How to do IVF abroad: step by step instructions
Russian medicine tends to look for causes of infertility and treat it as long as the woman has enough patience. Many in the end, after several unsuccessful procedures of in vitro fertilization in public and private medical centers, decide to go abroad in the hope that they will be helped there. How to organize a trip, says the director of the British company MedEssentially, an online service for finding and organizing treatment abroad, Ekaterina Belyaeva.
Step 1. Choose a country
After spending a couple of years in vain attempts to get pregnant, women turn to public or private medical centers for the treatment of infertility. There is usually prescribed treatment in order to ensure the natural conception. If this fails, then sent for IVF.In Russia, there are no statistics that would give reliable information about the percentage of successful procedures, but, according to expert data, it is 35 percent.
- British doctors and scientists are considered world leaders in terms of reproductive technology. The percentage of successful IVF procedures in the UK is close to 80.
Step 2. Choose a clinic
Chose a country - choose a clinic. You can search for the right one on the Internet and contact her through the official website. Another option is to contact a company that deals with medical tourism. There are even online services, whose specialists will help you find a clinic, get a medical visa, and even find accommodation.
At this stage, we begin to prepare documents:
1. A certificate from the doctor of the host clinic about what medical services you will receive. It is usually sent by email.
2. A certificate that you really have money to pay for medical services. The money is calculated according to the unspoken formula: the cost of the service plus another thousand pounds. Help gives your bank, it is slightly different from the standard statement.
3. Proof of close ties with the homeland: the presence of real estate, for example. The host should be confident that you will not settle in the country, living on benefits.
4.All other documents are the same as when applying for a tourist visa.
Step 3. First visit to the doctor
You can go to meet with the doctor herself or her spouse. The specialist will tell about all the details of the upcoming procedures in detail. If necessary - send a woman to the survey. Usually prescribed ultrasound of the pelvic organs, blood tests and infectious markers.
During the first visit, the day of the start is determined, usually it is the fourth day of the following menstruation. Acceptance of hormonal drugs begins at the appointed time. The nurse first explains how, when, and which drugs to use.
On the fourth day of the cycle, you will have to give yourself a shot in the stomach - in this case, you will be given detailed instructions. The injection is completely painless, like an injection of insulin. These drugs ensure the normal development of follicles in the ovary. Every fourth day you need to come to the clinic for an ultrasound (all prescriptions are case-by-case and may vary) so that doctors can control the rate of development of the eggs. If they increase slowly, then increase the dose of drugs, if quickly, then vice versa.
Step 4.Egg collection
There is a delicate moment. You will be warned that two days before fertilization of the eggs, there must be sexual intimacy with a partner. It is necessary that on the day of fertilization the sperm is fresh, with viable sperm. Around the same time, a new drug is prescribed to a woman - candles with progesterone, so that the body is preparing for a normal pregnancy.
On the appointed day, the couple comes to the medical center. A man gives sperm, a woman undergoes the procedure of collecting eggs. This is done under general anesthesia, very quickly - within 15 minutes. They take as many eggs as they managed to grow. The number is individual, so you should not focus on a particular number, it all depends on the characteristics of the body of each woman. After anesthesia, you can immediately go home.
Step 5. Replanting
The next and fourth days after the collection of eggs, a call comes from the center: it is reported how many eggs have fertilized and how many are ready for replanting. In Europe, it is not recommended to plant a woman with more than one embryo (two maximum, depending on the woman's age), as there is always a risk of cell division, which can lead to multiple pregnancies.Multiple pregnancies are very dangerous for the female body, so the number of embryos transplanted is strictly regulated.
Embryo replanting occurs on the third or fifth day after fertilization. It is believed that the fifth day after fertilization is the best time, because the probability of survival of the cell is the highest. What is important: both during the collection of eggs and during the replanting, the nurses must check the patient's identity, specify the first and last name, date of birth, so that there is no error. The procedure is performed by a doctor under the control of an ultrasound on a regular gynecological chair. After that, you can lead a normal life without any restrictions and bed rest. It is believed that if the egg is able to settle down, then it will take root in any situation.
Step 6. Pregnancy test
A pregnancy test is done no earlier than two weeks after replanting. Whatever the result of the test, it should be reported to the clinic. If the test is negative, a visit to the doctor is scheduled to discuss the results and analyze the situation. If the test is positive, then the expectant mother will have an ultrasound in the seventh week of pregnancy.Counting of weeks is conducted as during normal pregnancy - from the first day of the last menstruation. If the ultrasound confirms the pregnancy and there are no complications, then the patient needs to find an obstetrician-gynecologist, who will continue to conduct it, and make an appointment with him.
The average cost of IVF procedures in England varies from 3 to 7 thousand pounds. The price is formed depending on the choice of clinic and doctor, as well as a list of necessary procedures.
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