Resolving doubts

[leonorSh122]

Hello everybody. This post is to help all those new friends who are in this forum. The first time I found this page, I had a thousand questions to solve and everyone was so good with me. They helped me solve my personal problems and gave me very good recommendations to treat my problem. Now I would like to do the same with the new friends who have joined this wonderful forum. Here I leave some information that I had saved when I did my first searches. I hope it helps. Any doubt do not hesitate to write and I will respond with pleasure.

What are the treatments to achieve pregnancy?

The most common treatments carried out in assisted reproduction units range from simpler techniques, such as artificial insemination, which simply consists of seeing when the woman is going to ovulate, by means of an ultrasound, and depositing the semen sample inside the cavity. uterine at the most appropriate time and in the best possible conditions, up to more advanced assisted reproduction techniques such as in vitro fertilization. Usually what we do is stimulate the ovulation during 8 or 10 days, we extract the ovules, and from that moment, depending on the quality of the semen sample, conventional in vitro fertilization techniques are made, which consist of placing ova and sperm in contact, or more advanced techniques in which, for each ovule, we have to take a good sperm and inject it into the oocyte. These techniques are called sperm microinjection.

What are the modern differential diagnoses for a woman's fertility?

The diagnosis of sterility has advanced a lot. Until a few years ago, a hormonal evaluation was performed, an ultrasound was done and an evaluation of the quality of the semen sample. But fortunately, at this time, we can go further, make genetic diagnoses, karyotypes, assessments of the quality of the semen sample in which certain parameters are detected that are sometimes influenced by the lifestyle we lead, so that we take care of ourselves The truth is that these diagnoses are helping a lot to that the treatments are more and more delimited, the number of cycles that are made are increasingly shorter, and so we get the pregnancy as soon as possible or a more accurate diagnosis of what is happening to the couple.

What is the real reproductive probability of a woman? How can we calculate your ovarian reserve?

The ability of a woman to achieve a pregnancy at a certain time depends on many factors, but it is true that the assessment of the ovarian reserve is very important for us. The way to assess reproductive capacity we have, the number of ovules that are available to us in the ovaries at a certain time we do it from vaginal ultrasound, which have a high resolution and that make us value very well the quantity of antral follicles that The ovary is available, small spots that are seen by ultrasound, and which give us a very important idea of ​​a woman's reproductive capacity at a certain time.

To this we add the ability to make hormonal tests, such as the antimullerian hormone, which delimit us very well what reproductive capacity we have at that moment. They are complementary markers but at this time they help us a lot when deciding one treatment or another or if you have to accelerate a little more in time or if you have to go more slowly in the application of assisted reproduction techniques.

How is the diagnosis of male fertility made with the new laboratory advances?

The diagnosis of male sterility is currently made from traditional parameters such as the performance of a semengram, or more sophisticated techniques such as the sperm capacitation test, in which we are able to recover those sperm with good mobility and good morphology after 24 hours of incubation. We even have diagnostic techniques such as DNA fragmentation of sperm, which helps us a lot when diagnosing the problem of the couple, to see if there are environmental factors that may be influencing that male reproductive capacity. All this makes the treatments more and more effective.