Centre of Assisted Reproduction: "Life begins with us..."
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We consider the first day of a menstrual period to be the first day of strong menstrual bleeding. If bleeding starts after 4 pm, consider the first day of menstruation to be the following day. Do not count spotting as the beginning of your period.
Start to apply the injections according to the physician´s instructions in the protocol on the 2nd or 3rd cycle day (menstruation).
Stimulating drugs which need to be diluted, containing the powder and dilutant, i.e. (Menopur, Fostimon, Merional, Bravelle), can be stored in a dry place at room temperature, as can Orgalutran and Cetrotide. In the refrigerator, it is recommended to store the medications administered with the Gonal and Puregon stimulation pens at 2 - 8 °C. In addition, a trigger shot - medicine for ovulation induction (Pregnyl) - should be stored in the refrigerator; the second medicine used to induce ovulation, Ovitrelle, may be stored at room temperature up to 25 °C.
You can travel with stimulating medicines without any problems, including meds needing refrigeration – Puregon will last up to 3 months and Gonal up to 1 month at room temperature. To be sure we recommend that you check the medication leaflet for specific handling instructions. Never leave medication in the car.
It is up to you whether you choose morning or evening hours, but it is important to keep applying the meds at about the same time every day.
The first ultrasound examination needs to be done on the 6th OR 7th day of the stimulation, so you can schedule this appointment on the first day of the cycle by calling + 420 588 884 180 from 08:00 to 15:00.
The application of Pregnyl or a trigger shot at a fixed time set by a doctor is essential for the timing of the egg collection, so it is very important to keep this time as accurate as possible. If you have forgotten to apply the trigger shot, please call our 24 hour Hotline on +420 725 666 111 and inform the physician on call so that he/she can make some adjustments and advise you on what to do.
We recommend 2-3 days of sexual abstinence.
We need you to be FASTING (nothing to eat or drink after midnight, no smoking), and come with your PARTNER. Also, bring a light NIGHTGOWN and SLIPPERS, and FILLED OUT CONSENT FORMS.
Oocyte collection takes place under general anaesthetic. The length of the procedure itself depends on the number of eggs, but usually it takes about 10-15 minutes. After the procedure, your doctor will discharge you within 2 to 3 hours. After anaesthesia you should not drive, so please arrange someone to accompany you home.
After the eggs collection you will get the discharge treatment report from the doctor together with the price estimate. You pay on the day of embryo transfer.
Embryo transfer is done usually on day 3 or day 5 after the egg retrieval .You can call the hotline on +420 725 666 111 to get information about the embryo quality and the date and time of the planned embryo transfer.
You don't need to bring anything special.
Embryo transfer itself takes about 3 – 5 minutes, then you lie on the table for another 10 – 15 minutes, and then it's all over.
There is no need for an extremely full bladder during the embryo transfer. Just a slightly full urinary bladder helps to straighten out the uterus and thus facilitates the introduction of embryos into the uterus. We recommend that you don't urinate until after the ET.
The physician will discuss the final cost of treatment with you during the consultation on the embryo transfer day. You can make a payment by cash (Czech Crowns or Euros), or by a credit card at our accounting department.
Poor bleeding or spotting after egg collection is common. If the bleeding is stronger and persists the next day, call our hotline on +420 725 666 111 and talk to your doctor about how to proceed.
Please take the pregnancy test two weeks after the embryo transfer; the date is indicated in the embryo transfer report.
In case of a negative urine test, confirm the pregnancy with a HCG blood test, or do another urine test in two days. Always check with a doctor regarding discontinuation of medication.
Schedule a doctor's appointment at our clinic. A doctor will evaluate your treatment and come up with the next steps.
Continue taking the prescribed medications. Please make an appointment for 14 days after a positive pregnancy test.
Continue taking all prescribed medication without change unless the doctor instructs you otherwise.
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