Centre of Assisted Reproduction: "Life begins with us"

THE PROCESS OF IVF INFERTILITY TREATMENT

PHASES OF TREATMENT

1. fáze léčby ivf: konzultace a sepsání žádosti na pojišťovnu

1.

CONSULTATION AND FILLING IN AN APPLICATION FOR INSURANCE COMPANY APPROVAL

During this consultation, the physician will fill out an application for the IVF cycle to be approved by the insurance company. Approval of the application takes about 1 month.

2. fáze léčby ivf: protokol a léky

2.

PROTOCOL AND MEDICATION

During this visit, your doctor will prepare a stimulation protocol customized to your needs, we will dispense the medication, and the nurse will instruct you about how to apply these medications.

3. fáze léčby ivf: ultrazvuková kontrola

3.

ULTRASOUND CHECK UP

Based on the information from your protocol and the doctor's instructions, you will undergo ultrasound check-ups, at which the doctor monitors the number of mature follicles and their diameter, and, also, sets the exact date for the oocyte pick up.

4. fáze léčby ivf: odběr vajíček

4.

OOCYTE PICK UP

On a given day, the physician performs an ultrasound guided puncture or an aspiration of the follicles using a thin needle which goes through the vaginal wall. The patient is under general anaesthetic during the egg collection (5-10 minutes). After that, it takes 2-3 hours to recover and, if stable, the patient can go home.

5. fáze léčby ivf: vzorek spermatu

5.

SPERM SAMPLE

On the day of egg retrieval, the partner needs to submit a sperm sample. In order to improve the quality of the sample, it is recommended to maintain two to three days of sexual abstinence.

6. fáze léčby ivf: oplodnění

6.

FERTILIZATION

This is the process of fertilization of an egg by the sperm. In case of a good partner's sperm analysis, the method of conventional in-vitro fertilization is used. If the sperm quality or number is lower, the ICSI method is used for fertilization.

7. fáze léčby ivf: kultivace embryí

7.

EMBRYO CULTIVATION

The resulting embryos are cultivated in special incubators designed to mimic the natural environment in a woman's body as much as possible. The embryos are cultivated for 2 to 6 days, during which their development is monitored. Information on current embryo developments is provided daily on our hotline.

8. fáze léčby ivf: embryotransfer

8.

EMBRYO TRANSFER

This is a painless transfer of the highest quality embryo or embryos into the woman´s womb. The embryo cultivation period, and therefore the embryo transfer day, is determined by the physician and embryologist.

9. fáze léčby ivf: těhotenský test

9.

PREGNANCY TEST

14 days after the embryo transfer you are instructed to take a pregnancy test (from morning urine) and let us know the result. If you do the test earlier and it is negative, it may be the inability of the test to currently capture the low levels of HCG.

10. fáze léčby ivf: výsledek těhotenského testu

10.

PREGNANCY TEST RESULT

Positive Pregnancy Test: Congratulations! Please continue taking all prescribed medications and, after 14 days from the positive pregnancy test, schedule an OBGYN visit for an ultrasound check up.

Negative pregnancy test: If you do not bleed, repeat the urine test in 2 days. Even with a negative result it is appropriate to confirm it by drawing blood (at the clinic or at your gynaecologist).


12. fáze léčby ivf: kryokonzervace

11.

CRYOPRESERVATION

This is a method offering the possibility to preserve (freeze) all the other high-quality embryos for the future use.

DO YOU WANT TO KNOW MORE ABOUT THE EMBRYONIC DEVELOPMENT?

Instruction for embryo transfer

embryotransfer information

instruction for embryo transfer - pdf file

Post embryo transfer instruction

embryonic development, embryo quality, frequently asked questions

post embryo transfer instruction - pdf file

THE SUCCESS RATE OF IVF TREATMENT IS INCREASED BY PRE – IMPLANTATION GENETIC DIAGNOSIS

Thanks to the acquisition of the most advanced technology laser, we have introduced the pre-implantation genetic diagnosis (PGD) of embryos in cooperation with the largest genetic laboratories in the Czech Republic, GENNETD. For testing we use the ACGH (Array Comparative Genomic Hybridization) method that allows the selection and subsequent transfer of only genetically normal embryos, thus increasing significantly the success rate of IVF treatment.

The testing is fully covered by health insurance after previous assessment of clinical genetics. It is a very gentle method that incurs no risk to the development of the future foetus.

PGD is not only suitable for couples with identified genetic diseases but also for couples who have undergone several unsuccessful IVF treatments.