“We have state-of-the-art technology and professionals trained to carry out highly complex treatments such as in vitro fertilization and intracytoplasmic sperm injection (ICSI). In addition, we carry out genetic studies in embryos (NGS), in this way we avoid chromosomal abnormalities and hereditary genetic diseases. The support of an embryology, andrology and cryopreservation laboratory is a great advantage”, says Dr. Jaime Seminario, a prominent gynecologist at our clinic.

What is infertility?

It is the difficulty that a couple has in getting a pregnancy after having sought it through unprotected sex for a period of 1 year.

When should I go to a specialist?

The time to go to a specialist will depend on the age of the patient:

• Under 35 years old. The patient can wait a maximum of 1 year before testing and starting treatment.
• Over 35 years old. The patient must attend 6 months after seeking pregnancy.
• Older than 40 years. Investigation and treatment should begin immediately.

The first consultation, the first big step:

• The first consultation is very important; an exhaustive medical history should be taken highlighting the age of the patient, history of endocrine diseases, infections, surgeries (gynecological or not), history of cancer, previous pregnancies, abortions, dysmenorrhea, as well as the medical history and history of the male
• In the first consultation, a gynecological examination with transvaginal ultrasound is also performed, in order to look for infections, fibroids, endometriosis, cysts, etc., and analyze the ovarian reserve, that is, how many follicles the patient has.
• In the first consultation, clinical tests are indicated, such as anti-Müllerian hormone, to confirm ovarian reserve, thyroid hormone, prolactin, and a male spermatogram.
• With the results, the work plan is established, providing fertility counseling. Depending on the case, we recommend various alternatives: surgery, medical treatment, ovulation induction, insemination or in vitro fertilization, to crystallize the desire of many couples to become parents.

Dr. Jaime Seminario
Gynecologist at Clinica Ricardo Palma