Treatment Abroad

Waiting for the Beta

The period of time that elapses between embryo transfer and beta realization normally in 10 and 13 days, is usually highly stressful. Couples who have undergone a process of fertilization are usually in a state of continuous anxiety, the result of sometimes years of hope and failure in attempts at a natural conception. They usually have the feeling that artificial fertilization is the last chance, so that stress and anxiety increase as time progresses.

Numerous scientific studies even confirm that stress hinders embryo implantation.

From the Psychology Unit of Ceram, Assisted Reproduction Center of Marbella, we recommend that moms, before undergoing artificial fertilization, begin to perform relaxation and breathing exercises to increase the feeling of well-being and facilitate conception. It is even highly recommended, to do all those nice things that we postpone, such as reading a book having a cup of cocoa. Are a very good option to relax the body and keep the mind occupied.

Couple therapy is also very useful, as it clarifies some points on which misunderstandings are usually generated in the couple during the fertility process.

Once the embryo transfer has been made, when the couple waits for the Beta, the woman is permanently on the lookout for any clue she may suspect is pregnant.

From a medical point of view, beta-waiting is mainly characterized by very diverse symptoms, such as insomnia, nightmares, increased frequency of urination, increased sweating, appetite disturbances, etc. and all of them reflect the state of anxiety for which it is passing the patient, that is, the symptoms are so varied that they cannot be summarized. It is very true that there are some patients who are every day and every hour looking for some symptom that convinces them that there has been implantation. But there are also a large number of patients who are looking for the opposite, that is to say “a minimal stain” that tells them that it has not worked.

The most important thing is that from the first medical visit the patients have confidence so that throughout the process they can know where they are and what can be expected of each step and if there is any change to be made, it is understood that they are necessary to improve the result The end is to get pregnant and a healthy child at home.

Dr. Hugo Benito/ Fertility Expert Gynecologist
Miriam Wagner/ Psychologist



Do I have endometriosis?

All patients with some indicative symptoms such as period pain, pain with sexual intercourse, abnormal bleeding and especially reproductive problems, should see a specialist to rule out Endometriosis.

Endometriosis is a pelvic inflammatory disease, which affects everything that is called the pelvic cavity and involves not only the reproductive organs such as the uterus, the ovaries or the fallopian tubes, but also neighboring organs such as the urinary bladder, the rectum and in the intestine. Sometimes other organs may show symptoms such as the liver and even scars from previous caesarean sections, not to mention other sites that are even rarer.

Endometriosis, as indicated above, is produced by the “implants” of the endometrium (which is the tissue that lines the uterine cavity) and that each month comes out as “period”. These implants are like “stickers” that stick to the pelvic organs and then to others, producing activity. We can describe it as living tissue which produce secretions that irritate the affected organs and try to detach themselves just like the endometrium. This process usually causes pain on the first and second day of the period and varies in intensity. Therefore the “symptom” of period pain should not be ignored given that with a good assessment of this symptom the disease can be controlled.

With a correct diagnosis and treatment of endometriosis a pregnancy can be achieved

Many of the patients who come to the Fertility clinic have period pain, which has not been studied in depth. There are patients who refer pain not only on the pelvis, but also on the back; the anterior part, which is in the bladder when they urinate and in the posterior part in the rectum, that is to say when they defecate. Many of these patients need increasingly powerful analgesics since in addition to the pain they have associated symptoms such as nausea and vomits. Some patients have had to go to emergency services to receive intravenous treatment due to the pain. The number of patients who miss work on their 1st or 2nd day of the period is significant.

The vast majority of patients suffering from endometriosis have fertility problems ranging from moderate to severe difficulty to achieve pregnancy. Therefore, these patients should be studied and treated by specialists in Assisted Reproduction and in many cases they should be treated in specialized Clinics for the study and treatment of Endometriosis. According to Dr. Hugo Benito, the gynecologist and fertility expert at Ceram Clinic in Marbella, “In most cases with a good diagnosis and treatment of endometriosis, pregnancy can be achieved”.

Endometriosis is a disease described since the second half of the 19th century, which means that it is a very old and much studied disease. There are thousands of scientific articles and books on endometriosis and as we have said before in some countries there are many clinics dedicated solely to the study and treatment of Endometriosis.

In most of the Fertility Clinics there is a lot of emphasis on the study and treatment of endometriosis since it is one of the main causes of infertility and subfertility.

To talk about the treatment of endometriosis

  1. Very important to know in what stage the disease is, since there are 4 stages: Minimum, Mild, Moderate and Severe.
  2. Study the patient to know the stage in which she is. There are several studies that help us analyze the disease:
  • Detailed clinical history
  • A thorough physical examination
  • Pelvic ultrasound
  • Magnetic resonance (MRI)
  • Laparoscopy used as a diagnostic instrument and/or to perform endometriosis surgery.


In terms of current treatments we have from oral contraceptives that help to mitigate pain and prevent the progress of the disease. We can also use another type of drugs called progestogens and hormonal analogues and of course surgery in specific cases. In addition there are several surgical techniques that are used to improve symptoms and make pregnancy possible.

According to Dr. Hugo Benito “Endometriosis is a complex disease that must be studied exhaustively to provide each patient with a specific treatment that does not always have to be radical. Endometriosis is a disease that can and should be treated”

Dr. Hugo Benito, Medical Director – Gynecologist, Fertility Expert