Nombre del autor:fiveradmin

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

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.

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

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

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.

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.

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

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

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.