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Fertility Preservation

At iGin we offer a variety of methods to preserve your fertility. Why preserving it? There are several reasons why you may want to preserve your fertility for the future. Most common reasons are:
  • Cancer patients
  • Patients with diseases that could reduce ovarian reserve
  • Delay of motherhood

Fertility Preservation step by step

Hormone therapy preceding egg retrieval is more complex than the one used in artificial insemination procedures. From a hormonal perspective, the aim consists in stimulating the ovaries to produce as many mature eggs as posible, while preventing early ovulation to happen before egg retrieval. There are different medications and strategies that can be used to achieve both ovarian stimulation and ovulation control. 

A personalized treatment is planned based on patients´ diagnosis, taking into account their past medical history and relevant tests results. Given the wide range of therapeutic plans available, the lenght of a treatment will vary depending on protocols and patient´s response.

During the ovarian stimulation phase, ovarian activity is closely monitored through transvaginal ultrasound scans and hormonal blood analysis. The first scan is performed at the start of ovarian stimulation, with 2 to 3 subsecuent screenings over a period of 8 to 12 days, in order to monitor folicular growth. Gonadotropin hormone dosage is adjusted according to the results of these ultrasound scans and blood tests. When there is a poor response to hormone therapy, the treatment may be cancelled and resumed on the next cycle. 

Egg retrieval can be scheduled when at least three follicles reach maturity. Full follicular maturity is triggered by a hCG injection, applied 36 hours before the punction.

Pick-up usually takes 5 to 10 minutes to be completed, but this may vary depending on the number of follicles. This procedure is performed using an intravenous mild sedation and painkillers which are administered by an anaesthesiologist and the patient is closely monitored throughout the process. It is important that you feel comfortable during the procedure and sedation is aimed to offer a positive and relaxed experience, reducing any discomfort.

During the procedure, a thin needle is passed through a guide attached to the ultrasound probe, which is inserted into the vagina. Like this, the fluid inside each follicle is aspirated through the needle. This fluid is examined by a biologist under the microscope to determine the presence of the oocytes, and assess their maturity and suitability to be fertilised.

Recovery time after egg retrieval procedures is 1 to 2 hours. Light spotting may occur, which is perfectly normal. Pelvic discomfort may persist until the following day, but it is typically controlled with oral analgesia (Paracetamol or Panadol®). Regular daily life activities can be resumed from the they after.

In the case of a fresh transfer, the male should attend to the clinic on the same day of the puncture to provide a semen sample. This is not necessary when using frozen sperm from a partner or a donor.

Mature oocytes obtained are vitrified so they can be stored for years and used in the future once you decide to get pregnant. At this point, eggs are devitrified and the most adequate in vitro procedure performed.  Pior to the transfer, women will follow hormonal treatment in order to prepare the endometrium for embryo implantation.

The first period following egg retrieval (which comes 5 to 15 days after the procedure) may be heavier than usual.

Fertility Preservation in Cancer Patients

As a result of continuous medical advances in cancer treatment, younger adults face this illness with hope for the future. However, some cancer treatments can have serious effects on reproductive organs and hence, fertility. In men, sperm production may be altered irreversibly (even when other sexual functions are normal). In women, cancer treatment can deplete the reserve of eggs in the ovaries, causing 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 we offer a wide range of treatments for fertility preservation: cryopreservation of sperm, oocytes or embryos and ovarian transposition. We are committed to help you plan your family before and after cancer treatment.

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Budget Fertility cost

Stage
Previous study
Stimulation
Follicular puncture
Laboratory
Services included
Case-oriented cycle planning and all consultations
Ultrasound scans (unlimited)
Hormonal screenings (unlimited)
Puncture - oocyte retrieval
Preoperative evaluation - anaesthesia - sedation
Rest in clinic
Laboratory procedures

Oocyte vitrification (unlimited number)

Five years maintenance fee of vitrified oocytes

Total Amount     2.230€
  • Fixed Price: This is a fixed priced treatment that includes the services detailed on the cost breakdown. Supplementary tests may be required according to medicalcriteria, however, these will be notified in advance.
  • Validity: The validity of this estimate is 6 months from the date of your first consultation.
  • Medication: Medication costs are not included. These will be assumed by the patient.
  • Cancellation by the patient: In case of cancellation of the treatment, the patient must pay the costs incurred until that point.
  • After 5 years of oocyte freezing: It will be your decision to either chose from one the authorised applications regarding embryo donation/destruction or the payment of a 210€.

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.