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Das Zentrum ist spezialisiert auf Reproduktionsmedizin. Die Qualität der medizinischen Dienstleistungen und Behandlungen wird von der International Organization for Standardization bestätigt. Patienten aus den Vereinigten Staaten, Kanada, dem Vereinigten Königreich und anderen Ländern wählen Centro Medico Manzanera für die Gesundheitsversorgung.","text_type":"short_description","procedure_prices":[{"prices":{"price_from":700,"price_to":1400,"currency":"USD","id":22582},"operation":{"id":544,"name":"Künstliche Befruchtung","alias":"artificial-insemination"}}],"reviews":[],"clinic":{"id":698,"alias":"centro-medico-manzanera","name":"Centro Medico Manzanera","short_description":"Centro Medico Manzanera ist eine medizinische Einrichtung mit einem Fachgebiet in Logroño, Spanien. Das Zentrum ist spezialisiert auf Reproduktionsmedizin. Die Qualität der medizinischen Dienstleistungen und Behandlungen wird von der International Organization for Standardization bestätigt. 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latex (rare)"],"pain":"Minimal; mild cramping or discomfort similar to a Pap smear during catheter placement, with occasional light spotting afterwards.","preparation":["Fertility evaluation including tubal patency, ovulation and semen analysis","Infectious disease screening as required","Cycle monitoring and ovulation timing, natural or stimulated","Semen sample after clinic-advised abstinence, or donor sperm preparation","Review of medications and supplements with the physician"],"recovery_timeline":[{"phase":"Immediately after","description":"Brief rest of 10-15 minutes is often advised, then normal activity resumes.","restrictions":[]},{"phase":"First 1-2 days","description":"Possible mild cramping or light spotting.","restrictions":["Avoid inserting anything vaginally if spotting, per clinic advice"]},{"phase":"Two-week wait","description":"Await implantation; hormonal luteal support may be prescribed by physician.","restrictions":["Avoid very strenuous exercise as advised by clinic"]},{"phase":"About 14 days","description":"Pregnancy test to determine outcome.","restrictions":[]}],"rehabilitation_days":{"min":0,"max":1,"unit":"days","qualifier":"Ordinary functional recovery after a single insemination is immediate to within a day."},"result_longevity":"Not a lasting treatment effect; each cycle is a single conception attempt. A resulting pregnancy proceeds normally, while failed cycles are repeated, commonly up to 3-6 times.","revision_rate_pct":{"min":70,"max":90,"unit":"percent","qualifier":"Cycles not resulting in pregnancy, needing repeat IUI or escalation to IVF per cycle"},"scars":"None. No incision; the catheter passes through the cervix, leaving no visible scarring.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"One insemination visit per cycle (sometimes two); several cycles are commonly attempted if unsuccessful."},"stages":[{"code":"insemination","label":"Intrauterine insemination of prepared sperm around ovulation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the timed ovulation point of the cycle, which is day 0 for this schedule."}}],"qualifier":"Counts insemination procedures; cycle monitoring and the pregnancy test are not counted."},"success":{"metric":"Clinical pregnancy rate per IUI cycle","value":12,"unit":"percent per cycle","horizon":"About 2-4 weeks after insemination (ultrasound confirmation)","population":"Women under 40 with unexplained or mild male factor infertility, often with stimulation","evidence_status":"limited"},"techniques":[{"name":"Intrauterine insemination (IUI)","suits_whom":"Mild male factor or unexplained infertility; most common form.","recovery":"Immediate return to normal activity."},{"name":"Intracervical insemination (ICI)","suits_whom":"Donor sperm or low-resource settings; lower success than IUI.","recovery":"Immediate return to normal activity."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.5,"unit":"hours","qualifier":"Per single intrauterine insemination visit, including brief rest afterwards; the procedure itself takes about 5-10 minutes."},"initial_assessment_documents":["Semen analysis report","Hysterosalpingography (HSG) or tubal patency report","Pelvic ultrasound report with antral follicle count","AMH and day-3 FSH hormone results","Previous fertility treatment records (if available)","Partner infectious disease screening results"],"travel_trips":{"min":1,"max":3,"one_trip_possible":true,"qualifier":"One cycle fits one trip; stay about 2-10 days for monitoring and insemination. Repeat cycles need extra trips."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Whether the facility and the health professionals hold accreditation or certification","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C2","text":"Whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Check whether donor sperm is screened for infections and inherited conditions","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/artificial-insemination/","host":"nhs.uk","quote":"Donor sperm is frozen and checked for infections and inherited conditions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check whether the partner's fertility is tested when partner sperm is used","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/artificial-insemination/","host":"nhs.uk","quote":"If you’re using your partner’s sperm, they will also need tests to check their fertility.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The facility or its staff cannot show accreditation or certification","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"F2","text":"Donor sperm offered with no mention of infection or inherited-condition screening","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/artificial-insemination/","host":"nhs.uk","quote":"Donor sperm is frozen and checked for infections and inherited conditions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe cramping after insemination","urgency":"contact_clinic","general":false,"source":{"url":"https://www.healthline.com/health/pregnancy/cramping-after-iui","host":"healthline.com","quote":"Contact your doctor if your cramping is severe or accompanied by other symptoms like fever or abnormal vaginal discharge.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Abnormal vaginal discharge after insemination","urgency":"contact_clinic","general":false,"source":{"url":"https://www.healthline.com/health/pregnancy/cramping-after-iui","host":"healthline.com","quote":"Contact your doctor if your cramping is severe or accompanied by other symptoms like fever or abnormal vaginal discharge.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Breathing problems during fertility treatment","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/ovarian-hyperstimulation-syndrome-ohss/symptoms-causes/syc-20354697","host":"mayoclinic.org","quote":"Contact your provider right away if you develop breathing problems or pain in your legs during your fertility treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W4","text":"Rapid weight gain and shortness of 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English.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Tells your home doctor which medicines were received during treatment abroad","document":"medication list","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Request documentation of any medical care received abroad, including medications, and share with healthcare professionals delivering subsequent care while traveling and at home.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments 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