The objective of the cultures is to rule out the presence of bacteria that can reduce the fertility of the couple.

In women, a vaginal exudate is performed for bacteria and fungi and an endocervical sample for gonococcus, mycoplasma and chlamydia. It can be done any day of the cycle (except during menstruation). It is not necessary to make an appointment, although it is recommended to call for a while before going to the consultation.

In the male, a urethral exudate is performed for gonococcus, mycoplasma and chlamydia. The sample is taken by the man himself, after being instructed by the nurse to do so. If it is performed on the same day as the seminogram, the sample will be collected after ejaculation. If it is done on another day, it is not necessary to make an appointment.

The test is quick, simple, and painless for both men and women. Results are available in 7-10 days.

The endometrial biopsy is performed by introducing a small cannula into the uterus, through the cervix, which allows a sample of the endometrium to be taken. This test is performed in the office.

It studies the response of the endometrium to hormonal levels in the second phase of the ovulatory cycle (from day 21 to 25 of the cycle) and determines any inflammatory changes that could affect the implantation of an embryo. It is requested in cases of repeated miscarriages, implantation failures, or suspicion of inflammatory intrauterine pathology.

It is necessary to make an appointment. It can be done from Monday to Friday, morning or afternoon. The test can cause slight uterine discomfort, so it is recommended to rest for 5-10 minutes after its completion. Results will be available in 7-10 days.

It is an x-ray of the pelvis taken after the injection of a radiopaque product through the cervix that outlines the uterus and fallopian tubes.

It allows us to identify if the tubes are blocked or damaged and if the uterine cavity shows a normal image.

This test should be performed on the 7th to 10th day of the menstrual cycle in a Radiology Department. In the consultation we will inform you about the hospitals that offer this service so that you can make an appointment. The test may cause slight discomfort during its performance.

Then, you can see in a more visual way what hysterosalpingography consists of.

Watch Video.

It is a transvaginal ultrasound performed after the injection of saline solution into the uterine cavity through the cervix.

The fluid fills the inside the uterus slowly, allowing observation of changes in the uterine cavity (eg, polyps). This test is performed between the 7th and 10th days of the cycle.

It is necessary make an appointment. It can be done from Monday to Friday, morning or afternoon. The test can cause slight uterine discomfort, so it is recommended to rest for 5-10 minutes after its completion. The results will be available immediately and are explained after the test in consultation.

Laparoscopy is a brief intervention under general anesthesia that consists of introducing a light and optics through a small incision in the navel to visualize the uterus, ovaries, the fallopian tubes and the entire pelvic cavity so that the internal gynecological apparatus is studied. The same surgical act can also be used to eliminate possible adhesions between the tissues or other pathologies that could affect the fertility of the woman.

This test will be coordinated with the gynecologists of the EGR Institute of Medicine, which provide private consultation and Medical Societies, and whose minor outpatient surgery is performed at Nisa Pardo de Aravaca Hospital. Normally it does not require hospital admission. There is no waiting list for your programming.

DNA fragmentation in spermatozoa studies the damage to the genetic material present in them. Various studies have shown that an ejaculate with a higher proportion of spermatozoa with fragmented DNA can be the cause of male infertility (non-pregnancy, repeated miscarriages, successive failures in in vitro fertilization cycles...). p>

This test is performed on a semen sample obtained by masturbation. It is recommended to obtain the sample in the Unit, where the appropriate place and the sterile vial will be provided for it. You must inform when making the appointment if you have had a high fever (over 38.5ºC) in the last 3 months, as the result may be affected. You must have a sexual abstinence from 3 to 7 days before performing the test.

It is necessary make an appointment directly with the IVF Laboratory staff. This test can be taken from Monday to Friday from 8:00 a.m. to 4:00 p.m.. The results will be available in 2-3 business days.

The FISH ( situ hybridization) in spermatozoa is an analysis of possible alterations in some of their chromosomes. This test can be indicated for abnormal seminograms, if the male's karyotype is altered, in recurrent miscarriages, or in implantation failures .

During the formation of spermatozoa in the testicles, errors may occur that an extra copy of some chromosome (disomy), without any chromosome (monosomy) will give rise to spermatozoa >or with all duplicated chromosomes (diploidy). If any of these abnormal spermatozoa were to fertilize the oocyte, it could lead to non-implantation of the resulting embryo or abortions. The number of chromosomes to be studied (3, 4, 5 or 9 chromosomes), the number of spermatozoa counted (from a few hundred to thousands) and whether they are carried out automatically (computer) or manually (by an operator), determine the reliability and quality of the result achieved.

At URH García del Real, thanks to our collaboration with an external genetics laboratory with extensive experience in this technique (Sistemas Genómicos ), FISH is performed on sperm that analyzes the largest possible number of chromosomes (9) through a automated system that observes 10,000 sperm. In this way we obtain reliable and reproducible results and in the shortest possible time.

This test is performed on a semen sample obtained by masturbation. It is recommended to obtain the sample in the clinic, where you will be provided with the appropriate place and the sterile bottle for it. You must be sexually abstinent for 3 to 7 days before testing. It is necessary to make an appointment directly with the IVF Laboratory staff. This test can be taken from Monday to Friday from 8:00 a.m. to 4:00 p.m.. The results will be available in 3 -4 weeks.

The test for recessive genetic diseases is a blood test that detects the presence of mutations that can cause recessive genetic diseases. More than 4,000 mutations associated with more than 200 recessive genetic diseases with different impact on the quality of life of patients are analyzed, including variants with a particularly high incidence in the Mediterranean area.

The result of one person is compared with that of the other member of the couple by performing the so-called “genetic compatibility test”. If both are carriers of the same mutation, the couple will have a 25% chance of having a child with that disease. This test can also be performed on sperm or egg donors with the aim of choosing donors who offer lower risks of conceiving children with a recessive genetic disease.

If in doubt, first After performing the test or about the results, the couple can access a genetic counseling consultation.

The test is carried out on a blood sample from Monday to Friday from 8:00 a.m. to 6:30 p.m.. It is not necessary to fast and it is not necessary to make an appointment. The results will be available in 3 weeks.