{"id":8126,"date":"2026-07-27T14:54:52","date_gmt":"2026-07-27T12:54:52","guid":{"rendered":"https:\/\/juanacrespo.com\/?p=8126"},"modified":"2026-07-29T12:07:52","modified_gmt":"2026-07-29T10:07:52","slug":"me-han-fallado-varios-tratamientos-de-fertilidad-cuando-pedir-una-segunda-opinion","status":"publish","type":"post","link":"https:\/\/juanacrespo.com\/en\/me-han-fallado-varios-tratamientos-de-fertilidad-cuando-pedir-una-segunda-opinion\/","title":{"rendered":"I\u2019ve had several unsuccessful fertility treatments \u2013 when should I seek a second opinion?"},"content":{"rendered":"<p>If you have undergone several fertility treatments without success, it is time to review your case in depth and consider seeking a second medical opinion.<\/p>\n<h2><strong>Is it normal to seek a second opinion on fertility?<\/strong><\/h2>\n<p>In such cases, many couples or women feel the need to check with other professionals whether the initial diagnosis they received is correct or whether there are other treatment options that have not yet been explored.<br \/>\nSeeking a second opinion is a perfectly valid decision and, in many cases, helps to provide a broader perspective on the reproductive issue and to make decisions with greater confidence.<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>When is it advisable to seek a second opinion?<\/strong><\/h2>\n<p>At <a href=\"https:\/\/juanacrespo.com\/en\/\">Equipo Juana Crespo<\/a>, we treat patients who have previously undergone unsuccessful treatments at other clinics. In these cases, we begin by investigating the reason for the previous failures, as we believe that infertility always has at least one underlying cause.<br \/>\nThese are some of the most common reasons why many women come to our clinic after having undergone treatment at other clinics:<\/p>\n<ul>\n<li>\n<h3><strong>After several unsuccessful IVF treatments<\/strong><\/h3>\n<\/li>\n<\/ul>\n<p>If you have undergone several unsuccessful <a href=\"https:\/\/juanacrespo.com\/en\/treatment\/in-vitro-fertilization\/\">In Vitro Fertilisation<\/a> treatments using your own eggs or <a href=\"https:\/\/juanacrespo.com\/en\/treatment\/egg-donation\/\">donor eggs<\/a>, it is common for clinics to make minor adjustments to the protocol used in previous attempts.<\/p>\n<p>However, at Equipo Juana Crespo we believe that, following several unsuccessful attempts, it is essential to carry out a comprehensive review of the clinical case and rethink the strategy from scratch, rather than simply making changes to a treatment that, from the outset, was not effective for that particular case.<\/p>\n<ul>\n<li>\n<h3><strong>In the event of repeated implantation failures<\/strong><\/h3>\n<\/li>\n<\/ul>\n<p>We refer to <a href=\"https:\/\/juanacrespo.com\/en\/problem\/implantation-failure\/\">implantation failure<\/a> when pregnancy is not achieved after three transfers of good-quality embryos.<br \/>\nThere may be various causes, which can be related to embryo quality, uterine factors, tubal factors, cervical factors, immunological and coagulation factors, or endocrine and metabolic factors. Identifying the problem is essential for devising the most appropriate strategy for you.<\/p>\n<ul>\n<li>\n<h3><strong>If you have experienced recurrent miscarriages<\/strong><\/h3>\n<\/li>\n<\/ul>\n<p>In reproductive medicine, a <a href=\"https:\/\/juanacrespo.com\/en\/problem\/recurrent-miscarriage\/\">recurrent miscarriage<\/a> is defined as three or more consecutive pregnancy losses before the 20th week of gestation.<\/p>\n<p>Recurrent miscarriage is not a matter of \u2018bad luck\u2019, but rather a problem caused by various factors. Some of these causes include genetic, anatomical, endocrine, thrombophilic or immunological factors.<\/p>\n<ul>\n<li>\n<h3><strong>In cases of <\/strong><strong><a href=\"https:\/\/juanacrespo.com\/en\/problem\/unexplained-infertility\/\">infertility of unknown cause<\/a><\/strong><\/h3>\n<\/li>\n<\/ul>\n<p>This diagnosis is made when, following a comprehensive fertility assessment of both partners, no cause can be identified to explain the difficulty in achieving pregnancy.<\/p>\n<p>At Equipo Juana Crespo, we believe that there is always an underlying cause hindering the ability to conceive. Our aim is to identify this through a comprehensive diagnostic assessment in which we carry out a thorough examination of both the female and male reproductive systems to offer you the most appropriate treatment.<\/p>\n<ul>\n<li>\n<h3><strong>In cases of an imprecise diagnosis or one that does not clearly establish the cause<\/strong><\/h3>\n<\/li>\n<\/ul>\n<p>When the problem preventing pregnancy is not correctly identified, there is a risk of applying general strategies that do not address the specific needs of each patient.<\/p>\n<p>At Equipo Juana Crespo, we carry out an <a href=\"https:\/\/juanacrespo.com\/en\/treatment\/your-fertility-diagnosis\/\">initial diagnostic consultation<\/a> during which we examine each case thoroughly to identify the root cause of the problem and design a personalised strategy, based on scientific evidence and tailored to the individual circumstances of each woman or couple.<\/p>\n<ul>\n<li>\n<h3><strong>If you feel that your case has not been examined in depth<\/strong><\/h3>\n<\/li>\n<\/ul>\n<p>Most clinics only carry out standard tests, but at Equipo Juana Crespo we always request additional tests following the preliminary assessment of the case.<\/p>\n<p>Carrying out an <strong>individualised analysis<\/strong> is one of the cornerstones of Equipo Juana Crespo, as we strive to answer the question of why a woman or couple is experiencing infertility in the most precise manner and with the utmost scientific rigour.<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>How can we at Equipo Juana Crespo help you?<\/strong><\/h2>\n<p>Our diagnosis is based on an analysis of several key factors, which help us to identify the causes and reasons for your infertility. At our clinic:<\/p>\n<ul>\n<li>We carry out a thorough review of your medical history: we assess your age, how long you have been trying to conceive, menstrual information, obstetric and gynaecological history, previous illnesses and\/or autoimmune conditions, and previous surgeries; we also look in depth at your family history.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>We assess ovarian function through basal hormone tests including anti-M\u00fcllerian hormone (AMH), antral follicle count, general blood tests and a review of your previous oocyte history.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>Anatomical assessment of the woman\u2019s uterus, endometrium, fallopian tubes and cervix, including a description of any fibroids, polyps or hydrosalpinx. We use techniques such as 3D assessment of the uterine cavity or uterine mapping for fibroids.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>Immunological and\/or inflammatory factors, in cases involving endometriosis, autoimmune diseases, coeliac disease, insulin resistance, coagulation disorders, etc.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>Embryonic and genetic factors, where we seek to identify abnormalities in the maternal-paternal karyotype, dominant genetic disorders or compatible genetic matches that can be addressed via PGT-M or PGT-S.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>Iatrogenic factors, in which we assess uteri that have undergone previous procedures, poor response to previous stimulation cycles, etc.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>Male factor assessment, including a comprehensive semen analysis and a full urological evaluation (taking into account a history of varicocele, exposure to toxins or aggressive medications, erectile or ejaculatory dysfunction, hormonal tests, etc.)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>In other words, any problem you may have does not stem from the treatments you have previously undergone, but rather from a failure to identify the cause that is preventing you from becoming pregnant.<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>The importance of a reliable medical team<\/strong><\/h2>\n<p>Although choosing which clinic to visit is a personal decision, at <a href=\"https:\/\/juanacrespo.com\/en\/\">Equipo Juana Crespo<\/a> we recommend that you place your trust in a team of specialists covering every area of work within a fertility clinic, who are available to deal with any emergency, query or unforeseen issue relating to your treatment. This accessibility means that, whatever happens, you are always well looked after.<\/p>\n<p>At our clinic, we have a multidisciplinary medical team made up of highly qualified specialists, with a high level of expertise in their respective fields and a firm commitment to research and innovation.<\/p>\n<p>Thanks to this approach, at Equipo Juana Crespo we boast the <strong>best fertility success rates<\/strong>, enabling us to treat any type of clinical case with the greatest chance of success, achieving pregnancy sooner and with fewer attempts.<\/p>\n<p>&nbsp;<\/p>\n<p>You can contact our clinic on <strong>+34<\/strong> <strong>961 042 557<\/strong>, or by filling in the <strong>enquiry form<\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>If you have undergone several fertility treatments without success, it is time to review your case in depth and consider seeking a second medical opinion. Is it normal to seek [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":8221,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","inline_featured_image":false,"footnotes":""},"categories":[452],"tags":[],"class_list":["post-8126","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ayuda-al-paciente-fertilidad-femenina"],"acf":[],"_links":{"self":[{"href":"https:\/\/juanacrespo.com\/en\/wp-json\/wp\/v2\/posts\/8126","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/juanacrespo.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/juanacrespo.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/juanacrespo.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/juanacrespo.com\/en\/wp-json\/wp\/v2\/comments?post=8126"}],"version-history":[{"count":6,"href":"https:\/\/juanacrespo.com\/en\/wp-json\/wp\/v2\/posts\/8126\/revisions"}],"predecessor-version":[{"id":8198,"href":"https:\/\/juanacrespo.com\/en\/wp-json\/wp\/v2\/posts\/8126\/revisions\/8198"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/juanacrespo.com\/en\/wp-json\/wp\/v2\/media\/8221"}],"wp:attachment":[{"href":"https:\/\/juanacrespo.com\/en\/wp-json\/wp\/v2\/media?parent=8126"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/juanacrespo.com\/en\/wp-json\/wp\/v2\/categories?post=8126"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/juanacrespo.com\/en\/wp-json\/wp\/v2\/tags?post=8126"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}