Surely you have questions and doubts about sterility or infertility. Why it happens? What treatments can be followed in each case?… At the Cefer Reproduction Institute we have selected the most common ones so that you can consult them whenever you want.
Yes, using the IVF-ICSI technique with sperm extracted from the testicle (TESE)
You must resort to in vitro fertilization (IVF). In this way, the eggs can be extracted from the ovaries and later the embryos (fertilized eggs) can be transferred. It is not necessary for the tubes to be permeable, it can even be done without tubes
At the Cefer Institute we opted for ICSI since better results are obtained than with conventional IVF. Sperm microinjection (ICSI) is a variant of IVF (in vitro fertilization) that consists of introducing a selected sperm into a mature egg, ensuring the encounter between the two. Low sperm count or mobility problems become secondary. On the contrary, in conventional IVF it is possible that no spermatozoon enters the egg, or that more than one does, with which the embryo will not be viable.
Yes, if he comes as your partner. In that case, you must give your consent in writing, assuming paternity, that is, all rights and obligations over the child. If your friend acts as a simple donor, it is not possible, because Spanish Law requires that the sperm donor be anonymous.
For this, it is necessary that you visit the Cefer Institute at least twice: a previous visit (or several) to review the studies that have been carried out previously and verify that the indication is correct. After taking the medical history and examination, factors that may invalidate the initially planned treatment must be ruled out. If there are several possibilities, the pros and cons are reported so that you can decide freely.
In addition, to facilitate your comfort, when we use sperm from a bank, visits can be made by videoconference.
In general, it is advisable to rest, especially the first few days. The essential thing is to avoid extreme efforts, such as lifting weights, which could jeopardize a possible pregnancy. The doctor will assess each case and indicate if more rest is required.
There are several reasons to repeat a semen analysis: it is old, it is incomplete, additional information is required, to know the response to a treatment…
The period (as a sign that between periods you ovulate) is a necessary requirement to achieve a natural pregnancy, although it is not the only one. A woman who does not have her period (amenorrhea) can become pregnant if she follows an adequate treatment, either normalizing the hormonal values or resorting to donated eggs.
Statistically it has been observed that the fertility of women decreases after the age of 35. This age is indicative and in each woman, different. From the age of 44-45, the possibility of pregnancy with one’s own eggs is very low. The reason is because the woman is born with a limited number of ovules that she spends throughout her life, the reserve decreasing from the age of 35 and much more from the age of 40. The age of the woman is the most important prognostic factor regarding the chances of pregnancy. On the contrary, the age of the man has much less relevance, since he constantly produces new sperm.
Nowadays it is possible to know the sex of the embryos before they are transferred, but the Spanish Law only allows it in those cases in which there is a medical reason.
If a low seminal quality is not observed and there is no discomfort, it is not necessary to undergo surgery. On the contrary, if a low seminal quality is observed, operating the varicocele can significantly improve the seminal parameters, in some cases. The andrologist will indicate if in your case it is useful to have an operation.
The medicines that are prescribed are recombinant hormones, that is, synthesized with a genetic engineering technique, being like the natural ones that are produced in the pituitary gland
In some cases it is not necessary to undergo an assisted reproductive technique. For example, in a man with low hormone levels, one solution is to administer the missing hormone. In the event of an infection, antibiotic treatment may suffice. A woman who does not ovulate due to elevated prolactin can be normalized with medical treatment, make the woman ovulate and become pregnant.