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Institute of Reproduction and Gynecology or IREGA is now open in Puebla, Mexico. IREGA is already an established name when it comes to top-notch women care involving infertility treatment and reproductive health solutions. IREGA is known for bridging the gap of difference between happiness and the wish of being happy.
The primary objective of the clinic is to prevent diseases such as cervical, breast and gynecological cancer along with pregnancy control by monitoring the process ensuring birth of a healthy child. The expert team helps people to form families through treatments such as IVF, Artificial Insemination and more.
In IREGA, the team has the best high-tech equipment with the highest reproductive technology. That is why they successfully provide the latest advances in health to address infertility problems. Their optimized program saves cost and ensures high performance of getting what you desire. In addition, they also offer nutritional support during the treatment and psychological therapy for emotional support. Most importantly, they combine their extensive experience with the latest technology to provide treatments, which are mentioned below.
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IREGA, is a specialized unit created to achieve one of the most important dreams in life ... being a mother!.
The high success rates of the treatments they provide are the result of the methods used by their expertise and the continuous improvement of processes. The benefit to you with IREGA is that they have the latest advances in the field of Assisted Reproduction and Genetics with the most attentive and professional treatment.
No waiting lists and the ability to immediately obtain a pre-diagnosis and personalized pricing, they offer the latest technology and fully trained staff ready to help and assist you at all times. The center has quickly positioned itself as a center of high quality service, offering great value for money.
The IVF laboratory has the latest technology and quality control, which is reflected in the pregnancy rate, achieving successful cases of eggs and embryos, as well as epididymal sperm aspiration and testicular biopsy.
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Artificial Insemination, also known as IUI, is ideal for patients who suffer a deterrent in the uterus, preventing sperm cells to pass, whether its alterations in the semens quality, or the cervical mucus or an incompatibility between male gametes and the cervical mucus itself. Nonetheless, this technique collaborates with conception if an allergy to sperm is present. The first step to boost probability of pregnancy is to take specific medicines, given by our team to stimulate ovulation. Ingesting these will happen near the beginning of your menstrual cycle, stimulating the ovaries into releasing more than one egg apt for fertilization.
It’s important to keep in mind that women, normally release only one egg a month. Surely the doctor in charge of your procedure will guide you through an ovulation test to detect the exact moment in which the egg should be inseminated. Once you find yourself in a fertile period, your partner will have to produce a semen sample to separate the seminal plasma from the sperm cells with good mobility and begin the capacitation process for the sperm cells. This way, after the recuperated sperm cells, after separation procedure, will be in prime conditions for fertilization. Finally, sperm cell transfer happens. The same measure is realized with a cannula.
Intracytoplasmic Sperm Injection (ICSI) is a form of in vitro fertilization that led to infertile couples due to multiple factors, sperm are unable to penetrate into the egg.
ICSI is indicated when:
The stages of ICSI are similar to IVF, the difference is how the eggs are fertilized. Thus sperm are selected trained for injection and the embryologist (according to criteria and selection techniques) determines which sperm is used to inject it into the egg. Success rates with ICSI are greatly influenced by the quality of sperm preparation and the skill in micromanipulation. The ICSI, combined with IVF is the most effective treatment for male infertility, with a success rate in our institute from 50% to 65% in treatments to generate a pregnancy.
In Vitro Fertilization is a method of assisted reproduction meant for infertile couples. Its purpose is to fertilize eggs outside the woman's body when they are unable to do so in their natural place. This procedure is performed in the laboratory, keeping eggs and sperm in incubators under controlled environmental conditions of temperature, humidity, oxygen concentration, carbon dioxide etc., which simulate the womb under normal conditions. The fertilized eggs are kept in incubators for optimal development and this is called embryo culture. The embryo culture requires comprehensive care and can last from 3-5 days depending on the quality of the embryos. In the 3 or 5 day of culture, the best embryos are selected according to their morphology to be transferred to the uterus of the patient.
IVF WITH EGGS AND SPERM FROM THE COUPLE
In Vitro Fertilization with eggs and sperm from the couple is a laboratory technique that fertilize the previously extracted eggs with your partner´s own sperm. This technique offers a certified probability of pregnancy up to 61%.. Once Fertilized, the eff becomes a pre-embryo and it´s inserted into the uterus for futher development. Typically, in normal menstrual cycle, only one egg develops each month. For a In Vitro Fertilization, we need to obtain more than just obe egg, so it is necessary to stimulate the ovaries hormonally to get several mature eggs at the same time.
This type of In Vitro Fertilization is ideal when there is an insufficient quantity of sperm to be able carry out artificial insemination or when there is obstruction or damage in the fallopian tubes, since there is no other possibility of achieving pregnancy. This technique is also recommended after havingmade several attempts at artificial insemination without succes.
IVF WITH OWN EGGS AND DONOR SPERM
In Vitro fertilization with your own eggs and donor semen is a laboratory technique that fertilize the previously extracted eggs with the sperm of an anonymous donor. The donor sample has optimal conditions of quality and quantity, since it comes from a healthy donor. Once fertilized, the egg becomes a pre-embryo and it's transferred to the uterus for further development. This technique offers a certified probability of pregnancy up to 61%.
This type of IVF is used when you want to be a single mother, your partner is another woman or after several unsuccessful IVF attempts with the partner's semen and in which we suspect that the origin of the failures may be from the male partner. It is also used in cases of azoospermia (medical condition of a man whose semen contains no sperm) or when the semen has been used without success. Or, more rarely, when the man has a chromosomal abnormality and, for ethical reasons, it is not contemplated to undergo the preimplantation genetic diagnosis (study of the chromosomal characteristics of the embryo before being implanted in the uterus).
IVF WITH DONOR EGGS AND SPERM FROM THE COUPLE
In Vitro fertilization with donor eggs and partner's semen is a laboratory technique that involves fertilizing the eggs from a donor with your partner's sperms. Once fertilized, the egg becomes a pre-embryo and it's transferred to the previously prepared uterus for further development. Spanish legislation establishes that egg donation must be anonymous (there can be no knowledge between recipient and donor, either now or in the future) and voluntary (the marketing of eggs and embryos is prohibited by the law of Spain. Donors must have between 18 and 35 years old and receive financial compensation for the dedication and time allocated to the donation. This technique offers a certified probability of pregnancy up to 94%.
This type of IVF is recommended when you have ovarian problems and need to resort to donor eggs. It may be that your ovaries do not produce eggs or that the eggs are of inadequate quality (see causes of female sterility). This technique is also used if you have a genetic disease, a chromosomal abnormality or a disease that contraindicates ovarian stimulation.
IVF WITH DONOR EGGS AND DONOR SPERM
In Vitro fertilization with donor eggs and donor sperm is a laboratory technique that involves inseminating the eggs of a donor with the sperm of a donor, both anonymous. Once fertilized, the egg becomes a pre-embryo and it's transferred to the previously prepared uterus for further development. This technique offers a certified probability of pregnancy up to 94%..
This technique is used in the event that you have ovarian problems, either because of your age or for unknown reasons, and a donor sperm is also used because you want to be a single mother, your partner is another woman or because the male partner has azoospermia problems (absence of sperms) or other sperm abnormalities.
PGD Preimplantation genetic Diagnosis allows knowing the genetic basis of a hereditary disease, and thus preventing its transmission to offspring. In some cases the alternation is very larger and can be detected by a cytogenetic study (karyotype). Often, the genetic alteration is very small. On a PGD, the use of molecular techniques is necessary to allow the analysis of a single DNA base.
The Genetic Material found in the nucleus of our cells (DNA) is studied. The tissue of choice to obtain DNA is generally, blood in order to carry out a cytogenetic study (Karyotype) or to study a specific region of DNA through different test such as Sequencing, Polymerase Chain Reaction, In Situ Hybridization with Flouresence.
WHO ARE CONDIDATES FOR PGD?
Individuals or families who are suspected of showing genetic disease. Often it tends to experience uncertainty when planning to have children.
That is why it is recommended to consult a geneticist, where the main reasons for a consultation are:
Testicular biopsy consists of a surgical interventionm where through a single or multiple incision(in one or both testicles) removes one or more portions of testicular tissue, to study it and try to obtain spem.
This intervention is indicated in the absence of sperm, or then the quantity or quality of the sperm is insufficient to be able to try, with a certain possibility of success, an assisted reproduction technique. The objetive is to abtain live sperm to inject one into each oocyte of the couple (previusly retrieved by stimulation and ovarian puncture).
It will also be indicated in cases of obstruction of the seminal duct, which can be the result of multiple causes, both congenital and acquired. Among the congenital ones, the absence of vas deferens stands out, a pathology that is frequently associated with a disease called cystic fibrosis.Other causes of obstruction are those of infectious, traumati, or surgical origin (such as after performing a vesectomy), although on many other circusmtances it is not possible to detect the origin of the obstruction. This surfical intervention is performed under anesthesia and on an outpatient basis. It begings by small incision in the scrotum, and through it, it incise on the wall of one the testicles and a small amount of testicular pulp is extracted, which is inmmediately processed in order to verify the possible presence of sperm suitable for its reproductive use. If necessary, the biopsy can be repeated through this incision in different areas oh the same testicle. If sperm is not obtained or is unsufficient, the surgeon may decide to repeat the proceduree on the other testicle. If it is of interest to study the functional situation of the testicle or the type of lesion present in it, a part of the material obtained in the biopsy may be sent for anatomopathological styduy
Testicular biopsy to obtain sperm can be done prior to treatment with IVF or ICSI at the same day of oocyte collection. In the first case, it would be necessary to freeze the sperm thatcould be obtained, and thawed for later use. Sperm freezing associated with previous biopsy may deteriorate the quality and survival of some sperm, but allows greater assurance that the procedure is feasible as is known in advance the presence or absence of male gametes. Before the intervention we, will require blood and biomedical tests for each patient, in order to minimize the risks associated with the intervention serological testing to rule lues infection, HIV, hepatitis B and C, or other infectious diseases, will be also required
There’s 2 primordial ways of selecting gender for couples that wish to choose it. The first method consists off choosing the sex through the male gametes or sperm cells, and at IREGA we put at your service these 2 techniques:
Within the method of selection gender through male gametes or sperm, there are two ways:
Gender selection through albumin gradients (Ericsson’s technique).
This is based on the fact that sperm cells Y (boy) swim faster than sperm cells X (girl). Once the semen sample is collected , it is set in the lab with a column of albumin gradients (protein). The sperm cells are separated into Y and X to enhance the probabilities of obtaining the desired gender.
It is a scientifically, proven preconception method that helps increase the chance of having a baby of the desired gender. MicroSort separates sperm into two groups: those that will become a girl (carriers of the -X chromosome) and those that will become a boy (carriers of the -Y chromosome). Microsort technology is based on the fact the -X chromosome is substantially larger (approximately 2.8%) than the -Y chromosome. The semen sample is processed and then stained with a flourescent dye that temporarily adheres to the sperm DNA. The stained cells are anaalyzed in a flux cytometer where they tavel through a jet which ends in a laser that make sperm cells flourescent. Sperm Carriers with -X (which adhered more dye) will shine brighter than sperm carriers with -Y, (wich adhered, less dye). Using a software that identifies the brightest sperms(carriers of -X) and the last bright ones (carries of -Y), the cytometer is able ti separate them.
Preimplantation Genetic Diagnosis (PGD)
The sex-selection process prior to an IVF implantation involvers seceral eggs. After the eggs are fertilized and become embryosm a single cell is removed from each one of them for genetic testing (PGD). After the fender of each embryo is established, and the unhealthy embruo are recognized, the embryos od the select gender are transferred and implanted into themother uterus. The success rate for embryo gender choice is extremely high, approximately up tp 99.9%. However, PGD is indificated for those patients who are at risk of transmitting genetic diseases to the progeny.In this way, PGD allows to only transfer healthy enbryos.
The success rate for the gender selection is very high, with a 99.9& chance of success. However PGD is for patients that have a high risk of transmitting genetic disorders.
Nowadays, cryopreservation techniques for gametes (Sperms and oocytes) allow us to offer our patients the possibility to maintain and preserve their fertility. There are 2 groups of patients that find benefit in these techniques.
Cancer patient life expectancy rose considerably due to the timely diagnosis and established treatments. Nonetheless, these treatments cause the reproductive function to fail and deteriorate, reducing the number of growing cells, leading to a loss of fertility.
A woman fertility begins to decrease after the age of 30, acelerating after the age of 35 in relation to the quality and quantity of oocytes remaining in the ovary. Age is the best indicator of oocyte quality, therefore, between the ages of 40 and 45, very few women will be able to archieve a successful pregnancy. Currently many women want to postpone their motherhood for various personal, economic or work reasons, so cryoperservation of their eggs at and early age is the best option to keep possibility of becoming mothers when the patient is ready to have a baby.
IREGA Puebla is comprised of a multidisciplinary team, highly skilled in different aspects of reproductive medicine, endoscopic surgery, maternal fetal medicine, genetics, nutrition, and psychology.
Dr. Adán Oliveros Ceballos
GENERAL DIRECTOR IREGA
Clinical Interests: Evaluation of the infertile couple (male and female); controlled ovarian hyperstimulation with intrauterine insemination and perfusion; Laparoscopy and Hysteroscopy Diagnostic and surgical Reproductive Endocrinology, and Assisted Reproductive Technologies: In-Vitro Fertilization (IVF) Injection Intracytoplasmic Sperm Injection (ICSI). cesarean delivery care and gynecological pathology.
Care Center Director in Gynecology and Reproduction, in Acapulco, Guerrero, Director, Institute of Reproduction and Genetics at the Hospital Galenia Cancun Quintana Roo, Medical Specialist, Recertified in Reproductive Biology, Professor Examiner Council in biology of Human Reproduction, Recertified Specialist in Obstetrics and Gynecology, Professor Examiner specialty council of Gynecology and Obstetrics, Professor of the course of dialogues in Playing Mexican Association of Reproductive Medicine. It belongs to the College of Obstetrics and Gynecology Guerrense of Guerrero State, President of the Association of Gynecology and Obstetrics Guerrerense full member of the Mexican Association of Reproductive Medicine, the European Society of Human Reproduction and Embryology and the American Society for Reproductive.
Acknowledgments. - Multiple awards for Professor of Congress in the area of Reproductive Biology and by the Mexican Board of Obstetrics and Gynecology in October 2011. For six years the meritorious work as Teacher Board Examiner in Obstetrics and Gynecology and Reproductive Biology.
Academic interest. -
Advisor of the Journal of Reproductive Biology of the Mexican Association of Biology of Reproduction, free papers presentation.
Q.B.P. Irving Yosef Juárez Avila
Head of the Human Reproduction Laboratory
Dr. Ada Belinda Luna Gallardo
Clinical Interests: Evaluation of the infertile couple (male and female) with COH Climacteric Insemination, Reproductive Endocrinology, and Assisted Reproductive Technologies: In-Vitro Fertilization (IVF), Intracytoplasmic Sperm Injection (ICSI). Endoscopy Reproductive (laparoscopy and diagnostic and operative hysteroscopy.
Sub specialty in Reproductive Biology at the University Center for Reproductive Medicine at the Autonomous University of Mexico, specializing in Obstetrics and Gynecology at the Autonomous University of Mexico, and Surgeon Bachelor midwife at the Autonomous University of Mexico. Certification in Obstetrics and Gynecology by the Mexican Board of Obstetrics and Gynecology, Certified in Reproductive Biology by the Mexican Board of Obstetrics and Gynecology, chief resident of the area of Reproductive Biology, Substituttion in the position of Medical Deputy Director of Specialies Hospital of Puebla , participation in various conferences and refresher courses, author of many publication and presentation of research studies.
Training. - In laparoscopic surgery and diagnostic and operative hysteroscopy, Gynecologial Endoscopic Surgery, Cosposcopy and Management of Dysplatic Lesion and Viruses Human Papilloma.
Publications. - In the area of Reproductive Biology.
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After trying in other clinics in Mexico, I reached IREGA Puebla and I got my pregnancy on the first try. And now I enjoy my little beloved ones that have enlightened my life. Thanks to all the IREGA team.
Because of IREGA, now I have the privilege of being a mom, thanks!
We are very pleased to have made the best decision to put our case in the hands of Irega Puebla. We now have a beautiful a nine months old princess and that is priceless. Thank you!
The Institute of Reproduction and Gynaecology of Puebla is comprised of a multidisciplinary team, highly skilled in different aspects of reproductive medicine, endoscopic surgery, maternal fetal medicine, genetics, nutrition, and psychology.
Dr Ada Belinda Luna and Dr. Adan Oliveros director of the Institute have over 25 years of experience and thousands of couples treated who have achieved their dream of becoming parents.
Puebla is a colonial era planned city in east-central Mexico. It’s known for its colonial architecture, pottery and culinary history. The painted Talavera tiles adornes several buildings. The Puebla Cathedral with tall bell towers overlooking the central square is a big attraction. In addition, you will also find pre-Hispanic art including ceramics and mural fragments.
Containing more than 70 churches in the Historic City Center alone, Puebla maintains its close ties to colonial Spain through its architecture and famous azuelejos. Exclusive boutiques and restored buildings add to the modern melding of worlds both past and present
The Historic Center of Puebla, which is a UNESCO World Heritage Site since 1987, contains 2619 monuments distributed across 391 blocks allocated over 6.9 square kilometers making Puebla the city with the largest number of monuments in the Americas.
The talavera from Puebla is one of the few Mexican products with protected designation of origin. Talavera is a type of ceramic that has been produced without interruption for more than four centuries, making it one of the most important folk art expressions in Mexico.
The gastronomy of Puebla is one of the most diverse and exquisite in all of Mexico, and even the world. Puebla has provided Mexico with its most traditional dishes: Mole Poblano and Chiles en Nogada.
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EGA Puebla, Click the button below: