{"id":30040,"date":"2020-11-19T21:18:01","date_gmt":"2020-11-19T19:18:01","guid":{"rendered":"https:\/\/www.juanacrespo.es\/?p=30040"},"modified":"2021-02-10T19:29:26","modified_gmt":"2021-02-10T17:29:26","slug":"questions-about-assisted-reproduction","status":"publish","type":"post","link":"https:\/\/www.old.juanacrespo.es\/en\/questions-about-assisted-reproduction\/","title":{"rendered":"Answering your questions about assisted reproduction"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><p><span style=\"font-weight: 400;\">A few weeks ago we encouraged you to ask us through social media the questions that you were most curious about assisted reproduction and fertility.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In this post we will try to clarify any doubts you may have.<\/span><\/p>\n<h2><span style=\"font-weight: 400; color: #b08f6e;\">DIET RECOMMENDATIONS FOR ENDOMETRIOSIS<\/span><\/h2>\n<p><a href=\"https:\/\/www.juanacrespo.es\/en\/specialty\/endometriosis\/\" target=\"_blank\" rel=\"noopener noreferrer\"><b>Endometriosis<\/b><\/a><span style=\"font-weight: 400;\"> injuries cause inflammation, which in addition to pain, stimulate the immune system by activating cytokines. The cytokines are related to chronic fatigue syndrome which is why many patients with <\/span><b>endometriosis<\/b><span style=\"font-weight: 400;\"> also tend to be fatigued or tired. When choosing to adopt a particular diet, the patient should select foods that provide energy and antioxidants and which are anti-inflammatory, with the main goal to improve bowel movement and avoid estrogen stimulation.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">We are talking about foods with a high energetic power, but with a low fat content.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">On the other hand, the use of probiotics is highly recommended in patients with <\/span><a href=\"https:\/\/www.juanacrespo.es\/en\/endometriosis-and-pregnancy-can-i-conceive\/\" target=\"_blank\" rel=\"noopener noreferrer\"><b>endometriosis<\/b><\/a><span style=\"font-weight: 400;\"> as it helps to restore the vaginal, endometrial and intestinal bacterial ecosystem.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Therefore:<\/span><\/p>\n<p><b>These are the foods we recommend<\/b><b><br \/>\n<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Probiotics<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Foods rich in Omega 3 (fish such as salmon, sardines or anchovies)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Foods rich in iron (eggs, fish and some leafy vegetables) especially in women who constantly bleed abundantly.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Foods rich in fiber (raw or roasted nuts and legumes), to help with bowel movement but also to eliminate excess estrogen.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Vitamin-rich vegetables (cabbage, broccoli, sprouts)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">A gluten and lactose free diet<\/span><\/li>\n<\/ul>\n<p><b>These foods are the ones we don\u2019t recommend<\/b><\/p>\n<p><span style=\"font-weight: 400;\">It is very important to avoid foods that may cause inflammation such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Red meat and sausages<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Fatty dairy products (cheese, whole milk, etc.)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Processed foods (pastries, refined sugars, meats and ready meals)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Excess flour and gluten (battered and breaded)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Caffeine, excess theine, sweetened drinks, prepared juices)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Alcohol<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400; color: #b08f6e;\">HOW LONG DO EMBRYOS TAKE TO FREEZE AFTER IN VITRO FERTILIZATION?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">In many cases, in an <\/span><b>Assisted Reproduction treatment of <a href=\"https:\/\/www.juanacrespo.es\/en\/treatment\/in-vitro-fertilisation\/\" target=\"_blank\" rel=\"noopener noreferrer\">IVF<\/a><\/b><span style=\"font-weight: 400;\"> or in <\/span><a href=\"https:\/\/www.juanacrespo.es\/en\/treatment\/egg-donation\/\" target=\"_blank\" rel=\"noopener noreferrer\"><b>egg donation situations<\/b><\/a><span style=\"font-weight: 400;\">, more embryos are generated than frozen, or vitrified for future siblings. In the case of no remaining embryos, a new cycle or assisted reproduction treatment would have to be started.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Generally, a new cycle can be started 4 months after delivery. If you are breastfeeding, it is recommended that you come to the clinic after your first period.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400; color: #b08f6e;\">WHAT HABITS SHOULD BE ADOPTED BEFORE AN ASSISTED REPRODUCTION TREATMENT<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Recommendations to follow before starting the treatment:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><b>No Tobacco.<\/b><span style=\"font-weight: 400;\"> Tobacco is very harmful in general, but it is also an enemy of female and male fertility<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Moderate, rather sporadic alcohol consumption<\/span><\/li>\n<li style=\"font-weight: 400;\">Maintaining <a href=\"https:\/\/www.nhs.uk\/common-health-questions\/lifestyle\/what-is-the-body-mass-index-bmi\/\" target=\"_blank\" rel=\"noopener noreferrer\">a good BMI<\/a> (body mass index) will help us not only to better stimulation phase results, but also to improve the prognosis of embryo implantation and gestation.<\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">A diet rich in antioxidants, low in fat and processed foods<\/span><\/li>\n<li style=\"font-weight: 400;\"><b>Exercise<\/b><span style=\"font-weight: 400;\">. Exercising is beneficial on a psychological level, since it reduces stress and anxiety during treatment, but it is also favorable for the entire body. However, high intensity exercises should be avoided, especially in the stimulation phase.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400; color: #b08f6e;\">UNEXPLAINED INFERTILITY, WHAT TO DO, AND WHAT TREATMENT TO FOLLOW?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">At Equipo Juana Crespo, we believe that there are always one or several subtle causes that require many diagnostic tests to detect them. Among these tests are the 3D ultrasound, MRI or even diagnostic hysteroscopy. On many occasions, after <a href=\"https:\/\/www.juanacrespo.es\/en\/specialty\/unexplained-infertility\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>unexplained <\/strong><\/a><\/span><b>infertility<\/b><span style=\"font-weight: 400;\">, problems of genetic origin, endometriosis, hydrosalpinx in the tubes, etc. are found. The treatment to be followed will always depend on the diagnosis.<\/span><\/p>\n<h2><span style=\"font-weight: 400; color: #b08f6e;\">CAN DISEASES BE DETECTED IN THE EMBRYO BEFORE THE TRANSFER?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Yes, through a<\/span><b> genetic test of the embryos known as <a href=\"https:\/\/www.juanacrespo.es\/en\/treatment\/preimplantation-genetic-diagnosis\/\" target=\"_blank\" rel=\"noopener noreferrer\">PGD<\/a> or PGS<\/b><span style=\"font-weight: 400;\">. It consists of analyzing the embryo in the laboratory to detect if it is chromosomally normal.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">We must clarify that this process does not guarantee having a healthy baby. Nevertheless, the child would not suffer from the main chromosomal illnesses and many so-called rare diseases.<\/span><\/p>\n<h2><span style=\"font-weight: 400; color: #b08f6e;\">ON WHAT BASIS DO YOU SELECT ONE EMBRYO OR ANOTHER FOR THE TRANSFER, AND CAN YOU EXPLAIN THE DIFFERENCES BETWEEN EMBRYOS GRADES?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">In general, before the transfer, the <\/span><b>embryo<\/b><span style=\"font-weight: 400;\"> of better &#8220;quality&#8221; or the most beautiful one is chosen. The embryologists continuously observe the evolution of the <\/span><a href=\"https:\/\/www.juanacrespo.es\/en\/embryo-grading-what-it-is-and-how-it-is-done\/\" target=\"_blank\" rel=\"noopener noreferrer\"><b>embryo<\/b><\/a><span style=\"font-weight: 400;\"> and grade it according to different parameters: appearance, morphology, if its cell division is correct, the number of cells in which it is dividing, etc., and they are graded as A, B, C and D (from best to worst quality).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It happens that many <\/span><b>embryos<\/b><span style=\"font-weight: 400;\"> (even if they are not graded as A) when transferred and especially if the uterus is well adapted and hormonally prepared, have a high probability of success. A bad <\/span><b>embryo<\/b><span style=\"font-weight: 400;\"> in a good endometrium is viable, while a good embryo in a bad endometrium has difficulties evolving well because the endometrium is the one that protects and feeds it.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400; color: #b08f6e;\">CAN A WOMAN GET PREGNANT WITHOUT HAVING HER PERIOD?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It is possible but quite difficult to do so. To get pregnant, <\/span><b>ovulation<\/b><span style=\"font-weight: 400;\"> is necessary, and it usually happens in menstrual cycles with periods, but there could be a temporary absence of menstruation if the period is irregular or simply delayed.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A period indicates that one cycle ends and another begins. If you haven\u2019t had your period for a while or your periods are irregular, it becomes difficult to control the days when <\/span><a href=\"https:\/\/www.juanacrespo.es\/en\/menstrual-cycle-and-fertility\/\" target=\"_blank\" rel=\"noopener noreferrer\"><b>ovulation <\/b><\/a><span style=\"font-weight: 400;\">occurs, and this is why it gets difficult to plan a pregnancy.<\/span><\/p>\n<h2><span style=\"font-weight: 400; color: #b08f6e;\">WHEN YOU DIAGNOSE SOME TYPE OF ENDOMETRIOSIS, DO YOU OFFER TREATMENT TO TAKE CARE OF IT AND TRY TO IMPLANT THE EMBRYO PROPERLY? WHAT TREATMENT IS IT? DOES IT USUALLY PRODUCE GOOD RESULTS?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The treatments at our clinic are always very personalized and more so in the case of women with<\/span><b> endometriosis<\/b><span style=\"font-weight: 400;\">. Each woman with <\/span><a href=\"https:\/\/www.juanacrespo.es\/en\/endometriosis-and-pregnancy-can-i-conceive\/\" target=\"_blank\" rel=\"noopener noreferrer\"><b>endometriosis <\/b><\/a><span style=\"font-weight: 400;\">is in a different situation. The level of affectation must be assessed (not only the stage, but also whether it has compromised other factors such as the ovarian reserve or the functionality of other organs) and the disease must always be treated in a global manner, taking into account the other affected organs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The stimulation strategy must be very precise because, in some cases, it could aggravate the disease. In addition, on many occasions there are hidden and very specific injuries that are not easy to see or recognize and that compromise everything from the ovarian response to the implantation of the embryos.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are no standard treatments or generic formulas; the patient must be treated individually and it is very important not to abandon her once pregnancy is achieved: the treatment must be followed continuously during a woman&#8217;s fertile period.<\/span><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":30038,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"categories":[66],"tags":[574,577,281,575,576],"class_list":["post-30040","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-doubts","tag-embryo-grading","tag-endometriosis-en","tag-habits","tag-unexplained-infertility"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.old.juanacrespo.es\/en\/wp-json\/wp\/v2\/posts\/30040","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.old.juanacrespo.es\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.old.juanacrespo.es\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.old.juanacrespo.es\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.old.juanacrespo.es\/en\/wp-json\/wp\/v2\/comments?post=30040"}],"version-history":[{"count":3,"href":"https:\/\/www.old.juanacrespo.es\/en\/wp-json\/wp\/v2\/posts\/30040\/revisions"}],"predecessor-version":[{"id":32837,"href":"https:\/\/www.old.juanacrespo.es\/en\/wp-json\/wp\/v2\/posts\/30040\/revisions\/32837"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.old.juanacrespo.es\/en\/wp-json\/wp\/v2\/media\/30038"}],"wp:attachment":[{"href":"https:\/\/www.old.juanacrespo.es\/en\/wp-json\/wp\/v2\/media?parent=30040"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.old.juanacrespo.es\/en\/wp-json\/wp\/v2\/categories?post=30040"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.old.juanacrespo.es\/en\/wp-json\/wp\/v2\/tags?post=30040"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}