Frequently asked questions about fertility and assisted reproduction (XV)

Top Questions About Fertility and Assisted Reproduction
Once again, we bring you a summary from our live online chat with La Opinión de Málaga, where we answered key questions about fertility and assisted reproduction. This virtual event is part of the newspaper’s “Ask a Specialist” series.
Here are some of the most frequently asked questions and Dr. Álvarez’s expert answers:
Should fertility treatments be postponed due to COVID-19?
Because COVID-19 progression in pregnant women is similar to non-pregnant women, assisted reproduction treatments have resumed with strict safety measures. This decision followed an official health ministry announcement authorizing the restart of clinical activity.
Can I try to conceive naturally now that clinics are reopening?
Health authorities never recommended against trying to conceive naturally. In fact, this has been one of the reasons for resuming fertility treatments. However, given the unpredictable nature of the pandemic, we recommend personalizing the decision based on each individual case.
What new safety protocols are now in place?
We are implementing rigorous health screenings, including PCR or antibody testing when available, and adapting our protocols to ensure long-term safety. These measures are here to stay.
I’ve had several failed attempts. Is it safer to wait?
If waiting may reduce your chances of success—especially for older patients—delaying treatment may not be ideal. Every situation requires a personalized risk-benefit evaluation.
If I conceived via IVF before, do I need IVF again?
If the original cause of infertility wasn’t permanent, you may conceive naturally. But if you’re over 38 and haven’t conceived after 6–8 months, we recommend seeing a specialist.
I’m 13 weeks pregnant and worried. How does COVID-19 affect pregnancy?
So far, COVID-19 does not appear to cause more harm than other viral infections during pregnancy. No vertical transmission to the fetus has been confirmed, though research is ongoing. Follow general precautions like frequent hand washing, avoiding crowds, and not touching your face.
I’m 22 weeks pregnant and sedentary since lockdown. What can I do?
If your pregnancy is progressing normally, you should engage in light physical activity. Look for reputable online tutorials for safe prenatal exercises.
We’ve been trying for months. Is now a good time for fertility evaluation?
Yes. You can begin with a diagnostic evaluation now. If treatment is necessary, your doctor will assess the current pandemic status to determine the best timing.
I’m 38 and want to be a single mom. Will IVF always mean twins? Will I know the donor?
We aim to reduce the risk of multiple pregnancies by transferring a single embryo. And according to Spanish law, all donor information is strictly anonymous.
I’m 44, had a miscarriage due to trisomy 21. What’s my risk now?
At 44, the chances of successful pregnancy—even with IVF using your own eggs—are very low. The risk of chromosomal abnormalities is very high. Using donor eggs significantly improves your chances and reduces risks.
I have a low ovarian reserve (AMH < 0.5) and I’m 36. Should I wait?
No. In this case, it’s better to start treatment as soon as possible, again weighing risk vs. benefit with your doctor.
When is it safe to resume embryo transfers?
As of April 27, we have resumed all fertility treatments, including embryo transfers, depending on the patient’s individual health and situation.
I’m 42 and my semen analysis shows poor quality. Can I improve it?
Your doctor will recommend personalized steps after a full evaluation. However, general tips include maintaining a healthy lifestyle, balanced diet, and regular exercise—all of which can improve male fertility.
We hope these questions about fertility and assisted reproduction help address your own concerns. You can also explore previous Q&A sessions on our website for more insights.
Remember, URE Centro Gutenberg is fully operational again. If you’d like to book a consultation—online or in person—please visit our website or call us at +34 952 122 565.