject themselves as well as handle and conserve the medicaments. If you wish to have a folicular monitoring done, come to FiVER, where we will bring you the monitoring and application of medicaments services. Show more

Doctor appointment services, diagnosis and infertility treatment In FiVER, we offer you a wide range of options to diagnose and treat infertility: from the first doctor appointment, fertility studies, diagnosis and emotional support, to the assisted reproduction treatments. In this section, you will find a useful guide of all our services and most used treatments. General infertility treatments Doctor appointment and infertility counseling Emotional support Infertility clinical analysis Hysteroscopy Study and treatment of endometriosis Follicular monitoring Show more Assisted reproduction treatments Timed intercourse Intrauterine Insemination In vitro fertilization Egg donation Show more Andrology services Sperm studies Testicule biopsy Semen freezing Sperm bank Show more We support you in your stay Travel planning Hotel reservation Assistance during your stay Show more

Relax and tranquility, two basic essentials to get pregnant How many times have we heard that someone “went on vacations and got pregnant”? Medical studies show that relax and tranquility have a direct influence in the pregnancy possibilities. At the same time, any fertility treatment being IUI, IVF or other, is directly influenced by the patient’s state of mind. This is the reason why, enjoying Veracruz nature and tranquility contrary to stressful, polluted and jammed cities, increases the easiness in the patients that will go through a fertility treatment, increasing then the possibilities of getting pregnant. Veracruz, sun, beach and much more. “I received my fertility treatment and then went to have a coffee, relaxing next to the malecón” says Sofía, FiVER patient. Veracruz location is optimal to enjoy some family days next to the sea. There are many patients that come to Veracruz from other cities not only to enjoy some days of sun and beach, but also to have their fertility treatment here. There is nothing better and nicer than enjoying nature and sun in a calmed environment while we rely on professionals to help us with the fertility treatments that will help us reach the dream of having a “FiVER baby” home. Thanks to FiVER’s agreements with local hotels, our patients can enjoy some relaxed days in Veracruz with very special prices while having their fertility treatment. We have available all the services of the hotels we usually collaborate with, very close to our clinic and also very close from the sea. FiVER, your assisted reproduction center in Veracruz Coming to Veracruz gives our patients a very positive mind, which is ideal to improve the results of their treatment. For this reason, Veracruz is a key point that brings great value and success possibilities in every IVF, IUI, or any other treatment. The combination of cultural tourism (downtown and museums), nature (river and mangrove zones), entertainment (coffee shops, restaurants, bars) and of course, the beach and sea, makes Veracruz a place that exceeds expectations of patients that will come to FiVER to have their treatment while enjoying and relaxing with the family.

How much does a fertility treatment cost? The success of a fertility treatment consists in making it personalized. Each person should have a true diagnostic in order to have the proposal of the most effective and economic treatment, always adapted to each person’s needs. This will avoid time wasted in other treatments that bring economical and emotional fatigue. First doctor’s appointment and treatment proposal The cost of the diagnostic and treatment doctor’s appointment is similar to any other doctor’s appointment. There you will receive the personalized budget proposal. Every case is different and every fertility treatment proposed will be the optimal for each case. Budget proposal. Intrauterine Insemination IUI and in-vitro fertilization (IVF) costs. If you succeed in getting pregnant on the first cycle, why would you need to pay for more than one treatment? In FiVER, you only pay for the treatments you go through to get pregnant. The prices FiVER offers for IUI and IVF are prices for one treatment, having competitive prices that allow more people to afford them. In FiVER, we work for every woman to get pregnant in the most economic way, with the less number of cycles. Once the patient has a personalized diagnostic, the doctor hands over the budget of the treatment chosen together, having decided the best treatment according to the needs in both succeed and price terms. This budget is no commitment. We just inform about the treatment possibilities and prices. Payment options In FiVER, we have different payment and financing options. Besides, our services can be paid in all available market ways: Cash. Credit card. Bank deposit. Financing of fertility treatments In FiVER, we have different ways of financing our treatments. Besides the usual payment means, we have plans adapted to our patients needs.

Our results With assisted reproduction techniques, 9 out of 10 couples can get pregnant. In Centro FiVER we have reached and mantained excellent results with our techniques. A big number of patients have reached their dream during the 10 years of experience we already have. It is important to point out that statistics of the treatments can be confusing as they can be interpreted in different ways. The best way to see the results of a clinic is based in the information published by international organizations such as the European Society of Human Reproduction and Embriology (ESHRE) or the American Society for Reproductive Medicine. These Societies have information of hundreds of clinics, all in the same format and under constant review. Statistics also vary according to the woman’s age, as infertility is lower in women under 35 and higher in women of 39, for example. Programmed intercouse Pregnancy rate: up to 20% per cycle Intrauterine Insemination (IUI) Pregnancy rate: up to 25% per cycle In vitro Fertilization (IVF) Pregnancy rate: up to 55% per cycle Egg Donation Pregnancy rate: up to 65% per cycle