What type of company are you?

Clinic

Which procedures areas do you support?

Fertility treatments

Where do you undertake the procedures or treatment?

Spain

Which languages do you support?

English, Spanish, Italian, Portuguese

Which countries do you support patients from?

Globally, United Kingdom, Italia, Canada, EEUU, Ireland, Australia, Spain, Czech Republic

What accreditations do you or your affiliated medical facilities have?

Member of the American fertility, Spanish Gynaecology and Obstetrics Society (SEGO), Spanish Fertility Society (SEF), Spanish Andrology Society, Spanish Association of Reproduction Biologists (ASEBIR) and ESHRE.

How many patients did your organization service last year?

300

What services do you provide?

CERAM has some very well establish programs which have given excellent results thanks to our organization and our dynamic appeal. These programs are the same which other Reproduction Clinics offer to couples having Fertility problems and are based on protocols of the Spanish Fertility Society (to which we belong as active members):

1. Intrauterine Insemination (IUI): Can be used when tubal patency is confirmed and the sperm count is satisfactory. A prepared amount of sperm is injected through a soft catheter into the uterine cavity on the appropriate day of the cycle. If the male partner has no sperm or has a very low sperm count, donor sperm can be substituted
2. In Vitro Fertilisation (IVF): Is the most effective treatment for infertility. In IVF several follicles grow simultaneously as a result of hormone therapy. Several oocytes (eggs) are then collected and fertilised with sperm in the laboratory. Two or occasionally three are transfered into the womb and the remaining good embryos can be cryopreserved for later use.
3. Intracytoplasmic Sperm Injection (ICSI): Can be used when only a very small number of sperms are seen. This involves selecting a single sperm and injecting it into a mature egg. The resulting embryos are then placed into the uterine cavity as with IVF.
4. Surgical Sperm Retrieval: Can be used where no sperm are seen in the ejaculate but this does not necessarily mean no sperm are being manufactured by the testicle. Sperm can be extracted surgically and then used for treatment. This is usually a day surgery procedure and done under local/general anaesthetic.
5. Ovum (Egg) Donation: This is suggested when the ovaries have failed due to early menopause, chemotherapy / radiotherapy, or for women who have not responded to stimulation treatment themselves. Donated eggs come from anonymous donors who must be 30 years of age or less and have undergone various medical tests, medical history and assessments prior to donating.
6. Blastocyst Trasfer: can be done in IVF/ICSI treatments and where the embryos are grown in culture for up to six days rather than the usual 2-3 days and one embryo can then be selected for transfer.
7. Frozen Embryo Transfer: can be done where excess embryos in a fresh cycle have been frozen and the couple wish to have a further cycle of treatment after either a successful pregnancy or an unsuccessful treatment cycle. The embryos are thawed and replaced in either a natural or a hormone assisted cycle dependant on the individual circumstances of the woman.
8. Assisted Hatching: is a technique which consists in making a small opening in the pellucida zone (shell which protects the embryo) to help the embryo to break through and attach to the uterus. Indications:

   - No implantation: repeated IVF with embryo transfers negative results.
   - Older patients
   - High FSH levels
   - Ovocites with a thick pellucida zone
   - Poor quality embryos
   - Transfer of frozen embryos

9. Donor Sperm: is suggested where no sperm have been seen in the eyaculate on more than one occasion. Donated sperm come from anonymous donors and have undergone various medical tests, medical wistay and assesment prior to donating.
10. Diagnostico Genetico Preimplantation Genetic Diagnosis(DGP) technique consists in obtaining embryos with ‘In Vitro Fertilization’, once reaching the 8 cell stage, 1 or 2 cells are screened for a specific disease. Following this analysis the normal embryos will be selected for transfer after 1 or 2 days - Preimplantation genentic diagnosis is indicated for: - Couples with a high risk of transmitting an inherited condition. - Women over 38 years with an increased risk of chromosomal abnormalities - Couples with unexplained failed FIV or ICSI cycles. - Couples with recurrent miscarriages.

Leading Practitioner’s Qualifications and Experience

Dr. Hugo Benito Martínez is the founder and medical director of CERAM. I have been a specialist in Gynaecology and reproductive medicine since 1983. Founded the Institute of Human Reproduction in Colombia and worked with the largest and most important fertility centre in Colombia. I frequently attend national and international congresses related to this specialist field, to learn about new advances and techniques which we then use on a daily basis at CERAM, along with the latest available technology