A married couple who cannot have a child is faced with a difficult choice: adoption or IVF? In most cases, parents prefer to maintain a genetic relationship with their baby, which means that their choice is IVF. The method of in vitro fertilization is more than 40 years old, during this time assisted reproductive technologies - ART have undergone dramatic changes. We will tell you about ART and the best IVF clinics in Crimea in the material.
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The method consists in the selection of one high-quality sperm from the total sample of the male biomaterial. The sperm is injected into the mother's egg, with positive fertilization, a long-awaited pregnancy occurs.
Screening is used to increase the chances of laboratory fertilization using a single sample of sperm. A microscope with 6000x magnification examines the quality of the structure and morphology of the sperm. INSI IVF technology lies in these manipulations.
Sperm maturity cannot be determined even with thousands of microscope magnifications. The chance of fertilization of the egg increases many times over when a mature fetus is selected. The male biomaterial is immersed in hyaluronic acid, interacting with which, a sperm cell with intact DNA, mature phase and optimal morphology is found.
With the successful fertilization of the egg and its successful division, an additional examination is carried out before being transferred to the uterus. An egg cell sample is taken, according to which genetic control of the unborn child is carried out. Married couples who are at risk by age or genetic defects have an additional opportunity to exclude the pathology of their baby. ID precheck has been controversial in the medical community. The ethical side of the method has become the reason for its prohibition in some countries. But for genetic parents, this is often the only opportunity to have a healthy child.
At the initial stage, parents undergo genetic diagnostics, which detects DNA abnormalities.This can be a gene mutation, a deviation in the number of chromosomes, abnormalities in chromosome structures. A test for genetic compatibility - karyotyping is also mandatory.
Gamete donation is part of the donor program. Healthy oocytes and sperm are provided, with written consent, to recipients. Sperm donors are under medical supervision and undergo genetic testing.
Hysteroscopy - examination of the uterine cavity in case of violations of the female cycles, burdened pregnancies, pathologies of unknown origin. The procedure refers to low-traumatic methods, is carried out with optical devices and gives an opinion for the subsequent treatment of the uterus.
A technology that determines the number of healthy sperm in the ejaculate, their sufficiency for fertilization. In a woman, her ovulation period is revealed, and one day before her, an artificial insemination procedure is performed.
Surrogacy programs are called upon to help in cases of contraindications to pregnancy or its impossibility. The following are involved in the birth of a genetic child:
Indications for surrogacy:
The pricing of the surrogacy program comes from the cost of medical services, monthly maintenance and the surrogate mother's fee.
There are Crimean Internet sites where offers of surrogacy services and applications for the search for candidates are posted.
Vitrification of embryos, as well as eggs and spermatozoa, consists of two successive parts:
The freezing period in liquid nitrogen can last from several months to decades. Donor data and dates are indicated on special storage containers.
Cryostorage and the use of donor eggs are resorted to if the expectant mother is unable to conceive a child on her own. Donor healthy egg - the oocyte receives insemination with the partner's sperm. Moreover, if necessary and indications - the sperm can also be from the donor bank. Thus, a new life is born - an embryo. But for the embryo itself, there is the possibility of transplantation into the recipient's uterus, both after cryopreservation and in the natural cycle.
Hatching is an artificial thinning of the so-called zona pellucida of the embryo. In the first days of life, the membrane protects it from mechanical damage, but on day 6, at the blastocyst stage, the membrane is subject to rupture for free movement along the fallopian tube. If the density of the protective layer is so high that it interferes with attachment to the wall of the uterus, a laser beam comes to the rescue. Thinning occurs either tangentially, without touching the embryo, or in a dotted depression, without touching the cells.
The laser hatching procedure is indicated for women:
The choice of a center should be taken seriously in terms of service, its interior and convenient location. The artificial insemination process provides for an extensive diagnostic research program.The time that patients have to spend within the walls of the center is calculated in tens of hours. Lack of queues, comfort, friendly staff, the ability to reschedule the appointment - play a big role.
Highly qualified staff is the key to successful treatment. An obligatory part of choosing an Eco clinic is a correspondence meeting with the medical staff. On the website of a medical institution, personal cards of employees are often presented, a special advantage is the presence of scientific degrees of doctors. Embryologists, wizards of the invisible front, work in IVF laboratories. In the modern world, the share of associate professors, researchers, doctors of sciences in the total number of medical personnel has grown significantly. Additional advantages are the completed advanced training courses, as well as participation in scientific forums and symposia of reproductive doctors.
The possibility of IVF under compulsory medical insurance significantly narrows the range of medical centers.
The 2018 quota for compulsory medical insurance in Crimea is 500 people, 197 applications were submitted, of which 86 couples received a positive decision.
The preliminary stage for obtaining a quota involves several mandatory points:
If the decision is positive, the couple enters the queue and is registered in the waiting list, a list of medical centers is issued where it is possible to undergo the IVF procedure under compulsory medical insurance. Part of the proposed program may consist of the necessary additional procedures that will have to be paid for.
The good news in the current 2018 was the lifting of restrictions on the number of IVF attempts. It is no secret that only 40% of couples who underwent fertility treatment received a positive result. The innovation will increase the percentage of happy parents. Individual programs of IVF protocols have restrictions on the age and weight of the expectant mother, in order to avoid the risk of difficult childbirth and congenital fetal abnormalities.
A democratic price is not always a guarantee of decent quality. First of all, this refers to the availability of modern equipment in the center, which requires considerable expenses and, accordingly, should pay off. State-of-the-art labs require knowledgeable staff, and paying for them is part of the price for customers. The prices of each IVF center are published on the website. It is useful to compare the cost of procedures in different clinics, to choose the option that is acceptable for the family budget.
It should be remembered that any medical institution, including those providing commercial services, must be licensed. It is important to check the validity period and date of issue of the license.
Take your time to collect feedback from several forums in order to get a complete picture of the IVF center of interest.
The result of infertility treatment is the appearance of a healthy baby. The statistics of total fertilization "in vitro" and successfully carried babies is an important indicator.
The surrogate mothers of the clinic presented over 1000 babies to genetic parents.
The center provides all stages of surrogacy:
Address: Crimea. Simferopol, st. Field, 24/23.
Phone: +7 (3652) 77-72-45
Website: http://www.ivf-centre.ru/
High qualification of doctors is supported by annual internships in clinical centers in Western Europe.
In terms of infertility treatment, the clinic complies with European medical standards.
Address: Crimea. Sevastopol, Victory Avenue, 2-A.
Phone + 7-978-78-39-030
Crimea. Simferopol: Lenin Boulevard, 9a
(3652) 788 118, +7 978 812 45 00
Website http://eko-clinic.com
More than two thousand children were born thanks to the doctors of the center in 20 years. The clinic has modern expensive equipment.
Procedure | Price, rubles |
---|---|
Ultrasonic monitoring in the IUI program | 2100 |
Intrauterine insemination | 18000 |
Using donor sperm (1 dose) for the provision of medical services using assisted reproductive technologies | 9000 |
Transvaginal follicle puncture | 30000 |
Cultivation of gametes and embryos | 40000 |
Embryo transfer | 26000 |
Address: Simferopol, st. Donskaya, 43.
Phone: +7 (978) 1000-315
Website: https://ferti-line.com/
The clinic has its own Hi-Tech laboratory. Here it is possible to implement the IVF program under the compulsory medical insurance policy.
List of IVF procedures for compulsory medical insurance in the IVF center:
Procedure | Price, rubles |
---|---|
IVF first attempt | 150000 |
IVF second attempt | 140000 |
ICSI | 15000 |
Cryoprotocol | 30000 |
IUI | 15000 |
Vitrification | 17000 |
Address: Simferopol, Victory Avenue, 144
Phone: +7 (978) 040-49-85; +7 (978) 072-92-81
Website: http://clinic.newber.com.ru/
The clinic was opened on July 16, 1993. The medical center maintains a high quality of service.
Providing the patient with a feeling of comfort and security is the center's credo.
Procedure | Price, rubles |
---|---|
Transfer of embryos into the uterine cavity | 10500 |
Ultrasound monitoring | 5050 |
Diagnostic laparoscopy | 11000 |
Address: 295026, Simferopol, st. Semashko, 4A,
Phone: + 7 3652 604 900, +7 (978) 732 5000
Address: 299011, Sevastopol, st. Novorossiyskaya, 50.
Phone: + 7 (8692) 545-003, +7 (978) 732 5566
Address: 295026, Simferopol, st. Semashko, 4A
Phone: + 7 3652 604 904, +7 (978) 732 5599
Address: 295034, Simferopol, st. Bohdan Khmelnitsky, 16.
Phone: +7 3652 604 907; +7 978 732 5050
The center implements the IVF transport scheme, which allows reducing costs several times. The initial and final stages take place in the Crimea clinic. The second transitional, embryological moment can be carried out in Moscow and advanced technologies are used on supernova equipment. The council of the leading doctors of the capital, in case of threat, will support the current pregnancy.
The clinic uses NASUM technology - the choice of male bio-material for ICSI, with the study of the microstructures of sperm cells using a unique optical device.
Address: Crimea, Simferopol, st. Zoya Zhiltsovoy, 4
Phone: + 7-978-711-76-10; + 7-978-096-11-80;
Website: http://vash-doktor.com/
In 2018, the full cycle of the IVF program, which includes hormonal stimulation, doctors' consultations, embryo cultivation and transfer, cryopreservation and hatching, in Simferopol is 153,000 rubles.
Parents should be prepared for a 20% chance of using assisted reproductive technologies on the first try. State-of-the-art laboratory equipment and professionalism of doctors are at stake to solve the problem of infertility. Patience and trusting attitude, hope and a little luck will help parents to hear the long-awaited "wah-wah", fill the house with children's laughter.