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You are not alone

The reasons for infertility and fertility issues can be quite complex and sometimes unknown. Unfortunately, women shoulder a disproportionate amount of the blame for fertility issues, under the incorrect assumption that since she carries and bears the child, she must have the greatest effect on fertility. However, statistics show that within a couple, the contributing factors to infertility break down as follows¹:

  • up to 50% of infertility cases are due to the female
  • 20-30% due to the male
  • 20-30% is a combination of factors between both the man and the woman, with a percentage of cases being “unexplained infertility”

The stigma attached to the inability to become pregnant or have a child can be strong, particularly in developing countries. It can lead to women being ostracized, shunned from their communities, or being denied participation in family and community traditions. It can be used as grounds for divorce or justification for why a girl is not considered marriageable and then a burden to her family, community, or society. This rejection from your family and community can understandably lead to mental health issues and even suicide.

Fertility also raises issues of reproductive health and human rights. This is especially emphasized in countries such as South Africa, Namibia, Chile where it’s been found that women who were HIV-positive were being sterilized without their knowledge and without their consent². Women may believe they are having fertility issues for other reasons when in reality they were sterilized during a previous procedure and not informed of what was happening.

But the stigma is not limited to developing countries. Many women and couples in developed countries with fertility issues have experienced the curiosity of friends of family asking “are you going to have children?” without even thinking about the emotions that question can raise.

And while the conversation around “we’re trying for a baby” can be difficult enough when it doesn’t seem to be happening, “we’re doing IVF” can evoke another set of reactions and stigma.

Edited by

Marketing operation manager, medical editor

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    Intrauterine insemination

    Medical services:

    • Intrauterine insemination (preparing of sperm for IU, procedure of insemination with repeat within one menstrual cycle)

    Non-medical services:

    • Translation of Patients` documents for Medical Center (passports, marriage certificate)
    • Coordination Services of IUI Program
    • 24/7 concierge service
    • Free 2nd medical opinion

    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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    Waiting for baby, basic

    • Consultation of obstetrician-gynecologist of pregnant woman 
    • Consultation of obstetrician-gynecologist 6-8 weeks after delivery
    • Consultation of therapist
    • Consultation of ophtalmologist
    • Consultation of endocrinologist
    • Consultation of dentist
    • Prenatal screening
    • ECG
    • Ultrasound of fetus
    • Abdomen and kidneys ultrasound examination, Thyreoid gland, Breast
    • CTG fetal
    • Cervix ultrasound measurement
    • Doppler of utero-placental blood flow
    • Сolposcopy
    • Blood analysis
    • Determination of cardiolipin AG to syphilis using latex agglutenin (RW)
    • Urine analysis general, Bacterial seeding of urine + antibiogram
    • Microscopic analysis of discharge from the urinary tract (microflora)
    • Cytological examination of urogenital smears (PAP-test)
    • Bacterial seeding for the microflora determination (urogenital)
    • Determination of Streptococci, group B (Streptococcus agalactiae) with sensitivity determination to antibacterial medicines
    • Consultation of pediatrician in clinic of baby during the first month of life
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    Waiting for baby, twins

    • Consultation of obstetrician-gynecologist of pregnant woman
    • Consultation of obstetrician-gynecologist 6-8 weeks after delivery
    • Consultation of therapist
    • Consultation of ophtalmologist
    • Consultation of endocrinologist
    • Consultation of dentist
    • ECG
    • Ultrasound of fetus (1,2,3 trimesters)
    • Abdomen and kidneys ultrasound examination, Thyreoid gland, Breast, Cervix
    • Doppler of utero-placental blood flow
    • CTG fetal
    • Сolposcopy
    • Complete blood count and leukocytic formula and other
    • Prenatal screening
    • Urine analysis general
    • Bacterial seeding of urine + antibiogram
    • Microscopic analysis of discharge from the urinary tract (microflora)
    • Cytological examination of urogenital smears (PAP-test)
    • Bacterial seeding for the microflora determination (urogenital)
    • Determination of Streptococci, group B (Streptococcus agalactiae) with sensitivity determination to antibacterial medicines
    • Consultation of pediatrician in clinic of baby during the first month of life

     

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    Waiting for baby, since 28th weeks

    • Consultation of obstetrician-gynecologist of pregnant woman
    • Consultation of obstetrician-gynecologist 6-8 weeks after delivery
    • Consultation of therapist
    • Consultation of ophtalmologist
    • Consultation of endocrinologist
    • Consultation of dentist
    • ECG
    • Ultrasound of fetus (2,3 trimesters)
    • Abdomen and kidneys ultrasound examination, Thyreoid gland, Breast, Cervix
    • Doppler of utero-placental blood flow
    • CTG fetal
    • Сolposcopy
    • Complete blood count and leukocytic formula and other
    • Urine analysis general
    • Bacterial seeding of urine + antibiogram
    • Microscopic analysis of discharge from the urinary tract (microflora)
    • Cytological examination of urogenital smears (PAP-test)
    • Bacterial seeding for the microflora determination (urogenital)
    • Determination of Streptococci, group B (Streptococcus agalactiae) with sensitivity determination to antibacterial medicines
    • Consultation of pediatrician in clinic of baby during the first month of life
    read more

    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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    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 (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)

     

    read more

    Doctors

    Kochet
    MD, Acting Head of the Department of Assisted Reproductive Technologies, Obstetrician and GynecologistFertility Specialist

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