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The main thing is not to miss the moment.
Today, in vitro fertilization has ceased to be something distant, frightening and unknown. Every year more and more couples who face the problem of infertility come to a reproductive specialist and, thanks to high medical technologies, can become parents, even if independent attempts to get pregnant have not been successful. Who exactly is this procedure shown to, where to go and when is it worth changing the usual gynecologist to a specialist in the treatment of infertility, so as not to waste precious time?
Vladimir Kazantsev, doctor-reproductologist, head of the department of assisted reproductive technologies of the compulsory medical insurance clinic :
– The main factor in the success of any IVF program is the woman’s age. That is why it is very important that a couple faced with the problem of infertility comes under the supervision of a reproductive physician as soon as possible. Self-planning of pregnancy is given 12 months if the woman’s age does not exceed 35 years, and 6 months if the woman is over 35 years old. Unfortunately, patients often come to us with a duration of infertility of 3, 5, or even 10 years, who are recommended to continue trying on their own, are treated for incomprehensible infections and in every possible way delay the referral to IVF, which invariably leads to a decrease in the chances of pregnancy.
To determine the tactics of treating any couple, it is necessary to find the cause of infertility and choose the method that most effectively eliminates this cause. In the examination, we always go from simple to complex: we check the patency of the fallopian tubes and the level of ovarian reserve (the number of eggs in the ovaries), evaluate the spermogram indicators. As a rule, problems are already found at this stage. If not, we continue to figure it out until we get to the truth. “Unexplained” infertility, when we cannot find the cause, is actually a little, about 3-5%. In most cases, the diagnosis is made in the next month of the examination.
Further, depending on the reason for the absence of pregnancy, a treatment method is selected. This can be a slight stimulation of the ovaries (when the spermogram is normal, the fallopian tubes are passable, but the egg does not mature on its own), insemination (when we inject specially prepared sperm into the uterine cavity) or IVF (with impassable fallopian tubes, changes in the spermogram, etc.). The IVF program itself consists of several stages.
1. Stimulation of the ovaries (we need to achieve the growth of several follicles, and not one, as in a normal menstrual cycle).
2. Puncture of follicles (under light intravenous anesthesia with a thin needle through the wall of the vagina, eggs are taken from the follicles).
3. Embryological stage (fertilization of oocytes and cultivation, ie, growing embryos in special media).
4. Transfer of 1 or 2 embryos into the uterine cavity.
5. Statement of the fact of pregnancy (delivery of a blood test for hCG).
A very important stage of any IVF program is the level of the embryological laboratory, the work of which determines 50% of the success of the treatment. Clinic , a branch of the Mother and Child group of companies, is a leader in infertility, reproductive technology and pregnancy management. Many years of accumulated experience, high standards of diagnostics and treatment, modern equipment and the attentive attitude of doctors are an integral quality of the clinic’s work. Many IVF programs are carried out under compulsory medical insurance policies, that is, free of charge for patients. You can make an appointment and get detailed information by calling: 8 (812) 676−30−60, 8−800−700−700−1.
Reception is conducted by reproductologists:
, Ph.D., Deputy. chief medical officer, leading reproductologist.
, Ph.D., Head. Department of Assisted Reproductive Technologies, doctor of the highest medical category.
, Ph.D., doctor of the highest medical category.
, doctor of the highest medical category.
,Head of the Department of Assisted Reproductive Technologies of the Compulsory Medical Insurance, reproductive physician.
More useful information about preparing for pregnancy and childbirth can be found on the page