Centro de Reproducción Fertility Clinic in La Plata, Argentina
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Description
Our ORIGIN : accompanying you since 1985.
Conceived as a fertility center, in the urban area of La Plata, under the norms of the scientific societies SAMeR and REDLARA.
Our VALUES are commitment, respect, and warmth with our patients.
Our MISSION is to provide an excellent service in Reproductive Medicine, which is why we have a team of highly qualified professionals to offer you a comprehensive and personalized service.
WE TELL YOU ABOUT ASSISTED REPRODUCTION TECHNIQUES
LOW COMPLEXITY:
INTRAUTERINE INSEMINATION
It is a Low Complexity Assisted Reproduction technique that consists of depositing previously trained spermatozoa in the female reproductive system in order to achieve pregnancy. The procedure includes stimulation of follicular development, using a medication, and ultrasound monitoring. It is indicated mostly for cervical factors, moderate malefactor, and unexplained infertility. In the case of azoospermia, severe male factor, single woman or with a female partner, insemination with gamete bank semen is indicated.
CRYOPRESERVATION OF SEMEN
Sperm freezing is a widely used technique to preserve fertility in the male. The sperm are protected in optimal conditions to have them in future Assisted Reproduction treatments. In the event of severe male factor, travel, or difficulty in obtaining the sample, the availability of sperm is ensured on the day of the follicular puncture. In cancer patients who are going to undergo chemo or radiotherapy, preservation is recommended since the seminal quality could be altered. Cryoprotectants are added to the semen sample to prevent damage to the cells. It is fractionated into cryotubes and is brought to a temperature drop to -196 ° C, depositing indefinitely in liquid Nitrogen.
HIGH COMPLEXITY:
CONVENTIONAL IN VITRO FERTILIZATION (IVF)
Technique by which the union of the ovum with the sperm occurs outside the mother's body. That is, it happens in the laboratory, in-vitro. It consists of depositing sperm, previously trained, together with the ovum in a Petri dish. The result of fertilization is observed approximately 18 hours later, visualizing the number of normally fertilized ovules (zygote).
IN VITRO FERTILIZATION BY INTRACITOPLASMATIC SPERMATOZOID INJECTION (ICSI)
Another alternative to conventional In Vitro Fertilization refers to the selection of a suitable sperm that is introduced, using a fine needle, into the ovum. It is a more complex technique indicated mainly in diagnoses of severe male factor or previous IVF failures.
SPERMATOZOID RECOVERY TECHNIQUES
A testicular biopsy allows the recovery of sperm when they are not present in the ejaculate (obstructive azoospermia). It is a simple surgical procedure by which testicular tissue is obtained that will be later processed and stored in the laboratory. It is important to deal with a specialized Andrologist doctor.
CRYOPRESERVATION OF EGGS
Egg vitrification (freezing eggs) is a safe technique that consists of cryopreserving the gametes in liquid nitrogen, maintaining the same chances of pregnancy as when they were frozen. It can be done to preserve and postpone motherhood for social reasons or in patients whose future fertility is compromised by radio-chemotherapy treatments or surgery. The age of the woman is a fundamental factor. In general, fertility begins to decrease after the age of 35 and decreases abruptly after the age of 40.
Steps: 1- Ovarian evaluation. 2- Controlled ovarian stimulation. 3- Treatment monitoring. 4- Ovarian puncture. 5- Obtaining the ovules. 6- Vitrification of the ovules.
EMBRYO CRYOPRESERVATION
The cryopreservation of embryos, through vitrification, allows them to be stored in optimal conditions to have them in future transfers and achieve pregnancy.
OVODONATION
Egg donation is also an option. Thanks to the reception of donor eggs, women with ovarian failure, low response to controlled stimulation, poor quality eggs, menopause, or repeated failures in High Complexity treatments are allowed to live pregnancy. The eggs are inseminated in the laboratory in vitro with sperm from the couple, if any, or semen from the gamete bank, in order to obtain embryos to be transferred to the maternal uterus or to be cryopreserved.
EMBRYONIC TRANSFER
Last step of an In Vitro Fertilization, but not least. It is a simple, painless procedure, does not require anesthesia, and like follicular puncture, it is performed in the operating room. It consists of the location, guided by ultrasound, of the embryos in the maternal uterus. For which a fine catheter is used, made with a very flexible material so as not to damage the walls of the endometrium, where the embryo will be implanted. It is generally performed on days 3 or 5 of embryonic development, to be determined by the team of professionals and the patient, in each specific case. It is important to follow the medical indications before and after the embryo transfer.
LABORATORY ANALYSIS
COMPLETE SPERMOGRAM WITH STRICT KRUGER MORPHOLOGY
It is one of the basic tests in the analysis of the malefactor, it allows us to have a first approximation to the seminal quality. It is indicated for the evaluation of fertile potential and as a criterion for the selection among the different Assisted Reproduction techniques. The semen evaluation process is divided into the macroscopic and microscopic examination, following reference values published by the WHO in 2010, outside of which the sperm is considered out of normality.
SPERM DNA FRAGMENTATION
Analysis referring to the state in which the DNA of the sperm located in the head of the same is found and which constitutes the genetic load of the individual. This DNA, in certain situations, can be fragmented in a way that suggests a decrease in the fertile potential of the semen sample. It is a multifactorial process and its evaluation is especially recommended in couples with repeated abortions, couples with unexplained infertility, men over 40 years of age, men with a history of cancer, exposure to toxic agents, urogenital infections, smoking, or obesity. 15% of men considered infertile have a normal spermogram, therefore it is important to evaluate the seminal sample in depth.
ENDOMETRIUM STUDY
The ERA (Endometrial Receptivity Array) test is used to determine, in a personalized way, the implantation window by diagnosing the gene expression of the endometrium. It allows calculating the best time to carry out the embryo transfer.
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