Artificial Insemination in couples not residing in Barcelona
There are several Assisted Reproduction centres but few of them have the experience and protocols that can help patients who do not live in the city where the clinic is. In Barcelona, EUGINE has been a pioneering centre in developing and applying distance treatment coordination. The process consists of using new communication technologies for regulated procedures.
Even if the final stage of the Assisted Reproduction treatment such as Artificial Insemination or IVF-ICSI- always takes place in Barcelona, in specific cases the main part of the study and hormone preparation of the woman can be effectively carried out in her home town or area.
This procedure is coordinated via the Internet or by post which allows many non-resident women to take advantage of Assisted Reproduction Techniques in a more comfortable and effective way as well as to reduce the cost of the treatment as they do not have to travel to the clinic more than is absolutely necessary.
NECESSARY ADDITIONAL TESTS
A series of analytical results and additional tests are necessary. Very often they can be obtained in the patient’s hometown in collaboration with her GP or a specialist.
Gynaecological check with a recent cytology which can be taken in Barcelona at the first appointment.
Blood tests are required for precise pre-conception evaluation. They consist of a complete hemogram, hepatic and renal biochemical tests, serologies (HBsAg, anti-HBs, anti-HC, rubella, toxoplasmosis, lues), blood group and Rh. The test results have to be updated only if they were taken more than six months ago. They can also be taken when the woman has become pregnant.
Hormone analysis is taken on the third day of the menstrual cycle (FSH, LH and 17 β-Estradiol). If this falls on a holiday it can be taken between the second and the fifth day of the cycle. This test is necessary when an endocrine alteration is suspected.
Hysterosalpingography is carried out between the eighth and the twelfth day of the cycle. It can be taken in the patient’s hometown.
Basal temperature normally provides very useful information. It is preferably taken using the rectal method every day starting on the first day of the menstrual cycle and for the duration of approximately two cycles. There are specific graphs to record the given temperature.
REQUIREMENTS
The consent form has to be signed before one of the Assisted Reproduction techniques is applied.
ARTIFICIAL INSEMINATION GENERAL COORDINATION
First appointment
This first appointment is specially focused on the discussion of the chosen technique. It is very important and takes place in Barcelona. It is recommended for the woman to schedule the visit when she is not menstruating and can undergo a gynaecological check-up. During this appointment the doctor will evaluate the patient’s case and plan its follow-up.
Taking into account the available results and the information received at the first appointment, the doctor will point out the necessary additional tests to run in order to complete the case study and programme the following appointments.
If any anomaly is detected as a result of the study the case will be evaluated in more depth in order to confirm that Artificial Insemination is the appropriate action for the patient. This study can be coordinated by the patient’s gynaecologist who will communicate with EUGIN via the Internet.
Second appointment
When it has been decided to begin the treatment, or when the case study has been completed, the woman calls EUGIN on the first of second day of her period in order to confirm the procedure and the hormonal dosage to follow. As a rule, the treatment begins on the third day after the menstrual cycle starts.
At the same time the appointment with the gynaecologist or the ultrasound professional in her hometown is scheduled. It will take place approximately seven days after the hormonal treatment begins. During this appointment an ultrasound scan via the vagina is carried out in order to control the ovarian response and according to the results the next appointment will be scheduled. In order to do so the patient contacts EUGIN on the phone or via email.
This control can be carried out in the patient’s hometown if it is possible. When the results show the suitable ovarian response the insemination will be scheduled. It will take place in Barcelona two days after the last ultrasound scan.
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