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Can a psychic factor have produced our problem?
The emotional stress in our work and professional life, affects the production of gametes (oocytes and sperm), and naturally produces a negative influence on reproduction.

Can I know when is my fertile period?
For most women, there are usually a few days when ovulation may occur more frequently and that is normally halfway through the cycle. Given that the oocyte has a lifespan of approximately 48 hours once expelled from the follicle, it is at this time when it must be fertilized by sperm, which can survive for approximately 72 hours inside the womb.

Is it possible to have children at older ages?
It is possible, but the limit for women in most centres is 50 years.

Should I go to an Assisted Reproduction Centre as soon as possible If I don’t get pregnant?
After a year having sex regularly without using contraceptives, if you don’t get pregnant, you should see your gynecologist, for him to refer you to a clinic to undergo a treatment of assisted reproduction in case it deems necessary.

What chance does a couple have of getting pregnant naturally when they have no apparent problem?
The achievement of a pregnancy is a complex process. For a woman in normal circumstances without any apparent disease, the chances of getting pregnant are lower than those of not getting pregnant. For a completely healthy couple who regularly have sex the chances will be between 10 and 30% each cycle they try, depending on the age of women.

What options do I have to get pregnant after assisted reproduction treatment?
Individual possibilities of each couple, naturally depend on the underlying problem they have and the age of the mother. For example, for a couple with hormonal changes that can be corrected and a man with a slight alteration in sperm production and quality, the pregnancy rate may even reach 50%, and can not be compared logically with a couple in which the woman has got a drastically reduced ovarian function due to a decline in her reserves, typical of older age reproductively speaking.


From which moment can you say that a couple need help to have a child?
For us, a couple needs help when after a year trying to have children without using any means of contraception has not been successful. 

Why has the number of couples with fertility problems increased nowadays?

After consensus of experts in developed countries, one in six couples have this problem and the number is growing. The increase in this figure has a direct relationship with the lifestyle of today's society: the professional careers of women, the problem for women who can lose their jobs when pregnant, as well as other factors, provide a significant delay in motherhood. A little reflection shows that during the 70s only 10% of women had their first child over 30 years of age. This contrasts for example with the 90s when the figure rises to 25% and it should be noted that as the age of the mother increases, problems to become pregnant also increase , and they are aggravated by environmental factors such as stress, tobacco , alcohol, chemicals, etc.

What percentage belongs to women and men in infertility?
Statistically it should be kept in mind that the reasons for infertility are distributed between both sexes into 30% females and 40% males. In 20% of cases the problem is on both partners and 20% have an unknown (idiopathic) origin.

What chance do I have to have a child?
Every couple, every situation, every circumstance is different. Replying with a percentage to this question would be irresponsible. In medical literature there are many numbers, figures, percentages, but each case can not be classified into the overall percentage. For instance: it is said that the success of in vitro fertilization reaches approximately 33%. But does a 39 year-old woman with severe endometriosis, and a partner with a severe OTA syndrome have the same opportunities as a 27 year-old woman, with tubal ligation and a partner with normozoospermia? The answer is No. Couples should be analysed individually taking into account the cause of failing to get a child, time spent trying, and age of the woman. Once these data are processed, it would be necessary to check what percentage of women become pregnant at the centre under the same conditions, age and pathology. Informatively in CIVTE, calculating the average of couples undergoing IVF in 2009, we came to a pregnancy rate of around 40%.

Are children born with assisted reproduction techniques normal?
There were many births in couples undergoing assisted reproduction techniques. If we compare the incidence of major phenotypic and chromosomal abnormalities, with the general population, there is no difference statistically speaking. So children are as normal as those obtained from spontaneous pregnancies.

Can one be a father after having a vasectomy performed?
Yes vasectomized men who want new offspring can undergo cycles using sperm obtained by testicular biopsy to achieve intra-testicular sperm and then freeze it for later use. The biopsy with microaspiration of the vas deferens or epididymis consists of opening a microincision in the vas deferens, to obtain seminal fluid by aspiration, and then isolating spermatozoa. The further use of ICSI or intracytoplasmic sperm injection is essential, because the amount of sperm provided is insufficient to carry out a conventional in-vitro fertilization.

Can you have a child after unergoing a tubal ligation?

Given that the fertilization of the oocyte takes place in the tube, it would not be possible for a woman who had previously undergone a tubal ligation intervention to become pregnant spontaneously. Thus, the woman would have to undergo an in vitro fertilization to extract the oocytes by means of ultrasound-assisted transvaginal puncture, and then they would be fertilized with sperm from the male in the laboratory.At the right time the embryo would be transferred into the uterus, obviously  without passing through the Fallopian.

 

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