IVF Cost in Kiev, Ukraine

I have had a very thorough reply about IVF treatment in the Ukraine. It appears that the Ukraine is opening its doors more and more to medical tourism and could certainly be worth consideration as their prices appear reasonable.

I have been sent some information on the Ukraine as well as a pdf file which contains all of the cost and success rate data at the clinics. Here is the pdf file:  IVF in Ukraine

The country information that was sent is:

Ukraine – country profile

Travel and tourism in Ukraine in recovery in 2010
Inbound tourism posted a decline in 2010 as a result of the negative influence from neighbouring countries which are Ukraine’s main source countries. However, both outbound and domestic tourism reflected positive growth in 2010. Outbound tourism benefitted from the growing popularity of international holidays, particularly packaged tours, amongst Ukrainian middle-class travellers. Domestic tourism was chosen by many people who could not travel internationally or were not used to international travel.
Visa facilitation becomes a reality
To make Ukraine more attractive to international visitors, the country’s officials have gone ahead with its visa cancellation policy. Starting in 2010, travellers from Brazil, Mexico, Israel and Bosnia-Herzegovina benefitted from visa cancellation agreements, together with Ukrainians, making it cheaper and easier for these tourists to visit Ukraine and Ukrainians to visit these countries than ever before. This process is expected to continue over the forecast period.
Tourism attractiveness management to become an independent business
Clear Vision campaign in Ukraine was created with the idea that tourist flow increases depend not only on infrastructure, security and customs convenience, but that every state must market its own attractions. Ukraine deployed the informational campaign in 2008 and 2009, aiming to further develop the country’s places of interest and their advertising. Along with this campaign, several cultural attractions were either improved or built in the country, such as Baturin Fortress, Olesco Castle and Kamyanets Cultural Park. These were mainly the result of private investors cooperating with the state with regard to rental conditions and exclusive state property usage rights.
Transportation is developing, but not as quickly as expected
Ukraine’s transportation system is not expected to be rapidly modernised, but some development has begun. The railroad operator has developed a new fast route between Odessa, Vinnitsya, Dnipropetrovsk and Kharkiv. Other land carriers are also trying to attract more travellers through marketing activities, including joint campaigns, developing new routes and expanding representatives’ offices. Air travel is in a consolidation process and an “open sky” agreement is pending. The Privat Group controls four major national air carriers, and it is coordinating its activities to prepare for competition with international air carriers. Internet sales are also expected to bring about innovation in transportation.
Preparations for Euro 2012 are evolving
Euro 2012 is expected to be the main driver of inbound tourism development in Ukraine over the forecast period. To prepare for Euro 2012, the country is significantly investing in infrastructure such as accommodation, stadia, public transport links, airports and administrative services, all of which are creating conditions for the development of the travel and tourism industry. The authorities are paying special attention to the modernisation of airports as these will be the points of arrival for most Western Europeans – who will potentially be the biggest spenders of all visitors. UEFA representatives are monitoring progress to avoid potential delays. However, hotel accommodation and an anticipated language barrier are still problems that need to be dealt with. Euro 2012 is expected to boost Ukraine’s travel and tourism industry not only during the event, but also afterwards through increased awareness of Ukraine as a leisure tourism destination.

Leveraging best medical practices backed by cutting-edge technology, specialised clinics, comprehensive services, internationally renowned private hospitals offering the utmost level of integrated healthcare to international patients. 

Although not a member of the EU, Ukraine has some of the very best private medical clinics in Europe. 
 The very low cost of treatment is an obvious attraction, but medical standards are very high and in many cases are far superior to many Western European countries.  
 Compared to the UK savings on medical treatment can be as high as 75 percent. Dentistry, Fertility Treatment, Cosmetic Surgery and Eye Treatment are among the major areas.
The capital city, Kyiv offers some outstanding medical tourist opportunities. Ukraine is a country that needs to be discovered.
During 2010-2011 Medicare Europe will be promoting Ukraine as a major medical tourism destination. Just three hours flying time from London, Ukraine, the largest country in Europe, offers some of the very best medical treatments.
The capital city, Kyiv is a ‘Green City’ and is rich in architecture and history. There are many international hotels together with economy class hotels
All our partner clinics in Ukraine have been inspected and approved by the Medicare Europe team.
The Medical staff in these clinics also speak English, together with some other languages when required.  

 

Please do not forget to check out the pdf with all the cost and clinic information: IVF in Ukraine

Some further price and success rate information has also been sent to me, here are the figures: IVF prices success rates

 


 

 

 

 

 

 

 

 

 

 

 

IVF Medications from Global Pharmacy

I know IVF medications are a big expense when it comes to doing IVF. I recently received a message from Global Pharmacy in India who can supply medications through the post, so I though I would share it with you. I will request some prices and update this post when I get them.

Here is what they said:

Global Pharmacy
globalpharmacy07@gmail.com
Sky pe :globalpharmacy7


Global pharmacy is an exporter of medicines in all categories, i.e. Allopathic, Ayurvedic, & also Veterinary.
WE HAVE SPECIALITY IN SUPPLYING HARMONES , IN COLD CHAIN THROUGH DHL TO MAJOR HOSPITALS AND ISTITUES OF REASERCH AND DEVELOPMANT …like HCG ,HMG ,FSH ….

With a Positive Vision, Focused Approach, Innovative Ideas and Team Work, we have made an active presence in the Indian Pharmaceutical Export business.

We Assure Our Clients Speedy and Quality Service.

Our products will usually be delivered within 21 Days with all permits and customs, etc. of the respective country. This time may come down to 10 days depending on custom clearance.

We also provide drop shipping for other online pharmacies.

As an exporter, we are bound with norms and regulations of Schedule I of US FDA Rules and NDPS Act, India. We are dealing in Generic Products only.

Contact Information:

Website: Presently Under Construction

Contact Person: Mr. Kiran Shinde
Email Id: globalpharmacy07@gmail.com

Address: Shop #2, Ameya Classic
Deshmukh wadi, Sarjepura
Ahmednagar. M.S. 414001
India.

Phone No: 91-241-2430880
91-09823913262

If you give me your id we will send you price list of our company.
We can also supply cold storage chain vaccines injections and immunoglobulin

Gender Selection / Family Balancing now available in North Cyprus IVF Centre

I get a lot of enquiries regarding gender selection / family balancing and now we have some information MicroSort® for sperm sorting into X (sperm that produces girls) and Y (sperm that produces boys) for Gender Selection/Family Balancing at the North Cyprus IVF Centre. Here is the information I have been given:

MicroSort® is now being offered at North Cyprus IVF Center

Our clinic, North Cyprus Fertility and Genetics Institute was established in 1998 by Dr. Savas Ozyigit who is a pioneer in both gynecology and assisted reproduction technologies. Dr. Ozyigit has received a number of awards including Best Gyneacologist of the Year, Best IVF practice and Lifelong Achievement in Medicine.

The clinic is ISO 9001 Certified and Dr. Ozyigit is a member of the ESHRE (European Society of Human Reproduction and Embryology).

As of September 1, 2011, our clinic has officially started offering MicroSort® for sperm sorting into X (sperm that produces girls) and Y (sperm that produces boys) for Gender Selection/Family Balancing.  

We are currently offering IUI with MicroSort®, IVF with Microsort® and IVF with MicroSort® and PGD.

The treatment fees range from 2250 EUR – 7000 EUR

Please contact us for further information on our prices and packages including hotel.

Contact Details:

Email

info@northcyprusivf.net

savas_ozyigit@yahoo.com

northcyprusivfcenter@gmail.com

Websites:

http://www.donasyon.net/

http://northcyprusivf.com/

http://www.fivaletranger.com/

Telephone:

+90 392 227 9342

+90 533 888 9955

+90 541 632 7372

+90 532 308 5578

IVF Cost at Servy Massey Fertility Institute, Georgia, USA

After a request to be included in this website I have been given some information on a low cost IVF centre, Servy Massey Fertility Institute, which has clinics in Augusta and Atlanta in Geargia USA.

The information on the IVF cost that I received is:

The clinic merges talents of two highly experienced physicians. Advanced personalized care is provided with exceptionally affordable prices. Dr Massey has 2 years recent experience in a low cost center recently. No age limit, phone consults available. First cycle $6600, second $5900. Drugs additional cost, judiciously applied. Mini in vitro available, but full service IVF IS main thrust.

Web: Www.ivfga.com

Tel: 404 805 7452

IVF Cost at Invitro Clinic for IVF and Reproductive Health in Tbilisi, Georgia

After contacting me about inclusion on this site, the Invitro Clinic for IVF and Reproductive Heath in Tbilisi, Georgia have kindly responded to the questions in my IVF cost letter. The responses and contact details for the clinic are:

1. What is the current success rate for your clinic? (preferably by age
as I know that the success rate will be much lower for somebody of my age)
Its about 25-30 y.o. 
2. How many cycles do you perform per year at the clinic?
About 500 cycles
3. What is the maximum age that you treat?
It depends. But mainly 40-41y.o.
4. Are there any fertility conditions that you will not treat?
No. there are not.
5. What is your embryo transfer policy? How many embryos will you
replace at one time?
It depends on age. Under 35 years –2 embryos; sometimes it may be 3 embryos at one time.
6. What is the basic cost of the IVF treatment?
3000-3500USD without medications
7. What additional costs would / could be incurred?
For investigations
8. What happens to the costs if the cycle has to be abandoned?
you ll have to pay the extra money for the new cycle or add some amount on those to be left
9. How long would I to be in ________ for?
From 14 to 17 days approximately.
10. Who deals with the logistics of flights and accommodation?
Marketing manager of our clinic.
11. How is the pre-treatment carried out?
You will be examined punctually carrying out all required analyses
12. How do I get medication?
With our recommendations
13. How will I be monitored?
At our place during several days
14. How will I know that I am not being under / over stimulated?
You ll be treated by our doctors and be informed about all details of your treatment.
15. If I have a problem whilst in the UK who would I go to?
In this particular case you should go to the local doctor taking into consideration all our 
recommendations, not exclude to contact with us. 
16. Is the clinic registered with any regulatory body?
Yes. Of course; and it observe by low. The success rate for our clinic is from 45% to 55%.

Contact information:

GEORGIA 1059, TBILISI
Lubliana str. 2/6, III floor

Tel: +995 32 2 15 77 77
Fax: +995 32 2 15 77 71
Web Page: www.invitro.ge

e-Mail: info@invitro.geptgtate@yahoo.com

 

NEW “HOMECHECK INSTANT OVULATION TEST”

I have had some information sent to me about a new homecheck instant ovulation test which I thought may be worth sharing. Here are the details I received:

NEW “HOMECHECK INSTANT OVULATION TEST” 

1. Contents: 
The following are the contents of the above mentioned KIT
· 7 Ovulation strips
· 1 Pregnancy kit
· 1 Urine collector
· 2 leaflets for directions to use. (Ovulation & Pregnancy)

2. Features:·
Over 99 % Accurate with Lab Test.
· Test Result can be read in 1 Minute.
· Highly Sensitive- Detects surge in LH Levels as low as 20 mlU/ml.
· First of its kind and Easiest Home Device in the Indian Market.
· Approved By Major Regulatory Authorities throughout the World- CE(Europe), 
TGA(Australia), and FDA (India).

3. Benefits:
· Very Reliable, Rapid Result and Provides greater privacy with Confidentiality.
· Highly convenient to Use.

MRP: 345/- Rs.

CHLAMYDIA
Chlamydia –An unrevealed Silent and Asymptomatic Disease……and is the most occurring STD ( Sexually Transmitted disease) in India.
· About 75% of infected women and about 50% of infected men have no symptoms of Chlamydia infection.

· It is estimated that 25% of all cases of infertility are due to Chlamydia infection.

· It is also a cause of second infertility.

· 3 to 5 fold increase in the risk of acquiring HIV.

· PID develops in between 10 and 40% of women with inadequately treated Chlamydia.

· Approximately 10% of all women who contract Chlamydia will Become Infertile as a Result of PID.

In such severe cases your concern would be early detection of Chlamydia.

FIRST TIME IN INDIA –Presenting
HOMECHECK CHLAMYDIA INSTANT TEST.
Chlamydia One step Rapid test – to reveal the Unrevealed Danger.
· One More Hidden cause of infertility.

· Do not have to visit Pathology labs and waiting for up to 2 days for a result.

· Results in just 10 Minute.

· 92% accurate when compared to PCR based lab tests.

· 40% less expensive than a lab test.

· Approved by FDA and CE.

· Easy to handle and Use.

MRP: 550/- Rs.

— 
Thanks & Regards,
Siddhartha Rai,
+918010422906
New Delhi

IVF Cost at Bio ART Fertility Centre, Parktown, South Africa

I have had a great reply to my letter requesting the IVF cost, IVF success rate and IVF procedure from Bio ART Fertility Centre, Parktown, South Africa.

Their website can be found at http://www.bioartfertility.co.za/ and all contact details are shown at the bottom of the reply.

Here is the reply I received:

Thank you for the e-mail.
Over the years we have built a very big International Client/patient base,
especially with patients from other African Countries and it is our pleasure
to assist you.
Basically, when dealing with International patients, we understand that
travel is costly and we often like to plan treatment so as to make their
stay an economical one.
There are two possible scenarios which we can look at:
1.. Firstly, if all investigations have been done on the couple, the
reason for infertility  well established and the patient is financially
prepared for treatment, then we can arrange it in such a way that the
patient consults with us once, treatment is planned and we start treatment
immediately. Treatment usually begins on the 21st day of the menstrual cycle
so the first consult will be just a few days before then. They will then
stay in South Africa for about one month to complete the treatment.
2.. Secondly, if the cause of infertility is still to be determined, we
will consult with the patients, do all necessary investigations and
procedures and if possible to start treatment we can do so. Alternatively
the patient can return home and come back when they are ready for treatment
to commence.
3.. We will be able to arrange documentation for visa applications as well
letters of leave for employment purposes.
4.. We can provide you with accommodation options at independent
establishments if this is required.
The cost of treatment will depend on the treatment prescribed.
The initial consultation at our centre is R 900.00. blood test is about R 2 000.00 and a spermiogram R600.00 )
Attached herewith please find a schedule of costs for some of the procedures
performed at our centre. For information or cost structures, please do not
hesitate to contact me again. (The IVF treatment costs between R 25 000.00 and R 35 000.00)
Looking forward to being of excellent service to you.
Should you have any further queries
or require additional information, please
do not hesitate to contact me.
Gerida Furstenburg
Senior IVF Co-ordinator
Ruwaida I. Moola
Advanced Midwife & Fertility Sister
Bio ART Fertility Centre
4 Parklane Drive
West Wing Upper Level, Room 43
Parktown
Tel 011-484 5119 / 011 – 484 5168
Fax: 0866953587
www.bioartfertilty.co.za
Included in the email was an attachment with the costs for IVF & ICSI which can be downloaded by clicking on the following link:

 

 

IVF Cost at NewLife Fertility Center in Muscat, Oman

I have had a great reply to my letter requesting the IVF cost, IVF success rate and IVF procedure from NewLife Fertility Center in Muscat, Oman.

Their website can be found at http://www.newivf.com, and their email address is newlife.ivf@gmail.com if you would like to contact them directly.

Here is the response to my questionnaire:

The NewLife Fertility Center in Muscat Oman is situated in Azaiba, and the only clinic in Oman performing PGD. We would appreciate to be added on your website.
The questions I have regarding treatment at your clinic are:

What is the current success rate for your clinic? (preferably by age as I know that the success rate will be much lower for somebody of my age) – Our average success rate is 3 – 36 %

How many cycles do you perform per year at the clinic? Appr. 350 per year

What is the maximum age that you treat? Female before menopause only!

Are there any fertility conditions that you will not treat? Any kind of donor

What is your embryo transfer policy? How many embryos will you replace at one time? We will return 1 or 2 depending on the age of the patient. Very seldom 3.

What is the basic cost of the IVF treatment?
OMR 1940 incl. consultation, US, blood tests, injections, Egg retrieval, IVF/ICSI, Embryo transfer and Pregnancy test.

What additional costs would / could be incurred?
Cost for Hormons only.

What happens to the costs if the cycle has to be abandoned?
We will refund the money after deducting the used amounts.

How long would I need to be in _Muscat_______ for?
If stimulation is done according our protocol by your gynecologist you need to come over for appr. 5 days.

Who deals with the logistics of flights and accommodation?
Can be arranged through us.

How is the pre-treatment carried out?
In co operation with your gynecologist your stimulation can done in your country.But it is preferable to come to Oman for appr. 15 days.

How do I get medication?
Trough our clinic.

How will I be monitored?
From our inhouse gynecologist or in close cooperation with your gynecologist.

How will I know that I am not being under / over stimulated?
We check and monitor very close.

If I have a problem whilst in the UK who would I go to?
To any Gyne department in any hospital

Is the clinic registered with any regulatory body?
It is registered under the MoH Oman.

IVF Cost at Nadezhda clinic, Sofia, Bulgaria – great information

I have had a great reply to my letter requesting the IVF cost, IVF success rate and IVF procedure from Nadezhda Clinic in Sophia, Bulgaria.

The very in depth details they sent me can be seen below.

Contact details and more information on Nadezhda clinic, Sofia, Bulgaria can be found at:
http://www.medspa.bg/en/view-treatment-and-rehabilitation/1/infertility-ivf.html
http://www.medspa.bg/en/view-hospital/3/nadejda-fertility-clinic.html

 

The response to my questions were:

  1. What is the current success rate for your clinic? (preferably by age as I know that the success rate will be much lower for somebody of my age)

Success rate of NADEZHDA clinic, 2010

Clinical pregnancy rate for controlled ovarian stimulation cycles at NADEZHDA clinic:

Age                 Success rate
below 30         55.32%
30 − 35           43.9%
36 − 39            32.84%
39 and above   18.4%

Clinical pregnancy rate for patients that had low response to stimulation (up to 4 eggs retrieved): 25.33%

Live births rate as per cent of treatment cycles (controlled ovarian stimulation cycles): 39%

2. How many cycles do you perform per year at the clinic?

About 1900 stimulations, 700 natural cycles and 2289 embryo transfers − fresh and frozen-thawed cycles. Data year 2010.

3. What is the maximum age that you treat?

51 years, both for non-donor and donor-egg IVF.

4. Are there any fertility conditions that you will not treat?

NADEZHDA has gained an excellent reputation both in Bulgaria and abroad. It is well known for dealing with complicated cases. The clinic has achieved good results in cases of poor ovarian response, unexplained infertility and recurrent ART failure.

5. What is your embryo transfer policy? How many embryos will you replace at one time?

The number of embryos to be transferred is recommended individually depending mainly on the quality of the embryos, patient’s age, treatment and obstetric history. Embryos with the best potential to implant in the uterus are chosen for the transfer.  Having been advised of the chances and potential risks, the patient will have the opportunity to give an informed opinion about the number of embryos that she would like to be transferred.

6. What is the basic cost of the IVF treatment?

EUR 2600 non-donor IVF treatment cost, including:

  1. NADEZHDA clinic services: medical/fertility history review, initial consultation, follow-up consultations, incl. prescribing proper doses of stimulation medications, ultrasound scans, blood tests, IVF treatment plan estabilishment, IVF program clarification and medical administration guidance, egg retrieval incl. anaesthesia and anesthesiologist, sperm collection and preparation for egg fertilization (preparation of donor sperm), fertilization with ICSI, extended cultivation over 48 hours / blastocyst culture, everyday information on the embryos development, assisted hatching, embryo transfer, final report on the cost of medications and procedures;
  2. MEDSPA services (treatment abroad facilitating agency): all coordination between you and the IVF clinic, in your country and in Bulgaria, assistance with IVF vacation travel arrangements, meeting you at the airport, transportation to your hotel, transportation to all appointments at the IVF clinic and back to the hotel, assistance with currency exchange in Bulgaria, cell phone with your doctor’s cell phone number and other important numbers pre-programmed, traveler’s information and advice on cultural differences, savings, SPA treatments, sightseeing, dining, movies, concerts, wine tasting, day trips to historical, cultural or natural landmarks and shopping, drive back to the airport.

EUR 4800 donor-egg IVF treatment cost, including:

  1. NADEZHDA clinic services: medical/fertility history review, initial consultation, follow-up consultations, egg donor matching, ultrasound scans, blood tests, IVF treatment plan estabilishment, IVF program clarification and medical administration guidance, synchronising your cycle with the egg donor’s cycle, stimulation medications for the egg donor and donor compenstaion, prescribing proper medications to improve your endometrial receptivity, donor egg retrieval incl. anaesthesia and anesthesiologist, sperm collection and preparation for egg fertilization (preparation of donor sperm), fertilization with ICSI, extended cultivation over 48 hours / blastocyst culture (if applicable), everyday information on the embryos development, assisted hatching, embryo transfer, final report on the cost of medications and procedures, including medications used for the stimulation of the egg donor, procedures for the donor and donor compensations;
  2. MEDSPA services (treatment abroad facilitating agency): all coordination between you and the IVF clinic, in your country and in Bulgaria, assistance with IVF vacation travel arrangements, meeting you at the airport, transportation to your hotel, transportation to all appointments at the IVF clinic and back to the hotel, assistance with currency exchange in Bulgaria, cell phone with your doctor’s cell phone number and other important numbers pre-programmed, traveler’s information and advice on cultural differences, savings, SPA treatments, sightseeing, dining, movies, concerts, wine tasting, day trips to historical, cultural or natural landmarks and shopping, drive back to the airport.

7. What additional costs would / could be incurred?

The non-donor IVF treatment cost does not include: stimulation medications, sperm donor matching and sperm donor compensation (if applicable), fertilization with IMSI (if needed), preimplantation genetic diagnosis − PGD/CGH (on request, recommended by а geneticist), acupuncture (on request), sperm freezing and 1 year storage (on request), freezing of surplus embryos and 1 year storage (on request), psychological counseling (on request), accommodation in a hotel or an appartment house, interpreting services (on request), translation of documents (if needed), individual IVF support SPA program (on request).

The donor-egg IVF treatment cost does not include: blocking injection (if applicable) and hormone replacement medications for you, blocking injection (if applicable) and hormone replacement medications for you, sperm donor matching and sperm donor compensation (if applicable), fertilization with IMSI (if needed), preimplantation genetic diagnosis – PGD/CGH (on request, recommended by а geneticist), acupuncture (on request), sperm freezing and 1 year storage (on request), freezing of surplus embryos and 1 year storage (on request), psychological counseling (on request), accommodation in a hotel or an appartment house, interpreting services (on request), translation of documents (if needed), individual IVF support SPA program (on request).

8. What happens to the costs if the cycle has to be abandoned?

You receive a final report of the cost of the cycle up to the moment it has been cancelled. Money paid by for services not rendered could be either returned or left for another cycle.

9. How long would I need to be in Bulgaria for?

You have to stay 14 days for non-donor IVF and 5 days for donor-egg IVF.

10. Who deals with the logistics of flights and accommodation?

Our partner MEDSPA BG, a medical tourism facilitator, takes care of flight arrangements and accommodation.

11. How is the pre-treatment carried out?

  1. Schedule with MEDSPA your initial consultation visit to the clinic and receive options for your travel plan, including accommodation.
  2. Arrive in Sofia. Your MEDSPA case manager will meet you at the airport, bring you to the hotel and accompany you to the clinic and at your initial consultation. You will receive a mobile phone with no limit for local calls to help you communicate freely with your doctor at NADEZHDA or MEDSPA case manager while in Bulgaria.
  3. Initial consultation with your doctor and first visit to the assisted reproduction unit at NADEZHDA. At this point you will meet NADEZHDA physician, who has already reviewed your medical & fertility history. The doctor may ask you questions about your couple history as well as about your lifestyle. He/she will check the results of any additional previous tests that you have brought. You are also free to ask any questions about the clinic and your chances to conceive a baby through an assisted reproduction there. The doctor will perform a transvaginal ultrasound scan of the lady to assess her uterus, ovaries and pelvis. You will receive a list of all tests that need to be done in your case in order to find the best solution for your infertility problem. Do all tests relevant to your specific medical case. If your health insurance covers the routine lab work needed in the preliminary stages before IVF, you can conduct these tests at home, and the specialists at NADEZHDA clinic will assess the results that you will send. If your insurance does not cover any or all of the tests, you can make the tests needed at the serology and immunology lab of NADEZHDA clinic ( In Bulgaria prices of all such tests are quite competitive compared to the rest of Europe.)
  4. If you proceed to a non-donor IVF treatment, based on the results and the final evaluation of your doctor at NADEZHDA clinic, you will receive a treatment plan and your IVF program will be explained to you. Then you sign an informed consent form.
  5. If you proceed to donor egg or donor embryo IVF treatment, you receive a treatment plan based on the results and the final evaluation of your doctor at NADEZHDA clinic. The purpose is to synchronize your cycle with the egg donor’s cycle and to prescribe you the most proper hormone replacement in order to prepare your uterus for the embryo implantation. You are encouraged to ask any questions about the steps of your protocol.  Sign an informed consent form.

12. How do I get medication?

In order to save time, your ovarian stimulation may start at home (the first 4-5 days). This could be coordinated between NADEZHDA clinic and your local Ob/Gyn.  Usually patients take the ovarian stimulation medications from NADEZHDA clinic. The nurse provides them with a detailed explanation on how to store the medications and administer them. Patients receive a small cooling bag for medications that need to be kept at fridge temperature. If your health insurance covers the prescribed stimulation medications, you can buy them when you return home. In that case you will also receive a cooling bag together with instructions on how to administer the medications and safely bring the remaining doses on your next visit to NADEZHDA clinic. Please, check if your health insurance covers the fertility medications prescribed by your doctor.

13. How will I be monitored?

Non-donor IVF treatment:
In case of a long stimulation protocol (Based on all tests and exams, the type of your ovaries and infertility factor, your doctor at NADEZHDA will decide if long or short stimulation protocol should be applied in your case), at around day 20 of your menstrual cycle, you pass an ultrasound scan at you local Ob/Gyn to confirm that there is no follicle left over from the previous cycle. Only if this is confirmed, you go ahead with a blocking injection that will temporarily suppress your ovaries. You will have received detailed instructions from NADEZHDA on how to give yourself the injection. You may also ask your local GP or practice nurse to administer this. If for some reason you are not sure about the ultrasound scan result, please, email it to MEDSPA at office@medspa.bg and you will timely receive a reply from NADEZHDA clinic.

In about 2 weeks you have an ultrasound scan at you local Ob/Gyn and your estradiol (E2) level is measured through a blood test to give a baseline about the first doses of follicle-stimulating hormones needed. Please, email the results to MEDSPA at office@medspa.bg to receive instructions from NADEZHDA.

In order to save time, your ovarian stimulation may start at home (the first 4-5 days). This could be coordinated between NADEZHDA clinic and your local Ob/Gyn.  Usually patients take the ovarian stimulation medications from NADEZHDA clinic. The nurse provides them with a detailed explanation on how to store the medications and administer them. Patients receive a small cooling bag for medications that need to be kept at fridge temperature. If your health insurance covers the prescribed stimulation medications, you can buy them when you return home. In that case you will also receive a cooling bag together with instructions on how to administer the medications and safely bring the remaining doses on your next visit to NADEZHDA clinic. (Please, have in mind that prices of fertility medications are more or less at the same level in all EU countries.)

Arrange your travel plan with MEDSPA, so as to visit your doctor at NADEZHDA clinic on the 5th day of your stimulation at the latest.  

Within about a week, starting from the 5th day of your stimulation, you will pass several ultrasound scans at NADEZHDA clinic to monitor the development of your follicles and blood tests to measure your estradiol and progesterone levels that will help adjust the doses of your stimulation medications.

If short stimulation protocol is applied, no blocking injection is used. Stimulation starts on the 2-3 day of the menstrual cycle after a baseline ultrasound scan and a blood test to measure FSH, E2, and progesterone levels. Following no more than 3 days of stimulation, an ultrasound scan will be performed and the levels of your Е2, LH and progesterone will be checked again to adjust the doses of your stimulation medications, if needed. From then on, every other day you will have ultrasound scan & blood test to monitor the development of your follicles and the levels of your hormones.

When your doctor decides that the number and size of your follicles, as well as the levels of your hormones are optimal, you will be given an HCG (human chorionic gonadotrophin) injection that will induce the maturation of your eggs.

Donor-egg IVF treatment:

Each recipient requires individual medications. Usually, for a recipient with regular periods, the treatment starts with a blocking injection to temporarily block the release of your normal hormones. The injection is administered at around day 20 of the beginning of your menstrual cycle. You will have received detailed instructions from NADEZHDA on how to give yourself the injection or you may ask your local GP or practice nurse to administer it. If you are a recipient with no menstrual period, you have to take first Duphaston and Estrofem to induce your period. Within about two weeks (if blocking injection has been applied) or on day 1 of your menstrual cycle (if no blocking was used), synthetic estrogen in the form of tablets, injections or patches (usually Estrofem) is administered for about 14 days followed by an ultrasound scan by your local Ob/Gyn to measure the thickness of your uterine lining. Send the result of your ultrasound scan to MEDSPA and you will receive a reply from your doctor at NADEZHDA if it is necessary to adjust your estrogen dosage to ensure that at the end of your mock cycle (up to 3 weeks) your uterine is prepared for the embryos to implant. You will be advised in time about the date planned for the donor’s egg retrieval. (In some cases the donor may hyperstimulate, or fail to stimulate, and the treatment may have to be cancelled.) On that day you have to start administering progesterone (usually vaginal Utrogestan) and folic acid.

14. How will I know that I am not being under / over stimulated?

This information is received from your blood tests and ultrasound scans at Nadezhda clinic.

15. If I have a problem whilst in the UK who would I go to?

Your local Ob/Gyn or GP. Unfortunately, Nadezhda clinic does not partner yet with a specific UK clinic.

16. Is the clinic registered with any regulatory body?

NADEZHDA clinic is certified as per the requirements of Ordinance 28 of the Bulgarian Ministry of Health for Assisted Reproduction Activities.

 

IVF Cost at Sunfert International Fertility Centre, Malaysia

After a reader of this blog reported her successful IVF from Sunfert International Fertility Centre in Kuala Lumpur, Malaysia, I thought I’d better drop them a line.

The website for Sunfert is www.sunfert.com and their contact details are:

Level 2 (East Wing),
Sunway Medical Centre,
No. 5, Jalan Lagoon Selatan,
Bandar Sunway,
46150 Petaling Jaya,
Selangor, Malaysia.
Telephone: +6 03 7491 6555
+6 03 7491 6556
Fax:             +6 03 7491 6557

The responses they gave to my IVF Cost Letter were:

1. What is the current success rate for your clinic? (preferably by age as I know that the success rate will be much lower for somebody of my age)

Sunfert’s current success rate is 55%.
Age less than 30 years: 60%
Age 30 – 33 years: 50%
Age 34 – 37 years: 69%
Age 38 – 40 years: 57%
Age more than 40 years: 38%

2. How many cycles do you perform per year at the clinic?
We think that we could perform 200 cycles this year.

3. What is the maximum age that you treat?
We don’t eliminate ages. The oldest that we have treated is 43years (own
eggs) and 57 years (donor eggs).

4. Are there any fertility conditions that you will not treat?
Surrogacy (however, discussions with the fertility doctor is advisable
first).
5. What is your embryo transfer policy? How many embryos will you replace at one time?
Less than 38 years, 3 embryos. More depends on condition, quality of
embryos, patient’s fertility treatment history.

6. What is the basic cost of the IVF treatment?
Package price is RM14,900 nett (terms and conditions apply).

7. What additional costs would / could be incurred?
First consultation with doctor, preliminary fertility investigations,
initial semen analysis and other investigations.

8. What happens to the costs if the cycle has to be abandoned?
A refund can be obtained (depending on which stage the cycle was abandoned).

9. How long would I need to be in Malaysia for?
If you have a fertility doctor at your own country that can monitor your
cycle initially, then you would have to be in Malaysia about 1 week (final
follicular scan, egg retrieval and embryo transfer).

10. Who deals with the logistics of flights and accommodation?
We can assist the foreign patients in booking of accommodation.

11. How is the pre-treatment carried out?
Please elaborate.

12. How do I get medication?
If you are a foreigner, we will give you a prescription or a letter for
you to bring along the drugs back home during your first visit with the
fertility doctor (preliminary investigation). But if you are a local, we
can dispense the drugs to you straight from our pharmacy.

13. How will I be monitored?
If you are a foreigner, we will work hand in hand with your local doctor.
If you are malaysia, monitoring will be done by our fertility doctor’s
clinic which is two doors away from the centre (literally).

14. How will I know that I am not being under / over stimulated?
The doctor will advise you during follicular scan sessions.

15. If I have a problem whilst in the UK who would I go to?
You can discuss this with our fertility doctor. He can suggest some contacts.

16. Is the clinic registered with any regulatory body?
We are registered with Malaysian Ministry of Health.

Thank you
May