• IVF. How is it performed?

The "appointment" of cells is arranged, using two methods. During IVF oocytes and sperm merge in an artificial environment, i.e. in the test tube, and then they are introduced into uterus. In case of ICSI method sperm is injected directly into the oocytes's cytoplasm.

• What equipment is used in the IVF?

When doing our job, we maximally imitate nature by creating conditions outside the body equal to conditions inside it. Oocytes and sperm is a very delicate material, they die in air, direct light or with any changes of the temperature very fast. They require special solutions as well as special humidity and concentration of carbon dioxide, in other words - artificial environment. The final result depends on the quality of this environment. We are using methods and equipment of Reproductive Genetics Institute of Chicago that guarantee good results.

• What does success of IVF depend on?

The success depends on many factors: age of spouses, reasons and duration of infertility, reply of the testicles to its stimulation, quality and quantity of mature cells in follicles, quality of sperm and, in addition, on qualification and personal experience of your doctor.

Absolute indications for IVF.

IVF is required in the case of absence of Fallopian tubes or their full obstruction, serious forms of hormonal infertility, etc.

What diseases are called genetic? Are they always inherited?

Diseases that are passed down to children by corresponding genes are called genetic or hereditary. There are special genetic program that allows determining pathology of genes passed down from one generation to another. It is based on concept that all embryos obtained by IVF must be diagnosed before introducing into uterus. Only healthy ones can be taken! This method is called pre-implantation diagnostics. After this, no illnesses from previous generations could be passed on to your baby.

Is it true that "test-tube children" more often fall ill, less developed intellectually and develop more slowly than their "normal" peers?

Global studies were conducted worldwide: scientists observed physical, intellectual and psychical development of children. They concluded that the level of different deviations of the "test-tube children" (for now, there are more than 3 millions such people) is not higher than of children conceived in normal way. But psycho-emotional development of the children who has born from reproductive technologies even pulls ahead of the development of simple children. It is probably associated with that the fact that "test-tube children" are long-expected, desired and parents pay much more attention to them.

Which method is better?

Better is method that is suitable just and only for you. You will choose it by yourself from all possible options that will be offered by your doctor. IVF is not always the optimal option but, as the rule, it is universal.

Universal solution:

In our clinic we perform very modern and high-effective IVF programs.

1. In-vitro fertilization (IVF)

IVF includes severeal stages:

• Hormonal stimulation of follicular growth inside ovaries (stimulation of superovulation);
• Puncture of the follicle with further oocyte extraction from it;
• In-vitro of the oocyte with sperm in the laboratory facilities;
• Embryo transplantation in the uterus area.

This procedure usually takes approximately 4-5 weeks.

The indication for IVF implementation is therapy-proof fertility or possibility that overcoming the problem would be better than using of other methods. The IVF method is practically universal. More that 30 years have passed since the first child was born as the result of the infertility treatment. For today, there are more than 3 millions people all over the world that have born thanks to this method. This is oocyte 's IVF with the natural (or donor) sperm outside mother's body. Cultivation of embryos, their monitoring and leader introduction into the uterus area.

2. ICSI - Implementation of sperm directly into the oocyte's cytoplasm using special manipulators.

This method is used in case of male infertility. Sperm for the ICSI can be obtained from ejaculate or from a testicle by МЕSА or ТЕSA operations. These programs are variations of the ICSI program. Sperm is required for injection into the oocyte and can be extracted by the puncture of testicle (ТЕSА) or testicular appendage (МЕSА). Before the surgical operation, one must consult with an andrologist.

Indications for ICSI:

• azoospermatism - absence of spermatozoa in the ejaculate;
• oligozoospermatism - concentration of spermatozoa is lower than 2 millions in 1 milliliter;
• asthenozoospermia - less than 1 million active spermatozoon in 1 milliliter;
• clinically significant amount of antisperm antibodies in the ejaculate (MAR test more than 50%);
• combined pathology of the sperm;
• unsatisfactory IVF of the ovocyte in the previous ECF procedure or its total absence.

3. Cryoconservation:

Our clinic has achieved considerable success in embryo freezing.50 - 70% of sperm continue their normal development after defrosting. If well-developing embryos is collected more than required, others can be refrigerated in liquid nitrogen and kept for unlimited amount of time. Refrigerated embryos can be used after unsuccessful IVF procedure or after childbirth if the patients want to get another baby in the future.

4. Donation:

Donation of the sperm or oocyte is strictly anonymous! Information about donor's identity is always kept confidential.

Donation of the sperm allows to have a baby in the families where husband's spermatogenesis is totally exhausted. The same method can be used in single healthy women of reproductive age. Furthermore, this program is wonderful solution for families where the husband has a risk of hereditary diseases.

Donation of the oocytes is a program provided for women whose haven't oocytes or who have a risk for bearing a child with hereditary pathologies.