Laparoscopic appendectomy
Sudden pain on the right side It almost always starts the same way: a discomfort near the navel that, as the hours pass, “moves” to the lower right side. It hurts when walking, it hurts when coughing, and suddenly you realize that this isn’t just ordinary indigestion. Contact us now!! Appendicitis? Safe surgery with no large scars Acute appendicitis is one of the most common surgical emergencies. And although the word “emergency” is frightening, the good news is that the way it is operated on has changed radically. That large, painful scar of the past is no longer necessary. At IREGCI, we resolve this emergency through laparoscopy, prioritizing your health and appearance even in critical moments. Ovary or Appendix? The female dilemma Here’s a crucial fact for women: Appendicitis pain is easily mistaken for gynecological problems. A twisted ovarian cyst, an ectopic pregnancy, or a pelvic infection can cause pain in the exact same place as the appendix. Why is having surgery at IREGCI a strategic advantage? Because we are, above all, pelvic experts. In a general hospital, it can take a long time to get a diagnosis. At IREGCI, our specialists can quickly differentiate between a gynecological problem and appendicitis. And if we perform a laparoscopy and it turns out to be a cyst, we’ll fix that too! You have full coverage. What does a laparoscopic appendectomy involve? This is the most advanced technique for removing an inflamed appendix. Instead of opening the abdomen with a 5-10 cm incision, we make three tiny incisions (which will be barely noticeable afterward). Clear View: We insert a camera that allows us to see the entire abdomen. This is vital because sometimes the appendix is ”hidden,” and with open surgery, we would have to make a larger incision to find it. With the camera, we locate it immediately. Reduced Risk of Infection: By not exposing the tissues to air, the risk of wound infection is minimal. Complete Cleanup: If the appendix has ruptured (peritonitis), laparoscopy allows us to clean and aspirate the infection from the entire abdomen much more effectively than open surgery. Recovery: Back home quickly Nobody wants to spend days in a hospital bed. With laparoscopic surgery: Less pain: You’ll need less pain medication. Faster discharge: Generally, if there were no serious complications, you’ll go home within 24 hours. Improved mobility: You can get up and walk the same day, which speeds up your recovery. When should you rush to IREGCI? (Warning Signs) The appendix won’t wait. If you experience these symptoms, seek medical attention immediately: Severe pain in the lower right side of the abdomen. Fever and chills. Nausea and vomiting. Key sign: If you press on the area and it hurts more when you release the pressure than when you press. Your safety is our priority At IREGCI, we have operating rooms available and general surgery teams ready to respond. We understand that an emergency can be anxiety-inducing. Our goal is that, weeks later, when you look in the mirror, you’ll barely see a small mark to remind you of what happened. When in doubt, a quick diagnosis saves lives. https://www.youtube.com/watch?v=0Ecy0jJt9NI Como llegar a IREGCI Appendicitis? Resolve it without large scars. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. Egg, sperm or embryo donation can be used. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more than 12 months (or 6 months if you are over 35)
Laparoscopic cholecystectomy
Goodbye to pain after eating You probably know the feeling: you finish eating a heavy or greasy meal, and soon after, an intense pain appears in the right side of your abdomen, or in the “pit of your stomach.” Sometimes it comes with nausea, sometimes the pain radiates to your back. Contact us now!! All about the gallbladder surgery without visible scars If this sounds familiar, it’s very likely you have gallstones. Many women postpone surgery for fear of open surgery, a slow recovery, or an unsightly scar. But at IREGCI, the story is different. Thanks to laparoscopic cholecystectomy, recovery takes hours, not weeks. What does the laparoscopic technique consist of? Forget about the large wounds of the past. Laparoscopic cholecystectomy is a minimally invasive technique. We make 3 or 4 tiny incisions (about the size of a shirt buttonhole) in your abdomen. We insert a high-definition camera and special forceps. We remove the diseased gallbladder through one of these small incisions. The result: You wake up with small bandages instead of a large wound. Why is it better to have surgery BEFORE trying to get pregnant? This is a golden tip from our specialists at IREGCI. If you’re planning a pregnancy and know you have gallstones, have your gallbladder removed beforehand. During pregnancy, the gallbladder functions more slowly, and painful attacks can become frequent and dangerous. Emergency surgery on a pregnant woman is risky for the baby. Ideally, you should have your gallbladder removed beforehand so you can enjoy a pain-free and risk-free pregnancy. Myths and Truths: Can I live without a gallbladder? Yes, and you’ll live better! Myth: “I’ll never be able to eat fats again.” Reality: Your liver continues to produce bile to digest food; it’s just no longer stored in the bile duct. After a few weeks of adjustment, the vast majority of patients are able to eat everything again, but this time, without pain. Don’t wait for an emergency Having gallstones is like carrying a ticking time bomb. A stone can move and cause pancreatitis or a serious infection. Don’t wait until the pain sends you to the emergency room in the middle of the night. Plan your surgery calmly and confidently. Rediscover the joy of eating without fear. Advantages of doing it at IREGCI You might think this is only done in general hospitals, but having it done at our clinic has clear advantages: 4K Technology: We use the same ultra-precise laparoscopy towers we use for delicate fertility surgeries. Feminine Aesthetics: Our surgeons pay the utmost attention to the aesthetics of the incisions so that the scars are virtually invisible. Express Recovery: Most of our patients go home in less than 24 hours and resume their routine within a few days. https://www.youtube.com/watch?v=0Ecy0jJt9NI How to get to IREGCI Planning a pregnancy? Check your gallbladder first. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. Egg, sperm or embryo donation can be used. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. Female fertility declines
Diagnostic laparoscopy
When ultrasounds don’t see everything You’ve had ultrasounds, blood tests, and general checkups. The doctor tells you, “Everything looks normal.” However, you have pelvic pain, or pregnancy simply isn’t happening. Contact us now!! Laparoscopy as the “Gold Standard” for diagnosing That feeling of frustration is real. How can everything be “fine” if I don’t achieve my goal? The answer is usually: What you have isn’t visible on ultrasound. This is where diagnostic laparoscopy comes in. It’s the definitive procedure, the “Google Maps” of gynecology, allowing us to stop guessing and start seeing the reality of your body in high definition. What exactly is Laparoscopy? It’s a minimally invasive surgery. Forget about the large incisions of the past. In this procedure, we make small incisions (less than 1 cm, usually in the navel and bikini area) to insert a thin camera called a laparoscope. This camera projects magnified images onto a monitor, allowing the specialist to “travel” inside your abdomen and examine your uterus, fallopian tubes, and ovaries millimeter by millimeter. What does it detect thatother studies don’t see? Ultrasound sees “shadows,” but laparoscopy sees “colors and textures.” It is irreplaceable for detecting: 1. Endometriosis (The Silent Disease) It is the number one cause of “unexplained” infertility. Small patches of endometrial tissue can be hidden behind the ovaries or in the peritoneum, causing inflammation and toxicity to the eggs. Only laparoscopy can confirm it with 100% certainty. 2. Adhesions (Internal Scars) If you have had previous surgery (such as appendicitis), your organs may be “stuck” together by scar tissue, preventing the fallopian tube from capturing the egg. This does not show up on any X-ray. 3. The True Shape of Your Uterus We detect malformations or external fibroids that could be hindering pregnancy. The great advantage: “See and Treat” The wonderful thing about laparoscopy at IREGCI is that we don’t just look around. If we find a problem during the diagnosis (an area of endometriosis, a cyst, or an adhesion), we fix it right then and there. You come in with a question and leave with the problem solved. You don’t need two surgeries. We clean and prepare your uterus to receive your baby in just one step. What is the recovery like? Because it is minimally invasive, recovery is surprisingly quick. Outpatient procedure: Most patients return home the same day. Aesthetic results: The scars are so small that, over time, they become almost invisible. Responsiveness to normal life: In 3 to 5 days, most women resume their daily activities. Why have your laparoscopy done at IREGCI? Here, the surgeon’s experience is everything. It’s not the same to have a general surgeon perform the procedure as it is to have it done by a gynecologist specializing in reproductive medicine. At IREGCI, we operate with one premise: Preserving Fertility. We handle your ovaries and fallopian tubes with extreme care to avoid damaging your ovarian reserve. We use cutting-edge technology to cut and cauterize with millimeter precision because we know your ultimate goal is to become a mother. Stop going around in circles with uncertain diagnoses. Sometimes, looking within is the only way to find the solution. https://www.youtube.com/watch?v=0Ecy0jJt9NI How to get to IREGCI Diagnosis and Treatment in one step. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. Egg, sperm or embryo donation can be used. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more than 12 months (or 6 months if you
Complete physical examination of the newborn
From head to toe It’s the most primal instinct of any parent: as soon as you hold the baby in your arms, you start looking at everything. You count their fingers, you look at their little ears, you stroke their skin. You want to make sure they’re “all right.” Contact us now!! What are we looking for in the Complete physical exam for your newborn? At IREGCI, we share that obsession with detail. Once the urgency of birth has passed (and the Apgar score), we perform the Detailed Physical Examination. It’s a meticulous, centimeter-by-centimeter check, usually done within the first 24 hours of life. It’s not just a routine checkup; it’s the guarantee that your baby is ready to go home with you. Here’s a look at the medical tour we give your little one. The Head and the Face Fontanelles (Soft Spots): We feel these soft spots on the baby’s skull. They are vital for allowing the brain to grow. We check that they are neither bulging nor sunken. Eyes and Mouth: We check the red reflex in the baby’s eyes (to rule out congenital cataracts) and examine the inside of the mouth to ensure the palate is closed and the baby can suckle easily. Heart and Lungs (Auscultation) The pediatrician will listen to the baby’s chest for a while. We’ll listen for heart murmurs. Many are innocent and disappear, but it’s vital to detect them. We’ll check that air is entering both lungs clearly. The Abdomen and the Scapula We palpated her tummy to rule out any masses or hernias. We checked the umbilical cord stump: it should have three blood vessels (two arteries and one vein). If one is missing, it could indicate that the kidneys need to be checked. Hips and Limbs (Very important!) Have you ever seen the doctor wiggle the baby’s legs like a little frog? This is called the Ortolani-Barlow maneuver. We do it to rule out hip dysplasia (when the femur bone doesn’t fit together properly). Detecting it on the first day prevents walking problems later on. We also count each finger and toe, this time medically speaking. The Spine and the Skin We turn the baby over to run our fingers along their spine, making sure it’s straight and closed. We also check for birthmarks or jaundice (yellowing of the skin). Primitive Reflexes (The Nervous System) Finally, we “play” with your baby to observe their Primitive Reflexes (The Nervous System): Moro Reflex: If they feel they are falling, they open their arms (the startle reflex). Grasp Reflex: If you place your finger in their hand, they close it tightly. Rooting Reflex: If you touch their cheek, they turn their face, searching for food. Why trust the IREGCI team? We know that for you, this baby is a priceless treasure. Our Neonatology team takes nothing for granted. We take the time necessary with each newborn, without rushing. If we find anything unusual, we have the honesty to tell you and the technological capabilities to investigate it. Your peace of mind is our goal. When we discharge you, we want you to go home knowing that your child has been examined by the best experts. https://www.youtube.com/watch?v=0Ecy0jJt9NI How to get to IREGCI Checking every millimeter of your miracle. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. Egg, sperm or embryo donation can be used. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more
Neonatal resuscitation
Prepared for the unexpected When you dream about childbirth, you visualize that immediate, loud, pink cry. And the vast majority of the time (around 90%), that’s exactly what happens. Nature is wise, and the baby breathes on its own. Contact us now!! The importance of the Neonatal Resuscitation in IREGCI But in medicine, and especially when it comes to the life of a newborn, we can’t rely solely on luck. We must be prepared for that small percentage who need help to take their first breath. At IREGCI, your baby’s safety is our top priority. Today we want to tell you about a team that works behind the scenes, but is your greatest “life insurance” in the delivery room: the Neonatal Resuscitation team. The “Golden Minute”: Why is speed everything? The moment the umbilical cord is cut is the most drastic physiological change a human being experiences in their life. They go from receiving oxygen through their mother’s blood to having to inflate their lungs for the first time. Sometimes, this transition is complicated. This can happen because the baby swallowed fluid, because the cord was too tight, or simply because they are very tired from birth. This is where the concept of the “Golden Minute” comes in. It’s the first 60 seconds of life. The actions we take in that precise minute determine the baby’s future health, preventing brain damage due to lack of oxygen. What does it mean to “resuscitate” a baby? (It’s not always dramatic) The word sounds harsh, but resuscitation has levels. It doesn’t always mean a serious procedure. Basic Level (Most common): Vigorously dry the baby and gently massage their back to encourage crying and open their lungs. Sometimes, suction a little mucus from their mouth. Ventilation: If they are not breathing strongly, place a soft oxygen mask on them and give “support breaths” for a few seconds until they start breathing on their own. Advanced Resuscitation: Only in very rare cases do we need medication or intubation. Why does having your baby at IREGCI make a difference? Many small clinics or offices lack the necessary equipment for a real emergency. At IREGCI, as specialists in Assisted Reproduction, we manage many “high-value pregnancies” (couples who have struggled for years to conceive) and multiple pregnancies (twins), which carry a higher risk of premature birth. That’s why our standards are higher: Neonatologist Present: At every delivery (cesarean or vaginal), a newborn expert is present. Their sole role is to care for the baby. The obstetrician cares for the mother; the neonatologist cares for the child. Neonatal Intensive Care Unit (NICU): We have state-of-the-art incubators, ventilators, and monitors just steps from the delivery room. There’s no need to “transfer” the baby by ambulance if something happens. The solution is right there. We Know the History: We know if it’s an IVF baby, if there were any complications during the pregnancy, or if the baby has any pre-existing conditions. We’re not caught off guard. An invisible tranquility We want you to enjoy your birth. We want you to cry tears of joy, not worry. Knowing that behind the curtain is a team with the technology and training to handle any scenario allows you to relax and focus on the only thing that matters: meeting the love of your life. We prepare for the worst, so you can experience only the best. Your baby deserves to be born in expert hands. https://www.youtube.com/watch?v=0Ecy0jJt9NI How to get to IREGCI Extreme safety for your baby: Resuscitation experts. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. Egg, sperm or embryo donation can be used. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of
Immediate neonatal assessment (Apgar)
The first minute of life After nine months of waiting (or perhaps years of battling infertility), the big moment arrives. The baby is born, you hear its cry, and you feel immense relief. Contact us now!! What is the Apgar Test And why is this your baby’s first “grade”? While you’re experiencing this flood of emotions, the medical team is working quickly and quietly. Within the first minute and at five minutes of life, they perform your baby’s first medical assessment: the Apgar test. Many parents hear the doctor say, “Your baby had an Apgar score of 8/9,” and don’t know what it means. Is it a school grade? Does it measure their intelligence? At IREGCI, we want you to arrive at the delivery room informed and calm. Here we explain what happens in those crucial moments. What does the Apgar score measure? (The acronym that saves lives) Developed by anesthesiologist Virginia Apgar, this test is a quick assessment of a newborn’s vitality. It doesn’t predict the baby’s future or intelligence; it simply tells us, “How well did they tolerate birth and how well are they adapting to the world outside of their mother?” Five parameters are evaluated (each receiving a score from 0 to 2): A (Appearance/Color): Is the baby pink or do their hands look blue? (It’s normal for them to be slightly bluish at birth.) P (Pulse/Heart Rate): Is their heart beating strongly and rapidly (more than 100 beats per minute)? G (Gesture/Reflexes): Do they grimace, cry, or cough when stimulated/cleaned? A (Activity/Muscle Tone): Do they move their arms and legs energetically or are they limp? R (Respiration): Do they cry loudly and steadily? The Score: Why not obsess over “10”? The maximum score is 10. But here’s a medical secret: Almost no baby gets a 10 in the first minute. Most are born with slightly bluish extremities (cyanosis), which is completely normal while their circulation adjusts. Score 7 to 10: Excellent! The baby is vigorous and only needs routine care (warmth and being with mom). Score 4 to 6: May need a little help, such as suctioning their nose or giving them some oxygen. Score below 3: Requires immediate medical attention and resuscitation. Why is it done twice? At 1 minute: This tells us how well the baby coped with the birthing process. At 5 minutes: This tells us how well the baby is adapting to the environment. It’s common for a baby to score a 7 at the first minute and a 9 at five minutes. That’s a great sign of recovery! Childbirth at IREGCI: Total Safety We know that, after fertility treatment, that baby is a “rainbow baby” or a much-desired miracle. The fear that something might go wrong at the last second is natural. That’s why, at IREGCI, the Neonatology team is present in the delivery room or operating room even before the baby is born. We don’t improvise. We are ready to receive your baby, assess them, and, if everything is fine (which is most of the time), place them on your chest immediately for skin-to-skin contact. The Apgar score is just a number, but the moment is eternal. Enjoy that first cry. We’ll take care of monitoring their health. https://www.youtube.com/watch?v=0Ecy0jJt9NI How to get to IREGCI Your first assessment, our first care. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. Egg, sperm or embryo donation can be used. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have
Colposcopy
Your Pap smear came back abnormal, now what? Receiving a call from the doctor’s office saying your Pap smear came back “abnormal” or “suspicious” is one of the most stressful moments for a woman. Her mind immediately jumps to the worst possible conclusion. Contact us now!! Understanding the Colposcopy without fear But take a deep breath: An abnormal result does NOT mean cancer. Most of the time, it means there is inflammation, an infection, or minor cell changes caused by HPV (Human Papillomavirus). To know exactly what’s going on, we need to take a closer look. That’s where colposcopy comes in. At IREGCI, we perform this procedure every day. It’s the logical step to move from doubt to certainty. Here’s what it involves. What exactly is a colposcopy? Imagine a Pap smear as sweeping the floor in the dark to see what you find. A colposcopy is like turning on the light and using a giant magnifying glass. The colposcope is a type of binocular microscope with a powerful light that doesn’t touch you. The doctor places it in front of you (not inside) to examine your cervix with high magnification. What is the step-by-step procedure? It’s very similar to a regular gynecological exam and lasts about 10 to 15 minutes: You lie down on the examination table, and we insert the speculum. The doctor applies a special liquid (usually a vinegar or acetic acid solution) to your cervix. What does it feel like? You might feel a slight burning or tingling sensation, but it passes quickly. The magic of the liquid: This liquid causes abnormal cells to turn white. This allows the doctor to see exactly where the lesion is and how large it is. What if they find something? (The Biopsy) If, during the colposcopy, the doctor sees a white patch or an area with unusual blood vessels, they will take a small tissue sample (biopsy) to send to the pathologist. Does the biopsy hurt? It feels like a quick pinch or a momentary, strong menstrual cramp. At IREGCI, we are extremely gentle to minimize any discomfort. When is a colposcopy necessary? Your doctor will usually order this test if: Your Pap smear showed abnormal cells (dysplasia). You have a positive result for high-risk HPV. You experience bleeding after sexual intercourse. The doctor sees something unusual on your cervix. Colposcopy saves lives This examination is the “detective” that allows us to catch lesions before they become dangerous. If we detect a pre-cancerous lesion early, there are simple treatments (such as cauterization or conization) that cure the problem completely and allow you to resume your normal life. Why have your colposcopy done at IREGCI? Technology matters. A low-quality colposcope can miss small lesions. At IREGCI, we use Advanced Optics Colposcopes that provide superior clarity. Furthermore, our specialists are trained in cervical pathology, meaning they have the “clinical eye” to distinguish between harmless inflammation and a lesion requiring treatment. Don’t let your Pap smear go unreliable. The peace of mind of knowing exactly what you have is priceless. https://www.youtube.com/watch?v=0Ecy0jJt9NI How to get to IREGCI From fear to certainty: Expert diagnosis IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. Egg, sperm or embryo donation can be used. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. Insemination places the sperm directly into
Papanicolaou (PAP) and cervicovaginal cytology
5 minutes that can save your life Let’s be honest: nobody’s thrilled about getting a Pap smear. The stirrup, the cold speculum, the discomfort… it’s understandable that many women postpone this appointment time and time again. Contact us now!! Everything you need Learn about the Pap smear (PAP) But there is one fact that should change your perspective: Cervical cancer is one of the few cancers that is 100% preventable, and the Pap test is the tool that makes it possible. At IREGCI, we want to replace fear with information. Today we explain what this test really is, why it’s your best life insurance, and how to prepare for it. What is a Pap smear and what does it actually look for? The Pap test (or cervical cytology) is not a test to detect cancer; it’s a test to PREVENT it. It involves taking a small sample of cells from your cervix (the opening to the uterus). The laboratory analyzes these cells under a microscope, looking for abnormalities. If we find cells that are beginning to change (dysplasia), we can treat them years before they become a tumor. The goal is to detect the Human Papillomavirus (HPV) and its effects, since it is the cause of more than 90% of cervical cancer cases. How often should I do it? Medical guidelines have changed, but the general rule for best results is: Start: From age 21 (or earlier, at your doctor’s discretion, if you began having sex very young). Frequency: Generally once a year. If your results have been normal for several consecutive years, your doctor may space the tests out to every 2 or 3 years, or combine them with an HPV DNA test. How to prepare for your Pap smear? (To ensure a reliable result) To avoid an abnormal or “insufficient” sample and having to repeat the test, follow these simple tips before your appointment at IREGCI: No menstruation: Ideally, go 5 days after your period has ended. Sexual abstinence: Avoid sexual intercourse 24 to 48 hours beforehand. No chemicals: Do not use vaginal douches, suppositories, spermicidal creams, or tampons 2 days beforehand. What happens if the result is “Abnormal”? Don’t panic. An abnormal result does NOT mean cancer in the vast majority of cases. It means there are inflamed cells or minor changes (usually due to HPV or a simple infection). If this occurs, at IREGCI we proceed to the next step: colposcopy. We use a special microscope to examine the cervix under magnification and see exactly where the problem is so we can treat it right there if necessary. Why choose IREGCI for your General Gynecology? You might think a Pap smear can be done anywhere. But at IREGCI, we offer: Expert Sample Collection: An improper sample collection can lead to false negatives. Our specialists ensure a high-quality sample. Laboratory Technology: We work with expert pathologists specializing in gynecological cytology to ensure accurate cell analysis. Comprehensive Solution: If the result is abnormal, you don’t have to go elsewhere. We have a colposcopy unit and a cervical pathology unit to treat any lesions in their early stages. https://www.youtube.com/watch?v=0Ecy0jJt9NI How to get to IREGCI The exam that saves lives IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. Egg, sperm or embryo donation can be used. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a
Comprehensive gynecological consultation
More than a Pap smear Many women make the mistake of only going to the gynecologist when something hurts, itches, or their period is late. Others go once a year, have a Pap smear, and go home thinking that covers everything. Contact us now!! What is it really? A comprehensive gynecological consultation? At IREGCI, we believe that women’s health is much more complex and deserves a comprehensive approach. That’s why we don’t offer simple “checkups,” we offer a Comprehensive Consultation. But what does “Integral” mean? It means that we don’t see your uterus as an isolated organ; we see you as a whole woman. What does this 360° review include? Cancer Prevention (Pap Smear) It’s basic, yes, but vital. We take a sample of cells from your cervix to detect the Human Papillomavirus (HPV) or pre-cancerous lesions early. Pelvic or Transvaginal Ultrasound The Pap smear doesn’t see what’s happening inside your uterus or ovaries. With an ultrasound, we check for fibroids, polyps, ovarian cysts, or signs of endometriosis. Many painful conditions are detected here before they become serious. Breast Health No gynecological exam is complete without a breast exam. We teach you how to perform a breast self-exam, and if you are of age or have a family history, we refer you for a mammogram or breast ultrasound. Hormonal and Menstrual Health Are your periods very painful? Are they very heavy? Do you have acne or hair loss? All of this tells us about your hormones. In our comprehensive consultation, we address Polycystic Ovary Syndrome (PCOS), menopause, or any imbalance that affects your quality of life. Family Planning: If you don’t want to become a mother now, we’ll advise you on the best contraceptive method for your body (pills, IUD, implant). And if you want to become a mother in the future, we’ll help you protect your fertility until the time is right. The advantage of being treated by a Fertility specialist You might be thinking, “If I’m not trying for a baby, why go to IREGCI?” The answer is EXPERT PREVENTION. As reproductive specialists, our eyes are trained to detect subtle threats to your reproductive future that a general practitioner might consider “normal.” Menstrual pain that others ignore, we investigate for possible endometriosis. A cyst that others only “monitor,” we evaluate to see if it’s damaging your ovarian reserve. We take care of your present to protect your future. Why choose IREGCI for your General Gynecology? Although we are leaders in fertility, we are first and foremost guardians of women’s health. Superior Technology: We use the same high-resolution fertility ultrasound machines for your routine checkup. You’ll see the difference in image quality and diagnosis. Long-Term Vision: We don’t just treat infections or prescribe contraception; we evaluate how every medical decision affects your hormonal health and reproductive future. All in One Place: Consultation, ultrasound, and sample collection in a single visit, optimizing your time and comfort. https://www.youtube.com/watch?v=0Ecy0jJt9NI How to get to IREGCI We take care of you at every stage of your life. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. Egg, sperm or embryo donation can be used. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Most procedures
Transvaginal ultrasound
Transvaginal Ultrasound If you’ve had a general gynecological check-up, you’ve likely had an abdominal ultrasound (with the transducer passed over your abdomen). However, when you come to IREGCI seeking pregnancy, the procedure changes: we perform a transvaginal ultrasound. Contact us now!! The “eyes” of fertility specialist We know that the word can generate some apprehension or timidity. “Will it hurt?”, “Is it really necessary?”. The short answer is: It’s the most powerful tool we have for viewing your reproductive system in high definition. While abdominal ultrasound sees the “forest,” transvaginal ultrasound allows us to see “every tree.” Why “from within”? The uterus and ovaries are hidden deep within the pelvis. By inserting a thin probe (transducer) vaginally, we can get incredibly close to these organs without any intervening skin, muscle, or fat. This gives us sharp, precise images that are impossible to obtain from the outside. What exactly are we looking for at IREGCI? 1. Antral Follicle Count (Your Ovarian Reserve): This is the number one reason. We count each of the small sacs (follicles) in your ovaries. This tells us your actual ovarian reserve. Are your ovaries responding appropriately for your age? Are there any signs of polycystic ovary syndrome (PCOS)? Only a transvaginal ultrasound provides this information accurately. 2. The “Nest”: Your Endometrium: The endometrium is the inner lining of the uterus where the baby implants. We measure its thickness and analyze its texture. It needs to have a “trilaminar” appearance (three perfect layers) to receive the embryo. 3. Unwanted Implants: We detect small polyps or fibroids that could be occupying the space where the baby is implanting and acting as a natural contraceptive without your knowledge. Does it hurt? (The unfiltered truth) Generally, no. It might be a little uncomfortable (like the feeling of using a tampon), but it shouldn’t be painful. The probe is thin, and lubricant and sterile disposable sheaths are used. Unlike a Pap smear, we don’t use a speculum (the instrument that opens the vaginal walls). It’s much gentler. The IREGCI Difference: Technology + Clinical Eye Anyone can perform an ultrasound, but not everyone knows how to interpret it for fertility. At IREGCI, we use high-resolution equipment. But the equipment is nothing without the doctor. A 10-minute scan that provides answers for a lifetime. Don’t be afraid of this exam. It’s the first step on the path to your baby. Why conduct these studies at IREGCI? At IREGCI, we don’t just take images, we interpret diagnoses. We use state-of-the-art ultrasound equipment to perform the Antral Follicle Count, a vital piece of information that routine ultrasounds often omit and that is key to achieving your pregnancy. https://www.youtube.com/watch?v=0Ecy0jJt9NI How to get to IREGCI Looking at where life begins. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. Egg, sperm or embryo donation can be used. IREGCI, we’re with you every step of the way! FAQs – Frequently Asked Questions When should I see a fertility specialist? If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. What is the difference between artificial insemination and in vitro fertilization (IVF)? Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Is fertility treatment painful? Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. What are the chances of success for a treatment? It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. How does age affect fertility? Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. What options are available if I cannot use my own eggs or sperm? Egg, sperm or embryo donation can be used. If you have been trying to conceive for more than 12 months (or 6 months if you are over 35) without success, a medical evaluation is recommended. Insemination places the sperm directly into the uterus, while IVF fertilizes the egg in a laboratory and then transfers the embryo. Most procedures are minimally invasive and are performed with anesthesia or pain-reduction measures. It depends on the couple’s age, diagnosis, method used, and overall health. A specialist can estimate your personalized probability. Female fertility declines significantly from the age of 35 due to the quantity and quality of the eggs. Egg, sperm