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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

Technology used in infertility treatments In order to perform the assisted reproduction treatments properly, it is necessary to have special technology. This technology requires special installations, equipment and specialized methodology that you can hardly get at any conventional gynecologic appointment. The results of a fertility clinic are mostly due to the technology used, being this a very important point to consider when looking for a fertility clinic. Ideally, the clinic must be designed as a fertility clinic since the beginning, complying with the technological requirements to perform the treatments. This is why you should make sure that your clinic has been designed as such since the beginning, also making sure that the equipment has all the technical and quality specifications. FiVER has considered all the above, developing the necessary technology to bring our patients our treatments, obtaining the best results. Show more FiVER installations FiVER was designed and built to be a reproduction center since the beginning. The different building zones are distributed to function according to the needs of the treatments performed. Assisted reproduction Laboratories The laboratories are the most important zone in a reproduction center. This is the place where we work with sperm, oocytes and embryos. The andrology lab is where the semen samples are processed and where we prepare the sperm that will be used in the treatment or that will be frozen. The embiology lab is where we receive and prepare the oocytes, where the oocytes are fertilized with the sperm and where the embryos are kept until being transferred to the patient or frozen. In FiVER, our labs comply with the most relevant specifications: Labs are strategically located towards the procedure rooms, to facilitate the transport of the gametes and personnel circulation. The materials and the finishing touches of the laboratories are specific for the preservation of the embryos. The painting is epoxy special and doesn’t produce vapors or odors. The surfaces are flat and smooth and we only place any necessary equipment inside the lab in order to enable the cleaning processes. The embryology lab has an special air conditioning system that filters air and produces positive pressure to avoid the entry of dust. Besides, it keeps constant temperature and humidity needed during the procedures. The laboratories are windowless, in order to avoid the entry of natural light which could alter sperm, oocytes or embryos. Show more Procedure room This is where the oocytes are extracted, the embryos are transfered and the semen is introduced in to our patients. It is located next to the lab, in order to transport the gametes and embryos immediately and safely. Similar to the embryology lab, the temperature, air quality and humidity are controlled. This room is only used for the assisted reproduction treatments, in order to avoid contamination and embriotoxic odors that would be produced if other procedures were performed. Recovery rooms This is where patients are prepared before the procedure and where they relax after each treatment. These are rooms conditioned for the patient to be comfortable and relaxed. Doctor’s Office

Assisted reproduction techniques: safe treatments that offer the best results. Through the years, the assisted reproduction techniques have demonstrated to be the best alternative to treat infertility. With the science advance, the effectiveness has grown and, together with the experience obtained, there are less complications or side effects. It is very important to mention that, for these treatments to work safely, you should go to a specialized clinic that has the necessary experience, in order to avoid any complication that could appear if you go treat yourself by unexpert hands. Assisted reproduction techniques are normally classified in two, according to their complexity: Low complexity techniques They require less sophisticated technology, as well as a lower dose of medicine, making them more affordable. Timed intercourse. Intrauterine insemination. High complexity techniques They require more infraestructure, personnel, more medicine dose, having a higher price than the low complexity ones. They are only performed in assisted reproduction clinics. These techniques are: In vitro fertilization Egg donation Success in the infertiliy treatments The key to treat infertility successfully is to accomplish an individual diagnosis and to select the reproduction technique for the specific case. Even though it is true that the successful rate for each cycle is higher in some cases than in others, if the right treatment is chosen, the pregnancy will be possible with the simplest technique. FiVER goal“A pregnancy of one healthy baby, using the simplest and more effective treatment possible, avoiding the extra use of medicines, dose, treatments, risks and unnesessary expenses.“ With the above, we avoid more medicine, innecessary risks and expenses. In FiVER, we perform the simplest to the most complex technique, chosing always the best treatment for each patient. The objective of the assisted reproduction program in FiVER is a pregnancy of one healthy baby, using the simplest and more effective treatment possible, avoiding the extra use of medicines, dose, treatments, risks and unnesessary expenses.

Specialists in assisted reproduction Our team is formed by assisted reproduction specialists whose job is to kindly treat our patient’s needs both in the medical and emotional aspects. It is thanks to this professional team formed by doctors, embryologists, genetists, psychologists, nurses, laboratorists, receptionists that Fiver can offer you the professional service you need. To perform the assisted reproduction treatments in a safe way and achieve good results, it is necessary that our infertility specialists have experience and studies abroad in centers specialized in human reproduction. In FiVER, our specialists have the mentioned experience which allows them to treat the infertility problems in the best way. Our specialists Dr. Jorge Amerena LagunesGinecólogo Veracruz Dr. Eduardo González-Sicilia MuñozGinecólogo Veracruz Dr. Victor Andrade GonzálezGinecólogo Veracruz Dr. Cesar Hernández UscangaGinecólogo Veracruz Dr. Luis Antonio Azamar MatíasGinecólogo Veracruz Dra. Ariana Gómez SánchezGinecólogo Veracruz Dra. Sonia Fuster RojasGinecólogo Veracruz Dr. Tadeo Cerón TorresGenetista Veracruz Our laboratory specialists Dr. Jorge Amerena AbreuEmbriólogo Clínico Veracruz Patient Support Team Psic. Claudia Dorantes LagosPsicóloga Veracruz Administration Team Lic. Carlos M. Davó JimenezAtención y Comunicación al Paciente