108. The couple went to another doctor, and another series of artificial insemination procedures were performed. On some occasions, two inseminations were performed in a single cycle. 175 109. On October 25, 2000, Ms. Arroyo underwent a laparoscopy in order to determine the reasons for her inability to conceive a child. 176 On October 13, 2001, her doctor classified the case as “unknown cause” and referred the couple to the Barraquer Clinic in Colombia, in order to undergo IVF. 177 110. The couple programmed a trip to Colombia around October 25, 2001; 178 but this trip to Colombia, where the second phase of IVF would be carried out, was not made. Once again, the couple decided to begin preparing for IVF to be performed in Colombia; however, on March 7, 2002, Ms. Arroyo was diagnosed with “intramural fibroids.” 179 On April 4, 2002, she had a uterine myomectomy. 180 On April 15 a biopsy was carried out. 181 111. In 2003, the couple adopted a child. In 2006, Ms. Arroyo became pregnant and gave birth to a daughter on June 25, 2007. 182 F.6) Karen Espinoza and Héctor Jiménez progesterone: 1 ml, and Omifín for five days (file of annexes to the pleadings and motions brief, volume III, annex X, folio 4990). 173 Affidavit of Joaquinita Arroyo Fonseca (file of annexes to the pleadings and motions brief, volume III, annex X, folios 5266 and 5267). Cf. Certifications from Clinica Ultrasonido Paseo Colon, S.A. of ultrasounds for follicular monitoring of March 24 and 27, and September 7, 1992 (file of annexes to the pleadings and motions brief, volume III, annex X, folio 4991, 4993, 4994 and 5267). 174 Cf. Certification from Laboratorio Clínico Doctor Valenciano, UCR, of an ultrasound for follicular monitoring of April 23, 1992 (file of annexes to the pleadings and motions brief, volume III, annex X, folio 4992). Certification from Laboratorio Clínico Doctor Valenciano, UCR for a spermogram dated March 29, 1995 (file of annexes to the pleadings and motions brief, volume III, annex X, folio 5003). 175 In this regard Joaquinita Arroyo indicated that they “began the testing protocol that included fresh procedures to monitor ovulation, ultrasounds, a radiological study of the uterine cavity and Fallopian tubes.” Affidavit of Joaquinita Arroyo Fonseca (file of annexes to the pleadings and motions brief, volume IV, annex XI, folio 5268), and Certifications from the Centro Médico de Diagnostico por Ultrasonido “La California” of vaginal ultrasounds of April 18, May 14 and September 5, 1996, and October 28 and 29, 1997 (file of annexes to the pleadings and motions brief, volume III, annex X, folios 5010, 5011, 5014, 5016 and 5017) 176 Cf. Certification of diagnosis laparoscopy from the Costa Rican Social Security Institute’s Hospital Mexico (file of annexes to the pleadings and motions brief, volume III, annex X, folios 5044 to 5046). 177 Cf. Report of the treating physician referring the case to the specialist at the Barraquer Clinic in Bogotá, Colombia, dated October 13, 2001 (file of annexes to the pleadings and motions brief, volume III, annex X, folio 5050). 178 Affidavit of Joaquinita Arroyo Fonseca (file of annexes to the pleadings and motions brief, volume IV, annex X, folios 5271). 179 Cf. Certification from Centro Médico de Diagnostico por Ultrasonido “La California” for a transvaginal ultrasound on March 7, 2002 (file of annexes to the pleadings and motions brief, volume III, annex X, folio 5051). 180 Cf. Certification from the Asociación Hospital Clínica Católica de la Purisima Concepción of uterine myomectomy of April 4, 2002 (file of annexes to the pleadings and motions brief, volume III, annex X, folios 5053 to 5082). 181 Cf. Certification from Laboratorio “Itopat S.A. of April 15, 2002 (file of annexes to the pleadings and motions brief, volume III, annex X, folio 5084). 182 Cf. Birth certification of Sofia Alejandra Vega Arroyo from the Civil Registry dated December 6, 2011 (file of annexes to the pleadings and motions brief, volume IV, annex XI, folio 5316).