BAJA FERTILITY SERVICIES
FREQUENTLY ASKED QUESTIONS
FAQ
FREQUENTLY ASKED QUESTIONS
1. What are the causes of infertility?
They can be both social and medical in nature. Among the social causes are delaying the search for parenthood and the daily stress experienced by both men and women. General medical causes include extreme obesity, anorexia nervosa, severe illnesses, thyroid disorders, drug and medication abuse, alcohol and tobacco use, and chemotherapy. About 20% of cases remain unexplained.
Regarding medical causes, the most commonly affected areas in women are the Fallopian tubes, ovulation, uterine cavity, and conditions such as endometriosis.
In men, the main issues involve sperm count, motility, and abnormal sperm morphology.
3. What is infertility?
Infertility is defined as the inability to conceive a baby or carry a pregnancy to term. This diagnosis applies after at least one year of having regular unprotected sexual intercourse, specifically in women under the age of 35. For women over 35, or when a known medical condition is present, infertility may be considered after six months of trying without success.
5. What is artificial insemination?
Intrauterine insemination (IUI), also known as artificial insemination, is a technique that involves placing motile sperm directly into a woman’s uterus, replacing the need for sexual intercourse.
7. Do I need to bring previous lab tests to my fertility consultation? Why are they important?
Yes, it is important. If you or your partner have already undergone fertility consultations or treatments, you should bring any previous test results, such as hormonal tests, ultrasounds, X-rays like a hysterosalpingogram, and semen analyses, among others.
Before starting an assisted reproductive treatment cycle, you will be asked to undergo screening tests such as HIV, hepatitis B, blood tests for hepatitis C, and VDRL for syphilis.
If you already have these results, please bring them with you. If not, the clinic will schedule them on the appropriate days for testing.
Medically, the most commonly affected factors in women include the fallopian tubes, ovulation, uterine cavity, and conditions such as endometriosis.
In men, issues typically involve sperm count, motility, and abnormal morphology.
9. What is a Hysterosalpingography (HSG) and what can I expect during the procedure?
A Hysterosalpingography (HSG) is an X-ray examination of the fallopian tubes and uterus that checks whether the uterine cavity is normal and if the tubes are open. It is usually performed between days 7 and 10 of your cycle and takes about 30 minutes.
Some hospitals may recommend that you take a pain reliever before the procedure.
You will be asked to undress and wear a medical gown. Bring a sanitary pad with you to use after the examination.
10. What is In Vitro Fertilization (IVF)?
It is a procedure in which ovarian hyperstimulation is performed to promote the development of ovarian follicles. Once these follicles are mature, the eggs are retrieved through aspiration under sedation. The eggs are then brought into contact with sperm in the laboratory.
13. What is ICSI?
This assisted fertilization technique is especially indicated in cases of male infertility that cannot be resolved through conventional in vitro fertilization. Specifically, it is used when the number of sperm with progressive motility and normal morphology is below 500,000 — including patients who have no sperm in their ejaculate (azoospermia).
15. How long does the entire procedure take?
Approximately 2 weeks.
17. What does it mean to be diagnosed with Polycystic Ovary Syndrome (PCOS)?
Polycystic Ovary Syndrome (PCOS) is a common condition that can cause symptoms such as irregular periods, excess facial or body hair, acne, infertility, irregular ovulation, and obesity.
Being diagnosed with PCOS does not necessarily mean you are infertile. Many women with PCOS can conceive naturally, while others may need some level of medical assistance.
How is it diagnosed?
PCOS is typically diagnosed through an ultrasound and/or blood tests. Polycystic ovaries tend to show a string of many small cysts around the edges, visible on ultrasound.
You may also be recommended blood tests such as:
-
Complete blood count (CBC) to check for anemia
-
Thyroid function tests
-
Hormonal panels including gynecological hormones and prolactin
19. I had my fallopian tubes tied several years ago. Could I be a candidate for IVF?
In these cases, it’s ideal to evaluate the couple before making a decision. Generally, women under 35, whose tubal ligation was performed less than 5 years ago using the Pomeroy technique (medial portion of the fallopian tube), and whose partner has a normal sperm count, may be good candidates for surgical reversal. However, if these conditions are not met, IVF is usually the better option over tubal surgery, as it tends to offer faster results and is considered the most appropriate technique.
2. What to expect at your first fertility visit?
Please bring the following with you if applicable:
A list of all the questions you may have, so you don’t forget them during your visit.
A fertility history (summary of any previous treatments). If you’ve undergone fertility treatment elsewhere, you have the right to request a report with the details of your treatment from that clinic.
Blood test results.
Semen analysis results.
Reports from previous examinations such as X-rays or any surgeries you may have had.
The initial consultation lasts approximately one hour, and your partner should attend with you. You should arrive 15 minutes early to complete a form and have your vital signs taken before meeting with your doctor.
A complete and comprehensive medical history will be taken from both partners, if applicable. A nurse should be present during the gynecological examination. If necessary, the husband may be examined and asked to provide a semen sample for analysis (although he may discuss with the doctor if he prefers not to provide the sample that day).
4. Is infertility only a female issue?
Although many people associate infertility with women, it actually occurs with equal frequency in both women and men.
6. When is artificial insemination recommended?
It is generally indicated when there is a low sperm count or poor motility, after failed ovulation induction and timed intercourse treatments, or following endometriosis treatment.
8. Does age matter when undergoing assisted reproduction treatment?
Assisted reproduction has given us more opportunities to bring a new loved one into our homes; however, pregnancy is not 100% guaranteed. Age is a very important factor for this to happen. The recommended age range is between 20 and 35 years old. After that, ovarian reserve begins to decline significantly, reducing the chances of pregnancy and increasing the risk of genetic alterations, such as Down syndrome.
10. What can I expect during and after a gynecological laparoscopy?
Laparoscopy is a surgical procedure in which a camera is inserted through a small incision in the navel, along with 1 to 3 small incisions in the lower abdominal quadrants to insert instruments.
On the day of the procedure, you will be admitted to the hospital. You must fast for at least 8–12 hours. At the clinic, a nurse will measure your height and weight and check your temperature and blood pressure.
You’ll be asked about your medical history, including the date of your last menstrual period and any allergies, especially to latex.
Avoid eating or drinking anything for at least 12 hours beforehand.
Before admission, your doctor will prescribe a medication to cleanse your intestines.
Do not wear makeup, nail polish, or jewelry. You will need to sign a consent form.
It is recommended not to use tampons after the surgery—bring sanitary pads instead. The anesthesiologist will visit your room to ask you some questions and clarify any concerns you may have about the anesthesia.
During surgery, your abdominal and pelvic organs will be examined. The doctor will look for cysts, endometriosis, fibroids, adhesions, or other issues that could affect fertility.
A dye will be injected through the cervix to check the fallopian tubes for blockages in real-time.
At the end of the procedure, the gas used to inflate the abdomen will be removed, and the incisions will be closed with fine sutures.
Once you have recovered from anesthesia, you’ll return to your room for gradual recovery. In the afternoon, you may begin a liquid diet and be discharged either later that day or the next morning, depending on your condition.
12. How is IVF performed?
An initial evaluation of the couple is performed, including hormonal tests and infectious disease screening.
After this, the IVF process is divided into the following stages:
Ovulation induction
Ovulation monitoring or follicular tracking
Fertilization
Incubation
Embryo transfer
Pregnancy test”
¿Te gustaría que también lo redacte con un poco más de detalle o lo mantengo así de conciso para fines informativos en una sección de FAQ?
14. Who is ICSI recommended for?
Obstructive azoospermia.
Non-obstructive azoospermia or testicular origin (evolving Sertoli cell-only syndrome).
Couples with fertilization failure in a previous conventional IVF cycle.
Sperm count below 1,000,000 with progressive motility and normal morphology after sperm processing.
In these cases, sperm are retrieved from the epididymis or testicle, respectively, through a surgical procedure performed either on the same day or the evening before the wife’s oocyte retrieval.
16. Does Assisted Reproduction harm the ovaries?
There is no evidence to suggest that egg retrieval harms the ovaries. One report indicated that infertile women who undergo fertility treatments without achieving pregnancy may have an increased risk of ovarian cancer. However, this study did not specify the types of drugs used, and the control population may not have been well-matched, since it is known that infertile women already carry a higher risk of ovarian cancer. Fertility medications used in Assisted Reproduction have been in use for over 30 years, and other studies report no associated risk. In most cases, the age of menopause does not appear to be affected by ovarian stimulation.
18. Why is success with Assisted Reproduction not the same for every couple?
Human reproduction studies show that even for a fertile couple, the chance of conception per month is only about 15–20%. Assisted reproductive treatments aim to create an environment as close as possible to a natural cycle, synchronizing its phases to slightly increase the chances of success. However, outcomes vary depending on each couple’s medical history, age, and specific fertility challenges.
20. Can we have sexual intercourse while preparing for Assisted Reproduction?
Yes. We recommend that the male partner abstain from sexual activity for at least 3 to 7 days to ensure the semen sample is in optimal condition for Assisted Reproduction. As the egg retrieval day approaches, the ovaries begin to enlarge and may cause mild pelvic discomfort. For this reason, intercourse can become uncomfortable, so it’s advised to maintain at least 5 days of abstinence before the retrieval procedure.
FAQ
ASK A SPECIALIST
If you didn’t find the answer you were looking for in our FAQ section, you can send us your question confidentially. One of our specialists will review it and get back to you as soon as possible.

CONTACT
PLAN YOUR VISIT
Book Your Appointment
The first step is to contact us and schedule your consultation.
Prepare Your Medical Information
Gather your medical history and a list of questions to discuss with your doctor.
Attend Your Initial Consultation
Make sure to arrive on time with all the necessary documentation.
CONTACT
BOOK YOUR APPOINTMENT
We are here to support you on your journey to parenthood. Booking an appointment with us is the first step toward receiving the care and support you need.
GET IN TOUCH
If you have any questions or need more information before scheduling your appointment, feel free to contact us. We are here to help.
LOCAL PHONE
664 635-8427
PHONE FROM THE U.S:
001 619 4003830
+52 664 166 9569
info@bajafertility.com
ADDRESS
Torre Norte 2: Fray Servando Teresa de Mier 1351, local 601, Zona Urbana Río Tijuana, Tijuana, B.C.