The 20 key questions of Infertility Treatments

The first time in an infertility consultation. Everything is questions and many answers. There is a long way to go, but thanks to the help of professionals and advances in the field of assisted reproduction, times are shortening. At least the psychological time. That long wait that parents accumulate when they first sit down in front of a specialist.

The desired baby does not arrive and inevitably, the first question is:

What happens to us, doctor?

To obtain a precise and clear answer, we will have to wait for the results of the tests that are differentiated by sex. If we generalize, we could say, say the experts from Clínicas Eva, that in their case, age usually plays a determining role. In theirs, the problem usually has its origin in alterations in the characteristics of the semen.

What is the female fertility study?

In a comprehensive study of the patient’s medical history, a vaginal ultrasound and general and hormonal laboratory tests. The latter takes place between days three and five of the hormonal cycle.

And the masculine one, of what tests does it consist?

It consists of a seminogram, the study of the behavior of sperm. Macroscopic aspects are studied, such as viscosity or volume; and microscopic aspects, such as concentration and mobility. It is also possible to perform a Mobile Sperm Count, known as REM.

Once the problem is detected:

How long does the treatment last?

The times of the treatments, either Artificial Insemination or In Vitro Fertilization, are similar: approximately five weeks.

Will my baby different, less healthy for being born through assisted reproduction?

Absolutely. On the contrary, thanks to a technique called PGD, alterations in the genes that cause disease in embryos can be detected and ruled out.

What if you were born thanks to an anonymous donor?

Donor selection is a procedure subject to strict sanitary and legal controls. Donors must go through a series of physical and mental tests, in addition to a severe medical examination. All this allows to rule out pathologies that could affect the health of the future baby.

Will it look like me if the baby is born by egg donation?

In the donor selection programs, the clinic professionals explain, the maximum phenotypic similarity of the donor with the future mother is guaranteed. This means that both are as similar as possible in aspects such as weight, skin and eye color and height. On the other hand, people with direct kinship are not allowed.

Could we then choose in an egg donation the physical characteristics that we want for our baby?

No, it is prohibited by the Law of Assisted Reproduction. The Bioethics Committee ensures that there are no “à la carte babies” as a result of whims or fashions.

Will we ever know the identity of the donor of the eggs that made our pregnancy possible?

You cannot, at the moment, by the same law, which guarantees anonymity in the donation. It would only be allowed in the event that the health of the baby born by this technique is in danger and it is necessary to know who the donor is in case, for example, a transplant is necessary.

When do I start taking the medication for the treatment?

Between the first and fifth day of menstruation, according to the recommendation of the gynecologist and under his supervision. The medication seeks ovarian stimulation, to obtain the largest number of oocytes, and therefore possible embryos, in order to increase the chances of achieving pregnancy.

How is the medication administered?

The most used route is under the skin, by injection, subcutaneously, usually in the abdominal area. It is done at home, following the doctors’ instructions.

How will I feel about the medication?

The usual symptoms are fluid retention and mood swings. It is normal to feel bloated.

Does the puncture to extract the ovules for the In Vitro Fertilization treatment hurt?

It is a painless procedure that is performed in the clinic under local sedation so that the patient does not feel any discomfort. The puncture is also carried out to extract the ovules in a vitrification.

Is it mandatory to perform HSG in an Artificial Insemination treatment?

It is not mandatory but it is recommended. Hysterosalpingography allows us to know the state of the fallopian tubes, check that they are not obstructed and that the spermatozoids can reach the ovum without obstacles.

Once the embryo has been transferred to the mother’s uterus:

What kind of life can I lead?

After the transfer, it is necessary to remain at rest in the clinic for the first half hour and at home relative to rest for the next 24 hours. You should not practice swimming or immerse yourself in pools, on beaches or in the bathtub itself until the results are obtained.

What symptoms will I have between the embryo transfer and the pregnancy test?

None necessarily but you could experience cramping, tiredness, bloating, nausea, and even vomiting and minor bleeding.

What happens if I bleed days after the transfer?

A slight bleeding after the transfer does not have to suppose anything. It happens often. It is a frequent symptom.

When will I know if I am pregnant or not?

About two weeks after the embryo transfer. Then you can proceed to perform the pregnancy test.

If the result is negative…

You will have to wait about 45 days to proceed with the cryotransfer, that is, a new implantation of the embryos that are already frozen. It is possible that the doctor may request new tests and studies to rule out pathology.

If the result is positive…

After the first ultrasound in which the baby’s heartbeat is observed, the patient’s usual gynecological examinations will be carried out. Congratulations. You’ve got it.

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