{"id":372215,"date":"2025-04-23T07:06:08","date_gmt":"2025-04-23T07:06:08","guid":{"rendered":"https:\/\/centromedicomanzanera.com\/dr-manzanera-contesta\/"},"modified":"2025-04-23T07:18:02","modified_gmt":"2025-04-23T07:18:02","slug":"dr-manzanera-contesta","status":"publish","type":"post","link":"https:\/\/centromedicomanzanera.com\/de\/dr-manzanera-contesta\/","title":{"rendered":"Dr Manzanera responds\u2026"},"content":{"rendered":"<p>I\u2019m 50 and have periods but I cannot become pregnant. Why?<br \/>\nThe age affects the egg quality. Even though you still menstruate, the eggs are no longer of good quality to get pregnant.<br \/>\nAt what age do women stop being fertile?<br \/>\nUsually after the age of 40, there is a clear decrease in fertility.<br \/>\nUp to what age is it viable to freeze my eggs?<br \/>\nEach patient has to be assessed separately, but the general recommendation is to do that before 37.<br \/>\nI\u2019m 44 and have irregular periods. Does this mean that I\u2019m approaching menopause?<br \/>\nA small hormonal imbalance related to age may be happening, although menopause may take a few years to occur.<br \/>\nI\u2019m 35 and have premature menopause. Can I have a child?<br \/>\nYes, you can have a child, but you would have to rely on using donor eggs because you no longer produce eggs.<br \/>\nI\u2019m 39 and had two children with my ex-partner. Why can\u2019t I get pregnant with my new partner?<br \/>\nIf you have been seeking pregnancy regularly for one year, we recommend seeing your gynaecologist and doing a fertility study of both of you.<br \/>\nI\u2019m 45 years old, why did the gynaecologist tell me that egg donation is the most suitable treatment when seeking pregnancy after 45?<br \/>\nThe egg quality after 45 is very low and fertility treatments with own eggs fail in nearly all cases.<br \/>\nMy husband is 50. Does he need any further fertility testing?<br \/>\nThe first step is a spermiogram to analyse the sperm quality. When patients are over 45-50 and\/or are smokers, the sperm quality can be tested further via so-called double-strand sperm DNA fragmentation.<br \/>\nCan I choose the gender of the embryos that are transferred?<br \/>\nNo, gender selection of the embryos is not legal in Spain.<br \/>\nWhy can\u2019t I opt for surrogate motherhood? Is it planned to legalise surrogate motherhood in Spain?<br \/>\nThe law doesn\u2019t permit surrogate motherhood in Spain. It\u2019s not foreseen to legalise it at the moment.<br \/>\nWhen is it appropriate or essential to remove a fibroid?<br \/>\nIt\u2019s not necessary to remove all fibroids, but rather to consider their size and location. Fibroids affecting the uterine cavity (submucous fibroids) must be assessed and resected. It\u2019s usually carried out in hysteroscopy.<br \/>\nInternational Department<\/p>\n<p>#assistedreproduction<br \/>\n#fertilitytreatment<br \/>\n#eggdonation<br \/>\n#IVF<br \/>\n#ICSI<br \/>\n#ivficsi<br \/>\n#fertility<br \/>\n#artificialinsemination<br \/>\n#manzaneraclinic<br \/>\n#eggdonation<br \/>\n#spermdonation<br \/>\n#gametedonation<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I\u2019m 50 and have periods but I cannot become pregnant. Why? The age affects the egg quality. Even though you still menstruate, the eggs are no longer of good quality to get pregnant. At what age do women stop being fertile? Usually after the age of 40, there is a clear decrease in fertility. Up [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":372210,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[31],"tags":[4766],"class_list":["post-372215","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nachrichten","tag-de"],"_links":{"self":[{"href":"https:\/\/centromedicomanzanera.com\/de\/wp-json\/wp\/v2\/posts\/372215","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/centromedicomanzanera.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/centromedicomanzanera.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/centromedicomanzanera.com\/de\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/centromedicomanzanera.com\/de\/wp-json\/wp\/v2\/comments?post=372215"}],"version-history":[{"count":2,"href":"https:\/\/centromedicomanzanera.com\/de\/wp-json\/wp\/v2\/posts\/372215\/revisions"}],"predecessor-version":[{"id":372219,"href":"https:\/\/centromedicomanzanera.com\/de\/wp-json\/wp\/v2\/posts\/372215\/revisions\/372219"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/centromedicomanzanera.com\/de\/wp-json\/wp\/v2\/media\/372210"}],"wp:attachment":[{"href":"https:\/\/centromedicomanzanera.com\/de\/wp-json\/wp\/v2\/media?parent=372215"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/centromedicomanzanera.com\/de\/wp-json\/wp\/v2\/categories?post=372215"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/centromedicomanzanera.com\/de\/wp-json\/wp\/v2\/tags?post=372215"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}