Skip to main content
Reproductive medicine
Reproductive medicine

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 .

  • Consults Consults Consults Consults Consults Consults Consults Consults Consults Consults Consults Consults Consults Consults

    Acupuncture

    Sf Anne-Christine Paris, Sf Gaétane Colin
    Consultation schedule

    Embryo reception and double gamete donation

    Dr Christine Denoual-Ziad, Dr Marie-Ange Clarotti
    Consultation schedule

    Addictology

    Sf Patricia Rault
    Consultation schedule

    Andrologists male infertility

    Dr. Antoine Clergeau
    Consultation schedule

    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 Simonet
    Consultation schedule

    Biology

    Dr Amélie Ancelle, Dr Marie-Ange Clarotti, Dr Anne-Sophie Gilles, Dr Marion Labarre
    Consultation schedule

    Egg donation

    Dr Christine Denoual-Ziad, by Celine Renard
    Consultation schedule

    Sperm donation

    Dr Marie-Ange Clarotti
    Consultation schedule

    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 Guillin
    Consultation schedule

    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 Guillin
    Consultation schedule

    Psychology

    Ps Christine Albert, Ps Delphine Quiedeville, Ps Laura Dumesnil
    Consultation schedule

    Transidentity

    Dr. Claire Gourbesville, Dr. Antoine Clergeau
    Consultation schedule

    Tobacco

    Dr Fabienne Bottet
    Consultation schedule

      Composition of service

      • 8 hospital practitioners
      • 1 attached practitioner
      • 1 junior doctor
      • 3 psychologists
      • 1 senior midwife
      • 3 midwives
      • 4 secretaries
      • 6 laboratory technicians
    • Our support

      Principles of reproduction

      Throughout 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:

      1. Natural female hormone stimulation
      2. Ovulation
      3. Estrogen secretion by the ovary
      4. Migration of sperm in the genital tract
      5. Formation of an embryo in the fallopian tube
      6. Arrival of the embryo in the uterus
      7. Implantation of the embryo in the uterus

      For more information on the principles of reproduction, consult the website of the Biomedicine Agency.

      Proposed treatments

      Among 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),
      • sperm donation,
      • oocyte donation [Cf. Read more > “Donate your oocytes” above],
      • embryo reception.
      Donate your eggs

      What 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:

      1. make an appointment at: 02 31 27 20 59
      2. meeting with a doctor
      3. meeting with a psychologist
      4. stimulation of the ovaries
      5. oocyte retrieval
      In vitro fertilization

      The number of IVF performed per year is 500.

      For more information on In-Vitro Fertilization, see our practical guide to performing IVF below.

      Fertility preservation

      The 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 documents

      Embryo reception

      Embryo reception

      AMP Sperm

      AMP Sperm

      Medically assisted procreation with sperm donation
      ART In Vitro Fertilization

      ART In Vitro Fertilization

      Medical Assistance to Procreation
      Course for an insemination

      Course for an insemination

      Guide to your follow-up
      Journey to IVF

      Journey to IVF

      Guide
      Preserve your fertility

      Preserve your fertility

      What to do after certain obstetric acts or certain gynecological surgeries?
      • Competence centers & collaborations

      • The latest news related to the service…

      Locate / contact service

      Reproductive medicine

      Woman-Child-Hematology Hospital

      Avenue de la Côte de Nacre
      CS 30001
      14033 Caen cedex 9


      Reproductive medicine

      Service Secretariat


      Level GPS accessHall E-mail
      Reproductive medicine
      Woman-Child-Hematology Hospital
      Level : 2
      GPS Access: Main
      Main Entrance of Caen Normandy University Hospital