During the first contact with the international department, patients will be informed about how to undergo a fertility treatment in CREA. After the interview about the patient’s fertility status, the international department will notify about required tests and analyses before the first fertility consultation with one of the doctors.

During contact appointment, patients will be provided with information regarding logistics and communication to coordinate the process between Sweden (or another country) and Spain.

We recommend our patients to visit the clinic for a first fertility consultation. After, treatment preparation and further follow-ups can always be performed online.

During the first appointment at CREA, consultants will elaborate a complete review of the patient’s clinical history. Necessary examinations will be performed on place for female and male patients.

For both partners, CREA offers to perform Genetic Matching. It is aimed or screening recessive genetic mutations in healthy couples seeking to have a child. Genetic Matching is also offered to patients using donor eggs or sperm, as all CREA’s donors undergo this screening for recessive inherited severe diseases.

Female patients
In terms of in situ exams, female patients will undergo a transvaginal ultrasound to examine the status of the ovaries and the uterus. This evaluation will contribute to the fertility diagnosis with some valuable information:

• Ovarian size
• Ovarian reserve (antral follicles count)
• Uterine morphology

Depending on the medical history of the patient, doctors can request other analysis:
• Thrombophilia (mutation screening in blood coagulation factors)
• Repeated implantation failure and recurrent miscarriage: complementary tests

Male patients
A sperm analysis performed in CREA’s andrology laboratory is always requested to patients consulting in CREA.

Instructions for sperm sample collection will be provided in advance. The international department will coordinate the sperm analysis procedure between the patients and the andrology lab, to ensure the results are ready at the time of consultation.

A specialized andrologist from CREA’s Andrology department will evaluate the sperm analysis results and will indicate whether an andrology consultation or additional sperm tests are needed.

Sperm freezing could also be recommended. Patients visiting CREA from foreign countries are asked to freeze one sperm sample, which can be used to perform both: sperm analysis and freezing at a time. This anticipated step allows patients to save time and to reduce travel costs once the treatment is initiated.