Folliculometry – menstrual cycle monitoring
Monitoring the growth of the dominant follicle in a spontaneous or stimulated UZV cycle and induction of ovulation with timing of sexual intercourse
IUI – intrauterine insemination (partner / donor)
In the spontaneous cycle, we monitor the growth of the dominant follicle and give the injection of sperm into the cervix by means of a special catheter.
In the stimulated cycle, we deliver from 2 to 5 days of the cycle preparations (pills, injections) that promote ovarian activity. From 10-12 days of the cycle we monitor the number and growth of follicles. By administering an injection to trigger ovulation, we stop sperm delivery to the cervix.
IVF (In vitro fertilization) – artificial fertilization
When stimulating, we try to get more eggs, so we give injections of follicle-stimulating hormones from 2-3 days of the cycle at higher doses. By ultrasound, we monitor the ovarian reaction. According to the finding, the dose is updated if necessary.
Administration of the injections takes an average of 10-12 days. At the optimum time, the ovulation is timed by the injection to trigger ovulation. The eggs are taken from the ovaries in a short anesthetic administered to the vein under ultrasound control through the needle puncture needle.
After sampling, the patient is followed for about 2 hours and leaves home with an adult.
Before leaving, a couple with embryologists consults the number and quality of the eggs obtained and the result of the spermiogram and the use of special laboratory procedures.
The following day embryologists inform the patient about the number and quality of the embryos and about the expected transfer time. Most often, the embryos are transferred 2-3 or 5 days after collection.
Embryos are inserted into the cervix without anesthesia. The procedure is painless.
The procedure requires a full bladder.
In recent years, there has been a rise in the number of women whose intensive stimulation for medical or other reasons is inappropriate. For this group of women, soft protocols (cycles) or native cycles are appropriate.
In this cycle, lower doses of stimulatory drugs are used. The goal is to get a maximum of 5 eggs. Ovulation timing, egg sampling, fertilization, and transmission are the same as for the IVF classical cycle.
Without stimulation, growth of the dominant follicle is monitored. During the timed ovulation period, the follicular content is removed. However, the egg is not always present in the follicular fluid. If an egg gets fertilization and transmission is again like a classic IVF cycle.
IVM- In vitro maturation
Women with a risk of ovarian hyperstimulation syndrome, with uneven follicular growth in classical stimulation, or who have not been able to obtain mature oocytes by classical stimulation, may be able to remove irrelevant oocytes that mature under laboratory conditions for 36-48 hours and then fertilized.
Cryopreservation of germ cells (social freezing) – freezing of eggs or sperm
In severely ill patients whose treatment can seriously impair fertility or if the patient has no current permanent partner or works in a hazardous environment.
The donor program (egg, sperm, embryo)
The gift program is anonymous. Donors and donors undergo clinical examination, serological and genetic examination.
A suitable donor / donor is selected according to the blood group and RH factor, the hair color, the eye, the height.