Services

Surrogacy

• Surrogacy is one of the types of ART (Assisted Reproductive Technologies) in which the process of childbirth is assisted with such parts:

  • the egg and sperm of the biological parents
  • a donated egg fertilized with sperm from the biological father
  • an embryo made with donor egg and sperm

  The child is genetically unrelated to the surrogate mother. The legal conditions and social attitude towards surrogacy in Russia are extremely positive; moreover, the program is able to help couples from the countries where surrogacy is prohibited or it is extremely expensive to become parents. The child is genetically unrelated to the surrogate mother.

  To enter the surrogacy program patients will need following documents:

  • Legalized copies the Russian translations of passports and a marriage certificate.
  • Program eligibility
  • Surrogacy program is offered to officially married couples or single women who have medical contraindications to pregnancy or delivery, or have a record of multiple IVF failure.

  Our surrogate mothers

  Surrogate mothers undergo a thorough medical and psychological screening in accordance with the requirements of the Russian Ministry of Health. This includes: general medical examination, ultrasound scan, infectious disease screening for a variety of infections, drug test, approval by general practitioner, gynecologist, and psychiatrist.

  Surrogate mothers acceptance criteria:

  • age between 20-35 years old 
  • BMI 20-25
  • must have given birth to one or two healthy children
  • uncomplicated pregnancies and deliveries
  • good and somatic health, benevolence, willingness to cooperate
  • non-smoker
  • stable, responsible lifestyle
  • written agreement to undergo the program in compliance with all its conditions

  Program details

  AltraVita IVF clinic can rightly be called "The Surrogate Motherhood Center" since we provide a full range of services: matching the intended parents with the surrogate, her extensive screening, IVF treatment, antenatal care, arranging of childbirth in Moscow maternity hospitals.

  The clinic acts as a Guarantee of the mutual obligations of the intended parents and the surrogate mother. We provide a full social and medical monitoring of surrogate mothers throughout the program. The intended parents will be getting monthly medical reports from the treating physician during the surrogate’s pregnancy. No decision about pregnancy will be made without intended parents’ involvement.

  The intended parents will have to come to Moscow at least 14 days before delivery. After delivery, our lawyer assists with issuing the birth certificate. Our clinic has been practicing surrogacy for the past 16 years and has a good statistics of successful surrogacy for Russian and overseas patients. Altravita IVF clinic will be happy to help you to become parents through this unique method of assisted reproductive technologies.

IVF after 40 years

• IVF after 40 years

  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.

  How to get pregnant over 40?

  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.

IVF with vitrified oocytes

• Included services

  • Scheme of patient’s endometrium preparation for embryo transfer
  • Consultations of reproductive endocrinologist
  • Ultrasonic monitor of endometrium for embryo transfer
  • 6 frozen donor eggs
  • Thawing of oocytes
  • Identification and evaluation of oocytes’ maturity
  • Preparation of sperm for fertilization using two samples of ejaculate
  • ICSI/IMSI
  • Cultivation of embryos until 5-6 day of development
  • Freezing of embryos
  • Fresh embryo transfer to the patient

  Excluded services

  • Additional medication
  • Additional donor eggs, starting from 7^th
  • IMSI – if indicated
  • Assisted hatching
  • Embryo biopsy
  • Any type of PGD/PGS
  • Frozen embryo transfer 

Sperm cryopreservation

Assessment of the spindle of egg division

• Thanks to the development of optical and computational technologies, it has become possible to observe the spindle of division in real time in a live egg.

  A device called Poloscope allows you to use optical distortion of light waves passing through an egg placed under a microscope, send this data to a PC that analyzes the information received and determines the position of the spindle.

  With the information regarding the absence or presence the spindle of division in the oocyte, its localization and clarity, it is possible to make predictions about the quality of the egg. Visualization of the spindle minimizes the likelihood of damage to ICSI / IMSI, and thereby increases the efficiency of fertilization and the quality of embryos.

  Also, the information obtained through this procedure can answer a number of questions concerning the causes of poor fertilization and the low quality of embryos in previous programs.

Embryo donation

• Thus, the program can be recommended if:

  • there is a high risk of having a child with a genetic pathology;
  • a combined factor of infertility was diagnosed, when it is not possible to get the gametes of the spouses;
  • cannot use a single patient's own eggs during the IVF program;
  • IVF attempts have repeatedly failed, and the embryos after IVF were of poor quality, and pregnancy after their transfer to the uterus did not occur.

  The embryo donation program: stages

  Patients whose germ cells cannot be used for fertilization can choose either IVF with vitrified donor embryos, or IVF with donor oocytes and sperm. 

  IVF with vitrified donor embryos

  The program includes such stages as:

  • preparing the patient's endometrium for embryo implantation;
  • defrosting of the donor embryo and its transfer to the patient's uterine cavity; 
  • hormonal support for the luteal phase of the cycle.

  IVF with oocytes (fresh or vitrified) and vitrified donor sperm

  If the program is performed using fresh donor oocytes, it includes the following steps:

  • selection of egg and sperm donors from the AltraVita Clinic database based on important parameters for patients (blood type and RH factor, body type, weight, appearance, education, profession, etc.). An oocyte Donor can also be a relative or friend of the patient who meets the requirements contained in the order of the Ministry of Health of the Russian Federation No. 107n;
  • synchronization of the menstrual cycles of the patient and the egg donor;
  • stimulation of ovulation of the donor with the help of hormonal drugs;
  • puncture of follicles;
  • embryological stage (fertilization of donor oocytes with prepared donor sperm and cultivation of the resulting embryos in an incubator for several days);
  • transfer of 1 or 2 embryos to the patient's uterine cavity

  If the program is performed using vitrified donor oocytes, there is no need to prepare the donor and synchronize menstrual cycles.

  Thus, the program includes: 

  • preparation of the patient's endometrium;
  • defrosting of donor germ cells; 
  • embryological stage (fertilization of donor oocytes with prepared donor sperm and cultivation of the resulting embryos in an incubator for several days); 
  • transfer of 1 or 2 embryos to the patient's uterine cavity; 
  • support for the post-transfer period.

  Effectiveness of IVF programs with embryo donation

  Pregnancy as a result of IVF with donor embryos occurs on average in 45% of cases. The chances of success of IVF with donor oocytes and sperm are always higher than when using patients ' own gametes, due to the excellent quality of the donor genetic material.

  How much does the embryo donation IVF program cost?

  The cost will depend on which program the patients choose. If patients decide to enter the IVF program with oocytes and vitrified sperm from donors, the costs will increase. In this case, it matters whether vitrified or fresh eggs are used for fertilization. In the first case, IVF will cost less. Thus, the cost of the program depends on its complexity. The more stages the procedure involves, the higher the financial costs will be.

  Facts about IVF with embryo donation

  The IVF program with embryo donation is sometimes called «embryo adoption»/ Embryos do not lose their original properties after defrosting, since the use of modern vitrification method eliminates the possibility of damage to cell structures.

Cryobank

Accommodation for foreign patients

Female infertility diagnosis

IVF

• Whom is IVF treatment suitable?

  • Women who have been diagnosed with unexplained infertility
  • Women with fallopian tubes obstruction
  • When other techniques such as fertility medication or intrauterine insemination (IUI) have not been successful
  • When a limited number of oocytes are available
  • Male partner has serious fertility problems
  • Couples are using donated eggs or their own frozen eggs in their treatment
  • Couples are using preimplantation genetic screening to avoid passing on a genetic condition to the child

  IVF Treatment steps

  • Consultation with reproductive endocrinologist; selection of the individual stimulation protocol.
  • Ovulation induction according to the protocol chosen in order to ensure a higher number of eggs.
  • Monitoring of the hormonal stimulation under ultrasound. The number of matured eggs and quality of uterine lining will be checked.
  • Egg retrieval is performed by gynecologist under general anesthesia. The whole procedure takes 10-20 minutes.
  • Sperm collection, analysis and preparation. Semen is prepared for fertilisation by removing inactive cells and seminal fluid in a process called sperm washing.
  • Fertilisation using ICSI or IMSI methods.
  • Cultivation of embryos. The produced embryos are being cultivated in special incubators for 5-6 days. Their development is closely monitored by experienced embryologists. If necessary, PGS or PGD can be performed to select embryos free from genetic diseases. 
  • Embryo transfer is a painless transfer of the best embryo into the woman’s uterus. Spare embryos will be cryopreserved by vitrification.

  Frozen embryo transfer is one of ART techniques. Many couples choose to try frozen embryo transfer program after a successful IVF attempt to have a second baby.