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Female fertility services
Our services encompass a range of medical interventions aimed at helping women achieve pregnancy. These services include initial consultations to assess medical history and ovulatory function, ovulation monitoring, fertility tests for hormonal and reproductive health, fertility medication prescriptions, procedures such as intrauterine insemination (IUI) and in vitro fertilization (IVF), as well as surgical interventions when necessary. Genetic screening services, egg freezing, and counseling are also integral components. These personalized approaches address various fertility challenges, providing our patients with options and support on their reproductive journeys.
Female infertility can be attributed to various factors and often involves a combination of physical, hormonal, and lifestyle factors. Some possible causes of female infertility include:
Endometriosis
Endometriosis can cause scarring, inflammation, and hormonal imbalances that can hinder ovulation or affect the reproductive organs. However, treatment can improve fertility chances.
Can I get pregnant if I have endometriosis?
Yes, many women with endometriosis can conceive, although it may take longer than those without the condition.
What treatments are available for endometriosis-related infertility?
Common treatments include:
- Medicamentos: Las terapias hormonales pueden ayudar a manejar los síntomas y regular la ovulación.
- Surgery: Laparoscopy can remove endometrial tissue and improve fertility.
- FIV (Fertilización In Vitro): Esto puede ser recomendable si otros tratamientos no tienen éxito.
Síndrome de ovario poliquístico (SOP):
Polycystic Ovary Syndrome (PCOS) can cause hormonal imbalances that disrupt ovulation, making conception difficult. Women with PCOS may experience irregular periods or anovulation (lack of ovulation), which can impact fertility. However, treatment options can significantly improve the chances of becoming pregnant.
Can I get pregnant if I have PCOS?
Yes, many women with PCOS can conceive, although it may take longer than those without the condition. With proper treatment, the chances of pregnancy can increase.
What treatments are available for PCOS-related infertility?
Common treatments include:
- Medications: Hormonal treatments, such as birth control pills, can help regulate menstrual cycles. Fertility medications such as Clomid (clomiphene citrate) can stimulate ovulation.
- Lifestyle Changes: Weight management through a balanced diet and exercise can improve symptoms and increase fertility.
- Surgery: In some cases, laparoscopic ovarian drilling may be recommended to induce ovulation.
- IVF (In Vitro Fertilization): This may be an option if other treatments are unsuccessful in achieving pregnancy.
Recurrent pregnancy loss:
Recurrent pregnancy loss (RPL) is defined as having two or more consecutive miscarriages. It can indicate underlying issues such as hormonal imbalances, genetic factors, anatomical abnormalities, or autoimmune disorders. RPL can create emotional and psychological challenges, but identifying the cause can lead to effective treatment options that improve the chances of a successful pregnancy.
Can I get pregnant if I have a history of recurrent pregnancy loss?
Yes, many women with a history of recurrent pregnancy loss can conceive. While it may take time, proper evaluation and treatment can help increase the likelihood of a successful pregnancy.
What treatments are available for infertility related to Recurrent Pregnancy Loss?
Common treatments may include:
- Evaluation and Testing: Comprehensive tests to identify potential causes of RPL, such as genetic testing, hormonal assessments, or uterine evaluations.
- Medications: Hormonal treatments (e.g., progesterone) may be prescribed to support early pregnancy. In some cases, anticoagulants or immunological therapies may be recommended.
- Surgery: Surgery may be necessary to correct anatomical issues, such as uterine abnormalities or polyps.
- IVF (In Vitro Fertilization): IVF may be considered if other treatments are unsuccessful or if specific genetic factors are identified.
Hidrosálpinx:
Hydrosalpinx is a condition in which the fallopian tube is blocked and filled with fluid. This can prevent sperm from reaching the egg and hinder embryo implantation. Women with hydrosalpinx may face challenges in conceiving naturally, but there are treatment options available that can improve fertility outcomes.
Can I get pregnant if I have hydrosalpinx?
Getting pregnant with hydrosalpinx can be more complicated, but it is not impossible. Many women can conceive, especially with appropriate medical intervention. However, the presence of hydrosalpinx may increase the risk of ectopic pregnancy.
What treatments are available for infertility related to Hydrosalpinx?
Common treatments may include:
- Surgery: Laparoscopic surgery can be performed to remove the affected fallopian tube (salpingectomy) or to clear the obstruction (salpingostomy).
- IVF (In Vitro Fertilization): IVF is often recommended for women with hydrosalpinx, as it completely bypasses the fallopian tubes and places the embryos directly into the uterus.
- Monitoring and Support: Regular monitoring and supportive care may be recommended, especially if surgery is not an option or if there are additional concerns about fertility.
Diagnostic tests for female fertility are conducted to identify the underlying causes of fertility issues. Below are some common diagnostic tests:
Histerosalpingografía (HSG):
A hysterosalpingogram (HSG) is an X-ray procedure used to determine if the fallopian tubes are patent (open) and whether the inside of the uterus (uterine cavity) is normal. The HSG is an outpatient procedure that typically takes less than 5 minutes to perform. It is generally done after the menstrual period has ended but before ovulation.
Laparoscopy and hysteroscopy:
An examination of a woman's internal pelvic structure can provide important information about infertility and common gynecological disorders. Problems that cannot be discovered through an external physical examination can be identified through laparoscopy and hysteroscopy, two procedures that provide direct visualization of the pelvic organs. These procedures may be recommended as part of your infertility care, depending on your specific situation. Laparoscopy and hysteroscopy can be used for both diagnostic (looking only) and operative (looking and treating) purposes.
Saline infusion sonohysterography (SIS):
It is an imaging diagnostic procedure used to evaluate the inside of the uterus (endometrial cavity) and the lining of the uterus (endometrium). It involves the injection of sterile saline solution into the uterus during a transvaginal ultrasound examination.
En nuestra clínica, ofrecemos una variedad de pruebas avanzadas para optimizar las posibilidades de éxito en los tratamientos de fertilidad, especialmente en la fertilización in vitro (FIV). Tres de estas pruebas, EMA, ERA y ALICE, juegan un papel clave en la evaluación de la receptividad del útero y la identificación de posibles obstáculos a la implantación embrionaria.
EMA
La Prueba EMA (Endometrial Microbiome Analysis) se utiliza para examinar la flora microbiana del revestimiento uterino (endometrio). Los estudios recientes han mostrado que una microbiota uterina desequilibrada puede afectar la implantación embrionaria y el éxito del embarazo.
La prueba EMA ayuda a detectar cualquier alteración en las bacterias presentes en el endometrio. Si se identifica un desequilibrio, se pueden tomar medidas específicas, como el tratamiento con antibióticos o probióticos, para restaurar la salud uterina antes de proceder con la transferencia de embriones. La investigación sugiere que un ambiente endometrial saludable y equilibrado es crucial para la implantación del embrión.
ERA
La Prueba ERA (Endometrial Receptivity Array) evalúa la receptividad endometrial y ayuda a determinar el momento óptimo para la transferencia de embriones en un ciclo de FIV. Esta prueba identifica las fases del ciclo menstrual en las que el útero es más receptivo a la implantación del embrión.
El test ERA realiza un análisis genético del tejido endometrial para detectar qué tan preparado está el útero para aceptar un embrión. Los resultados pueden indicar si el endometrio está en la fase de ventana de implantación, lo que ayuda a los médicos a sincronizar con mayor precisión el momento de la transferencia de embriones.
En algunos casos, las mujeres pueden tener un desajuste en la ventana de implantación, lo que significa que el útero no está en la fase correcta de receptividad cuando se realiza la transferencia. La prueba ERA puede identificar este desajuste, lo que permite a los especialistas ajustar el protocolo del tratamiento y mejorar las posibilidades de éxito.
ALICE
La Prueba ALICE (Analysis of the Endometrial Microbiome and its Influence on Chronic Endometritis) se enfoca en la endometritis crónica, una condición en la que el revestimiento uterino presenta inflamación debido a infecciones bacterianas no tratadas. Esta condición puede interferir con la implantación embrionaria y aumentar las tasas de fracaso de la FIV.
La prueba ALICE identifica la presencia de infecciones bacterianas crónicas que pueden estar afectando la salud uterina. Si se detecta alguna infección, se puede tratar antes de la transferencia de embriones, lo que puede mejorar significativamente las probabilidades de un embarazo exitoso.