“Embriobandaaaa, how are you doing?” Ignacio Moreno, specialist in clinical embryology in each of his videos published on Tik Tok. With a smile that seems drawn, he raises his hand with three fingers that simulate an E and begins to unravel the world of in vitro fertilization “in simple words”.
In a brief and understandable way it can be seen by showing the search for the ovules under the magnifying glass in the laboratory; with a blackboard explaining the possible causes of infertility and its treatments; talking about azoospermia (lack of sperm in semen); on the different qualities of embryos; answering people’s questions while resting at home or throwing trivia. It is also shown dancing or singing to the embryos, ukulele in hand, to bring them “good energy”.
What started shyly, today is a community with thousands of followers from different parts of the world, where he receives consultations on everything related to fertility: egg donation, egg freezing, embryo transfer, possible treatments, even epigenetics.
“Approximately 10-15% of the world’s population is infertile. Infertility is considered when, after one year of having sex without using contraception, pregnancy is not achieved. To become aware taboos have to be broken and for that you have to know what we are talking about. There are many doubts and what I try to do with the videos is to explain, with humor and colloquial language, what are the things that we do in the laboratory and that nobody explains or shows. The idea is that we speak, give information and punctually that patients can make better treatment decisions, without fear and without fantasies“, Related to Rosario3 before putting on the ambo and cap to begin his work.
What is infertility and its possible causes, according to Moreno on TokTok.
The #infertility #well #simple #fiv #embryology #reproduction #embriobanda
♬ original sound – Nacho Moreno
Moren. He is 3. years old, he was born in Rosario, grew up in Bariloche, graduated as a biologist at the National University of Córdoba and specialized in clinical embryology in Buenos Aires with training courses from the Argentine Society of Reproductive Medicine and the Latin American Network of Reproductive Medicine. He is currently director of the Embryology Laboratory of the Dr. Julio Colabianchi Assisted Fertility Institute in Rosario, performs embryo biopsies for genetic analysis in various laboratories and is an advisor to a health company that is dedicated to management software.
From laboratory work to networks
The professional affirms that he always wanted to “take the laboratory out” and the pandemic – and recommended by his partner at the time – gave him the opportunity. Thus he began to upload videos to Tik Tok and replicate them on Instagram. That way the name “embriobanda” emerged, in a humorous way, to identify his followers, with whom he spoke of embryos and to whom he was telling them about the world of in vitro fertilization.
He states that while most interactions are with women, they let him know that they see them with their partners and also consult him about male issues. Fertilization generates myths and prejudices, and although it has thousands of followers, the largest volume of inquiries comes to it through private messages through Instagram. “All the comments that are informational, what is a laboratory consultation, I take the time and answer them, because what I want is to report the things that are not reported today,” he adds.
Moreno explains and shows how eggs are cryopreserved.
Cryopreservation of Ovules – Part 2 #well #simple #preservation of #fertility #ivf #fiv #ovules #ocytes #embryology #embryobanda
♬ original sound – Nacho Moreno
Meeting an embryologist
“What the embryologist or embryologist does is multifaceted. The basic thing is to join the sperm with the ovum to generate embryos, and those embryos can be transferred to the woman’s uterus. If there are excess embryos, they are frozen. If embryos have to be studied genetically, they are biopsied and those biopsies are sent for analysis. That is basically our job”He sums up humorously in seconds.
He clarifies that for the objective to be achieved there is a great teamwork, high technology, laboratory quality controls and “many hours of permanent study and being in each clinical history of each patient to determine what are the causes of infertility and that is a joint work with the doctor ”.
For the professional, it is important that the patient knows the embryologist, and works together with the doctor, “something that we are achieving with the new school, since our profession is very young,” he warns. And he continues: “When the beta, which is the hormone that is measured to see if you are pregnant or not, is positive we are all happy and there are very few doubts, but when the result is negative there are many doubts. AND many answers come from the laboratory: how was the quality of the eggs and sperm, what quality were the embryos and what happened to growth”.
“Information is power, and the power has to have one as a patient to make his decision and choose his treatment. It is essential that all this information is within reach. What I tell with humor in the videos is information in which embryologists are experts and we have to make it known ”, he insists.
This is how Moreno explains the fertilization options for same-sex couples.
I leave this video I had on Instagram from 1 month ago #ivf #lgbt #infertility #fiv #embriologia #paratodos #bien #simple
♬ original sound – Nacho Moreno
The laboratory, step by step
The work of the embryologist It begins when it receives the follicular fluid in the laboratory, which the doctor extracted by puncturing the ovary. “We receive a tube with liquid that we place on a plate and we look for the ovules under the magnifying glass, we put them together, we let them finish maturing inside the incubator and we inseminate them. That is our day 0. The next day, day 1, we will see if they fertilized and there they are left in the incubator. Before, when the culture conditions were not so good, most were transferred on day 2 or 3. Today the optimal conditions allow to carry the culture to day 5, 6 or 7, and obtain blastocysts, which is the embryonic stage with the greatest potential of pregnancy, ”he explains.
“They say that the Embryologist is the first babysitter. For my embryos, a great dose of good energy! ”, He comments on the networks.
They say that the Embryologist is the first babysitter. For my embryos, a great dose of good energy! #ivf #music #lab #buenavibra #energiapositivo
♬ original sound – Nacho Moreno
Moreno can be seen singing in the laboratory, and although he says that it is “metaphorical”, he affirms: “I like to convey that it is a passionate job, that it is not a job like any other and that everything that is good vibes, energy and music helps. PFor us there is no Christmas, or weekends, when there are embryos you have to be there. We are happy when the result is positive and we are bad when a woman does not get pregnant, especially when an embryo that was barbaric and did not implant. And we wonder: why not if he was barbaric? Each embryo costs too much effort, time and study, for everyone. When patients get pregnant it is the finishing touch and a bit the music transmits all that ”.
freeze or not freeze
One of the most frequent inquiries she receives is from women who have not yet defined what they will do in the future, whether they want to be mothers, either alone or as a couple, and they ask her whether or not to freeze eggs. Although Moreno warns that it is easier to freeze embryos than eggs, “I always recommend that they do it, because it is better to do it than not. In the future, one does not know what will happen, but at least you took a preventive action ”while noting that the important thing is always to have information.
“It is not simply freezing eggs and that’s it. You have to know that the quality of the ovules declines with age. And although it can be frozen both at 30 and 42 years old, first you have to see the ovarian reserve, how many follicles there are in the ovaries, how many eggs it is going to produce, you have to see how it responds to ovarian stimulation. All this must be reported, so as not to create false hopes and not to sell smoke. The patient puts a lot of herself into it, and has to know what her chances are beyond someone telling her yes or no she can freeze. That is the premise of everything: the information”, Synthesizes
A profession that grows
When Moreno graduated from the National University of Córdoba, he began a doctorate that led him to do an internship at the Institute of Biology and Experimental Medicine, a research and development center of double dependency between the University of Buenos Aires and Conicet. “In the last two weeks of the internship they taught me to do in vitro fertilization of mice and there I said ‘Incredible, I want to do this’. There I went to the clinical part and left the scientific system ”, he recalls. His work grew and led him to chair the Argentine Society of Clinical Embryology (SAEC) between 2018 and 2020, where today he is in charge of the scientific committee in charge of organizing the Second Argentine Congress of Clinical Embryology.
The meeting, face-to-face and virtual, will be held from November 17 to 19 in Buenos Aires, and seeks to capture scientific advances, debate the social role of the embryologist and the state of the profession in Argentina. Thanks to the interaction with other national and Latin American societies of reproductive biology and Reproductive Medicine, it will have speakers from the United States, Brazil, Canada, Chile, Australia and Spain.
The arrival of artificial intelligence in clinical embryology, gene editing, endometrial receptivity, new sperm evaluation and selection tools, advances in oocyte cryopreservation, are some of the topics covered in this congress.
“Ours is a new profession. The Argentine Society of Clinical Embryology has 140 members and almost 90% of clinical embryologists are grouped there, it is a very small universe, but it is progressing”, he says.