I want to get pregnant

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Contrary to common belief, the possibility of getting pregnant through unprotected sex without any apparent fertility problem is less than a 20% chance per month. If the woman is over 35 years old, chances are even lower. In general, young couples have a 60-70% chance of getting pregnant after 6 months of having unprotected sex. The percentage may rise up to 80-85% after a year. Therefore, natural reproduction may require some patience, as it could take months to get pregnant.

Those couples who have been trying to get pregnant for over a year should resort to an assisted reproduction specialist. This does not imply that the couple is infertile. But, their chances of getting pregnant through natural reproduction may be below average. Thus,  a diagnostic evaluation should be carried out to assess chances of pregnancy through other assisted reproduction methods.

However, there are certain situations in which you should not wait a whole year before going to a specialist. These would be the cases of couples who have less monthly chances of getting pregnant through natural reproduction. For instance, we recommend women over the age of 35 to see a specialist if they have not achieve a pregnancy after 6 months. In this case, starting treatment as soon as possible is of paramount importance.

This group would also include women who have been diagnosed with endometriosis, uterine fibroids, who have been operated on for various gynecological pathologies (complex ovarian cysts, gynecological infectious diseases) or surgical pathologies (women who have suffered from a process of peritonitis due to an appendicitis).

Regarding male, if some pathologies, such as cryptorchidism, hydrocele, should encourage to start diagnostic work-up after six months of unprotected sexual intercourse.

An early visit is also recommended if there are genetic diseases, recurrent pregnancy loss, a family history of premature menopause or any other situation that may be related to low ovarian reserve.

You can ask for a first visit at Reproducción Bilbao by calling us or through our website. Also, the first visit may be performed by Skype or similar methods.

The first visit is informative, free and at least one hour long. We advise taking your couple with you.

During this visit, we thoroughly study of the couple’s medical history, including the evaluation of diagnostic tests or any previous treatments previously performed in another centre. We advise couples to come with all the information they have available or even send it to us beforehand. That way, we avoid repeating tests that have already been performed and treatment can begin as soon as possible. Depending on the available data, additional diagnostic tests may be requested. They can be done in our own centre (on the same day of the visit, which saves time and money) or in another centre (in your own country), depending on your preferences. After this first visit, a clinical specialist and a nurse will be directly responsible for your case and you can contact them through our website whenever you need to.

After completing the diagnostic evaluation and gynecological and andrological examinations, (either within the first visit or in an additional second visit) we will be able to offer a specific treatment. We will also be able to provide you with an accurate success rate and a closed budget without commitment that would be valid for 6 months.

If the couple lives outside of Bilbao, our goal is to complete the entire diagnostic evolution in one visit.

In vitro fertilization (IVF)
In an IVF process egg fertilization takes place outside the woman’s body.

Once fertilization occurs, embryos are created and then are placed in the woman’s uterus. The transfer of an embryo is performed after an adequate selection by genetic and morphokinetic means. Thus, this thoroughly selection procedure allows to achieve the higher chance of full term pregnancy. Every step of this process should be adequately coordinated and, thus, a combination of technology, team experience and are needed along with a full attention to patient`s needs.

Egg donation
Egg donation represents the most reliable assisted reproduction technique. In this procedure oocytes (eggs) from an anonymous donor are fertilized and the obtained embryos are transferred to the patient (following the same strict both genetic and morphokinetic selection process).

Single parenting
This personal choice is possible and safe by the use of assisted reproduction techniques. Different procedures are available depending on age of woman willing to achieve a pregnancy or the presence/absence of gynaecological  problems.

Lesbian motherhood
Besides classical procedures for achieving a pregnancy (IVF, anonymous egg donation) a lesbian couple may choose the so called ROPA method. With this procedure, motherhood is shared by both women from the start. While one is the genetic mother (eggs obtained after ovarian stimulation and oocyte retrieval), the other is the birth mother (by getting pregnant and giving birth to the newborn)

Embryo donation
This sometimes called embryo adoption procedure is a simple and cost-effective alternative whereby an embryo that is donated by another couple helps to create a new family.

When reporting the success rates of different procedures, we must understand the difference between positive pregnancy tests, ongoing pregnancy rates and rates of healthy newborn children.

Obviously, not all positive pregnancy tests lead to pregnancies as such, and not all pregnancies are ongoing (e.g. miscarriages).

On the other hand, only the detailed record of the newborns after treatments carried out in a centre allows us to know the real success rates of evolutionary pregnancy of a specific centre.

It is also important to bear in mind the woman’s age and the percentage of multiple pregnancies in each centre.

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