If the tubes are permeable and the sperm quality is good enough, it begins with treatments of low complexity such as intrauterine inseminations with or without stimulated cycle of the woman
When the intrauterine inseminations do not give results, it is passed to the more complex treatments such as the IN VITRO FERTILIZATION (IVF) and / or the INTRACYTOPLASMATIC SPERM INJECTION ( ICSI) procedures.
When one of the two members of the couple does not produce gametes or these are not of good quality, it is possible to resort to the alternative of oocyte and / or sperm donation.
When the woman does not have a uterus, subrogation of the uterus is suggested
When it comes to a single woman or of lesbian couples you can resort to the semen bank.
When it comes to homosexual couples, anonymous donation of oocytes is used, which are inseminated with the sperm of one or both of them. Embryos originating from both parents are transferred to a surrogate mother.
The vitrification of oocytes is an alternative to defer motherhood.It is recommended in women before receiving chemotherapy treatments that can affect the quantity and quality of oocytes, as well as for those women who decide to have their children after 35 years In this regard, it should be noted that the cryopreservation of 15 oocytes in women under 35 years of age predicts that the possibility of having a child in a more advanced age is 30%. In contrast, in women over 35 years, it decreases to 15% and around 50 oocytes will be needed.
Cryopreservation of semen also gives the possibility of deferred paternity. The same as in women, it is advisable to do so prior to receiving chemotherapy treatments, which can permanently cancel the production of sperm or alter the intrinsic quality of the same, as well as for those men who decide to have children above 40 years, due to the increased risk of offspring with de novo dominant disorders
Its purpose is to minimize the occurrence of genetic disorders in the offspring.
For this, the family medical history is taken into account. When there is a family history of a certain pathology, directed tests can be performed to identify the mutation of the pathology.
When there is no history, couples could perform tests for the most frequent diseases, such as cystic fibrosis, spinal muscular atrophy, X-fragility, Duchenne muscular dystrophy, thalassemia, as well as perform more extensive tests including hundreds of diseases
Supplementation with folic acid, with iodine, good nutrition, vaccination against Rubella and Varicella in women who have not been exposed, as well also avoid exposure to teratogenic agents, are preventive measures to minimize the occurrence of births with defects.
There are two types of prenatal diagnosis: the one that is performed prior to the establishment of pregnancy, known as PGD and those performed at the beginning of the second trimester of pregnancy, either by puncture of chorionic villi or amniotic fluid.
It is also availablea type of non-invasive diagnosis that is made in fetal DNA circulating in the maternal blood to know if there is a risk of pregnancies with abnormalities of the chromosomes. It was originally designed for the investigation of trisomy 21, but currently extends to all chromosomes
Made up of people with different activities, professions, ideologies and beliefs, who share tolerance, respect for the opinions of others and the ability to dialogue and achieve consensus through debate and deliberation about the conflicts and ethical dilemmas that arise with the exercise of Reproductive Medicine. This area of encounter and discussion constitutes an iron guardian of the rights of patients.