Panama Fertility

Welcome to Panama Fertility

Top Fertility Treatment in Panama

Panama Fertility Center is one of the leaders in Assisted Reproduction in Central America and Panamá, we hold over 10 years of experience.
 
Fertility Treatment in Panama have the highest technology and treatments.

Our clinic offers the most modern laboratory services in the country, in terms of semen analysis.

Our achievements: Being the first Oocyte Bank in Panamá, and the Headquarters of the first Latin American Workshop of In Vitro Maturation of Oocytes.

List of Fertility Treatments in Panama by Panama Fertility

• In Vitro Fertilization (IVF),
• IVF with  Laser Assisted Hatching,
• IVF in a natural cycle with Mature Oocytes,
• IVF with a Transport Incubator,
• Intra Cytoplasmatic Sperm Injection (ICSI),
• Preimplantation Genetic Diagnosis (PGD).
• An Oocyte and Semen Bank,
• Semen Donors and Oocyte Donors.

IVF/ICSI

In Panama we have an IVF laboratory with state of the art technology as well as a multidiscipline staff, which are trained with the latest technologies available in Reproductive Medicine.  The original technique dominated by IVF and with this technique the fertilization of the oocyte by the sperm is produce in an artificial method that is the laboratory, but the process of fertilization is total natural as there is on average about 200,000.00 sperm around one oocyte, the one that penetrates naturally and forms an embryo will be transferred to the uterine cavity via different types of catheters.

When sperm quality is poor, or there is an indication from prior testing that the sperm will be poor quality and will not be able to fertilize the oocyte on its own, we proceed with a technique called Intra Cytoplasmic Sperm Injection known as ICSI.  This technique is a direct injection of a single sperm into each egg.  The fertilization rate per egg using ICSI is about 70% despite the sperm being terrible, the fertilization rate per infertile couple is over 99% if the wife has adequate eggs, and the pregnancy rate per treatment cycle is over 50%. This is not significantly different from regular IVF with normal sperm. This technique is very cost-effective, and will give you the same high chance for getting pregnant as any couple with normal sperm.

IVF (in vitro fertilization) is the most common form of ART (Assisted Reproductive Technology). If the fallopian tubes are damaged or the sperm is poor, it is obviously the only acceptable treatment. It is also usually the most effective treatment for most other types of infertility as well.  This procedure achieves remarkable pregnancies even in women with hopelessly damaged fallopian tubes, seemingly sterile husbands, and even “unexplained” infertility. Problems with the husband’s sperm are never a serious issue, since we can fertilize the eggs with ICSI. In fact, in our program we routinely use ICSI in all cases to guarantee against any risk of failed fertilization. Our IVF pregnancy rate is over 50% per attempt, regardless of diagnosis, and we accept all of the most difficult cases.

Oocyte Bank

At Fertility Treatment in Panama, we offer the option to cryopreserve ooyctes, to any woman that would like to prolong her ovarian oocyte reserve due to personal or professional reasons.  Candidates for this option are women under 35 years of age, but women older than 35 years of age we recommend not prolonging procreation and also speaking to your doctor and your possibilities of pregnancy based on your age and ovarian reserve.

In other cases, an illness or the treatment to cure the illness can affect future fertility and there is the possibility to cryopreserve oocytes, until you are ready to proceed with motherhood.

In cases for women that cannot achieve pregnancy using their own oocytes, due to poor ovarian reserve or poor egg quality, we do offer oocyte donation which gives challenged infertile patients the possibility to become parents.  The donation is anonymous. In the procedure the couple (recipient) is synchronized to receive the donated oocyte (donors) that will be fertilized with the spouse’s sperm and will make the embryos unique.  The embryo is then transferred to the recipient uterus where implantation and gestation will result in pregnancy.

Other Services
 

Fertility Treatment in Panama by Panama Fertility, as well as being a center dedicated to the management of fertility problems from the community with the latest technologies available in this field, has a team of medical sub-specialists with multidisciplinary training in the best international centers in the fields of Gynecology, obstetrics, maternal fetal medicine and reproductive medicine.

Also we have experience and expertise in surgical fields of minimally invasive surgery: laparoscopy, Hysteroscopy, reproductive microsurgery and Vaginal rejuvenation.
 
FUNAFES

The National Foundation of Fertility and Sterility, is a nonprofit foundation that works hand in hand with Panama Fertility within our facilities. Our main purpose is to achieve that Panamanian couples with limited resources can enjoy the privilege of having a desired family with help from the more trained professionals and cutting-edge technology we have available in our reproduction center. Infertile patients will be accepted as beneficiaries members which may make use of the benefits offered by the Foundation and get a personalized health care.

Male Infertility

Approximately 15% of couples attempting their first pregnancy meet with failure. Most authorities define these patients as primarily infertile if they have been unable to achieve a pregnancy after one year of unprotected intercourse. Conception normally is achieved within twelve months in 80-85% of couples who use no contraceptive measures, and persons presenting after this time should therefore be regarded as possibly infertile and should be evaluated. Data available over the past twenty years reveal that in approximately 30% of cases pathology is found in the man alone, and in another 20% both the man and woman are abnormal. Therefore, the male factor is at least partly responsible in about 50% of infertile couples.

Important issues related to the evaluation of the male factor include the most appropriate time for the male evaluation, the most efficient format for a comprehensive male exam, and definition of rationale and effective medical and surgical regimens in the treatment of these disorders. It is extremely important in the evaluation of infertility to consider the couple as a unit in evaluation and treatment and to proceed in a parallel investigative manner until a problem is uncovered. It has been shown that the longer a couple remains subfertile, the worse their chance for an effective cure. Many couples experience significant apprehension and anxiety after only a few months of failure to conceive. Unduly prolonged unprotected intercourse should not be advocated before a workup of the man is instituted. Initial screening of the man should be considered whenever the patient presents with the chief complaint of infertility. This initial evaluation should be rapid, non-invasive and cost effective. Of interest is the fact that pregnancy rates of up to 50% have been reported when only the woman has been investigated and treated even when the man was found to have moderately severe abnormalities of semen quality.

Our clinic offers the most modern laboratory services in the country, in terms of semen analysis, sperm function tests, hormonal tests and immunological tests.  These types of test have placed our center as one of the best providing informative results that assist patients with their treatment. 

Genetics

In Fertility Treatment in Panama by Panama Fertility we have a Genetics laboratory (BIOGEN) which has the most advanced technology to study genetic embryo, fetus and adult, we know that genetic alterations are a major cause of sterility and infertility and may be responsible for the defects observed in the newborn.
 
Among these, the chromosomal alterations that are responsible for 2.5 % of infant mortality; In addition, these alterations are present in more than 50% of miscarriages in the first trimester. Chromosomal analysis has provided a basic knowledge of the genetic changes responsible for the chromosome alterations and in the case of cancer, the processes that occur during the malignant transformation of tumor cells.
 
We are the only institution in the country where the Preimplantion Genetic Diagnosis   (PGD), is performed as a method of primary prevention of birth defects in couples with a high reproductive risk of transmitting disease to offspring.
 
Different genetic techniques:

• Molecular analysis techniques
• Molecular cytogenetic studies techniques
• Technical studies using FISH
• Genetic consultation service
• Diagnosis of infectious diseases

Our patients benefit from our staffs known skills and training, as they place all their full efforts to assist patients in achieving a pregnancy that is so eagerly desired.

 

Fertility Treatment in Panama City, Panama | Panama Fertility

Panama Fertility Center is one of the leaders in Assisted Reproduction in Central America and Panamá, with more than 10 years of experience.
 
Fertility Treatment in Panama have the latest technology and treatments such as:  In Vitro Fertilization (IVF), IVF with  Laser Assisted Hatching, IVF in a natural cycle with Mature Oocytes, IVF with a Transport Incubator,  Intra Cytoplasmatic Sperm Injection (ICSI), Preimplantation Genetic Diagnosis (PGD).

Our clinic offers the most modern laboratory services in the country, in terms of semen analysis. An Oocyte and Semen Bank, Semen Donors and Oocyte Donors.

Within our achievements: Being the first Oocyte Bank in Panamá, and the Headquarters of the first Latin American Workshop of In Vitro Maturation of Oocytes.

List of Treatments at Panama Fertility

• Programmed  Relations
• Intrauterine Insemination (IUI)
• Folicular Aspiration
• IVF
• ICSI
• IMSI "Super ICSI"
• IVM

IVF/ICSI

In Panama we have an IVF laboratory with state of the art technology as well as a multidiscipline staff, which are trained with the latest technologies available in Reproductive Medicine.  Our patients benefit from our staffs known skills and training, as they place all their full efforts to assist patients in achieving a pregnancy that is so eagerly desired. The original technique dominated by IVF and with this technique the fertilization of the oocyte by the sperm is produce in an artificial method that is the laboratory, but the process of fertilization is total natural as there is on average about 200,000.00 sperm around one oocyte, the one that penetrates naturally and forms an embryo will be transferred to the uterine cavity via different types of catheters.

When sperm quality is poor, or there is an indication from prior testing that the sperm will be poor quality and will not be able to fertilize the oocyte on its own, we proceed with a technique called Intra Cytoplasmic Sperm Injection known as ICSI.  This technique is a direct injection of a single sperm into each egg.  The fertilization rate per egg using ICSI is about 70% despite the sperm being terrible, the fertilization rate per infertile couple is over 99% if the wife has adequate eggs, and the pregnancy rate per treatment cycle is over 50%. This is not significantly different from regular IVF with normal sperm. This technique is very cost-effective, and will give you the same high chance for getting pregnant as any couple with normal sperm.

IVF (in vitro fertilization) is the most common form of ART (Assisted Reproductive Technology). If the fallopian tubes are damaged or the sperm is poor, it is obviously the only acceptable treatment. It is also usually the most effective treatment for most other types of infertility as well.  This procedure achieves remarkable pregnancies even in women with hopelessly damaged fallopian tubes, seemingly sterile husbands, and even “unexplained” infertility. Problems with the husband’s sperm are never a serious issue, since we can fertilize the eggs with ICSI. In fact, in our program we routinely use ICSI in all cases to guarantee against any risk of failed fertilization. Our IVF pregnancy rate is over 50% per attempt, regardless of diagnosis, and we accept all of the most difficult cases.

Oocyte Bank

At our center, we offer the option to cryopreserve ooyctes, to any woman that would like to prolong her ovarian oocyte reserve due to personal or professional reasons.  Candidates for this option are women under 35 years of age, but women older than 35 years of age we recommend not prolonging procreation and also speaking to your doctor and your possibilities of pregnancy based on your age and ovarian reserve.

In other cases, an illness or the treatment to cure the illness can affect future fertility and there is the possibility to cryopreserve oocytes, until you are ready to proceed with motherhood.

In cases for women that cannot achieve pregnancy using their own oocytes, due to poor ovarian reserve or poor egg quality, we do offer oocyte donation which gives challenged infertile patients the possibility to become parents.  The donation is anonymous. In the procedure the couple (recipient) is synchronized to receive the donated oocyte (donors) that will be fertilized with the spouse’s sperm and will make the embryos unique.  The embryo is then transferred to the recipient uterus where implantation and gestation will result in pregnancy.

 

Other Services

We hold experience in surgical fields of minimally invasive surgery: laparoscopy, Hysteroscopy, reproductive microsurgery and Vaginal rejuvenation.
 

Male Infertility

Approximately 15% of couples attempting their first pregnancy meet with failure. Most authorities define these patients as primarily infertile if they have been unable to achieve a pregnancy after one year of unprotected intercourse. Conception normally is achieved within twelve months in 80-85% of couples who use no contraceptive measures, and persons presenting after this time should therefore be regarded as possibly infertile and should be evaluated. Data available over the past twenty years reveal that in approximately 30% of cases pathology is found in the man alone, and in another 20% both the man and woman are abnormal. Therefore, the male factor is at least partly responsible in about 50% of infertile couples.

Important issues related to the evaluation of the male factor include the most appropriate time for the male evaluation, the most efficient format for a comprehensive male exam, and definition of rationale and effective medical and surgical regimens in the treatment of these disorders. It is extremely important in the evaluation of infertility to consider the couple as a unit in evaluation and treatment and to proceed in a parallel investigative manner until a problem is uncovered. It has been shown that the longer a couple remains subfertile, the worse their chance for an effective cure. Many couples experience significant apprehension and anxiety after only a few months of failure to conceive. Unduly prolonged unprotected intercourse should not be advocated before a workup of the man is instituted. Initial screening of the man should be considered whenever the patient presents with the chief complaint of infertility. This initial evaluation should be rapid, non-invasive and cost effective. Of interest is the fact that pregnancy rates of up to 50% have been reported when only the woman has been investigated and treated even when the man was found to have moderately severe abnormalities of semen quality.

Our clinic offers the most modern laboratory services in the country, in terms of semen analysis, sperm function tests, hormonal tests and immunological tests.  These types of test have placed our center as one of the best providing informative results that assist patients with their treatment.

 

Genetics

In Panama Fertility we have a Genetics laboratory (BIOGEN) which has the most advanced technology to study genetic embryo, fetus and adult, we know that genetic alterations are a major cause of sterility and infertility and may be responsible for the defects observed in the newborn.
 
Among these, the chromosomal alterations that are responsible for 2.5 % of infant mortality; In addition, these alterations are present in more than 50% of miscarriages in the first trimester. Chromosomal analysis has provided a basic knowledge of the genetic changes responsible for the chromosome alterations and in the case of cancer, the processes that occur during the malignant transformation of tumor cells.
 
We are the only institution in the country where the Preimplantion Genetic Diagnosis   (PGD), is performed as a method of primary prevention of birth defects in couples with a high reproductive risk of transmitting disease to offspring.
 
Different genetic techniques:

• Molecular analysis techniques
• Molecular cytogenetic studies techniques
• Technical studies using FISH
• Genetic consultation service
• Diagnosis of infectious diseases

PRE-REQUISITE TESTING LIST

• FSH, LH, Estradial (Cycle Day 2 or 3)
• HTLV I/II
• RPR
• HIV
• Hepatitis B surface antigen
• Hepatitis C antibody
• RH Blood Type
• CBC
• Glucose (Fasting)
• TSH/Prolactin/Rubella/Varicella
• Toxoplasmosis
• German Measles Test (rubella Igg)
• Karyotype
• Cystic Fibrosis

• HIV
• HTLV I/II
• RPR
• Hepatitis B surface antigen
• Hepatitis C antibody
• RH Blood Type
• Karyotype
• Cystic Fibrosis

Our Doctors & Specialists

Dr. Mario Vega

• Obstetrician and Gynecologist Perinatologist, Maternal and Fetal Medicine, Assisted Reproduction and Infertility.
• Medical school graduate at the University of Panama in 1978; completed Gynecology and Obstetrics residency in 1983 at the Caja de Seguro Social, and between 1983-1985 he specialized at the Albert Einstein College of Medicine, Hospital and Medical Center in New York, where he received his Maternal and Fetal Medicine Fellowship.
• From 1986-1987 he was a Perinatology physician at the Metropolitan Hospital Complex (CSS); from 1986 - 2005 he was trained at the Colombian Fertility and Sterility Center, CECOLFES with (Dr. Elkin Lucena). 1986-2005 Private practice at the Paitilla Medical Center as a gynecologist and perinatologist and medical director of the Center for Assisted Reproduction.
• In January 2006 he opened the Punta Pacifica Gynecology  and Obstetrics Center, located at the Punta Paciífica Medical Center, a Johns Hopkins Medicine International affiliate. He also opened the Punta Pacifica Reproductive Center and the Punta Pacifica Center for Genetics.

Member:

• National Medical Association
• Panamanian Society of Obstetrics and Gynecology of Panama, SPOG
• Member Abroad - Colombian Fertility and Sterility Center, CECOLFES
• American Society of Reproductive Medicine
• American College of Obstetricians and Gynecologists, ACOG, FACOG
• American Association of Bioanalyst-Supervisor
• Panamanian Society of Perinatal Medicine
• American Fertility Association
• American Institute of Ultrasound
• American Academy of Anti-Aging Medicine
• International Society of Cosmetogynecology
• European Society of Human Reproduction and Embryology, ESHRE.
• Associate of the Laser Vaginal Rejuvenation Institute of America
• Member Abroad - American Academy of Cosmetic Surgery

Among some of his publications are:

• Terminal Pattern Characteristics and Management by Langer, O, Cohen W., Rich M. Vega - American Journal of Perinatology.
• Sympathoadrenal Maternal Function during Normal Pregnancy in Rat (Abstract) by Cohen, W, Young, J, Galen L. Vega and Rich, M. - Perinatal Association of New York, (Abstract), 1985.
• Characteristics of Pattern and Terminal Management by Langer, O, Cohen, W., M. Vega Rich Fleisher and A. - Association of Perinatal Obstetricians (Abstract), 1985
• Urinary Excretion of Catecholamines during Normal pregnancy in Rats by Galen L., Rich M. Vega, J. Young, W. Cohen -- Perinatal Association of New York (Abstract), 1984
• Experience with No- Terminal Tension Test (NST) by O. Langer, Cohen W. M. Vega and Rich - Perinatal Association of New York, 1984.
• Intrauterine Fetal Transfusion Guided by Ultrasound by Rich M. Vega – Medical Conference at the Metropolitan Hospital Complex, 1987.

In addition, Dr. Vega Rich has taken countless courses and has been certified in the Ultrasonography, Colposcopy, Urogynecology, Minimally Invasive Surgery, Laparoscopy and Hysteroscopy, Reproduction and Fertility fields, and in different institutions in the United States and the Colombian Fertility and Sterility Center (CECOLFES).

 

New Technology in Panama Fertility

Assistance to the Congress of the American Society for Reproductive

1. Panama Canal
2. Casco Viejo
3. Multiplaza
4. Albrook Mall for shopping