Instituto de Reproducción de la Marina Alta IREMA

IREMA Fertility Clinic was created 15 years ago. We offer a comprehensive service for the diagnosis and specific treatment of infertility and sterility problems. We offer couples the latest technology and the most advanced assisted human reproduction procedures. We are specialized in egg donation. Because it is our goal to offer the best possible results.

IREMA is comprised of a large group of professionals with extensive experience in all aspects of assisted human reproduction, including gynaecology, reproductive biology, andrology and lab and nursing staff. We also offer a personalised treatment for each patient, carrying out a detailed study of their specific case and reproductive health and offering the applicable options for each case. IREMA puts at your disposal the In Vitro Fertilisation and Pre-embryo Bank services, a Sperm Capacitation Laboratory and a Sperm Bank, having all the corresponding permits form the Health Ministry of the Regional Government of Valencian community.

At IREMA we work exclusively in the field of reproductive health, and are therefore in a position to focus all our efforts on equipping our Institute with the highest quality assistance and obtaining the best possible results. 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), – Intracytoplasmatic Sperm Injection (ICSI) – IMSI or Super ICSI – Egg Donation, – Sperm Bank, – Preimplantational Genetic Diagnosis (PGD), – Assisted Hatching – Embryo Culture to Blasticyst – Embryo adoption – Testicular Sperm extraction and aspiration – Oocyte vitrification

Oocyte uptake

When the size of the follicles is adequate, a hormone is administered that will produce a controlled ovulation. It is administered 36 hours before oocyte uptake. This collection is performed in the operating room under sedation, using a special needle, which through the vagina, collects the fluid found in the follicles, and which in turn contain the ovules. In the laboratory is where they will be separated from this fluid and placed in culture medium in an incubator. After one or two hours, the patient can leave the hospital.

Fertilization

Once we have the sperm sample, it is processed to inseminate the ovules. In a culture plate several microdrops are prepared, in which we will place an adequate concentration of sperm. Later, we place an egg in each of these microdrops, and in this way, in a few hours, one of the sperm will enter the egg, producing fertilization or fertilization. (This is properly in vitro fertilization.) This plate with the ovules and sperm is left in the incubator, thus being in conditions similar to the physiological ones, that is, 37º C, with a concentration of 6% of CO2 and high humidity relative (95%). At 18-20 hours after insemination, we verify if fertilization has taken place, observing them under the microscope.

Embryonic culture

The embryos obtained (which are the previously fertilized ovules) are going to spend one or two more days in the incubator, observing their evolution, to determine their quality and thus be able to select the best quality embryos to later transfer them.

Embryo transfer

After these days in the incubator is carried out the transfer of one, two or three embryos, depending on the number of each case in particular, according to medical advice and desire of the patients. The total process takes no more than half an hour. The embryos are introduced into the uterine cavity through a very thin cannula, guided by ultrasound, to place the embryos in the most appropriate place. It is expected then that implantation occurs that could lead to pregnancy.