In this session, Dr Emma Adsuar, Gynaecologist at Pregen (UR Vistahermosa) has explained how standard fertility assessment should look like, what to check, when and why.
As I said, 2-3 days more is completely normal. Irregularity means that it doesn’t follow any pattern. The pattern can be, for example, every 25 days, this is regularity, or if the patient has a period sometimes every 28 days, some other time every 40, this is irregularity.
We use this in Spain. Infertility happens when you can conceive, but you are not able to have a live birth. Sterility is when you cannot conceive at all, you haven’t had any pregnancy.
Yes, it counts as infertility. The most important thing is if those ectopic pregnancies were in the same tube or not. If its different tubes, I would recommend trying for six more months, but not longer. It also depends on age, but not more than six months, and if it doesn’t happen naturally, then I would visit a fertility doctor.
DNA fragmentation is supposed to be recommended in patients wherein the sperm test, you can see less than 4% of normal sperm.
The most important thing is what do you understand about trying actively because some patients get it wrong when they think that, for example, they have been not using any protection for five years, but in the last year, they wanted to have a baby, so they might think they have been only trying to conceive for one year – but they’re wrong. They have been trying to conceive for five years. You should go to the fertility doctor because if you had three years of unprotected sexual intercourse, even though you were not concerned about your cycles, not thinking that when you were ovulating, and you haven’t had any baby, then I would recommend you to go and visit the fertility doctor.
One is enough. Sometimes, you can see that the patient ovulated in the right ovary, and she got pregnant with the left tube. Nature is really smart, and with one tube, you can get pregnant.
It depends on if you are thinking of IUI, then yes. It will also give us more information, but if you are going to go directly to IVF, I think it’s not necessary. REM is done when you are thinking of starting insemination, not when you are thinking of um in vitro.
I would like to tell you that the success rate is 100 %, but it’s not true. Even with PGT-A sometimes, the success rate is like 60-70%. I’m sure your doctor did everything he could. You can use corticoids, you can use intralipids, heparin. There are some therapies that you can add in the following IVF. The most important thing I would say is for the patient to be relaxed and positive because that helps a lot.
Yes, in my slides, I was talking about specific blood tests for infertility. For example, if you have an autoimmune disorder, thrombophilia, or any of you are a carrier disease, it will not allow you to have a live birth.