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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.

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

Relax y tranquilidad esenciales para lograr el embarazo ¿Cuántas veces hemos oído a alguien decir “Se fue de vacaciones y quedó embarazada”? Estudios médicos revelan que el relax y la tranquilidad influyen de manera directa en las posibilidades de lograr un embarazo. Del mismo modo, cualquier tratamiento de fertilidad, ya sea Inseminación artificial (IA), Fertilización in Vitro (FIV) o de cualquier otro tipo, se ve directamente influenciado por el estado de ánimo del paciente. Por este motivo, disfrutar de la naturaleza y la tranquilidad de Veracruz frente al estrés, contaminación y tráfico de otras ciudades, aumenta la tranquilidad en las personas que se van a someter a un tratamiento de fertilidad y por tanto las oportunidades de lograr un embarazo. Veracruz: sol, playa y mucho más “Recibí mi tratamiento de fertilidad y fui a relajarme tomando un café junto al malecón” Sofía, paciente FiVER. La localización de Veracruz, es óptima para disfrutar de unos días con la familia junto al mar. Son muchas las personas que acuden a Veracruz de localidades cercanas no sólo para disfrutar de unos días de sol y playa, sino también para someterse a un tratamiento de fertilidad. Qué mejor que disfrutar del sol y la naturaleza para que en un ambiente tranquilo, relajado y descansando unos días en familia, nos pongamos en manos de profesionales que nos ayuden a alcanzar nuestro sueño de tener un “bebé FiVER” en casa. Gracias a los acuerdos que FiVER ha alcanzado con alojamientos y establecimientos locales, es posible que nuestros pacientes disfruten de unos días de descanso en la ciudad a un precio muy especial mientras se realizan su tratamiento de fertilidad. En centro FiVER ponemos a tu disposición todo el servicio de alojamientos con los que colaboramos habitualmente, muy cerca de nuestro centro y a sólo unos metros del mar. FiVER, tu centro de reproducción asistida en Veracruz Venir a Veracruz, genera en nuestros pacientes un estado de ánimo muy positivo, ideal para mejorar los resultados de su tratamiento. Por este motivo, Veracruz es un elemento más y muy importante que aporta un gran valor y probabilidades de éxito en cada tratamiento de Fertilización in Vitro (FIV), inseminación artificial (IA) o de cualquier otro tipo. La combinación de turismo cultural (a través de la visita de su centro histórico y museos), naturaleza (a través de sus extensas zonas de río y manglar), ocio (con todos sus cafés y restaurantes) y, cómo no, sus playas y mar; permiten a Veracruz cubrir las expectativas de todos los pacientes que acuden a FiVER para ser tratados, disfrutando y relajándose junto a su familia.

Comunidad FiVER Descubre como cambió la vida de muchas mamás y papás que ya tienen su “Bebé FiVER” en casa. Son muchas las historias de familias a las que FiVER ha acercado su sueño y lo ha hecho realidad en sus más de 10 años de historia. Tu historia puede ser la próxima. A través de la Comunidad FiVER tienes a tu alcance la oportunidad de compartir todas las dudas y sentimientos que vivimos juntos cuando buscas alcanzar tu sueño de ser mamá. Podrás preguntar a otras mamás y papás FiVER y recibir el consejo de familias que han vivido antes tu misma situación. Conocerás mucho más de Centro FiVER, de todo lo que te ofrece, y compartir los éxitos que han logrado las familias que se han acercado hasta Veracruz, para cambiar su vida. En definitiva, en comunidad FiVER, podrás compartir la experiencia y la emoción que suponer recorrer el camino de ser mamá y alcanzar el sueño de tener un Bebé FiVER en casa. Testimonios Queremos compartir contigo las historias de muchas “mamás FiVER” que se decidieron a cumplir su sueño y a hacerlo realidad porque la infertilidad es algo cada vez más común entre la población y cada vez más personas necesitan de ayuda para poderse embarazar. Videos Fotos Experiencias Mostrar más Tu especialista FiVER responde Los especialistas en fertilidad de FiVER responden a todas tus dudas. Debido a que las cuestiones de fertilidad son temas muy técnicos y especializados, desde la web de FiVER queremos hacer un primer acercamiento y responder, de manera general, a todas esas dudas que surjan entre todos nuestros usuarios.Mostrar más Blog FiVER A través del blog, especialistas de diferentes áreas comparten contigo experiencias y consejos para ayudarte a quedar embarazada. Primeros Pasos. No me puedo embarazar ¿por qué me siento así?. Todos preguntan cuándo nos vamos a embarazar. Recomendaciones FiVER para tu embarazo. Más sobre fertilidad. Mostrar más Foro Fiver A través del foro FiVER podrás compartir con otras pacientes el camino que recorres hasta cumplir tu sueño de ser mamá FiVER contando las experiencias de cada quien en los distintos tratamientos y momentos del mismo. Además, puedes hacer tus preguntas a otras mamás que ya han alcanzado su sueño de tener un Bebé FiVER y que te podrán contar su experiencia.Mostrar más Aplicaciones FiVER Con tus aplicaciones FiVER podrás conocer más acerca de todos los datos que necesitas para quedar embarazada. De un modo rápido y sencillo, podrás acceder a mucha información útil que te ayude en tu camino para ser mamá. Desde un equipo con conexión a internet pueden ser consultadas, en cualquier lugar y en cualquier momento accede y comparte esta información.Mostrar más FiVER Contigo En FiVER sabemos de lo importante que es cumplir el sueño de ser padres y por este motivo, queremos acercar nuestros tratamientos de fertilidad a todas las personas que, con menos recursos, quieren hacer realidad su sueño de tener un Bebé FiVER.Mostrar más Redes Sociales Síguenos y deja tu comentario en nuestras redes sociales. Comparte tu experiencia con otras mamás que quieran alcanzar su sueño. Cuéntanos como te sientes con tu “Bebé FiVER” y como ha cambiado tu vida desde entonces.Mostrar más

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.

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.

Servicios de consulta, diagnóstico y tratamiento de infertilidad En FiVER, ofrecemos una amplia gama de opciones para diagnosticar y tratar la infertilidad, estas opciones van desde la consulta, estudio, diagnóstico y apoyo emocional de nuestros pacientes hasta los tratamientos de reproducción asistida como la inseminación artificial, fertilización in vitro, etc. En esta sección encontrarás una guía muy útil para conocer todos los servicios y tratamientos más utilizados. Servicios generales de infertilidad Consulta y asesoría de infertilidad Apoyo emocional Análisis clínicos de infertilidad Histeroscopía Estudio y tratamiento de endometriosis Monitoreos foliculares Mostrar más Tratamientos de reproducción asistida Coito programado Inseminación artificial Fertilización in vitro Donación de óvulos Mostrar más Servicios de Andrología Estudio de semen Biopsia de testículo Congelación de espermatozoides Banco de semen Mostrar más Te ayudamos con tu estancia Planificación de tu viaje Reserva de hotel Asistencia durante tu estancia Mostrar más

Testimonios Queremos compartir contigo las historias de muchas “mamás FiVER” que se decidieron a cumplir su sueño y a hacerlo realidad porque la infertilidad es algo cada vez más común entre la población y cada vez más personas necesitan de ayuda para poderse embarazar. En Centro FiVER queremos acercar tu sueño y que lo compartas con nosotros. f i v e rvideosf i v e rFotosf i v e rExperiencias

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

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.