The Prof. Claudio Giorlandino and his collaborators have one of the greatest clinical-diagnostic experiences in gynecological ultrasound. The center uses the most modern equipment on the market, continually updated and always at the state-of-the-art.

It is performed to evaluate the follicular development and the endometrial growth by serial ultrasounds and blood samples. It can be performed on any day of the week, including Sunday. Usually the ultrasound is associated with a hormonal dosage according to the clinical needs, then the specialist will set a new control on the basis of the individual response. The Ovulation Cycle Monitoring is performed to follow both the natural cycle of woman and Protocols for Ovulation Induction for focused sexual intercourse, intrauterine insemination (IUI) or medically assisted procreation (IVF-ICSI) or in Endometrial preparation before a transfer.

The Hystero-Contrast Sonosalpingography is an ambulatory ultrasound exam that allows the diagnosis of tubal patency. It is a valid alternative to hysterosalpingography and in addition to tubal patency it is possible to evaluate the morphological appearance of uterine cavity.

The hysteroscopy allows through a very thin camera to visualize the inside of the uterine cavity and to diagnose the possible presence of pathologies such as polyps, septa or fibroids. The exam is done outpatient without any anesthesia. In case of excessive tenderness or if it is necessary to perform interventions in the uterine cavity (operative hysteroscopy), mild sedation may be required.

Endometrial scratching is generally performed in the second half of the menstrual cycle and consists of making small “scratches” in the endometrium with an appropriate device (Pipelle). The resulting inflammatory reaction can increase the probability of embryo implantation especially in women with repeated failures.

ERA is a diagnostic test that through an endometrial biopsy allows to identify the best period in which to perform the embryo transfer, the so-called “window of implantation”.

Macroscopic and microscopic analysis of seminal fluid that allows to know and evaluate the number, motility, sperm morphology parameters that can allow to direct the choice of a technique compared to another.

Technique that allows to select and isolate the spermatozoa with better motility and morphology.

Technique that evaluates the integrity of sperm DNA. It is particularly indicated in case of repeated reproductive failures.

Technique that involves the freezing of sperm in liquid nitrogen (temperature of -196 °C). Cryopreservation can be performed for medical reasons (in preparation for medical and surgical therapies which could compromise the fertility of the patient, such as chemotherapy and radiation therapy) or for an individual choice in case of difficulties in collection of semen on the day of the technique of PMA.

TESE

Microsurgical Sperm Extraction directly from the testicle. It is indicated in cases of obstructive and non-obstructive azoospermia. The spermatozoa so recovered can be used both for the assisted reproductive treatment (ICSI) and cryopreserved.

MESA
Microsurgical epididymal sperm aspiration and is performed in cases of obstructive azoospermia. The spermatozoa so recovered can be used both for the assisted reproductive treatment (ICSI) and cryopreserved.

Testicular sperm extraction with needle and it is performed in cases of obstructive azoospermia. The spermatozoa recovered can be used both for the procedure of the assisted reproductive treatment and cryoconserved.

Technique that involves placing sperm inside a woman’s uterus, appropriately treated, to facilitate the encounter between the oocyte and the sperm. The procedure involves the use of an extremely thin catheter and is a simple, ambulatory method that does not require anesthesia.
Coinciding with ovulation, the male partner will produce a semen sample that has been subjected to capacitation and is then introduced into the uterine cavity by a flexible catheter.

IVF

A selected sperm pool is put in contact with the oocytes taken to the pickup still surrounded by the cells of the outer lining. The sperm penetrates spontaneously into the mature oocyte. The next day the insemination is checked. Fertilized oocytes are kept in culture until the day of embryo transfer.

ICSI
It involves the microinjection of a single sperm inside the egg thanks to a micromanipulator. This technique allows to obtain in vitro fertilization even in cases in which the parameters of the semen are heavily compromised. The next day the insemination is checked. Fertilized oocytes are kept in culture until the day of embryo transfer.

The fertilized eggs undergo a series of cellular divisions proper to embryonic development until the blastocyst stage is reached. The blastocyst is the most advanced stage of embryonic development that can be obtained in the laboratory and therefore allows to select the embryos with a greater implant potential.

It involves the creation of a hole at the level of the envelope surrounding the embryo (zona pellucida). It is a technique that is performed in order to facilitate the exit of the embryo from the zona pellucida and then its implantation.

It is a technique that allows to identify the presence of genetic diseases or chromosomal abnormalities on embryos obtained from an in vitro fertilization cycle before their transfer to the uterus. The procedure is to analyze a sample of embryo cells in order to transfer only healthy embryos results to genetic analysis. Our center performs the genetic analysis on the trophectoderm cells so as not to affect the cells that will give rise to the embryo.

It involves the freezing of the oocytes in liquid nitrogen (temperature of-196 °C) by means of the vitrification technique. The oocyte cryopreservation can performed for medical reasons (in preparation for medical-surgical therapies which could compromise the fertility of the patient, such as chemotherapy and radiotherapy) or for an individual choice of postponement of Maternity (social freezing).

It involves the freezing of the embryos in liquid nitrogen (temperature of-196 °C) by means of the vitrification technique. Embryo cryopreservation can be performed for medical reasons and to allow the couple to be able to transfer them at a later stage without having to face all the steps of a new cycle.

Consists of the Oocyte retrieval. It is a technique that is performed in the surgery and in conscious sedation. The patient is generally dismissed approximately two hours after the operation.

It’s a simple and outpatient procedure. It is performed by a thin transfer catheter that allows the embryo to be released to the top of the uterus. After about ten days of embryo transfer, the patient will perform a blood test for the dosage of the hormone B-HCG, a hormone attesting to the pregnancy.