Reproductive Medicine

Policlinico San Marco

KEY FIGURES

CLINICAL SERVICES:

  • ART Procedures
  • Semen Analysis
  • 3D Ultrasound
  • Infertility Counselling

PROCEDURES PERFORMED PER YEAR:  

  • 1255 Ovum Pick-Up
  • 1044 Fresh Embryo Transfer
  • 529 Frozen Thawed Embryo Transfer

The fertility clinic of San Marco Polyclinic offers a wide range of services for the diagnosis and treatment of infertility. Its team includes clinicians and embryologists with up to 30 years of experience in the field of assisted reproduction.

Infertile couples seeking treatment are accompanied through a diagnostic procedure involving an initial consultation with a fertility doctor followed by basic semen analysis, sperm preparation test and pelvic 3-D ultrasound scan.

The clinic offers the major treatment options for a variety of infertility conditions.

 

TREATMENTS

Infertility Treatments

Mild male factor infertility is treated with intrauterine insemination, whereby motile sperm are isolated from semen, prepared and introduced in the uterine cavity with a catheter.

A multiplicity of female factor infertility cases can be resolved by standard in vitro fertilization (IVF). This approach requires initially stimulation of ovarian function with fertility hormones (gonadotropins), surgical recovery of oocytes and sperm preparation.  Fertilization in vitro is then achieved by exposing oocytes to sperm for several hours.

In severe male factor infertility, in which standard IVF is not applicable, fertilization is achieved by intracytoplasmic sperm injection (ICSI). With this technique, only a few motile sperm, preferably morphologically normal, are needed for treatment, which once isolated can be directly injected within the oocyte by using micromanipulation techniques.

In extreme male factor infertility cases in which sperm are not found in the ejaculate (azoospermia), sperm can be retrieved from the testes by aspiration with a simple surgical procedure referred to as testicular sperm aspiration (TESA) and then used with ICSI.

Embryos are cultured in vitro usually for 3 days, but in selected cases embryo culture can be extended to day 5-6, by which time embryos reach the blastocyst stage.   

Once embryos are generated, one or two are transferred into the uterus with a catheter, a procedure referred to as embryo transfer.

Embryo cryopreservation by vitrification can be applied to surplus embryos for later use. This allows to maximise the live birth rate of each ovarian stimulation cycle.

Sperm and oocyte cryopreservation complete the range of options for long-term storage of reproductive cells offered by the clinic. In particular, in oocyte cryopreservation the clinic team has a long-standing worldwide reputation, having pioneered this technology at a time when it was believed to be impossible to apply clinically.

Main Pathologies Treated:

  • Male Infertility
  • Female Infertility

Top Procedures:

  • Intrauterine Insemination
  • In Vitro Fertilization (IVF)
  • Intracytoplasmic Sperm Injection (ICSI)
  • Testicular Sperm Aspiration (TESA)
  • Embryo Cryopreservation
  • Sperm and Oocyte Cryopreservation