Assisted Reproduction

Pregnancy after 40 is a fairly rare occurrence even if you try to conceive naturally. IVF can be a possible solution to this problem for women over 40.

The ability to get pregnant, gestate and give birth to a child is determined by the age of woman planning to become a mother.

For a woman after 40 years a possibility of the natural conception and normal pregnancy decreases year after year. 

Modern ART and IVF come to help patients over 40. Such methods are actively used in AltraVita center. Such methods are actively used in AltraVita center. To determine the possibility of getting pregnant with her own eggs for a woman over 40, ovarian reserve assessment is required.

For this reason the following options are used:

• Determination of AMH (anti mullerian hormone) - allows you to predict the chances of conception, although it does not affect fertility itself and decreases with age;;
• FSH (follicle-stimulating hormone) - the ovarian reserve means sufficient if there is a value of 10 mIU / ml and below;;
• Antral follicles count — the follicles are counted during ultrasound examination.

At this age IVF is often performed in natural cycle, because a large number of eggs cannot be obtained during a stimulation.

• Blood type and Rh factor
• Complete blood count — valid for 1 month
• Biochemical blood analysis (Protein total, ALT, AST, Bilirubin total, Urea, Creatinine, Glucose) — valid for 1 year
• Clinical urine analysis — valid for 1 month
• Coagulogram (prothrombin, thrombin time, aPTT, fibrinogen concentration) — valid for 1 month
• Smear for flora from urethra, cervix, vagina — valid for 1 month
• Blood test for detection of HIV, Syphilis, Hepatitis B and C  (must be done only at AltraVita clinic) — valid for 3 months
• Hormonal screening (AMH, LH, FSH, Prolactin on day 2-3 of menstrual cycle, T4 free, TSH) — valid for 6 months
• Smear for cytology from endo and exocervix — valid for 1 year
• Mammary ultrasound (under 35 y.o) — valid for 1 year
• Mammography (35 y.o. and over) — valid for 1 year
• Pelvic ultrasound — valid for 1 year
• Thyroid ultrasound — valid for 1 year
• Chest X-Ray — valid for 1 year
• Physician conclusion — valid for 1 year
• ECG — valid for 1 year

Medically indicated tests (upon doctor’s request)

• СА125 before second IVF program
• Hysteroscopy, endometrial pipelle biopsy are performed for more detailed examination of endometrial tissue
• Karyotype blood test is done once in life

• Blood type and Rh factor
• Blood test for detection of HIV, Syphilis, Hepatitis B and C  (must be done only at AltraVita clinic) — valid for 6 months
• Semen analysis (must be done only at AltraVita clinic) — valid for 3 months

Medically indicated tests (upon doctor’s request)

• Karyotype blood test is done once in life
• Depending on the results of medical tests, patients may be asked to visit the following specialists
• geneticist
• breast oncologist
• endocrinologist
• psychiatrist
• infectious disease specialist