Services

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)

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.

Intrauterine Insemination

Other services

Cryobank

Hatching

NASUM

• This innovative technology allows to study the morphology of sperm at the level of microstructures by zooming in them to a level of 18,000 times.

  The NASUM method is used in cases where a spermogram is not enough to determine a patient's diagnosis. NASUM has no analogues in establishing the form of teratozoospermia, which gives an additional understanding of the causes of impaired fertilization and the normal development of fertilized eggs.

  The unique NASUM method was invented by the AltraVita clinic specialists, which is a clinical branch of the International Medical Center for diagnosis and treatment of male infertility.

Noninvasive prenatal testing (NIPT)

• NIPT helps to learn a lot about the baby during the first trimester. This is the most progressive way to diagnose chromosomal disorders and other abnormalities, utilized in all developed countries in the world.

  The testing analyzes small fragments of DNA that are circulating in a pregnant woman’s blood.

  The testing is recommended when:

  • The woman is older than 35 years old;
  • Possible genetic abnormalities suspicions after the ultrasound;
  • The pregnancy achieved with the use of IVF or other VRT 
  • The risk of genetic abnormalities detected during the biochemical screening;
  • Genetic abnormalities detected in other children’s DNA;
  • A history of stillbirth;
  • Premature labor or recurrent miscarriage;
  • Unexplained infertility.

  The key advantages of NIPT include its high accuracy and safety. The possibility of diagnostic mistake is only 0.01%. 

  For this testing, the mother’s venous blood is used. The blood taking procedure is completely safe for both the baby, and the mother.

  One more advantage is that the testing can be performed very early in the pregnancy – in the 9th week. 

  Diagnostic capabilities of the testing

  The testing can detect the following diseases and abnormalities:

  • Down syndrome;
  • Edwards syndrome;
  • Patau syndrome;
  • Turner syndrome;
  • Klinefelter syndrome;
  • Triple X syndrome;
  • Double Y syndrome.

  While analyzing the fetus’ DNA, it is possible to identify its sex.

  Even though NIPT is a high-accuracy method of diagnosis, it is, nevertheless, a screening test. Which means that should any abnormalities be detected during the testing, they still must be confirmed by an invasive test, such as fetal karyotyping. 

  The testing is not performed:

  • Earlier then the 9th week of pregnancy;
  • If selective (multifetal) reduction has been performed;
  • In cases of multifetal pregnancies with three or more fetuses;
  • When the baby is carried by a surrogate mother;
  • When the pregnancy is achieved by means of IVF with the use of donor oocytes.

  If you would like to get more information about this method of diagnosis, please, contact the clinic by phone or via the online inquiry form.

IVF with anonymous donor

• Included services

  • Screening, stimulation of ovulation, compensation for anonymous egg donor
  • Scheme of patient’s endometrium preparation for embryo transfer
  • Ovarian puncture with general anesthesia for the egg donor
  • Consultations of reproductive endocrinologist for the patient and the donor
  • Ultrasonic monitor of endometrium for embryo transfer
  • 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
  • IMSI – if indicated
  • Assisted hatching
  • Embryo biopsy
  • Any type of PGD/PGS
  • Frozen embryo transfer
  • Storage of frozen material
  • Additional consultations of specialists 

Natural Cycle IVF

• What is IVF in natural cycle? IVF in natural cycle uses ultrasound monitoring of growth of the dominant follicle in the ovary of the patients with preserved ovulation.

  With a follicle size of 18 mm, either under the control of an ovulation test, or after the intramuscular injection of an ovulation trigger, a follicle is punctured to obtain an egg. The rest of the IVF program process remains the same.

  To increase the effectiveness of IVF, the program includes the study of egg’s spindle apparatus.

  IVF in the natural cycle: pros and cons

  The reason for the low demand for IVF in the natural menstrual cycle is that it is characterized by a fairly low efficiency. The pregnancy rate is lower than with insemination in the natural cycle, it is about 7% in terms of each started cycle.
  This is due to the fact that not every mature follicle is an egg carrier. In addition, because of the puncture, only one egg is extracted, which may not be able to fertilize. Also, when using this method, there is a risk of canceling the oocyte collection procedure due to premature ovulation.

  The advantage of this method is to minimize the risk of complications such as ovarian hyperstimulation syndrome.

  The undoubted advantages of the IVF method in the natural cycle include the possibility of carrying out the procedure for several menstrual cycles in a row. However, note that a single puncture of stimulated ovaries will do less harm than multiple.

  Another advantage of IVF in natural cycle is that comapered to other programs its cost is usually lower than in programs where superovulation stimulation is performed.

  Also, unlike in other programs, no special preparation for IVF in the natural cycle is not required.

  The package includes (depending on the Doctor’s prescription)

  • Prescribing natural cycle treatment plan;
  • Consultation with Infertility doctor (up to 3 times);
  • Follicle ultrasound (up to 3 times);
  • Hormone level tests for monitoring ovarian stimulation (LH, estradiol, progesterone express-tests – up to 3 times)
  • One of the following medications:
  • Diphereline (0.1)
  • Chorionic gonadotropin (up to 10.000)
  • Ovarian puncture in natural cycle
  • Staying in a hospital ward for 3 hours for monitoring purposes
  • Embryological stage:
  • Oocyte identification and assessment; 
  • 2 sperm specimen preparation for fertilization;
  • In vitro fertilization: ICSI;
  • Embryo culture;
  • Oocyte spindle apparatus assessment.

  The package does not include

  • Medications that are not listed in the program description;
  • Medical assistance in case of emergency conditions;
  • IMSI;
  • Assisted hatching;
  • Embryo biopsy;
  • All kinds of preimplantation genetic diagnosis;
  • Embryo storage;
  • All consultations with related specialists;
  • The use of donor material and its defrosting.

  IVM procedure

  IVM means in vitro egg maturation (in vitro) followed by IVF. The specialists of AltraVita clinic have sufficient capabilities and knowledge to conduct this process with high efficiency, as evidenced by reviews of IVF in natural cycle.

  The combination of IVM and IVF methods makes it possible to simultaneously obtain a mature egg from a dominant follicle and a number of immature eggs from small (antral) follicles. Egg maturation takes place “in vitro”, and a mature egg undergoes fertilization in the standard way. High-quality embryos obtained by both methods are transferred into the uterus.

  Indications for IVF in the natural cycle in conjunction with IVM

  • Polycystic Ovary Syndrome
  • Significant risk of ovarian hyperstimulation syndrome
  • A history of benign hormone-dependent tumors
  • Contraindications to the induction of superovulation
  • Factors Affecting IVM Choice
  • The ability to avoid the risk of developing ovarian hyperstimulation syndrome
  • Lack of hormonal stimulation
  • Affordable cost of the procedure, which is caused by a small amount of hormonal drugs used