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Fertility Preservation

Here at iGin we have several methods to preserve your fertility. Why preserve? There are several reasons why we want to preserve for future fertility. We list the most common below:
  • Cancer patients
  • Patients with diseases that could reduce ovarian reserve
  • Delay of motherhood

Fertility Preservation step by step

Hormone therapy preceding the egg retrieval is more complex than that applied in artificial insemination procedures. The goal of hormone therapy is double:
To stimulate the ovaries to produce as many mature eggs, and also prevent early ovulation before recovery of these oocytes. There are different medications and strategies that can be used to achieve both objectives: ovarian stimulation and control of ovulation.
A personalized plan and choice of medicine will be made, depending on the results of various diagnostic tests of the couple and their history. Given the wide variability of existing treatment plans, the duration of treatment will also vary depending on the protocol and the patient's response.

Women during ovarian stimulation are closely monitored by vaginal ultrasound and hormonal blood analysis. The first scan is performed at the start of ovarian stimulation and then typically with 2-3 follow up cycles continuously for approximately 8-12 days in order to monitor follicular growth. The dose of gonadotropins is adjusted according to the results of ultrasound and blood tests. Sometimes it´s decided to cancel the cycle initiated if the response to hormone therapy is poor.
When at least three follicles reach maturity, egg retrieval can be programmed. Final follicular maturation is triggered by an injection of HCG 36 hours before removal.

The extraction usually takes 5-10 minutes to complete, but can vary depending on the number of follicles. Usually this procedure is performed using sedation and painkillers intravenously controlled at all times by an anaesthesiologist. Alternatively, the egg retrieval of the patient can be performed without sedation but we wouldn´t recommend it. It is important that you feel comfortable during treatment, with it all being a positive and relaxed experience, we always make a special effort to reduce any discomfort that you may have.

The procedure; a needle is passed through the top of the vagina under ultrasound guidance to get to the ovary and follicles. The fluid in the follicles is aspirated through the needle and the eggs detach from the follicle wall. The oocyte-cumulus complex (cell) is pulled from the follicle wall when we aspirate the fluid through the needle. The follicular fluid is examined by biologists through a microscope for the presence of eggs and then assess whether they are mature and therefore are valid for fertilising.

The recovery period after the egg retrieval lasts for 1-2 hours. There is sometimes a slight bleeding after oocyte recovery, but that is normal. Pelvic discomfort can persist until the next day, but it can be usually controlled with oral analgesia (paracetamol or Nolotil®). It should be possible to a normal routine activity the next day.

The use of vitrification technology to freeze eggs offers a new option to preserve the fertility. The mature oocytes obtained are freezed with the use of vitrification, so can be stored for years to use in the future when you want to be pregnant. Once the woman wants to use them, the eggs shall be thawing (devitrification) and the subsequent in vitro most appropriate treatment will be performed. Women previously receiving the transfer must make a hormonal treatment in order to properly prepare the endometrium for embryo implantation. 

The period comes between 5-15 days after egg retrieval, it can be heavier than usual. 

Fertility Preservation in Cancer Patients

As a result of continuing advances in cancer treatment, younger adults face treatment with hope for the future. However, some cancer treatments can have serious effects on reproductive organs and fertility. In men, sperm production can be altered irreversibly (even when other sexual functions are normal). In women, cancer treatment can deplete the reserve of eggs in the ovaries and cause early menopause. Even when damage to the reproductive organs is permanent, reproduction may be possible after preserving fertility through the methods we use.
In iGin offer a wide range of treatments for fertility preservation: Cryopreservation of sperm, oocytes or embryos and ovarian transposition. We are committed to help plan your family before and after cancer treatment.
Fertility Preservation in Cancer Patients

Delay of motherhood
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Budget Fertility Preservation

Stage
Previous study
Stimulation
Follicular puncture
Laboratory
Post-puncture
Services included
Case-oriented consultation and planning stage
Controls ultrasound (unlimited)
Hormonal controls (unlimited)
Puncture - oocyte
Anaesthesia - sedation
Rest in clinic
Laboratory Procedures

Oocyte vitrification (unlimited)

Maintenance of vitrified oocytes for 5 years

Total Amount     2.230€
  • Fixed Price: This budget has a fixed price. In some cases it maybe necessary to provide a medical prescription, a service and / or additional evidence not included in the budget, but you would always be told in advance.
  • Validity: The validity of this budget is 6 months, from the date of visit.
  • Medication: By law, the medication is not included and is borne by the patient.
  • Cancellation by the patient: In case of cancellation of treatment, the patient must pay the costs incurred until the stopping of such treatment.
  • After the first 2 years from the oocyte freezing: The patient must decide whether to allocate any of oocytes legally authorised applications, or, if instead you want to pay the oocyte maintenance fee. Which is the amount of € 210 per year.

About IGIN Institute

IGIN Institute is a medical centre specialising in gynecology and assisted reproduction.
With its head office in Bilbao, in a modern infrastructure that provides its services using the latest technology without underestimating the human connection.