Services

Basic IVF

• Included services

  • Ovarian stimulation
  • Medication for stimulation of ovulation:  gonadotropins (Puregon, Gonal, Menopour) 600 IU
  • Folliculometry
  • Hormonal monitoring of stimulation
  • Consultations of reproductive endocrinologist
  • One procedure of intravenous infusion of medication for OHSS (if required)
  • Transvaginal ovarian puncture
  • General anesthesia
  • 2-3 hours stay in day hospital with medical monitoring
  • Identification and evaluation of oocytes’ maturity
  • Preparation of sperm for fertilization using two samples of ejaculate
  • Cultivation of embryos until 5-6 day of development
  • Freezing of embryos
  • Embryo transfer

  Excluded services

  • Additional medicaments
  • Emergency care in case of complications 
  • Assisted hatching
  • Biopsy of embryo
  • Any type of PGD/PGS
  • ICSI/IMSI fertilization
  • Additional consultations of specialists
  • Storage of frozen embryos
  • Usage and thawing of donor gametes
  • Frozen embryo transfer 

ICSI/IMSI

• Intracytoplasmic Morphological Sperm Injection (IMSI) is similar to ICSI with the one exception: a doctor before microinjection using a multiple magnification of the microscope - about 6,000 times - carefully examines the sperm, chooses the most "healthy", without pathological changes. Only after that doctor takes a sperm for its introduction into the egg.

Sperm Donation

• Indications to insemination / in-vitro fertilization (IVF) using the donor sperm:

  For men

  • a malefactor of infertility,
  • sexual (ejaculation) dysfunctions,
  • unfavorable medico-genetic forecast.

  For women

  • absence of sex partner.

  All sperm donors undergo the medical and psychological examination according to the Order of the RF Ministry of Healthcare № 107n:

  • General practitioner’s examination and diagnosis;
  • Urologist’s examination and diagnosis;
  • Psychiatrist’s examination and diagnosis;
  • Geneticist’s consultation;
  • Blood test for HIV, syphilis, hepatitis B and C;
  • Determination of blood group and rhesus-factor;
  • Examination for sexually-transmitted infections (herpes, gonorrhea, ureaplasmosis, mycoplasmosis, cytomegalovirus, chlamydiosis);
  • Spermogram;
  • Karyotyping.

  Usage of cryopreserved donor sperm is possible only for the samples that have been tested repeatedly for HIV, syphilis and hepatitis B and C. The usage of donor sperm enables to exclude the risk of transmission of different infectious diseases and avoid the encounter between donor and recipient.

  The clinic provides the following information about the donor:

  • Nationality
  • Age
  • Height / weight
  • Education
  • Profession
  • Blood group and Rhesus factor
  • Color of hair/eyes
  • Form of face / nose / ears

  Sperm donation is absolutely anonymous! Donor sperm is the property of the clinic and the donors have no access to the information about recipients of their material.

IVF: minimal stimulation protocol

• Included services

  • Ovarian stimulation
  • Medication for stimulation of ovulation:  Clostilbegyt 50 mg – 1 box, gonadotropins (Puregon, Gonal, Menopour) 600 IU, Diphereline 0.1 – 2 ampules, Cetrotide – 1 ampule.
  • Folliculometry
  • Hormonal monitoring of stimulation
  • Consultations of reproductive endocrinologist
  • Transvaginal ovarian puncture
  • General anesthesia
  • 2-3 hours stay in day hospital with medical monitoring
  • Identification and evaluation of oocytes’ maturity
  • Preparation of sperm for fertilization using two samples of ejaculate
  • Cultivation of embryos until 5-6 day of development
  • Freezing of embryos

  Excluded services

  • Additional medicaments
  • Emergency care in case of complications 
  • Assisted hatching
  • Biopsy of embryo
  • Any type of PGD/PGS
  • ICSI/IMSI fertilization
  • Additional consultations of specialists
  • Embryo transfer
  • Storage of frozen embryos
  • Usage and thawing of donor gametes 

Intrauterine Insemination

TESE/TESA

• TESA can be used as a diagnostic procedure to detect causes of male infertility, or as a procedure to recover sperm from the testicles from men with obstructions or ejaculatory problems that cannot be treated by any other methods.

  In the TESA procedure, a very fine needle is passed into the testicles under anaesthetic, and a tiny amount of tubules is removed from the seminiferous tubules (network of tiny tubes inside the testicles, where sperm are produced). These tubules are then processed in the laboratory and checked for the presence of sperm, which can be used to fertilize eggs.

  Sperm retrieved from the seminiferous tubules in a TESA procedure are less mature and less motile than sperm found in ejaculated seminal fluid. As such, ICSI or IMSI are required to achieve fertilization with TESA sperm.

Donation

• We work only with clinics conducting IUI or IVF. It allows us to concentrate on understanding what the clinics need for their quality work, representatives of the clinics, especially the embryologists in their desire to get a positive outcome of the procedures. In one year, our partners, IVF clinics, conduct about 2,000 IUI or IVF procedures with our donor material.

  Our constant striving for quality and continuous improvement of work helps our partners - IVF clinics to have significant results when working with donor material.

  Frozen reproductive biomaterial is used during in-vitro fertilization in the treatment of infertility. Material is stored in a specially equipped room - cryo-storage.

  The bank stores

  • eggs (oocytes);
  • seminal fluid;
  • embryos.

  Who needs cryopreserved cells

  You can use frozen cells not only in donor programs. Any woman or man can give his healthy gametes for preservation and storage when deciding to postpone parenthood until a later date or before treating a serious illness. Customers can be sure that their eggs or sperm will maintain fertility and high quality.

  The AltraVita cryobank has one of the largest Russian cryobanks, which has a license that meets the requirements of legislation and international standards.

  Methods of cryopreservation

  There are two methods of cryopreservation:

  1. Slow dehydration - elimination of fluid from the cell with replacement with a cryoprotective substance.
  2. Vitrification - ultra-fast freezing with the exception of the crystallization stage. This is the most reliable way in which cells can be stored for years (up to 10 or more) and not lose their characteristics after defrosting.

  The main aim of reproductive cryopreservation is to increase the chances of pregnancy if it is not possible to become pregnant in a natural way.

  What cryobank consists of

  • Donor Bank - provides medical services to infertile couples. Also separately for women and men with infertility. Women without a partner.
  • Personal Bank - provides storage of ejaculate and oocytes of people who decide to postpone the birth of children. Storage of customers biomaterial with a high risk of premature loss or decreased fertility.
  • Well-equipped laboratory - provides verification of material intended for storage. Carries out the procedures for freezing and defrosting of gametes or embryos.

  AltraVita cryobank provides transportation services for reproductive material samples to other reproduction centers.

  Storage conditions

  Cryostorage is a separate room with high-tech equipment that controls environmental parameters. Climatic equipment maintains constant physical conditions. Signal sensors control humidity, temperature, air pressure.

  For storage of biopsy, special tubes, containers, test tubes are provided. Separate storage allows to defrost only one container to use a certain amount of material. All containers are labeled and placed in liquid nitrogen to maintain at constant temperature.

  Medical staff is not permanently staying in the cryostorage. They go in there only in special suits. The signal system of sensors is displayed in the office of permanent stay of the medical staff.

Prenatal care

• • Monitoring  of singleton pregnancy I trimester
  • Monitoring  of singleton pregnancy II trimester
  • Monitoring  of singleton pregnancy III trimester
  • Monitoring  of singleton pregnancy after IVF I trimester I
  • Monitoring  of singleton pregnancy after IVF II trimester
  • Monitoring  of singleton pregnancy after IVF III trimester
  • Monitoring  of multiple pregnancy, incl. pregnancy after IVF I trimester
  • Monitoring  of multiple pregnancy, incl. pregnancy after IVF II trimester
  • Monitoring  of multiple pregnancy, incl. pregnancy after IVF III trimester
  • Amniotic fluid leak test «Frautest Amnio Al-Sense»
  • Initial consultation of an obstetrician-gynecologist up to 12 weeks
  • Initial consultation of an obstetrician-gynecologist on pregnancy monitoring from 13 weeks after IVF Initial consultation of an obstetrician-gynecologist on pregnancy monitoring
  • Non-invasive prenatal “Panorama” basic test (Natera)
  • Amniotic fluid leak test «Amnisure» (USA)
  • Non-invasive prenatal “Panorama” expanded test (Natera)

Genetics

• The following genetic tests are available in our clinic:

  • HorizonTM – a non-invasive testing technique with the capability to detect 274 chromosomal disorders. It can be done either when you are planning for pregnancy, or on its early stages.
  • Panorama - a non-invasive testing technique with the capability to detect the fetus’s chromosomal disorders and microdeletions. It is performed in the 9th week of pregnancy.
  • Vistara – allows accurate diagnosis of all abnormalities caused by monogenic mutations in 30 genes, that are impossible to detect by any other examinations.
  • Anora – a diagnostic technique that allows to thoroughly examine the fetal tissue after a miscarriage in order to correctly determine its cause. It detects missing or duplicated chromosomes, deleted fragments of chromosomes and disomies, as well as estimates the risk of a molar pregnancy.

Russian birth certificate