Spermiogram, Date intercourse - timed intercourse, Intrauterine insemination, IVF - In vitro fertilization, ICSI - Intracytoplasmic sperm injection, PICSI - improved method ICSI fertilization, Assisted Hatching, Prolonged cultivation
IVF is the most commonly used method of assisted reproduction. Donation.
Personal and medical data, anamnesis, results of tests and other information.
Spermiogram - analysis of the ejaculate , which determine the quality of sperm and thus male fertility . This is a laboratory test ejaculate at which assesses two component properties - macroscopic and microscopic . Sampling takes place in the collection room by yourself after sexual abstinence 2-3 days.
Date intercourse - timed intercourse - if we know that a woman has a healthy and clear fallopian tubes and the man has normal sperm , approach to timer contact . After checks on ultrasound determines the optimal time of ovulation and plan the couple the best time for intercourse.
Intrauterine insemination - use for free tubal patency and the physiological values ??of sperm . Directly into the uterine cavity , less often in the cervix , introducing the best quality sperm ( after processing in the andrology laboratory) . The procedure is performed outpatient basis without anesthesia , using a thin plastic catheter.
IVF - In vitro fertilization - in vitro fertilization is used when a good quality of sperm in the case of missing or impassable ligation failure simpler methods , in cases of endometriosis , ovarian malfunction . To prepare the woman's body to prescribe stimulant medications facilitate the growth of multiple follicles ( tubes containing eggs ) in the ovaries. Collection of ova only takes a few minutes and if a woman has no trouble leaving after 2 hours in the company of home. On the same day partner gives women a sperm sample . With good quality sperm with eggs oplozují by adding and fertilization happens in a natural way in incubators.
ICSI - Intracytoplasmic sperm injection - with poor quality sperm as in the previous IVF prevent fertilization or in cases of immunological factor ( woman produces antibodies against sperm ) , the eggs oplozují ICSI . Selected individual sperm are injected into each egg individually into a special micromanipulator . Embryologist this micromanipulation technique inserted into the prepared sperm directly into a mature egg. This method significantly increases the success achieved pregnancy in couples with infertility causes to male as to fertilize each egg using only one healthy sperm.
PICSI - improved method ICSI fertilization vyjíčka used -selected mature sperm with a reduced incidence of chromosomal anomalies. The gain of mature sperm is used bowl with hyaluronan gel , the enzyme surrounding egg to which they bind only mature sperm bind to the oocyte complex . Embryologist to fertilize using only the sperm , which are attached to hyaluronan gel.
Assisted Hatching - use in cases where there is suspicion of a stronger container embryos that would be feasible in the uterine wall , or in the event of failure of fertilization in IVF cycles předchozívh or ICSI . In assisted hatching needle micromanipulation embryologist disrupt packaging embryos and thus significantly increases the chance of its implantation in the uterine wall and pregnancy.
Prolonged cultivation - if we want to achieve the best results , it is advisable to extended cultivation.
IVF is the most commonly used method of assisted reproduction, which solves the problem of blocked fallopian tubes, but it is done in other cases: the lack of ability of ovaries to produce eggs, endometriosis, immunological and male factor infertility.
First, the partners using hormonal stimulation of the ovaries causes the formation and maturation of eggs (in the follicles). At the appropriate time, which is determined by one or more hormonal and ultrasound examination of ovarian follicles aspirated contents, which then look for eggs in the laboratory. Follicular fluid is in short-term anesthesia using a vaginal ultrasound probe path.
Progress in embryology laboratory. The resulting eggs are placed into tubes with the culture medium and then adding the treated sperm fertilization partner or donor. With good sperm is called "classical IVF method," in which the eggs are cultured together with sperm in a special medium and checked whether there is a " spontaneous " fertilization " in vitro ". If the sperm count is insufficient, or is a so-called " immunological factor infertility ", it could fertilize the eggs as described above occur. In this case, you must use the micromanipulation technique called " intracytoplasmic sperm injection " (ICSI).
Embryo transfer normally takes place at our clinic after the second - 3rd consumption of eggs in stage 2-8 cells. Transmit a maximum of three embryos, but it is often recommended to transfer only two embryos, additional excess embryos can be frozen. Custom embryo transfer is performed with a thin cannula through the cervix of the uterus as painless outpatient performance.
Technique that is using a special device (micromanipulator) injectable single sperm directly into the cytoplasm of the egg. It is used in case of lack of partner's sperm parameters (low concentration and sperm motility), the collection of surgical sperm retrieval from the testis, the repeated failure of fertilization in previous cycles, immunological factors and certain other indications.
In a special media can reclaim some of the embryo to the highest stage of development, which can be achieved in the laboratory (the so-called blastocyst). Cultivation in this phase lasts approximately 5-6 days. Prolonged cultivation allows longer monitor the development of embryos and select the best quality embryos for transfer. This reduces the likelihood of introduction of embryos with reduced cell division. The embryos are transferred into the uterine lining better prepared and have a higher chance of fixing.
The principle of this method lies in the gentle opening the package embryo (zona pellucida) laser. The aim is to increase the success of attachment (implantation) embryo in the uterus. Indications for AH is the age of the patient over 35 years, repeated failure to achieve pregnancy after embryo transfer quality and also increased levels of FSH patient. AH can recommend a patient embryologist in the event of an optically thicker container embryo.
If we have a larger number of good quality embryos, they can be frozen for later use. If a woman does not become pregnant in stimulated IVF cycle, introducing in one of the next menstrual cycle after hormonal preparation easier thawed embryos into the uterus.
File surgical techniques, which can be obtained by direct sperm from testicular tissue donation or epididymis is possible to use if the sperm are not present.
Donation of reproductive cells is double-blind. The obtained cells can be used only for the treatment pairs, which for health reasons, there is no other chance for pregnancy. When selecting a donor or donors to the couple chooses to basic characteristics (blood type, eye color, hair color, height, weight, ethnicity, education, character and interests). Never under applicable laws know the identity of the donor.
Donation of reproductive cells is free, the donor will receive compensation efficiently, cost-effectively and demonstrably incurred expenses related to the donation. The amount of the refund is determined by internal regulations of the University Hospital of:
If the partner is pregnant, how many times she was pregnant and how the pregnancy was terminated
How long trying to get pregnant
Have already been a treatment for infertility ? If yes , what was the type of treatment
For a more detailed conversation with the doctor and also to plan your arrival, send us your extract and extract your partner from medical records of previous examinations. all documents must be written in capital letters.
If you register, take the results of these tests (if not, you can pass control to place at the first consultation):
The best time of check-ups - a week before menstruation, ultrasound control - then you can take drugs to stimulate , including stimulus program and timetable for further action.