TREATMENTS

WOMEN

HIGH COMPLEXITY

This involves extracting the oocytes from the woman's ovary by follicular puncture and then fertilizing them in the laboratory with the man's sperm (from the partner or a sperm bank).

Conventional technique. The oocytes and sperm are placed in the same culture dish and left to fertilize spontaneously.

Intracytoplasmic sperm injection (ICSI). The sperm is injected directly into the oocyte using microinjection. Used in cases of moderate to severe male factor infertility.

In vitro fertilization (IVF/ICSI)

This is particularly suitable for women who cannot have children with their own eggs. It is a variant of in vitro fertilization (IVF) in which the oocytes belong to an anonymous donor.

Oocyte donation

Treatment indicated for same-sex couples who decide to share motherhood. One member of the couple provides the oocytes while the other carries the pregnancy. The oocytes are extracted from the woman who provides them through a process of ovarian stimulation and subsequent ovarian puncture. The process is completed with in vitro fertilization using donor sperm.

ROPA Method (Reception of Oocytes from Partner)

Oocyte cryopreservation is a technique that allows women to preserve their fertility for the future. It consists of a procedure in which the oocytes are extracted, frozen, and stored for later use when the time comes.

The reasons for this may be social or due to medical circumstances that could affect reproductive capacity in the future.

Oocyte cryopreservation

LOW COMPLEXITY

Intrauterine insemination (IUI) is a low-complexity assisted reproduction technique in which sperm is introduced into the woman's uterus through a small cannula.

It can be performed with the partner's semen or with semen from a sperm bank.

It is a simple, outpatient procedure whose goal is to bring the gametes closer together to increase the chances of pregnancy.

Intrauterine insemination

MEN

TREATMENTS

Tissue is extracted from the testicles through minor surgery to determine the presence or absence of sperm. Laboratory work is then carried out to determine the quality of production and detect any possible pathologies.

Testicular biopsy (TESE)

The sperm is injected directly into the egg using microinjection. This technique is used in cases of moderate to severe male factor infertility.

In vitro fertilization with intracytoplasmic sperm injection (ICSI)

TESTS

A test that measures the quantity, motility, and shape of sperm, as well as other biochemical parameters of semen, using the reference values established by the World Health Organization (WHO).

Semen analysis. Kruger morphology

A test that measures the condition of sperm DNA, as in certain situations it can be fragmented or damaged, thus hindering pregnancy.

TUNEL test or sperm DNA fragmentation test

A method of separating motile sperm that allows those with the best motility to be selected and separated for subsequent use in low or high complexity techniques.

Sperm separation by Swim Up

A method of separating sperm by centrifugation of the sample on gradients. Those with the highest motility are separated from the rest of the cells and seminal plasma by a difference in density. They can then be used for low or high complexity techniques.

Sperm separation by density gradients

A selection method in which spermatozoa are "filtered" from the sample using magnetic microspheres to separate those with low functional and reproductive quality, thus obtaining a sample with greater fertilization potential.

Sperm selection - Annexin columns