In certain patients, even if their cycles are regular, certain ovulation problems may present themselves; this means that follicle formation is not normal and no ovulation occurs on the fourteenth day of the cycle.

Certain hormones exist (FSH and LH), secreted by the hypofisis, which are responsible for an adequate ovulation, and it is possible to detect their blood levels.

During treatment these hormones FSH and LH are given to women who do not produce enough of them themselves.

In the ovulation induction, medication is given at the beginning of the menstrual cycle with the goal of providing a sufficient number of hormones that the women is lacking.

Artificial insemination with a partner´s sperm or with a donor´s sperm consists of placing sperm within the uterus or at the neck, to thus favor fertilization.

Two types of artificial insemination exist:

1. Artificial insemination with a partner´s sperm (homologous insemination): this technique is used in certain cases where the partner´s or husband presents a sperm deficiency or where the woman´s cervical mucus is inadequate or hostile towards the sperm.

The IVF is the assisted reproduction procedure most employed around the world.

In this technology it is necessary to first stimulate, through medication, the maturation of several ovules, and the recollection is generally performed under general anesthesia with duration of about 20 to 30 minutes.

Fertilization via microinjection is an important innovation, which gives excellent results in some of the most difficult cases of male infertility.

In ICSI, potent microscopes and instruments of microscopic manipulation are used.

The doctor or biologist can hold a single ovule at the tip of a micropipette and penetrate it with a needle that is seven or more times slimmer than the diameter of a hair.

By means of this needle, a single spermatozoid is introduced into the ovule´s cytoplasm.

It was previously thought impossible to treat men that present a very low sperm count, nowadays, ICSI allows fertilization with one single spermatozoid, obtaining remarkable results.

Infertile couples, who participate in the ICSI therapeutic programs, are carefully selected and often have prior records of failure with In Vitro Fertilization.

Donating ovules is a treatment that can generate an ethic controversy, and in which consultation is important.

The treatment is offered to women who do not produce ovules, and is equally appropriate for women who suffer genetic diseases that can be passed on to their children.

Ovule donation is a simple process where the majority of ovule donors are young women. On occasion it is a family member or close friend.

The donor is subjected to different exams to later begin the required pharmacotherapy and monitoring.

While this occurs, the recipient must simulate a normal “pregnancy” cycle, by means of hormones, in such a way as to prepare the uterus and ensure an adequate embryonic implant.

This is a satisfactory assisted reproduction technique because it can ensure a pregnancy in the majority of cases.

Endometriosis is a benign affliction dependent of ovarian hormones.

Medical treatments on endometriosis consist of maintaining the ovarian function in a dormant state and they last a minimum of three months.

During this period, the woman´s ovarian function is in a dormant state, which implies not having any menstrual cycles, it can be accompanied by some hot flashes and weight gain (1 or 2 kilograms), vaginal dryness and others, but one must not be alarmed by any of the problems or side effects with the drugs.

Once the medical treatment for endometriosis is over, your doctor will propose the treatment to follow.

A varicocele is corrected by means of a ligation of the abnormal veins, which will reestablish the normal blood flow from the testes.

If the ducts by which the sperm are transported are obstructed, they can be surgically corrected.

The obstruction of deferent ducts can be a side effect of prior infectious processes, such as the complication of some surgical event or after the performance of a vasectomy.

We have a sperm bank for Assisted Reproduction procedures directed to those couples where the male is azoospermic (without sperm) or with grave alterations in ejaculation.

The anonymous donor’s sperm allows a couple with illnesses that can be transmitted genetically to have a healthy baby.

Self-preservation: The XXIst century man and his continuous complications, do not allow the man to find himself during the couple’s fertile period; for this reason, freezing sperm is another alternative.

Preserving your fertility for the future: is for those patients who are going to undergo a vasectomy or subject to prostate or testicular surgery, chemotherapy, or radiotherapy.

Thanks to this advanced technology, we can choose a single spermatozoid per ovule, to thus achieve a normal fertilization.

It has been indicated for those couples with a very low sperm count (oligozoospermia) or in those in which sperm can only be obtained from a testicular biopsy or epididimal aspiration, making it necessary to help in ovular fertilization.

In failed in vitro fertilization cases.

The sperm for the ICSI can be obtained from ejaculation, from epididimal aspiration, and testicular biopsy. These samples can be previously frozen and thawed once the oocytes are recovered for microinjection,

When the man has certain traumas such as hypogonadotropic hypogonadism, where the testes are incapable of producing sperm due to an inadequate hormonal stimulation, hormones, known as gonadotropins, are used and can be given to both the man and the woman, to stimulate ovular development in the woman and sperm in the man.

Infections can also play an important part as a cause for infertility, some of the most important being prostatitis, deferentitis, vesiculitis, and urinary tract infection, which can be effectively treated with antibiotics.

Patients with a testosterone deficiency can receive medication to stimulate its production.