cached at 28/11/2009 13:03:58
Find
Near

IREMA. Instituto de Reproduccion de la Marina Alta « Find Other Fertility Clinics in Denia

Contact Clinic Contact IREMA. Instituto de Reproduccion de la Marina Alta for complete details, pricing or for an appointment

Address

IREMA. Instituto de Reproduccion de la Marina Alta
Avda de Vergel 10,
Beniarbeig,
Alicante,
03778

Opening Hours

Mon10:00 AM : 02:00 PM
04:00 PM : 07:00 PM
Tue10:00 AM : 02:00 PM
04:00 PM : 07:00 PM
Wed10:00 AM : 02:00 PM
04:00 PM : 07:00 PM
Thu10:00 AM : 02:00 PM
04:00 PM : 07:00 PM
Fri10:00 AM : 02:00 PM
04:00 PM : 07:00 PM

Specialises in

Fertility

About IREMA. Instituto de Reproduccion de la Marina Alta

IREMA is comprised of a multidisciplinary group of professionals with extensive experience in the different fields of assisted reproduction including gynaecology, reproductive biology, andrology, laboratory personnel and nursing. In addition, IREMA offers a highly personalized approach to patient care, studying in great depth his/her reproductive problem, offering the treatments that specifically applied to each case. IREMA facilities are located inside the Hospital and Maternity ACUARIO, one of the top hospitals in the area. In this way, we can make available to our patients all the services that a highly specialized hospital can offer. The 29 different specialities that our hospital offers include gynaecology, urology, a highly specialized unit of radiological diagnosis (TAC), laboratory of clinical analyses, etc., and state-of-art operating rooms, and all of this in a quiet and relaxing environment. IREMA offers an integral service to treat the reproductive problems that infertility couples may experience, using state-of-the-art equipment and technologies. IREMA offers all techniques allowed by the current Spanish legislation on assisted reproduction including Intrauterine Insemination (IUI), Donor Sperm Intrauterine Insemination (Donor-IUI), In Vitro Fertilization (IVF), Intracytoplasmic Sperm Injection (ICSI), Egg Donation, Sperm Bank, and Preimplantational Genetic Diagnosis (PGD), one of the newest assisted reproductive technologies recently introduced that is applied to the genetic study of the embryo so only healthy embryos can be transferred to the uterus thus avoiding potential malformations or the transmission of hereditary diseases.   Some of the treatments offered are: IUI Donor-IUI IVF ICSI Egg donation program Assisted Hatching Embryo Freezing Embryo culture to blastocyst Testicular sperm extraction (TESE) or aspiration (TESA) Preimplantational Genetic Diagnosis Sperm washing   How to get to our facilities? We are located equidistant to the Valencia and Alicante airports, and have a transportation service available to pick you up at the airport and bring you to our clinic.   Accommodation There are different possibilities in the area. There are hotels near the clinic and you can also stay near the beach.

Languages spoken

    EnglishFrenchGermanItalianSpanish

Insurance

    Private Patients Welcome

Fertility

AH - Assisted Hatching
The day 2 or day 3 embryo after fertilization is usually comprised of four or eight cells, respectively, and is surrounded by the so-called zona pellucida. This is a kind of a coat that protects the embryo during the first days of development. On day 6 of development the zona pellucida breaks, so that the embryo can “hatch” through it and implant in the uterine wall. In some cases, and due to different causes (e.g., hardening of the zona pellucida, advanced maternal age, etc.), the hatching does not occur. In order to overcome this problem, we can apply a technique known as “assisted hatching”, that consists in making a small hole in the zona pellucida before the transfer, to facilitate the hatching of day 6 embryo after fertilization, leading to higher implantantation and pregnancy rates.
 
AI - Artificial Insemination
 
 
Blastocyst Transfer
Embryo culture during the five following days after fertilization allows us to carry out a better selection of embryos to be transferred to the uterus. For example, sometimes embryo division stops on day 3 after fertilization and, therefore, these embryos are not suitable to be transferred to the uterus. By using embryo culture to blastocyst stage we ensure that the embryos transferred are viable and have successfully overcome a potential block during their development, leading to higher embryo implantation and pregnancy rates.
 
Egg Donor
The egg donation program is the treatment indicated in patients that, for a number of reasons, do not have a sufficient number of eggs or of the required quality to yield a healthy embryo. The egg donation process consists in performing IVF with the eggs from an anonymous donor and the sperm of the husband, followed by the transfer of the embryos to the recipient woman. The same day in which the eggs are retrieved we carry out the fertilization of the eggs, and two or three days later, we transfer the embryos to the patient. Once the embryos are transferred, a hormonal replacement treatment with oestrogen and progesterone is administered to the recipient woman in order to prepare the uterus for embryo implantation. In order to ensure that we obtain oocytes of the highest quality possible, the egg donor is subjected to a rigorous selection process that includes a personal and family medical history, a blood analysis, serological studies, karyotype, etc. The physical and blood group characteristics of the donor are carefully evaluated and registered to facilitate the matching of the egg donor with the recipient woman or couple.
 
Embryo Cryopreservation
When a conventional IVF or ICSI's cycle is performed, surplus good quality embryos can be left over after embryo transfer. If this were the case, these surplus embryos are cryopreserved and can be used later on in a cryotransfer cycle which does not require ovarian stimulation. Embryos are cryopreserved in liquid nitrogen and stored in cryogenic tanks. According to the current Spanish legislation of assisted reproduction, embryos can be frozen during the whole reproductive life of the woman.
 
Fertility Specialist Consultation
 
 
FET - Frozen Embryo Transfer
 
 
ICSI - Intracytoplasmic Sperm Injection
This procedure is similar to conventional in vitro fertilization, but rather than penetrating by themselves the oocyte, they are microinjected inside the oocyte using a highly sophisticated micromanipulation apparatus. The micromanipulation system consists of an inverted microscope, through which the spermatozoa are observed at a magnification of 400X, and two micromanipulator arms. Using one of them, the egg is held to the microinjector by suction, and with the other, which is the hydraulic arm, one single spermatozoon is captured and injected into the egg, facilitating thus the fertilization of the oocyte.
 
IUI - Intrauterine Insemination
Intrauterine insemination is a modality of artificial insemination in which sperm are deposited directly inside your uterus around the time of ovulation. The semen is "washed" in the laboratory to separate the sperm from the seminal fluid, and to isolate the best spermatozoa with the highest motility and quality to be transferred to the uterus.
 
IVF - In Vitro Fertilisation
The IVF process comprises five steps: ovulation induction, retrieval of the oocytes from the ovary, fertilization of the oocytes with the spermatozoa, embryo culture and embryo transfer. The ovaries are stimulated following the self-administration of medication by the patient in order to get an adequate number of oocytes. Once the oocytes are mature, they are retrieved from the ovary in the theatre room under sedation. Oocyte maturation is monitored by ultrasound by looking at the size of the follicles in which the oocytes are contained, and also by measuring the blood levels of estradiol, a hormone that is produced by the follicles. Once the oocytes are in the laboratory, they are processed and further matured in preparation for their fertilization by the spermatozoa. Briefly, a suitable concentration of sperm is placed within a few microdrops inside a culture dish. Later on, we place an egg in each of these drops, and after a few hours, one of the spermatozoa will penetrate the egg, leading to oocyte fertilization and the pronuclear stage embryo. The resulting pronucleate stage embryos will start to divide and will remain in the incubator two additional days. During this period, the embryologist will monitor the evolution of the embryos in order to determine their quality and to select the best embryos to be transferred to the uterus.
 
PGD - Preimplantation Genetic Diagnosis
Preimplantational genetic diagnosis (PGD) allows detecting chromosomal anomalies in the embryo. It consists of the genetic study of the embryos, to transfer only healthy embryos. The diagnosis is indicated in patients with chromosomal alterations or family background of genetic anomalies, avoiding in this way the transmission of a hereditary disease. It is also indicated in advanced maternal age (35 years or more), because the oocyte and the fetus have a higher probability of carrying chromosomal anomalies, like Down's syndrome. The technique of PGD consists in extracting one or two cells from a day 3 embryo which normally has eight cells. When performed by an experienced embryologist, this technique does not compromise embryo viability. The extracted cells can be studied in the laboratory by two different methods: Fluorescence In Situ Hybridization (FISH) or Polimerase Chain Reaction (PCR). The former is used for chromosomal analysis and the latter for gene mutations. Following PGD analysis, the embryos with a normal chromosomal or gene composition are transferred to the uterus.
 
Sperm Donation
 
 
Sperm Freezing
 
 
TESE - Testicular Sperm Extraction
This technique is applied to males that either produce low-quality sperm or do not produce sperm at all in their ejaculate due to a defect in sperm production in the testis or a block in sperm transport from the testis to the ejaculate. It is also applied to patients who suffer of erectile dysfunction due to diabetes, multiple sclerosis or neurological disorders. Although sperm can be also obtained using vibrators or by electroejaculation in patients with neurological diseases (e.g., paraplegics), recent reports indicate that testicular sperm obtained by testicular biopsy or testicular aspiration are usually of higher quality.
 

Scans

CT Scan - Computed Tomography
 
 
Free phone consultation