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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.

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    Offers

    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 a leading specialist of the obstetric hospital from the 22nd week
    • 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
    • Maternity school
    • Stay of a pregnant woman in the “Standard” ward, 1 day (observation in ADONIS)
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    Waiting for baby, twins

    • Consultation of obstetrician-gynecologist of a pregnant woman
    • Consultation of a leading specialist of the obstetric hospital from the 22nd week
    • Consultation of obstetrician-gynecologist 6-8 weeks after delivery
    • Consultation of therapist
    • Consultation of ophtalmologist
    • Consultation of endocrinologist
    • Otolaryngologist consultation
    • Consultation of dentist
    • Genetics consultation
    • 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
    • Maternity school
    • Stay of a pregnant woman in the “Standard” ward, 1 day (observation in ADONIS)

     

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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
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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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    Doctors

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

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