• The initial consultation with one of our fertility specialists who will dedicate an entire session with no time limits for you to give context to the doctor about your case and ask questions. This consultation can be done either by telemedicine/virtual or present at the doctor’s office).
• Physical exam and transvaginal pelvic ultrasound.
• Short term follow-up consultation to discuss results of laboratory tests.
• Treatment options proposal.
• Financial counseling.
During this initial conversation you will have ample opportunity to describe your story, mention about previous fertility treatments, if any. Ask all questions you may have to find explanations as to why you have not conceived naturally and what options can be offered to solve your subfertility. This first encounter is a golden opportunity to build up an empathic and trusting relationship with the doctors of our team.
REPROTEC has a comprehensive team of specialists in Reproductive Medicine with subspecialty training in the most reputable centers of North-America and Western Europe. They are the entrance gate to our fertility center who are in charge of carefully listen your story, examine you and design a plan according to your individual needs with an empathic and at the same time a scientific approach.
The length of time looking for a pregnancy, as well as the future mother’s age, are two of the most important parameters in order to establish a course of action and individualize the type of assisted reproductive treatment that offer the best success rates for you. This is why it is so important to be proactive in taking the first step as soon as possible.
To collect more information about you and your couple (if apply) in order to complete your diagnosis is the next step.Usually with one single blood sample drawn at REPROTEC right after the initial doctor’s visit, the doctor can obtain important hormonal information to design your treatment plan. For example, your anti-Mülleriann hormone (AMH) blood levels that give us reliable information about the reserve of eggs in your ovaries.
In a subsequent phase, we offer a panel of infectious diseases screening required to start any assisted reproduction treatment. This panel includes the screening for hepatitis B and C, syphilis and HIV.
For our patients from abroad, we will send you the medical order so you can take your laboratory tests at your country of origin, and send the results via e-mail to be discussed in your follow-up consultation.
It is of prime importance that a fertility center offers a good quality andrology laboratory service with good technology and experience to obtain reliable results. Here is where the semen analysis is processed by one of our embryologists, an exam of great relevance because it gives valuable information about the contribution of the male partner to the couple’s subfertility. We need to remember that an alteration in the semen analysis can be present in about half of the cases of a couple’s infertility. Abnormal parameters initially assessed in this exam include: abnormalities in semen volume, sperm concentration, motility, vitality and morphology.
A transvaginal pelvic sonogram is indeed one of the most valuable exams done by the fertility specialist right at bedside during the first consultation. This exam gives the initial information about the pelvic anatomy with particular interest in the appearance of the uterus and ovaries. This exam is very important also during ovulation monitoring of the menstrual cycle, both during the natural patient’s cycle as well as during the process of ovulation induction and ovarian stimulation treatments.
Another very useful exam that can be performed is the saline infusion sonogram or sono-hysterography, to examine the uterine cavity and rule out abnormalities of the inner lining of the uterus/endometrium.
Finally, an X-ray exam called hysterosalpingogram has been traditionally used to evaluate uterine and fallopian tube patency. It is also normally scheduled during the first 5 to 7 days after menses and is considered a very reliable tool during the initial infertility work-up.
Today there are accurate genetic tests that can be reliably performed in the embryos at day 5 to 7 of development to detect chromosomal and genetic (monogenic) abnormalities before being transferred into the uterus. This entails a better selection of embryos in the laboratory that result in greater possibilities of a successful pregnancy, preventing at the same time transmission of serious hereditary diseases.Among these exams, there are three main categories:
• PGT-A: preconceptional genetic testing for aneuploidy. This is an exam aimed to detect abnormalities in the number and shape of the chromosomes.
• PGT-M: preconceptional genetic testing for monogenic diseases. This exam is aimed to detect genetic abnormalities related to a mutation of a gene that can transmit a hereditary disease with different patterns of inheritance (risk of transmission).
• PGT-SR: preconceptional genetic testing for detection of structural abnormalities in the chromosomes.
To carry out these exams, an embryo biopsy is carefully performed in the embryology laboratory under the inverted microscope, where expert embryologists using precise laser beams take between 5 to 10 cells form the embryo to be analyzed in the genetics laboratory.
Av. 9 No. 116 – 20 Piso 4
Asociación Médica de Los Andes
Bogotá, Colombia
PBX: (571) 2151807 (571) 2146220
Línea atención al paciente:
(57) 3178936029
Cr. 18 No. 12-75 Torre 2 Piso 12
Edificio Megacentro Pinares
Pereira, Colombia
PBX: (576) 3272516
Línea atención al paciente:
(57) 304 5834343 / (57) 3148675907
Universidad de Los Andes
Km. 8 Vía al Mar – Serena del Mar Local 1
Cartagena, Colombia.
PBX: (57) 310 669 7200
Línea atención al paciente:
(57) 310 649 1209
Carrera 100 # 11 60 Torre Pance
C.C. Holguines Trade Center
Cali, Colombia.
PBX: (57) 318 712 1247
Línea atención al paciente:
(57) 317 365 4549
