Reciprocal IVF in San Sebastián de los Reyes

To begin the process of Reciprocal IVF treatment, the first thing you must do is attend an assessment consultation with the the Team of Ginefiv San Sebastián de los Reyes of the Clínica Ginefiv San Sebastián de los Reyes: this is a free and immediate consultation that you can request through the banner below, or by calling at +34 91 141 33 56 directly.

Assess your case with our fertility experts in San Sebastián de los Reyes

Request a free and immediate consultation with our specialists in Assisted Reproduction

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After the request, one of our personal patient service advisors will contact you to welcome you, confirm that the date of the consultation is suitable for you,and solve any questions you may have. 

Once you have come to the consultation and have made the decision to start Reciprocal IVF treatment, our Patient Service team will schedule along with the Clínica Ginefiv San Sebastián de los Reyes the previous appointments to start with the first part of the procedure.

After these preliminary steps, if the specialist considers that everything is OK to continue the in vitro treatment, the process begins, which consists of 5 stages:

Ovarian stimulation

The start of ovarian stimulation must coincide with the arrival of the genetic mother's menstruation in order to produce an increase in the number of follicles.

The main objective of this first phase is to stimulate the patient's ovaries in order to obtain a certain number of eggs to maximise the chances of pregnancy. 

This part of the treatment consists of a daily injection to increase the size and number of follicles produced in order to achieve multiple ovulation for in vitro fertilisation.

During this period, ultrasound monitoring is carried out to control and monitor the evolution of the number of follicles until the required number is achieved.

After the last injection of the ovarian stimulation phase, the egg retrieval procedure (ovarian puncture) is scheduled for approximately 36 hours later.

Ovarian puncture

Once the ovarian stimulation stage is over, 36 hours after the last injection, the eggs are removed through an intervention known as ovarian puncture or transvaginal follicular puncture.

It is an outpatient procedure, simple and quick. Below we detail the steps followed by the medical team to perform the egg retrieval.

On the day of the egg retrieval, the couple comes to the clinic with the documentation required for admission. The patient (genetic mother) is accompanied to a waiting room where she will be asked to undress and put on operating theatre clothes. It is important to note that no jewellery or piercings should be worn for the operation.

Once in the operating theatre, the patient will meet the medical team that will perform the puncture: the specialist, the anaesthesiologist and an ATS who will assist during the surgery:

• First, the specialist will give the patient instructions on how to position herself on the examination table, with the necessary posture being the same as for a conventional cytology.
• Next, the anaesthesiologist will apply sedation to the patient. In this type of procedure, only local or regional anaesthesia is used, never general anaesthesia.
• Once the patient is sedated, the specialist begins the extraction.
• He first introduces a needle via the transvaginal route, guided by an ultrasound scanner that allows him to visualise the inside of the pelvic cavity, to pass through the wall of the vagina and thus reach the ovaries.
• The follicles are then aspirated and the follicular fluid is collected in tubes, which are stored to preserve the fluid and then sent to the laboratory. 
• In most cases, there is a possibility that during the puncture, the fluid will come out red. This blood will be removed in the laboratory to facilitate fertilisation.
• Once all the follicular fluid has been removed, the procedure is completed and the patient is awakened.

This procedure lasts approximately 15 minutes. After the puncture, the patient is transferred to a recovery room where she remains until she recovers from the anaesthesia.

The next stage of the in vitro treatment is insemination and fertilisation in the laboratory.

Fertilisation and embryo culture

After completing the extraction, the samples are taken to the laboratory where any blood that may have been extracted with the liquid and that could affect the oocytes is first removed.

The oocytes are then washed and sorted. This procedure is very important and requires precision, which is why it is necessary to contact the best possible medical and technological team, as is the case with the team of professionals that make up our collaborating clinics, which have professionals with more than 30 years of experience in assisted reproduction. 

After classification, the oocytes are left in a culture medium. While the oocytes are being prepared, the specialists begin to prepare the sperm sample from a donor (from the clinic's sperm donor bank) in order to isolate the spermatozoa to be used for fertilisation.

After insemination, it is necessary to wait a few hours or even a whole day to check how many eggs have been fertilised. The next step is the culture of the embryo.

Once fertilised, these eggs develop into pre-embryos over the next 5-6 days, during which time the lab team will monitor them regularly to ensure that they are growing properly and their cells are actively dividing.

The laboratory team will carry out active, real-time monitoring of the entire embryo culture, in order to select the embryos that are most likely to be viable and increase the chances of pregnancy in the patient (pregnant mother). 

Once the embryos are ready, the embryo is transferred to the pregnant mother 3 to 5 days after the egg retrieval surgery, depending on the case of each patient.

Embryo transfer

Three to five days after the ovarian puncture, the last stage of the treatment is carried out: the embryo transfer or introduction of the embryo into the uterus.

This process is performed on an outpatient basis and does not require anaesthesia. For this procedure, it is advisable for the patient to come with a full bladder to facilitate ultrasound visualisation.

The embryo transfer procedure is performed by the gynaecologist using a fine cannula that is inserted through the vagina until it reaches the end of the uterus. Through this catheter the embryos are channelled and placed in the uterus.

After implantation, the patient is always advised to rest for the rest of the day and resume her daily activities the following day. 

If one of these embryos implants in the lining of the uterus (endometrium) and begins to grow, the desired pregnancy occurs.

The remaining embryos are preserved in latest technology banks designed to avoid cross-contamination. The cost of the treatment covers preservation for the first two years (but does not include freezing).

Confirmation of pregnancy

About 15 days after the embryo transfer stage to the pregnant mother, the patient is called back to the clinic for a pregnancy test.

In the case of a positive result, the patient will come back in about 7-10 days after the test, for an ultrasound scan to confirm the embryo sac. If all goes well, the expectant mother can then continue to follow the pregnancy with her regular gynaecologist.

After completing the embryo transfer and implantation, the patient must follow the specific indications of the specialists in order to favour the successful implantation of the embryo in the uterus.

Twelve to fourteen days after the last stage of the in vitro treatment, the patient should visit the the Clínica Ginefiv San Sebastián de los Reyes for a pregnancy test to check whether the treatment has been successful.

What happens if there are leftover embryos?

During the in vitro fertilisation process, a maximum of 2-3 embryos are implanted in the uterus, which is why there are always viable embryos left over. The patient can decide to preserve them by cryopreservation, in order to make use of them in a future in vitro process.

However, this cryopreservation treatment is not included in the fixed price of the treatment.

When should I contact the doctor after IVF?

The patient (pregnant mother) has a series of control and revision consultations that the el the Team of Ginefiv San Sebastián de los Reyes of the Clínica Ginefiv San Sebastián de los Reyes will indicate to her during the post-IVF treatment process. 

Despite these consultations, it is always recommended that if the patient notices any of the following situations at any time, she should see a doctor immediately: 

• Fever temperature higher than 38 ºC 
• Pain in the pelvic area
• Vaginal bleeding
• Blood in the urine

• All-inclusive price: When you have your In Vitro Fertilisation Treatment with Operarme the advantages are many. Firstly, the price of the treatment is all-inclusive, which means that there are no surprises at the end. In addition, Operarme provides you with a medical service contract in which it guarantees the price and everything included in the in vitro fertilisation treatment.
• The best assisted reproduction team: All fertility and assisted reproduction treatments provided by Operarme throughout Spain are carried out by the specialised team of the best national clinics in Assisted Reproduction, with more than 30 years providing this service.
• Personalised attention: In addition to the personal, close and attentive treatment that couples will receive in the clinics where we provide the service, the couple will have a personal Operarme patient care advisor who will help them throughout the process.
• Hospital environment: Maximum security by guaranteeing that the entire process is carried out in a hospital environment, with the entire process being carried out in the main private hospitals in the provinces in which we work.
• Partial refund clause: Another important aspect of Operarme's medical services contract is the inclusion of a partial refund clause in the event that the couple, or due to medical advice, decides to interrupt the in vitro fertilisation process. The amount refunded will depend on the stage in the process at which it is decided to stop. If you have any questions about this clause, you can contact us through a contact form or by calling at +34 91 141 33 56.
• No waiting: the consultation with the Clínica Ginefiv San Sebastián de los Reyes through Operarme is free and immediate. In addition, when the couple decides to undergo Reciprocal IVF Treatment it begins immediately.

The cost of Reciprocal IVF in Spain at San Sebastián de los Reyes is 4.975 € being an all-inclusive price.

The Reciprocal IVF treatment includes: 

• First assessment consultation
• Reciprocal In Vitro Treatment by the ROPA Method (reception of the couple's eggs).
• Cycle controls during the treatment through ultrasound monitoring.
• Ovarian puncture with sedation
• 2 years of embryo maintenance, in case of cryopreservation.
• Pregnancy confirmation control

The cost does not include the medication necessary for the stimulation and/or other stages of IVF, the cryopreservation of surplus embryos, or the complementary techniques to IVF that may be recommended by the specialist during the process.

However, as a patient of Operarme you will have preferential prices for any service related to In Vitro Fertilisation that is not included in the price.