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Multiple pregnancies and Assisted Reproductive Technologies (ART)

There is a common mind that after using the ART, multiple pregnancies usually appear.

Let’s dig deeper and figure out whether it is true in practice.

Earlier, it was like this, after IVF multiple pregnancies often occurred, which was connected with the wish to increase the efficacy of the program. It is known that the embryos in the uterine cavity can help the implantation and development of each other. And very often, couples who were dreaming for a long time about the children seeking the quickest result, that do not take into mind the further pregnancy flow and possible results of it. But having multiple pregnancies is often associated with obstetricians and neonatal complications: miscarriages, preeclampsia, growth retardation syndrome, development of one or two fetuses. Premature birth etc.

Nowadays with the development of ART, it becomes possible to perform the selective transfer of one embryo. And this is the point that reproductology doctors all over the world want to achieve.

Anyway, there are some groups of patients to whom it is recommended, by different guidelines, to transfer more than one embryo. And these situations are the ones when transferring more than one embryo may increase the relativity of the program.

Also, there are conditions when after transferring one embryo on the ultrasound found two embryos, then this is made by nature.

And, of course in case if the couple insists on the transfer of more than one embryo having heard all the information beforehand about the possible risks of multiple pregnancies, then this transfer will be done if there are no direct contraindications for that.

Edited by

Olha Tarasenko
Obstetrician-Gynecologist, Fertility Specialist

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    SURROGACY (thawed embryos transfer)

    Medical services:

    • Cryopreservation and storage of sperm during 12 months
    • IVF+ICSI with the medicines cost (without preparing of endometrium and ET stage) with vitrification and storage of embryos for 4 months
    • Examination of Surrogate mother
    • Cryoprogram (transfer of thawed embryos, cost of medicines for endometrium preparing included)
    • Prenatal care program “Waiting for baby” (without cost of medicines)*
    • Fees for SM`s delivery
    • * surrogate mothers are avaliable with cesarean section and without cesarean section, for a quick start – surrogate mothers with cesarean have already been selected and diagnosed

    Non-medical services:

    • Selection of Surrogate Mother
    • Translation of Patient’s documents
    • Development of individual draft on Agreement of surrogacy + Legal services for registration of Child
    • Notarization Agreement of surrogacy providing+ Notarization Surrogate mother`s statement
    • Coordination Services
    • Financial compensation Surrogate mother for transportation expenses, for embryos transfer (within 3 working days after ET), for a healthy diet and clothing for pregnant woman (paid in parts, monthly)
    • Final compensation Surrogate mother (after delivery)

     

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    IVF - ICSI

    SURROGACY+EGG DONATION ("fresh" embryo transfer)

    Medical services:

    • Examination of Surrogate mother (before IVF)
    • Cryopreservation and storage of sperm during 12 months
    • IVF+ICSI with Egg Donation
    • Prenatal care program “Waiting for baby” (without cost of medicines)*
    • Fees for SM`s delivery
    • * surrogate mothers are avaliable with cesarean section and without cesarean section, for a quick start – surrogate mothers with cesarean have already been selected and diagnosed

    Non-medical services:

    • Selection of Surrogate Mother + Selection of Ooctyes donor
    • Selection of Ooctyes donor
    • Translation of Patient’s documents
    • Development of individual draft of Agreement of surrogacy + Legal services for registration of Child
    • Notarization Agreement of surrogacy providing + Notarization Surrogate mother`s statement
    • Coordination Services
    • Financial compensation Surrogate mother for transportation expenses, for embryos transfer (within 3 working days after ET), for a healthy diet and clothing for pregnant woman
    • Final compensation Surrogate mother (after delivery)

     

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    SURROGACY + SPERM DONATION ("fresh" embryo)

    Medical services:

    • IVF+ICSI with Surrogate mother with the medicines cost + Donor’s sperm (one dose)
    • Donor’s sperm (one dose)
    • Examination of Surrogate mother
    • Prenatal care program “Waiting for baby” (without cost of medicines)
    • Fees for SM`s delivery
    • Prenatal care program “Waiting for baby” (without cost of medicines)* in case of observation of pregnancy by the leading obstetrician gynecologist or in the case of twins there will be an extra payment (see additional services)
    • * surrogate mothers are avaliable with cesarean section and without cesarean section, for a quick start – surrogate mothers with cesarean have already been selected and diagnosed

    Non-medical services:

    • Selection of Surrogate Mother
    • Selection of Sperm’s donor
    • Translation of Patient’s documents + Development of individual draft on Agreement of surrogacy
    • Notarization Agreement of surrogacy providing + Notarization Surrogate mother`s statement after birth providing
    • Development of individual draft of Agreement of surrogacy
    • Coordination Services
    • Legal services for registration of Child

     

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    special offer

    IVF+ICSI+EGGS & SPERM DONATION (6 "fresh" donor`s eggs)

    Medical services:

    • Donor`s sperm (one dose)
    • IVF+ICSI with Eggs Donation (6 “fresh” donor`s eggs) with the medicines cost
    • Eggs donation
    • Controlled stimulation of Eggs donor`s ovarii (induction of superovulation) (without the cost of medicines)
    • Medical supply of Eggs donor’s stimulation
    • Preparing of endometrium of Patient
    • Medical supply of endometrium preparing
    • Consultation of anaesthesiologist
    • Intravenous anesthesia (up to 30 minutes)
    • Transvaginal punction of ovarii (without cost of intravenous anesthesia) (TVP)
    • Preparation of sperm for IVF program
    • Intracytoplasmic sperm injection (ICSI)
    • Cultivation of embryos in IVF program, including till blastocyst stage (by needs)
    • Embryos transfer (ET) in Patient`s uterus cavity in IVF program
    • Cost of embryological supply of TVP
    • Cost of embryological supply of ET
    • Blood test on Human chorionic gonadotropin (beta-hCG)
    • Ultrasound diagnostics of pregnancy in terms up to 11th weeks
    • Blood sampling

    Non-medical services:

    • Selection of Ooctyes donor
    • Selection of Sperm`s donor
    • Translation of Patients` documents for Medical Center (passports, marriage certificate)
    • Coordination Services of Egg Donation Program
    • Free 2nd medical opinion
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    5 678 $ 4 542 $
    special offer

    IVF + ICSI + EGG DONATION + medicines cost

    Medical services:

    • Examination of Oocytes donor (fresh before IVF)
    • Cryopreservation and storage of sperm during 12 months
    • IVF+ICSI with Eggs Donation with the medicines cost  (own Egg Donor)
    • Medicines cost for Egg Donor, without the cost of medicines for the patient:
    • Controlled stimulation of Eggs donor`s ovarii (induction of superovulation) (without the cost of medicines)
    • Medical supply of Eggs donor’s stimulation
    • Consultation of anaesthesiologist
    • Intravenous anesthesia (up to 30 minutes)
    • Transvaginal punction of Eggs donor`s ovarii (without cost of intravenous anesthesia) (TVP)
    • Preparation of sperm for IVF program
    • Intracytoplasmic sperm injection (ICSI)
    • Cultivation of embryos in IVF program, including till blastocyst stage (by needs)
    • Cost of embryological supply of TVP
    • Cryopreservation of embryos / oocytes with vitrification method (1 cryothek)
    • Storage of cryopreserved biological material and embryos within 4 months

     

    Non-medical services:

    • Selection of Ooctyes donor
    • Translation of Patients` documents for Medical Center (passports, marriage certificate)
    • Coordination Services of Egg Donation Program
    • Free 2nd medical opinion
    read more
    8 173 $ 6 538 $
    special offer

    IVF+ICSI+SPERM DONATION with the medicines cost

    Medical services:

    • Donor`s sperm (one dose)
    • IVF+ICSI with the medicines cost
    • Controlled stimulation of Patient`s ovarii (induction of superovulation) (without the cost of medicines)
    • Medical supply of induction of superovulation Individual Protocol
    • Test on progesterone of blood at day of trigger injection
    • Consultation of anaesthesiologist
    • Intravenous anesthesia (up to 30 minutes)
    • Transvaginal punction of ovarii (without cost of intravenous anesthesia) (TVP)
    • Preparation of sperm for IVF program
    • Intracytoplasmic sperm injection (ICSI)
    • Cultivation of embryos in IVF program, including till blastocyst stage (by needs)
    • Embryos transfer (ET) in Patient`s uterus cavity in IVF program
    • Cost of embryological supply of TVP
    • Cost of embryological supply of ET
    • Blood test on Human chorionic gonadotropin (beta-hCG)
    • Ultrasound diagnostics of pregnancy in terms up to 11th weeks
    • Blood sampling

    Non-medical services:

    • Selection of Sperm`s donor
    • Translation of Patients` documents for Medical Center (passports, marriage certificate)
    • Coordination Services of IVF Program
    • Free 2nd medical opinion
    read more
    6 057 $ 4 846 $
    special offer

    IVF+ICSI with the medicines cost

    Medical services

    • Cryopreservation and storage of sperm during 12 months
    • IVF+ICSI with the medicines cost
    • Controlled stimulation of Patient`s ovarii (induction of superovulation) (without the cost of medicines)
    • Medical supply of induction of superovulation Individual Protocol
    • Test on progesterone of blood at day of trigger injection
    • Consultation of anaesthesiologist
    • Intravenous anesthesia (up to 30 minutes)
    • Transvaginal punction of ovarii (without cost of intravenous anesthesia) (TVP)
    • Preparation of sperm for IVF program
    • Intracytoplasmic sperm injection (ICSI)
    • Cultivation of embryos in IVF program, including till blastocyst stage (by needs)
    • Embryos transfer (ET) in Patient`s uterus cavity in IVF program
    • Cost of embryological supply of TVP
    • Cost of embryological supply of ET
    • Blood test on Human chorionic gonadotropin (beta-hCG)
    • Ultrasound diagnostics of pregnancy in terms up to 11th weeks
    • Blood sampling

    Non-medical services

    • Translation of Patients` documents for Medical Center (passports, marriage certificate)
    • Coordination Services of IVF Program
    • Free 2nd medical opinion
    read more
    6 001 $ 4 801 $

    SURROGACY ("fresh" embryo transfer)

    Medical services:

    • Examination of Surrogate mother (before IVF)
    • Cryopreservation and storage of sperm during 12 month
    • IVF+ICSI with Surrogate mother with the medicines cost
    • Prenatal care program “Waiting for baby” (without cost of medicines)*
    • Fees for SM`s delivery (cost of delivery in natural way, without complcations), pregnancy with 1 fetus
    • * surrogate mothers are avaliable with cesarean section and without cesarean section, for a quick start – surrogate mothers with cesarean have already been selected and diagnosed

    Non-medical services:

    • Selection of Surrogate Mother
    • Translation of Patient’s documents and legalization of translation
    • Development of individual draft on Agreement of surrogacy
    • Notarization Agreement of surrogacy providing
    • Coordination Services
    • Notarization Surrogate mother`s statement after birth providing
    • Legal services for registration of Child born as a result of the Client’s participation in the SM Program, preparing documents for Embassy (without services of translation and legislation cost) special price with discount for complex offer (price without discount – 1000USD)
    • Financial compensation Surrogate mother for transportation expenses, for embryos transfer (within 3 working days after ET), for a healthy diet and clothing for pregnant woman (paid in parts, monthly)
    • Final compensation Surrogate mother (after delivery)
    read more

    Doctors

    Tetiana Fakhrutdinova
    MD, PhD. Head of Female Consultation, Obstetrician-Gynecologist, Fertility Specialist
    MD, Obstetrician-Gynecologist, Fertility specialist
    MD, Obstetrician-Gynecologist, Fertility specialist
    Kochet
    MD, Acting Head of the Department of Assisted Reproductive Technologies, Obstetrician and GynecologistFertility Specialist
    Olha Tarasenko
    MD, Obstetrician-Gynecologist, Fertility Specialist
    MD, Andrologist, Sexologist, Urologist
    MD, Ph.D, Gynecologist-endocrinologist
    MD, PhD, Prof. at ADONIS. Director of the Center of Reproductology at the Sheba Medical Center, Tel-Aviv, Israel. Professor of Obstetrics and...
    PhD. Embryologist in ADONIS. Head of the IVF and Andrology labs at Herzliya Medical Center in Israel.
    MD, PhD. Deputy Medical Director for Obstetrics and Gynecology, Obstetrician-Gynecologist
    Shyianova Svitlana
    MD, PhD., Obstetrician and Gynecologist, Fertility Specialist
    MD, Head of the Obstetric Hospital, Obstetrician and Gynecologist of the highest category

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