• More than 25 years of experience• Currently holds Unity woman Ruber International Hospital
• Specializes in Prenatal Diagnosis, Infertility and Gynecological Endoscopy
• Bachelor of Medicine and Surgery from the Complutense University of Madrid. (1984-1991)• Specialist in Gynecology and Obstetrics, training followed at the "La Paz" hospital in Madrid (1992-1995), via MIRAactivity in the Women's Unit at the Ruber International Hospital since June 1996
Publications and conferences
• Multiple national and international publications
• Member of the "Spanish Society of Gynecology and Obstetrics" (SEGO)• Member of the "Ultrasound Section of the Spanish Society of Gynecology and Obstetrics" (SESEGO)
• Member of the Spanish Fertility Society. (SEF) ...
*Translated with Google translator. We apologize for any imperfection
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The fertility testing is a medical protocol that aims to diagnose the causes of infertility in order to find the necessary help to get pregnant, withiThe fertility testing is a medical protocol that aims to diagnose the causes of infertility in order to find the necessary help to get pregnant, within which can be seen assisted reproduction techniques. The study is conducted to the two partners, if they take at least a year trying to conceive a child without contraception without success. Studies generally last between one and two months, they are relatively simple and consist in finding out if the man has a sperm of normal characteristics, if the sperm reach the uterus after intercourse, if the woman has a right ovulation or the uterus and the fallopian tubes are normal. To do this, the fertility study may include tests such as transvaginal ultrasound, bacteriologías, hormonal study and hysterosalpingography, in the case of women; in the case of men, sperm count and sperm capacitation test.
In vitro fertilization (IVF) is the union of egg and sperm artificially in the laboratory in order to obtain a suitable number of embryos to tran
In vitro fertilization (IVF) is the union of egg and sperm artificially in the laboratory in order to obtain a suitable number of embryos to transfer to the uterus and fertilize; thus she becomes pregnant women. This procedure can solve certain cases of infertility, and is usually resorted to when other assisted reproduction techniques have failed, such as artificial insemination. Insemination of the oocytes can be performed by conventional technique or IVF using intracytoplasmic sperm injection (ICSI), which is used mainly when there is a male sterility factor.
What is infertility?
According to the World Health Organization, infertility is a pathology of the reproductive system that makes pregna
What is infertility?
According to the World Health Organization, infertility is a pathology of the reproductive system that makes pregnancy impossible. Infertility affects the couple, both men and women, who can not have a child naturally. There are two types of infertility. Primary infertility, which affects couples who have not achieved a pregnancy after at least one year of sexual intercourse without contraception, and secondary infertility, in couples who have been able to get pregnant and can not now.
Symptoms and causes of infertility can vary between men and women
Symptoms of infertility
The symptoms of infertility can vary in men and women.
In women, the symptoms may be related to the menstrual cycle and ovulation. They can be abnormal menstruation, with bleeding more abundant or less than usual; irregular menses, when the number of days between each menstruation is different every month; amenorrhea, that is, absence of menstruation, and dysmenorrhea, very painful menstruations. Symptoms may also occur without regard to menstruation, these being the appearance of whitish flow in the nipples (without having any relation to breastfeeding) or pain during sexual intercourse.
In men, the symptoms of infertility related to sperm can be the presence of semen of yellow or green tonality, red or brown spots; ejaculations very odorous, thick, watery or with little amount. Also, they can witness symptoms unrelated to semen such as: changes in hair growth, alterations in sexual desire, erection problems and stiffness in the testicles.
What are the causes of infertility?
The causes of infertility common between men and women are:
Congenital defects of the reproductive system
Cancer, tumors, chemotherapeutic drugs, radiotherapy.
Excess of alcohol consumption
Scars due to sexually transmitted infections, abdominal surgery or endometriosis.
In women, infertility can arise as a result of:
Neoplasms in the cervix and / or uterus, ovarian cysts, polycystic ovarian syndrome.
Tubal ligation or reanastomosis.
In men, the causes of infertility can be:
Consumption of certain medicines, such as cimetidine, spironolactone and nitrofurantoin
Scarring due to sexually transmitted diseases, injury or surgery
Toxins in the environment
Vasectomy or failure of the vasovasostomy.
Can infertility be prevented?
As a general rule, if the infertility is genetic or caused by an illness, it can not be remedied. However, there are certain things that favor infertility that can be avoided:
Take preventive measures against Sexually Transmitted Diseases (STDs).
Do not consume drugs. Do not drink alcohol frequently or in excess.
Maintain good personal hygiene.
In women, go for a gynecological examination once a year once they are sexually active.
In men, wear loose underwear and avoid hot baths, saunas and radiations.
What is the treatment of infertility?
The methods to treat infertility in men and women are the taking of hormones to balance the hormonal imbalance, the use of supplements to improve fertility and the taking of antibiotics when suffering from infection. In women, undergoing minor surgery that removes blocking tissues or scarring of the fallopian tubes, uterus or pelvic area is another option. If this does not work, you can proceed to assisted reproduction techniques.
Prenatal diagnosis is the set of tests to find the right training and development of the fetus. Different techniques are both invasive and noninvasivePrenatal diagnosis is the set of tests to find the right training and development of the fetus. Different techniques are both invasive and noninvasive.
- Test of fetal DNA in maternal blood. From week 10 you can know the risk of Down syndrome or other abnormalities related comorsomas.
- Ultrasound. Several throughout pregnancy are performed. Three months to detect some images of markers comosomopatías and second you can diagnose possible malformations.
- Amniocentesis. Get amniotic fluid surrounding the fetus to detect chromosomal abnormalities.
Amniocentesis is a test that is done during pregnancy through a puncture in the matrix to obtain a small amount of amniotic fluid, which is the sac that surrounds and protects the fetus. Subsequently, an analysis of this fluid is done to rule out genetic and chromosome problems in the baby, such as anencephaly, Down syndrome, spina bifida, Rh disease, infections and rare metabolic disorders passed down through families. Amniocentesis is usually recommended for women at risk of having a child with congenital family history anomalies with genetic disorders, among other reasons. Although the risks of the test are minor, they can include: infection or injury to the baby, spontaneous abortion, loss of amniotic fluid and vaginal bleeding.
Artificial insemination is a method of insemination in which sperm is deposited in the vagina of women through mechanical means that replace copulation, and in the near ovulation time. In this way, the sperm travel up the fallopian tubes is shortened, and therefore, there are more likely to approach the more sperm egg. The aim is to increase the chances of pregnancy in couples who have difficulty conceiving a child. The technique consists, first, to collect a semen sample which is treated in the laboratory to concentrate sperm. The doctor inserts a speculum into the vagina to see the cervix and injecting the sperm into the uterus. Usually, it's a bit painful process, and usually accompanied by ovarian stimulation techniques.
Ovarian stimulation is used to increase the number of eggs in women who want to undergo assisted reproduction technique, either by artificial insemination or in vitro fertilization, because they have difficulty getting pregnant. The treatment involves placing a subcutaneous injection of a hormone prepared daily from the third day of the menstrual cycle. On the fourth day begins tracking the number and size of follicles (where the eggs will develop future) by vaginal ultrasound to determine the best day for the egg retrieval. Oocytes are extracted for several cycles to fertilize and then implanting the embryo in the uterus. Ovarian stimulation may increase the risk of a multiple pregnancy. Meanwhile, intercourse is usually applied directed, a treatment that involves sex on your most fertile days.
The operative hysteroscopy is a clinical procedure that involves inserting an optical instrument (one lighted tube connected to a video camera and a television monitor) through the vulva and vagina which allows the doctor to look inside specialist the uterine cavity. Being a closed space, it is necessary to distend the cavity. This generally used saline. This is a minimally invasive technique to diagnose some intrauterine pathologies that could not be clearly determined with other medical tests, such as a cancer or a polyp. Surgical hysteroscopy requires general or local anesthesia, and the patient returns home the same day the surgery. The technique often produces no further complications.
Source: All information contained on this page as well as office hours available, are provided directly by the doctor who has the ability to update them at all times in order to keep the information as accurate as possible.
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