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At Agost+ we have a wide and complete portfolio of assisted reproduction treatments. The treatments are aimed at couples, single women or couples of women or men who wish to have children, but have difficulties in achieving pregnancy naturally.
Fertility treatments increase the chances of pregnancy in couples with difficulties to conceive and range from low to high complexity treatments, depending on the case, among which we have:
Ovulation induction is an assisted reproduction treatment that consists of administering hormones to stimulate the development of few eggs in women who are not ovulating. The main difference with ovarian stimulation is that there is no development of multiple follicles during this treatment, the patient will receive medications containing FSH and LH hormones. These hormones promote the growth of 1-2 follicles, structures inside of which the egg is located. Therefore, ovulation induction is recommended for women with polycystic ovary syndrome (PCOS) and ovulation problems, this treatment is also useful in cases of infertility of unknown cause.
The andrology laboratory prepares the semen sample in order to recover the most suitable sperm for fertilization (REM) by mimicking what occurs physiologically in the tubes (non-viable, weak or slow sperm are eliminated).
Insemination: The sperm are loaded into a cannula appropriate for insemination and this is introduced through the cervix to deposit the gametes in the region closest to the uterine tubes. This process is painless and does not require rest.
Also called conventional in vitro fertilization (IVF) is an assisted reproduction procedure performed in a fertility laboratory. In this process, oocytes obtained from ovarian puncture are incubated together with spermatozoa in a laboratory dish. This incubation must be performed under optimal conditions for fertilization to occur. The fastest sperm will be able to fertilize the egg by itself and give rise to an embryo. The embryos will be kept in culture until the day of the embryo transfer or vitrification for transfer at a later time. The choice of treatment is determined by the gynecologist specializing in assisted reproduction, who will consider the one that is most appropriate to the causes of infertility. Conventional in vitro fertilization (IVF) is recommended for patients who are in some of the following situations:
Low ovarian reserve. Obstruction of the fallopian tubes, since the encounter between the egg and the sperm would not occur naturally or by insemination. Failure in previous artificial insemination cycles.
ICSI is an assisted reproduction technique used to treat cases of male infertility, such as oligozoospermia (low sperm concentration), azoospermia (absence of sperm), teratozoospermia (few sperm with adequate morphology) or asthenozoospermia (low motility). In this procedure, a single sperm is directly injected into the cytoplasm of a female egg. ICSI is performed as part of IVF treatment and is specifically designed to help couples who are having difficulty conceiving. In addition to the obvious causes of male and/or female infertility that require ICSI, there are other indications within assisted reproduction treatment that require the use of this technique:
When previous IVF attempts have failed. When PGD is to be performed. It is important to keep in mind that the choice of the reproductive technique should be made taking into account all the previous history of the patients and the results of the couple’s medical tests.
The transfer of frozen or vitrified embryos: It is an assisted reproduction procedure that is performed using embryos created in a previous cycle of in vitro fertilization (IVF) that were frozen through the process of embryo vitrification. For the transfer, the woman’s endometrium is prepared so that it is receptive to embryo implantation. In the embryology laboratory, the embryos are thawed and their survival is evaluated before proceeding to transfer. The transfer of frozen embryos is performed using a transfer cannula, which is a very fine catheter into which the embryos are placed. The cannula is inserted through the cervix and guided into the uterus, where the embryos are deposited. Frozen embryo transfer is a safe and effective technique that offers a success rate similar to that of fresh embryos.
Laparoscopic surgery is a minimally invasive surgical technique used in assisted reproduction treatments to treat fertility problems in women. This technique is performed through small incisions in the abdomen, through which a laparoscope is introduced, an instrument that allows visualizing the inside of the abdomen and performing the surgery. Laparoscopic surgery is used to treat problems such as endometriosis, fallopian tube obstruction, ovarian cysts and the removal of uterine fibroids. Laparoscopic surgery is performed by a gynecological surgeon specialized in this type of procedure.
In fertilization treatments, for a future instead of laparoscopic surgery, to have the tab of surgical treatments, where the other interventions to be performed are included and there it is up to the infectologist doctors to give their definition and use, such as vasectomy reversal, tubal recanalization, testicular biopsy, hysteroscopy and hysterosalpingography. These are procedures that we can offer in the unit.
The ROPA method (Reception of Oocytes from the Couple) is an assisted reproduction technique exclusively for couples of women who wish to have children. This method allows both women to actively participate in the process of conception and development of the baby. The ROPA method is an in vitro fertilization (IVF) treatment in which one of the women provides the eggs and the other woman carries out the pregnancy. Thus, one of the two women (the egg “donor”) will have to undergo controlled ovarian stimulation (COS) and follicular puncture. The other woman (the “gestational mother”) will be in charge of carrying the baby. The ROPA method makes it possible for both women to feel involved in the search for their future child.
It is important to keep in mind that the choice of the reproductive technique will depend on the previous clinical history of the patients and the results of the couple’s psychological and medical tests.Surrogacy is a process by which a woman carries to term the pregnancy of another person or couple, who will be the intended parents of the child. In some countries surrogacy is illegal and is considered a form of violence against women. However, some foreign individuals and couples seek this practice in other countries where it is legal. Surrogacy is recommended for patients in some of the following situations:
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