IVF with donor semen

1. ¿What is IVF with donor semen?

IVF with donor semen is an assisted reproduction treatment whose procedure is the same as that of a conventional In Vitro Fertilization but using donor semen. In the laboratory the fertilization of your ovules, previously extracted, with the sperm of the anonymous donor and 100% safe for you is carried out. Once fertilized, the embryo is transferred to your uterus to continue its development.
The donor is selected taking into account your physical characteristics and those of your partner, if you have one. This semen sample meets optimal conditions of quantity and quality, so the gestation success rate is high. Donor semen is obtained through a Semen Bank.

2. For whom is IVF indicated with donor semen?

E

Couples in which the man presents a severe or irreversible semen alteration.

E

Couples in which the man can transmit serious hereditary diseases to the child.

E

Cases of azoospermia, that is, when the man does not have sperm in the ejaculate.

E

Couples with immunological incompatibility problems.

E

Couples who after several cycles of In Vitro Fertilization have not achieved a pregnancy.

E

Women with female partner.

E

Women without a partner who want to have a child.

Treatment Phases

The phases of IVF treatment with donor semen are as follows

1. Ovarian Stimulation

In the natural process of a female menstrual cycle, women produce a single oocyte (egg) monthly. Through the administration of medication, what we are looking for in this first phase of In Vitro Fertilization is to stimulate the ovary and induce the production of more oocytes. If the creation of many oocytes is achieved, the possibility of gestation is greater as more embryos can be obtained. We control the evolution of this process through periodic ultrasound checks, and sometimes blood tests.

2. Follicular puncture

When, by means of transvaginal ultrasound, it is observed that the follicles, within which the oocytes are, have the appropriate size so that a mature oocyte has been produced, the follicular puncture is programmed. A hormone that induces ovocyte maturation is also administered in a similar way as it occurs in the natural cycle.

It will take approximately 36 hours from the medication until we puncture you. The puncture is performed in the operating room, under sedation so that you do not feel any discomfort, and consists of extracting the mature oocytes, a process that lasts approximately 10-15 minutes. There is practically no risk of suffering any alteration during this process.

3. Embryo culture and in vitro fertilization

Once the oocytes are extracted by puncture, and already with the sperm from a donor semen sample, the oocytes are inseminated in the laboratory.

4. Embryo transfer

Embryo transfer is the last and decisive step in the process to get your pregnancy through In Vitro Fertilization. It is a crucial phase of treatment, which takes place approximately 72 hours after follicular puncture.

The process is very simple although, like the puncture, it is done in the operating room. The embryos are placed with a specific catheter, made with a very flexible material, so as not to damage the walls of the uterine cavity, and you do not need to be sedated because it is not a painful process.

After embryo transfer, you remain at rest for about half an hour. Then you can resume your daily activity, always in moderation. The remaining embryos of the process will be frozen, in order not to repeat the process of ovarian stimulation and follicular puncture again, in case you do not get pregnant in the first cycle.

5. Post embryo transfer process

  • OPTION 1: You get pregnant: In Vitro Fertilization treatment with donor semen has been successfully completed. From this moment, we discharge you and continue with a gynecological follow-up of pregnancy; with our specialized gynecologists from the Oyala Gynecology and Fertility Center.
  • OPTION 2: You do not get pregnant: When the cycle does not end with pregnancy, the most important thing is not to lose hope and keep calm. That you do not get pregnant in the first cycle of IVF with donor semen does not mean you cannot do it in later cycles. The two options for this possibility are:
    • a. If you have frozen embryos, we perform a cryotransfer, that is, embryos that have been cryopreserved are transferred to your uterus as in the first IVF cycle. It is worth mentioning that preparing the uterus for a transfer of frozen embryos is much simpler, since it is not necessary to repeat the process of ovarian stimulation and follicular puncture.
    • b. If you do not have frozen embryos, we make a second attempt or second cycle, starting the process of IVF from scratch.

2. Follicular puncture

When, by means of transvaginal ultrasound, it is observed that the follicles, within which the oocytes are, have the appropriate size so that a mature oocyte has been produced, the follicular puncture is programmed. A hormone that induces ovocyte maturation is also administered in a similar way as it occurs in the natural cycle.

It will take approximately 36 hours from the medication until we puncture you. The puncture is performed in the operating room, under sedation so that you do not feel any discomfort, and consists of extracting the mature oocytes, a process that lasts approximately 10-15 minutes. There is practically no risk of suffering any alteration during this process.

4. Embryo transfer

Embryo transfer is the last and decisive step in the process to get your pregnancy through In Vitro Fertilization. It is a crucial phase of treatment, which takes place approximately 72 hours after follicular puncture.

The process is very simple although, like the puncture, it is done in the operating room. The embryos are placed with a specific catheter, made with a very flexible material, so as not to damage the walls of the uterine cavity, and you do not need to be sedated because it is not a painful process.

After embryo transfer, you remain at rest for about half an hour. Then you can resume your daily activity, always in moderation. The remaining embryos of the process will be frozen, in order not to repeat the process of ovarian stimulation and follicular puncture again, in case you do not get pregnant in the first cycle.

How many IVF cycles with donor semen can you do?

In Oyala Fertility Center we will guide you in the most appropriate way to perform the following treatment. We will assess how the first cycle has gone and if the assessment is correct then we will advise you to repeat the In Vitro Fertilization cycle.

Oyala Gynecology and Fertility Center

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