Reproductive medicine
Reproductive medicine
reproductive medicine department is to provide care for couples having difficulty starting a pregnancy.
It is a section of the Gynecology .
reproductive medicine department is to provide care for couples having difficulty starting a pregnancy.
It is a section of the Gynecology .
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Consulting & Team
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Health professional
- Any Healthcare professional
- ARE Dr Anne-Laure Lepori
- ARE Dr Delastre Robin
- ARE Dr Denis Sousa Da Silva
- ARE Dr Mathilde Lermuzeaux
- ARE Dr Pierre Grassin
- ARE Dr Stephanie Deryckere
- ARE Dr Therese Simonet
- By Celine Renard
- Dr. Alice Lecacher
- Dr Amelie Ancelle
- Dr Amelie Scornet
- Dr Anne-Sophie Gilles
- Dr. Antoine Clergeau
- Dr. Christine Denoual-Ziad
- Dr Claire Gourbesville
- Dr Clemence Guillin
- Dr Cecile Delesalle
- Dr Cecile Desoubeaux
- Dr Celine Renard
- Dr Fabienne Bottet
- Dr Marie-Ange Clarotti
- Dr. Marion Labarre
- Dr Meriem Mouadil
- Dr Sophie Lubrano
- Dr. Stanislas Mulot de Lacroix
- Ps Christine Albert
- Delphine Quiedeville
- Ps Laura Dumesnil
- Sf Anne-Christine Paris
- Sf Gaetane Colin
- Sf Patricia Rault
Acupuncture
Sf Anne-Christine Paris, Sf Gaétane ColinConsultation schedulenot specifiedEmbryo reception and double gamete donation
Dr Christine Denoual-Ziad, Dr Marie-Ange ClarottiConsultation scheduleMonday to Friday from 8:30 a.m. to 5 p.m.Addictology
Sf Patricia RaultConsultation scheduleMonday to Friday from 8:30 a.m. to 5 p.m.Andrologists male infertility
Dr. Antoine ClergeauConsultation scheduleMonday to Friday from 8:30 a.m. to 5 p.m.Anesthesia
ARE Dr Mathilde Lermuzeaux, ARE Dr Anne-Laure Lepori, ARE Dr Stephanie Deryckere, ARE Dr Denis Sousa Da Silva, ARE Dr Pierre Grassin, ARE Dr Delastre Robin, ARE Dr Therese SimonetConsultation scheduleMonday to Friday from 8:30 a.m. to 5 p.m.Biology
Dr Amélie Ancelle, Dr Marie-Ange Clarotti, Dr Anne-Sophie Gilles, Dr Marion LabarreConsultation scheduleMonday to Friday from 8:30 a.m. to 5 p.m.Egg donation
Dr Christine Denoual-Ziad, by Celine RenardConsultation scheduleMonday to Friday from 8:30 a.m. to 5 p.m.Sperm donation
Dr Marie-Ange ClarottiConsultation scheduleMonday to Friday from 8:30 a.m. to 5 p.m.ART gynecology
Dr Cécile Delesalle, Dr Christine Denoual-Ziad, Dr Cécile Desoubeaux, Dr Sophie Lubrano, Dr Meriem Mouadil, Dr Stanislas Mulot de Lacroix, Dr Céline Renard, Dr Amélie Scornet, Dr Alice Lecacheur, Dr Clémence GuillinConsultation scheduleMonday to Friday from 8:30 a.m. to 5 p.m.Female fertility preservation
Dr Christine Denoual-Ziad, Dr Sophie Lubrano, Dr Cécile Desoubeaux, Dr Céline Renard, Dr Claire Gourbesville, Dr Stanislas Mulot de Lacroix, Dr Amélie Scornet, Dr Alice Lecacheur, Dr Clémence GuillinConsultation scheduleMonday to Friday from 8:30 a.m. to 5 p.m.Psychology
Ps Christine Albert, Ps Delphine Quiedeville, Ps Laura DumesnilConsultation scheduleMonday to Friday from 8:30 a.m. to 5 p.m.Transidentity
Dr. Claire Gourbesville, Dr. Antoine ClergeauConsultation scheduleMonday to Friday from 8:30 a.m. to 5 p.m.
Composition of service
- 8 hospital practitioners
- 1 attached practitioner
- 1 junior doctor
- 3 psychologists
- 1 senior midwife
- 3 midwives
- 4 secretaries
- 6 laboratory technicians
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Health professional
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Our support
Principles of reproductionThroughout their care, couples will need to have benchmarks when it comes to the different stages necessary for the formation of an embryo that can develop in the woman's uterus to lead to the birth of a child. .
Each stage of the treatment takes up the normal stages of human reproduction by adding the necessary help to overcome the obstacle existing within the couple:
- Natural female hormone stimulation
- Ovulation
- Estrogen secretion by the ovary
- Migration of sperm in the genital tract
- Formation of an embryo in the fallopian tube
- Arrival of the embryo in the uterus
- Implantation of the embryo in the uterus
For more information on the principles of reproduction, consult the website of the Biomedicine Agency.
Proposed treatmentsAmong the couples currently forming in France, 1 in 6 has difficulty starting a pregnancy. The goal of the reproductive medicine department is to provide care for these couples. After an assessment, the most suitable treatment for your situation will be offered to you.
Gynecologists, biologists, midwives, laboratory technicians, nursing assistants provide medical, administrative and psychological care for infertile couples.
The biologists also provide embryo freezing, the reception of embryos given to an infertile couple and the donation of oocytes.
Depending on the elements found during your check-up and during your follow-up, your doctor may suggest:
- stimulation of ovulation,
- intrauterine insemination,
- In-Vitro Fertilization (IVF),
- in-vitro fertilization with Intra-Cytoplasmic Sperm Injection (ICSI),
- a gift of cum,
- oocyte donation [Cf. Read more > “Donate your oocytes” above],
- embryo reception.
Donate your eggsWhat is an Oocyte?
The oocyte is the female reproductive cell (the male reproductive cell being the sperm). Each ovary contains several thousand oocytes present at birth, the number of which gradually decreases during life. From puberty, each month, about ten oocytes develop to lead to the ovulation of only one, which can be fertilized by a spermatozoon.
For whom to give?
Eggs are donated to couples who cannot have children:
- either because the woman does not naturally have oocytes,
- either because his oocytes show abnormalities,
- either because, to be cured of a serious illness, she underwent a treatment that destroyed her oocytes,
- or because the couple risks transmitting a serious genetic disease to the child.
Who can donate*?
- adult woman
- under the age of 37
- in good health
*For women who have not had children, the possibility of donation is mentioned in the law passed in July 2011 and awaiting the implementing decree.
The different stages of the Donation:
- make an appointment at: 02 31 27 20 59
- meeting with a doctor
- meeting with a psychologist
- stimulation of the ovaries
- oocyte retrieval
In vitro fertilizationThe number of IVF performed per year is 500.
For more information on In-Vitro Fertilization, see our practical guide to performing IVF below.
Fertility preservationThe reproductive medicine and biology center allows patients to achieve fertility preservation. This preservation can be achieved in two contexts:
- On medical indication : in the face of certain pathologies or treatments that may temporarily or permanently alter fertility,
- Without medical indication : self-preservation of gametes in patients aged 29 to 37, also called societal preservation.
Within our center, different methods of preservation are offered.
- Oocyte cryopreservation will be carried out after hormonal stimulation and oocyte retrieval in the operating room.
- Embryo cryopreservation will be carried out after hormonal stimulation, oocyte retrieval and after in vitro fertilization.
- Ovarian cortex cryopreservation is a surgical technique consisting in the removal of ovarian cortex.
- In vitro maturation can be carried out in certain special cases
As part of societal preservation, the initial assessment includes blood tests and a pelvic ultrasound. Oocyte cryopreservation is the technique used. The oocytes can be reused by the patient in the absence of spontaneous pregnancy or in the event of failure of the other methods of medically assisted procreation (MAP). This technique offers additional security to patients but cannot guarantee a future pregnancy .
In the context of a medical indication, the choice of technique will depend on the intrinsic parameters of the patient, the pathology indicating preservation and the treatment planned as well as the time available. The interest of medical preservation of fertility is to offer an additional resource to patients wishing to become pregnant after taking charge of their pathology. The reuse of oocytes, embryos (corresponding to preservation of the couple's fertility and reusable only within the couple) , or of the ovarian cortex will be possible in the absence of the occurrence of a spontaneous pregnancy or after failure of other techniques of AMP.
For more information on the different methods of fertility preservation, you can visit the following site
Pathologies
Ovarian problems
Polycystic ovary syndrome:
disturbed ovarian functioning that prevents ovulation from occurring during a cycle. A decrease in the frequency or even a disappearance of the periods is frequent. It is often associated with a problem of excessive weight gain.Ovarian dysfunction with ovulation disorder :
hormonal imbalance of variable origin, preventing ovulation at each cycle.Ovarian failure:
slowdown in ovarian functioning which, in most cases, is related to the age of the woman, but which can sometimes be earlier. This leads to a decrease in the ability of the ovary to produce one or more good quality follicles each month.Cervical problem
In women, the mucus secreted at the level of the cervix can be unfavorable to the passage of spermatozoa towards the uterine cavity and the fallopian tubes. In men, the effective sperm count may be decreased.
In these situations, the cervix is not crossed by sperm. Intrauterine inseminations can solve this problem, because the prepared spermatozoa will be deposited directly in the uterus.
Tubal problems
Partial or total obstruction of the tubes following an infection, for example, removal of one or more tubes for medical reasons, preventing the passage of gametes in order to obtain natural fertilization.
Abnormal number, vitality, shape of spermatozoa
More or less marked difficulty of the testicle to produce spermatozoa, of variable origin:
- by attack from childhood (cryptorchidism),
- by lesion during a urinary or testicular infection,
- by direct trauma to the testicle (recreation, surgery),
- by genetic anomaly,
- by use of toxic substances (tobacco, alcohol, cannabis, professional solvents, etc.),
- by excessive exposure to heat.
Depending on the extent of the sperm abnormalities, the technique of medically assisted procreation may vary: intrauterine insemination, IVF, ICSI, sperm freezing, use of donated sperm in extreme cases.
Fertility preservation
Reproductive medicine and biology services allow patients to achieve fertility preservation. This preservation can be achieved in two contexts:
- On medical indication: in the face of certain pathologies or treatments that may temporarily or permanently alter fertility,
- Without medical indication: self-preservation of gametes in patients aged 29 to 37, also called societal preservation.
Within our center, different methods of preservation are offered.
- Oocyte cryopreservation will be carried out after hormonal stimulation and oocyte retrieval in the operating room.
- Embryo cryopreservation will be carried out after hormonal stimulation, oocyte retrieval and after in vitro fertilization.
- Ovarian cortex cryopreservation is a surgical technique consisting in the removal of ovarian cortex.
- In vitro oocyte maturation
As part of societal preservation, the initial assessment includes blood tests and a pelvic ultrasound. Oocyte cryopreservation is the technique used. The oocytes can be reused by the patient in the absence of spontaneous pregnancy or in the event of failure of the other methods of medically assisted procreation (MAP). This technique offers additional security to patients but cannot guarantee a future pregnancy.
In the context of a medical indication, the choice of technique will depend on the intrinsic parameters of the patient, the pathology indicating preservation and the treatment planned as well as the time available. The interest of medical preservation of fertility is to offer an additional resource to patients wishing to become pregnant after taking charge of their pathology. The reuse of oocytes, embryos (corresponding to preservation of the couple's fertility and reusable only within the couple) , or of the ovarian cortex will be possible in the absence of the occurrence of a spontaneous pregnancy or after failure of other techniques of AMP.
For more information on the different methods of fertility preservation, you can visit the Agence Biomédecine .
Endometriosis
Development of endometrial tissue (normally covering the inside of the uterus), inside the abdominal cavity. This causes pain and infertility by affecting the various elements of the abdomen, in particular the ovaries with the appearance of cysts.
Idiopathic infertility
The couple's infertility remains unexplained despite the analyzes carried out. Performing in-vitro fertilization could solve the problem and give more precise information on the gametes thus collected and visualized in the laboratory of Medically Assisted Procreation.
Useful document(s)
Embryo reception
AMP Sperm
Medically assisted procreation with sperm donation
ART In Vitro Fertilization
Medical Assistance to Procreation
Course for an insemination
Guide to your follow-up
Journey to IVF
Guide
Preserve your fertility
What to do after certain obstetric acts or certain gynecological surgeries? -
Competence centers & collaborations
Rare Disease Competence Centercenter page Structurecenter page
Locate / contact service
Woman-Child-Hematology Hospital
Reproductive medicine
Service Secretariat
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Reproductive medicine
Woman-Child-Hematology Hospital
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