Intraterine Insemination - IUI
Retrieval of Eggs in a Native Cycle - NATIVE
Lightly Stimulated Egg Retrieval - LIMOS
Please book your initial consultation through our reception – Tel: 234 770 260-1 or at our free line 800 203 233. You might get through more easily in the afternoon hours.
It is not necessary to have any references or recommendation from your physician. Bring any laboratory results in case you have them. These might concern, for example, your hormonal profile, vagina cultivation, chlamydia checkup, mycoplasma, ureaplasma, LPSK, HSK, fallopian tubes passability, spermiogram. We will then perform all the remaining, missing checkups. The only thing we need is a cytological checkup from your gynecologist which cannot be older than one year.
Both partners do not have to be necessarily present, but it is better for both partners to hear all the information; at the same time, some examinations can be done during your first visit.
You don’t have to make an appointment for blood taking, and they don’t have to be done on an empty stomach. These are done at nurses’ room from Monday until Friday, from 8 a.m. until 6 p.m.
In case of women, we do blood tests for hormonal profile (between the 2nd and the 5th day of the menstrual cycle), sexually transmitted diseases (HIV, syphilis, jaundice), blood group and rhesus factor.
In case of men, we do blood tests for sexually transmitted diseases (HIV, syphilis, jaundice).
Blood tests for HCG is done 14-15 days after IUI, ET or KET, Mo-Fri, 8-9.30 a.m. If a woman comes by 9.30 a.m. she can usually know the result the same day after 3 p.m. If she comes later, the result will be available the next day after 3 p.m. (on Saturday after 12 a.m.).
You don’t have to make an appointment for spermiogram examination. Three to five days of sexual abstinence is necessary before this examination. The sample can be brought from home, as well (within 60 minutes from retrieval, at body temperature). If you live far and 60 minutes is too long a time, there is a special place at our Clinic for men, of course.
The examination is performed by our laboratory Mo – Fri, 8 a.m. – 4 p.m. The result is available in c. 2 hours.
Intrauterine Insemination – IUI
Insemination can be performed in women even without any hormonal stimulation; it is preceded by an ultrasound check by a physician on the 9th to 11th day of the menstrual cycle (measurements of the size of a follicle/follicles). After this ultrasound check the physician will plan the day for IUI. According to the physician, another ultrasound check might be necessary or a hormonal stimulation during the next menstrual cycle.
It is necessary to make an appointment for the day of IUI at the reception. This is possible between 12 a.m. and 1 p.m. For IUI, it is necessary to bring your filled-out agreement with insemination, signed by both partners.
The partner will bring his sample of sperm on the day of IUI, between 10,00-10.30 (sometimes 11.00-11.30). The sample can be brought from home, as well (within 60 minutes from retrieval, at body temperature). If you live far and 60 minutes is too long a time, there is a special place at our Clinic for men, of course. Three to five days of sexual abstinence is necessary for IUI. In case of a donor insemination, there is no need for the partner to be present but an agreement with insemination has to be signed.
Usually, two days before the planned insemination, the woman will administer herself a shot of hCG (Ovitrell or Pregnyl) at 9 p.m. (unless stated otherwise by her physician).
In case her test is negative, she discontinues her medication and a menstrual bleeding will occur. She can then make an appointment for consultation about the next procedure any time during her menstrual cycle, or in case of another insemination again on the 9th to 11th day of her menstrual cycle.
The woman will use hormonal drugs (most often shots) as prescribed by her physician. With each woman, the procedure is individual.
Usually, two days before the planned retrieval of eggs, at 9 p.m. (unless stated otherwise by her physician) she will administer herself a shot of hCG (Ovitrell or Pregnyl). Within 34 – 36 hours a retrieval of follicular fluid is performed, together with it the eggs for extra-corporeal impregnation are retrieved. This procedure is done under a short anaesthetization (c. 10 – 20 minutes), and that’s why it is necessary to have a pre-operative examination from your general practitioner, including your ECG (electrocardiogram). This examination is valid for three months, and thus we recommend starting with it as soon as possible (even before the beginning of stimulation). Furthermore, we will need your agreement with the procedure (so called written undertaking – that is filled out and signed by both partners) and an agreement with anaesthetization (filled out by the woman only).
This procedure is covered by the insurance (three times in life until the age of 39 or 40), nevertheless, there are certain laboratory tests that are not covered by the insurance. A deposit of CZK 12.000 is put down at our reception for these procedures. This amount should be paid during stimulation and at the latest by the date of the retrieval of eggs. This is just a deposit. The final statement is produced after the pregnancy test, according to the tests performed by the laboratory. The tests that will be done by the laboratory will be recommended by the physician in the course of stimulation or by the embryologist after the retrieval of eggs.
On the day of the procedure, the woman will arrive at 7 a.m. wearing no make-up or any jewellery or any valuables, her fingernails without any varnish. It is necessary for her NOT TO EAT, DRINK, SMOKE OR USE ANY DRUGS since midnight. She should bring her nightdress, slippers and things for her personal hygiene. She can proceed straight to the 2nd floor where she can ring the bell of the Inpatient Ward. The clients from the branches of co-operating physicians must first go to the 1st floor to the reception to fill out all the missing agreements, put down the deposit of CZK 12.000 and to pick up their card. Otherwise, they cannot be admitted to the Inpatient Ward.
The partner will leave the sample of his sperm at the Nurses’ Room of IVF at the 1st floor. The sample can be brought from home, as well (within 60 minutes from retrieval, at body temperature). If you live far and 60 minutes is too long a time, there is a special place at our Clinic for men, of course. Three to five days of sexual abstinence is necessary.
After the retrieval of eggs, the woman will stay in bed for about two hours. During this time, the embryologist will come to inform her about the number of her eggs, the quality of the spermiogram and about the possibility of any above-standard procedures that might be recommended.
The woman is entitled to a sick leave that can start on the day of the retrieval of eggs or after the embryo transfer. The sick leave is just recommended, but it is not required.
Upon her release from the Inpatient Ward, she will need an accompaniment, and she will have to be taken home by car. It is not possible for her to go by public transport or to drive a car.
After this procedure, she will start using the drugs prescribed by her physician. Most often, it is Utrogestan (1-1-2, at first it is administered orally, after the embryo transfer it is introduced into the vagina) or Duphaston (administered orally, 1-0-1) or a vaginal gel Crinone (introduced once a day). The type of medicine and its use is determined by the physician. The medication is used until the testing for pregnancy. In case of pregnancy, the medication continues to be used as long as about the 12th week of pregnancy, unless stated otherwise by the physician.
The patients using Estrofem or Prednison continue using these drugs according to the recommendations of their physician. All other drugs have to be consulted with their physician.
Retrieval of Eggs in a Native Cycle
This is retrieval of eggs from a woman without any hormonal stimulation in a natural (i.e. native) cycle. This procedure is done most often without an anesthesia (after a consultation with a physician it can be done under anesthesia, as well). NATIV is not covered by the insurance and its price is stated in our current price-list, which is available at our reception, on the 1st floor.
This procedure is preceded by an ultrasound check by a physician on the 9th to 11th day of the menstrual cycle (measurements of the size of a follicle). After this ultrasound check the physician will plan the day for the egg retrieval. According to the physician, another ultrasound check might be necessary or the procedure might be postponed until the next menstrual cycle.
Usually, two days before the planned retrieval of eggs, at 9 p.m. (unless stated otherwise by her physician) she will administer herself a shot of hCG (Ovitrell or Pregnyl). Within 34 – 36 hours a retrieval of follicular fluid is performed, together with it the egg for extra-corporeal impregnation is retrieved.
Before this procedure, an ultrasound check is needed for which the woman should have an appointment with her physician on the day of this procedure at about 7.30 – 7.45 a.m. During this ultrasound check, the physician will decide if the retrieval of follicle is suitable. If it is, the woman will proceed to the 2nd floor.
We will need your agreement with the procedure (so called written undertaking – that is filled out and signed by both partners), furthermore, she will need her nightdress, slippers and things for her personal hygiene. After the procedure, she will stay lying for about 30 minutes at the Inpatient Ward, and then she can leave.
While at the operating room, she will learn whether there was an egg in the follicle. If there was, she will inform her partner who will hand the sample of his sperm over at the Nurses’ Room on the 1st floor. Two to three days of sexual abstinence is necessary. Both partners will have blood tests done for sexually transmitted diseases (HIV, syphilis, jaundice). At the same time, we will request you to stop by at the reception on the 1st floor regarding the payment.
The woman is entitled to a sick leave that can start on the day of the retrieval of eggs or after the embryo transfer. The sick leave is just recommended, but it is not required.
Before this procedure, an ultrasound check is needed for which the woman should have an appointment with her physician on the day of this procedure at about 7.30 – 7.45 a.m. During this ultrasound check, the physician will decide if the retrieval of follicle is suitable. If it is, the woman will proceed to the 2nd floor.
After the procedure, she will stay lying for about 2 hours at the Inpatient Ward. During this time, the embryologist will come to inform her whether there was an egg in the follicle. If there was, she will inform her partner who will hand the sample of his sperm over at the Nurses’ Room on the 1st floor. Two to three days of sexual abstinence is necessary. Both partners will have blood tests done for sexually transmitted diseases (HIV, syphilis, jaundice).
Upon her release from the Inpatient Ward, she will need an accompaniment, and she will have to be taken home by car. It is not possible for her to go by public transport or to drive a car.
Lightly Stimulated Egg Retrieval – LIMOS
The ovaries are stimulated by low doses of hormones to create a smaller number of follicles with eggs. Such stimulation is not covered by insurance at all, and thus, the woman has to cover all the costs (stimulation drugs, egg retrievals, impregnation and the following embryo transfer, eventually any above-standard laboratory procedures). He prices are stated in our current price-list, which is available at our reception, on the 1st floor.
The woman will use hormonal drugs (most often shots) as prescribed by her physician. With each woman, the procedure is individual.
Usually, two days before the planned retrieval of an egg, at 9 p.m. (unless stated otherwise by her physician) she will administer herself a shot of hCG (Ovitrell or Pregnyl). Within 34 – 36 hours a retrieval of follicular fluid is performed, together with it the egg for extra-corporeal impregnation is retrieved.
This procedure is done under a general anesthesia, or without any anesthesia , according to the consultation with the physician.
If this procedure is done under a short anesthesia (c. 10 – 20 minutes) it is necessary to have a pre-operative examination from your general practitioner, including your ECG (electrocardiogram). This examination is valid for three months, and thus we recommend starting with it as soon as possible (even before the beginning of stimulation). Furthermore, we will need your agreement with the procedure (so called written undertaking – that is filled out and signed by both partners) and an agreement with anaesthetization (filled out by the woman only). She must NOT EAT, DRINK, SMOKE OR USE ANY DRUGS since midnight. She should bring her nightdress, slippers, and things for her personal hygiene, pre-operative examination, signed agreement with the procedure and agreement with the anesthesia.
Her partner will hand the sample of his sperm over at the Nurses’ Room of IVF on the 1st floor of the day of the procedure after 7 a.m. The sample can be brought from home, as well (within 60 minutes from retrieval, at body temperature). If you live far and 60 minutes is too long a time, there is a special place at our Clinic for men, of course. Two to three days of sexual abstinence is necessary.
After the retrieval of eggs, the woman will stay in bed for about two hours. During this time, the embryologist will come to inform her about the number of her eggs, the quality of the spermiogram and about the possibility of any above-standard procedures that might be recommended.
The woman is entitled to a sick leave that can start on the day of the retrieval of eggs or after the embryo transfer. The sick leave is just recommended, but it is not required.
Upon her release from the Inpatient Ward she will need an accompaniment and she will have to be taken home by car. It is not possible for her to go by public transport or to drive a car.
After this procedure, she will start using the drugs prescribed by her physician. Most often, it is Utrogestan (1-1-2, at first it is administered orally, after the embryo transfer it is introduced into the vagina) or Duphaston (administered orally, 1-1-1) or a vaginal gel Crinone (introduced once a day). The type of medicine and its use is determined by the physician. The medication is used until the testing for pregnancy. In case of pregnancy, the medication continues to be used as long as about the 12th week of pregnancy, unless stated otherwise by the physician.
The patients using Estrofem or Prednison continue using these drugs according to the recommendations of their physician. All other drugs have to be consulted with their physician.
The day after the retrieval of her eggs the woman can call the reception where she can learn the number of fertilized eggs (embryos). After that, she must call every day in the morning to learn about the possible embryo transfer.
The woman will arrive for embryo transfer on the day designated by the laboratory, 2 – 5 days after the retrieval of her eggs, most often at 12 a.m. (sometimes it can be shifted to early morning hours). She will then proceed to the 2nd floor, to the Inpatient Ward. She will need her nightdress and slippers. Before the procedure, her urinary bladder must be partially full, thus we recommend not to pass urine within about 2 hours before the procedure. The transfers begin around 1 p.m. and after that she will rest in bed for 30–60 minutes. Then, she can leave by herself, without any accompaniment, but we recommend for her to be taken home by car.
The woman is entitled to a sick leave that will be made out for her by a nurse at the Inpatient Ward.
After this procedure, she will continue using the drugs prescribed by her physician. Most often, it is Utrogestan (1-1-2, at first it is administered orally, after the embryo transfer it is introduced into the vagina) or Duphaston (administered orally, 1-1-1) or a vaginal gel Crinone (introduced once a day). The type of medicine and its use is determined by the physician. The medication is used until the testing for pregnancy. In case of pregnancy, the medication continues to be used as long as about the 12th week of pregnancy, unless stated otherwise by the physician.