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Results Annual Report year 2011 External Collaboration


Reproduction never occurs as a biological process but it is culturally moulded according to the models of society and between different social groups. More than 15% of couples need medical help.


Results Annual Report - year 2011 External Collaboration

Ginemed clínicas Š external collaboration

results annual report - year 2011


Pregnancy is possible. Our dedication helps achieve it.


Ginemed clĂ­nicas

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This is the first report that is only published online on Twitter, Facebook and www.clinicasginemed.es/resultados. It is a pleasure for us to share the results of our work with you another year. We try to ensure transparency. This will make it possible that we can all make the best decisions and give the most proper instructions. To improve it is necessary to have knowledge and for this it is essential to measure results.

Rise in number of performed cycles

We keep growing despite economic conditions as Ginemed clĂ­nicas is a reference centre in Andalusia and Europe. We have patients from all over the world. These patients are more complicated to deal with as in most cases they show long-term infertility and have several previous failed attempts in other centres in Spain or abroad. Despite this high number of complicated cases, we are achieving excellent results. This fact encourages us to persist in our efforts. All this helps us grow during these hard times. We give our best to achieve your pregnancy That is why we keep growing despite the circumstances

external collaboration

results annual report - year 2011


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Ginemed clínicas

This is a brief report. Any additional information that you require we can send it to you as soon as possible. It is essential for our success and yours too that patients achieve their aim: “Achieving a pregnancy within an acceptable period of time”. The availability of resources so that no case is rejected despite how complicated it is, the absence of complications and the friendly and human care that our patients receive from all members of our team, ensure the satisfaction of more than 98% patients treated and surveyed. Optimum results are achieved in the quality surveys given to patients

Patient Assessment

The woman and her environment, together with our commitment to achieve her pregnancy are our highest priorities. This philosophy pervades our daily work and patients notice and appreciate it. The results of Ginemed clínicas® are accredited by the Bureau Veritas quality certification which is validated by an independent officer. Our data is published and can be contrasted with other fertility centres in Spain on the web page of the Spanish Ministry of Health and on the official site of the Spanish Fertility Society: https://www.registrosef.com/plantilla09/index.asp

List of authorized Centres: http://www.cnrha.mspsi.es/registros/centros.htm

Centres’ results: http://www.cnrha.mspsi.es/registros/actividades.htm

external collaboration

results annual report - year 2011


Ginemed clĂ­nicas

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IVF-ICSI Cycles The pregnancy success rate in the first IVF-ICSI transfer, excluding biochemical pregnancies, that is to say, only counting those pregnancies with a positive heartbeat, is 48.50% regardless of the mother’s age or the cause of sterility or infertility.

Possibilities for a woman/couple, regardless of age or sterility cause, to achieve a pregnancy confirmed by positive heartbeat in only one IVF-ICSI cycle.

48.5%

Pregnancy success rate in the first IVF-ICSI transfer

Pregnancy success rate after repeated transfers

external collaboration

results annual report - year 2011


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Ginemed clĂ­nicas

Embryo Vitrification When we obtain more embryos than we transfer in the fresh embryo transfer (90% of the cases), we vitrify them. This increases pregnancy rates and reduces the cost of the process as there is no need to carry out a new IVF-ICSI cycle.

Results regardless of Embryo Quality. Pregnancy diagnosed by positive heartbeat

Pregnancy success rate in vitrified embryo transfers

Vitrification is the only freezing technique that we have used since December 2007. When the vitrified embryos are good quality embryos, the results are similar to the ones obtained from fresh embryo transfers. The results have notably improved as in many cycles we vitrify all the embryos.

Pregnancy success rate in a fresh embryo transfer or in a fresh embryo transfer + a vitrified embryo transfer

Pregnancy rates in a fresh embryo transfer or in a fresh embryo transfer + a vitrified embryo transfer

external collaboration

results annual report - year 2011


Ginemed clínicas

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Number of embryos transferred At Clínicas Ginemed® we do not advise to transfer more than two embryos but the final decision always remains a joint decision between the doctor and the woman/couple and after being provided with the most accurate medical information. Results depending on the No. of embryos transferred on day + 3 regardless of age, motive or embryo quality. Pregnancy diagnosed by positive heartbeat.

Pregnancy rate depending on the No. of embryos transferred

Embryo quality Embryo quality increases pregnancy rates. In those cases that we transfer at least two good quality embryos, the pregnancy rate increases to 61.2%.

Pregnancy rate: 61.2% when at least 2 good quality embryos are transferred

external collaboration

results annual report - year 2011


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Ginemed clínicas

Mother’s age Based on our experience, the mother’s age is the most important factor. Because of this the difference between two or three years can be crucial in order to achieve the pregnancy.

Pregnancy rates (with a positive heartbeat) in IVF-ICSI depending on the mother’s age. All cases included

Pregnancy rates depending on the mother’s age

The probability of achieving a pregnancy in the first cycle for a woman regardless of factors is 49.7%, specifically in women up to 38 years old and after at least a two embryos transfer.

Pregnancy rate per cycle in women up to 38 years old: 49.7% On the other hand, the pregnancy rate in women over 43 years old with their own eggs does not exceed 5% per cycle. In those cases, the first option should be oocyte donation without rejecting other possibilities.

external collaboration

results annual report - year 2011


Ginemed clĂ­nicas

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Oocyte Donation When using own oocytes is no longer a possibility, our patients join our Oocyte Donation Programme. Based on our experience, this is a highly effective choice to achieve the child desired.

Pregnancy success rate in Oocyte Donation Cycles regardless of any kind of selection. Diagnosed by positive heartbeat. In our Oocyte Donation Programme, the recipient’s age does not affect the results. In this case the most important factor is the age of the donors and at our clinic they are all aged under 30 years old. We have a donor bank with more than one thousand people of different races and phenotypes. In Oocyte Donation Programmes, the embryo quality is less important than in IVF-ICSI cycles.

Pregnancy success rate in Oocyte Donation Cycles

The selection of donors We choose every donor based on the physical characteristics of the future mother/couple. They are all young women with no history of inheritable diseases or mental disorders. They pass very rigorous medical tests and some other complementary tests that guarantee their suitability (chromosomal and genetic tests and psychological assessment).

external collaboration

results annual report - year 2011


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Ginemed clínicas

At Ginemed clínicas® we guarantee a minimum number of 8 matured ovules for each recipient and this allows us, in most of the cases, to carry out a fresh embryo transfer and a vitrified embryo transfer.

Pregnancy success rates in an Oocyte Donation Cycle with a fresh embryo transfer or with a fresh embryo transfer + a vitrified embryo transfer

Pregnancy rate in an Oocyte Donation Cycle (fresh + vitrified)

Pregnancy rate in an Oocyte Donation Cycle (fresh + vitrified): 80.9%

Thanks to our wide range of donors and professional management, we have no waiting time to start the treatment. In all cases the woman/couple have the final decision and always after being provided with rigorous and accurate information which includes all the different success options according to the specific case and based on our own experience.

external collaboration

results annual report - year 2011


Ginemed clĂ­nicas

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Preimplantational Genetic Diagnosis (PGD) PGD consists of choosing healthy embryos before the embryo transfer. This offers a reproductive option for those couples who have a high risk of transmitting a genetic disease to their children. This is a valid option in those cases of repeated miscarriages and in embryo implantation failures.

All cycles Diagnosed by positive heartbeat

Oocyte Preservation Programme Not long ago it seemed like something from the future but in our case is a reality that has been achieved. Fertility Preservation is the most important change for women since the appearance of contraceptive pills. This technique allows women to decide about motherhood, and her age and her professional, social or love life no longer impose time limitations. Oocyte Vitrification allows women to keep their fertility potential from the oocyte collection to the moment she decides to become a mother, regardless of her age and without to depend on an oocyte donation programme.

Oocyte Vitrification breaks down age barriers

external collaboration

results annual report - year 2011


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Ginemed clĂ­nicas

Quality Control Within the framework of UNE EN ISO 9001:2008 Certification, we have ensured that the whole team works within the same quality standards. This has made it possible that there are no significant differences regardless of the professional responsible for each case.

Pregnancy success rate per Transfer ≼ 2 embryos. Results per Gynaecologist.

Working as a team is the most important thing At the same time, all the equipments and materials are controlled in a exhaustive and systematic way, passing different tests and continuous evaluation of results. Thousand of children are the proof

external collaboration

results annual report - year 2011


Ginemed clínicas

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Male Factor At Ginemed clínicas® the male partner is not just the person who provides the semen sample. We care about him and he is studied conscientiously. This has enabled us to reach and maintain above average results. We are leaders in the study of the male fertility factor performing DNA fragmentation tests, FISH in spermatozoa and electronic microscopy.

6.600x

IMSI

We were the first centre in Spain to have a High Resolution Microscope that allows us to select spermatozoa at 6600x instead of 400x as with the ordinary microscopes. This is an additional advantage in order to achieve pregnancy. For years we have been holding an international meeting on male infertility attended by important international professionals every year. Another innovative technique that we are using in the selection of spermatozoa is Anexine Columns (MACS). This technique allows us to select the best quality spermatozoa for ICSI.

All cycles Diagnosed by positive heartbeat

MACS

With the use of these techniques couples who previously could not achieve a pregnancy, achieve it.

external collaboration

results annual report - year 2011


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Ginemed clĂ­nicas

External Collaborators With many gynaecologists we have established a collaboration agreement. We keep them informed on the patients referred as it is our desire to maintain a dynamic relationship. We seek to create a two way collaboration, fruitful to everyone and especially for the infertile women/couples. We are always open to new ideas. Ideally every patient should have a gynaecologist in their home country. Our laboratory and surgery rooms are at the disposal of the gynaecologists who collaborate with us and we discuss the cases with them.

Pregnant patients always refer back to their gynaecologists

Artificial Insemination

IAC

IAD

We just help nature. In some cases Artificial Insemination can be a solution to the problem. All cycles Diagnosed by positive heartbeat external collaboration

results annual report - year 2011


Ginemed clínicas

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Ginemed clínicas® is a great team in which we all collaborate to offer our patients the best. Working under ISO forces us to improve every day to maintain established and demanded quality standards.

All our data is externally audited and is at your disposal We hold courses and meetings regularly with international speakers. We attend and give lectures at many conferences. Ginemed clínicas® is a group recognised and respected at a global level thanks to our results and because we maintain a line of investigation focused on daily clinical practise.

15% of profits are devoted to projects of scientific relevance Achieving a pregnancy is not difficult if technical resources are used by highly trained specialists. We must explain the process to couples who are scared in order to eliminate fears and doubts. If we take away the myths and normalize the problem of infertility/ sterility we will help lots of patients.

Fertility treatments are effective, fast and painless We are sincerely grateful for your personal or professional help to this common project which holds so much significance. We try to carry out Quality Medicine always thinking about the patient, working day by day to make possible that the dreams of many women/couples come true.

Thank You. Without your support none of this would be possible. Team Ginemed clínicas® external collaboration

results annual report - year 2011


Ginemed clínicas® External Collaboration www.ginemed.es Farmacéutico Murillo Herrera, 3 - 41010 Seville (Spain) - T +34 954 99 10 51 República Argentina, 6 entresuelo - 41011 Seville (Spain) - T +34 954 28 40 51 Hospital NISA Sevilla Aljarafe - 41950 Castilleja de la Cuesta (Seville - Spain) - T +34 954 16 00 88 Juan del Cid, s/n. - 21200 Aracena (Huelva - Spain) - T +34 959 126 012 Bodega Infante, 54 - 21700 La Palma del Condado (Huelva - Spain) - T +34 959 401 921

Results Annual Report 2011  

Results Annual Report