The initial approach to the problem of infertility usually begins with a series of basic tests: in women, clinical tests to check hormone levels, pelvic examination and ultrasound evaluation. In men the most important is a semen analysis to assess sperm quality.
The causes of infertility are very varied, there are techniques appropriate to each situation. The following techniques are some of the ones performed at Ferticentro:
Intra-Uterine Insemination (IUI, also known as Artificial Insemination) or Intra-Uterine Insemination with donor sperm involves the insertion of a sample of treated and pre-washed sperm into the womb around the time an oocyte is released from the ovary. It is a fertility treatment that can be performed either in stimulated cycles (those in which the woman takes drugs that induce ovulation) or in natural (non-stimulated) cycles. Intrauterine insemination should be done at the time of ovulation (release of an oocyte through the ovary) in order to increase the likelihood of fertilisation.
Intrauterine insemination can be done with sperm from the male partner (when applicable) or with donor sperm, and is especially indicated in women under 35 years of age and who have healthy tubes. [know more]
In Vitro Fertilisation
In In vitro fertilisation (IVF), the oocytes are collected from the ovaries, and then fertilised with sperm (of the couple's male element, if applicable, or with donor sperm) in a laboratory environment. One or two of the embryos then obtained are transferred to the woman's womb, in order to achieve pregnancy.
IVF can be used in situations of unexplained infertility, obstruction or absence of the Fallopian tubes, and after the failure of previous first line (IUI, timed coitus) treatments. In situations of male factor or when the woman is over 35 years, it may also be preferable to perform ICSI rather than traditional IVF, since the total or partial failure of fertilisation in conventional IVF could put the treatment at risk. [know more]
ICSI - Intracitoplasmic Sperm Injection
The intracitoplasmic sperm injection (ICSI) is the injection of a single sperm within the oocyte, thus giving rise to an embryo.
Oocytes are collected from the ovaries and fertilized in the laboratory . ICSI is usually advised in cases of severe oligozoospermia (men with a very low number of spermatozoa) or absence of fertilization in previous attempts of conventional IVF. To perform an ICSI, only one sperm per egg is required, whereas in classic IVF between 50,000 and 100,000 spermatozoa are required. Once obtained, the embryos are transferred to the woman's uterus for implant and potential pregnancy. [know more]
IVF/ICSI with donor eggs
In situations where it is not possible for medical reasons to perform the treatment with a couple's own oocytes and sperm (for example, if they are not produced or are not of sufficient quality to be used in the treatment; or because of the risk of transmission of genetic diseases), there may be the need to resort to donor gametes.
IVF / ICSI with donor eggs (oocyte donation) enables women in ovarian failure or with certain genetic diseases to fulfil their dream of becoming pregnant and being a mother. The donation process is anonymous; totally confidential and undertaken within an established framework which supports the highest quality and safety standards as laid down by the National Board of Medically Assisted Procreation and by the recommendation of internationally accepted good medical practice. [know more]
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