Treatments2018-11-27T19:36:42+00:00

Treatments

The induction of ovulation helps the follicles to grow through the use of oral or injectable medications. Many times the induction of ovulation is the only treatment needed by women who do not ovulate or release an oocyte each month.

For this treatment you should take 1 to 3 pills for 5 days at the beginning of the menstrual period. These drugs are usually used in combination with artificial insemination or targeted coitus.

The objective is that the ovules are released just for the moment in which artificial insemination or directed intercourse has been planned, thus increasing the chances of pregnancy, although the chances of twins or multiple gestation are also increased by 10%.

Controlled ovarian stimulation involves stimulating the ovaries to produce ovules in a way and with medicines similar to those used in invitro fertilization, by means of injectable medicines. Contrary to the pills, these injections can recruit several follicles (oocytes) at a time so this therapeutic approach presents a higher risk of twins and multiple gestation (30%), usually reserved for older patients with fewer chances of pregnancy or for those cases in which oral drugs did not work.

Artificial insemination (intrauterine) is the procedure by which a sample of concentrated semen is placed directly into the uterus. This procedure is very useful in cases where there is a decrease in the amount of sperm (male factor) or in cases of unexplained infertility. By having normal relationships most sperm die in the vagina while artificial insemination is preserved most viable sperm which also have an advantage to be closer to the ovules.

Artificial insemination should be done in a synchronized manner with the time of ovulation. In Panama Fertility we use hormonal blood tests and ultrasounds to determine the precise moment of ovulation in order to execute the procedure at the most appropriate time.

After ovulation, a sample of semen is prepared and placed in the inside of the uterus using a small-bore catheter. It is a painless procedure that lasts no longer than 5 minutes. A few minutes after having deposited the sample of semen in the bottom of the uterus the sperm reach the ovule so that after the procedure you can continue with the daily routines without any type of change.

To improve the results of artificial insemination it is possible to use different medications, the most common being oral pills, although some patients may benefit from injectable medications as well as progesterone supplements.

Usually an oocyte matures every month, but when ovarian stimulation is performed for IVF or ICSI, several oocytes are expected to grow and mature in a cycle.

For IVF these oocytes must be extracted before they mature and release the ovule so that they can be fertilized in the embryology laboratory and after a few days, place the embryo inside the patient to achieve pregnancy.

During IVF, several sperm and an egg are “joined” in the embryology laboratory, while with the ICSI a sperm is chosen that will be injected directly into the ovule.

Although advances in reproductive medicine have been important in recent years, it is still dependent on women having a certain number of healthy ova available; that is why sometimes there are cases where no effort is made, there are not enough good quality ovules to achieve a pregnancy.

When this happens, egg donors become the only option that has helped thousands of families achieve their dreams. These donors are given strict exams to make sure your baby is healthy. In these cases, pregnancy rates per transfer oscillate around 60% per attempt.

For more than 30 years, ovodonation has allowed thousands of couples to fulfill their dream of having a Baby at Home. In the USA. more than 19,000 cycles of ovodonation are performed annually, it is estimated that approximately 1 in 10 babies born after IVF are thanks to egg donation.

According to recent studies, the mother / child bond in pregnancies where ovodonation was used is exactly the same as a natural pregnancy. After 9 months in the uterus there are changes in the DNA of the embryo that are influenced by the mother, this means that even if they do not share the same DNA, the mother can have influence on certain genetic factors of the baby that will accompany her for the rest of her lifetime.

At Panama Fertility we have a team dedicated to selecting, interviewing and performing examinations for egg donors. Usually, they are women between 21 and 30 who want to help other women achieve their dream of being a mother. They are subjected to multiple examinations according to the recommendations of the FDA. Due to the strict controls to which they must submit in order to guarantee optimal quality ovules, less than 5% of the applicants manage to become an ovum donor for the patients of Panama Fertility.

This is a totally personal decision, in Panama Fertility we have a cycle coordinator that will help you weigh the different options.