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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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    IVF - ICSI

    SURROGACY+ED UNLIMITED

    Medical services:

    • Examination of man before IVF (karyotype cost is not included), if needed (Spermogramm; Blood group, Rh factor; Hepatitis B – HbsAg; Hepatitis C (HCV), Ig total; Treponema Рallidum, Ig total; HIV (screening test for antibodies to HIV by IFA); X-ray of thoracal cavity organs in direct projection)
    • Cryopreservation of sperm (UNLIMITED)
    • IVF+ICSI+ED with the medicines cost for Donor`s stimulation, without embryo transfer with the storage of embryos during 12 months
    • PGT (24 chromosomes) UNLIMITED (will be made by decision of the Medical Center)
    • Examination of Surrogate mother before IVF program according to locally approved MGC «Adonis» protocol (Surrogate mothers – if needed)
    • Cryoprogram, UNLIMITED (transfer of thawed embryos, cost of medicines for endometrium preparation included)
    • Prenatal care program “Expecting baby”
    • Medicines for SM`s pregnancy support (up to $1000)
    • SM`s delivery in a natural way, pregnancy with 1 fetus (The cost of delivery by cesarean section and / or twin delivery must be paid extra)
    • Interruption of nonprogressive and progressive abnormal uterine pregnancy in terms up to 12 weeks (with the cost of pathohistological examination) – one time if needed

    Non-medical services:

    • Biomaterial Transportation Coordination and Paperwork Completion
    • Selection of Egg Donor (UNLIMITED)
    • Selection of Surrogate Mother (UNLIMITED)
    • Surrogate mother’s stay in the Standard Room (up to 15 days)
    • Standard Compensation to Surrogate Mother (1 time): transport expenses, embryo transfer, 9-months compensation for a healthy diet and clothing, final compensation
    • Translation of Patients` documents for Medical Center (passports, marriage certificate medical documentation required to start the Program)
    • Legal services pre-birth (standard): development and signing of the agreement with the surrogate mother and all the agreements required for the program (including notary for one surrogate mother)
    • Legal services post-birth (one child registration; standard; urgent): legal services for scheduling and preparation of documents for standard registration of a child born as a result of the client’s participant in the SM program, included preparing documents for ONE embassy and Civil Registration Office, and accompany clients for post-birth vital meetings (i.e., birth certificate filing and receiving at the Civil Registration Office)
    • Program coordination and support (English) till pregnancy confirmation
    • Program coordination and support (English) pregnancy confirmation till baby exit. Coordination included in Kyiv and Lviv.

     

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    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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    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
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    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

    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
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    Doctors

    Tetiana Fakhrutdinova
    MD, PhD. Head of Female Consultation, 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, Fertility specialist
    MD, PhD. Deputy Medical Director for Obstetrics and Gynecology, Obstetrician-Gynecologist
    MD, Head of the Obstetric Hospital, Obstetrician and Gynecologist of the highest category

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