Having a baby is a huge happiness for the whole family. It is good when the couple plans to conceive, and it certainly comes. However, there are men and women who have been running to the doctors for years, being treated, using all kinds of techniques, following the advice of their grandmothers, and the pregnancy that has not been expected does not occur. What is left for such couples to do? As a rule, there is only one solution - IVF (in vitro fertilization), but it is worth saying that this pleasure is not cheap. Someone can afford it without problems, someone takes out a loan, and for some this remains a pipe dream. However, today everything has changed - the state makes it possible to try to make free IVF by compulsory medical insurance. Starting January 1, 2013, everyone with a compulsory health insurance policy and special indications has this chance.
How did this happen until 2013?
It is no secret to anyone that compulsory medical insurance guarantees appropriate protection of the interests of people living in the Russian Federation regarding medical care. Citizens were guaranteed the right not only to receive free treatment, but also such long-awaited help as the quota for IVF for compulsory medical insurance. In this case, the state, to support those families that for some reason could not conceive a child, at one time and without cost allocated money for the described procedure.
How is this happening now?
The demographic situation in the country forced the government to reconsider its attitude to the rules for free IVF. As mentioned above, in 2013, the Russian authorities recognized this method as effective not only in the fight against infertility, but also with such an urgent problem as saving the family. That is why IVF under the compulsory medical insurance policy is available to absolutely anyone. In addition, if before a woman had only one attempt at a free procedure, today their number is not limited. And this is correct, because only in 30% of cases fertilization occurs the first time.
What else does the law provide for in relation to IVF for compulsory medical insurance ?
Firstly, as already mentioned, this is an unlimited number of attempts. Secondly, the law gives the right to give birth to couples who are not officially married and get a chance and people infected with HIV, although previously it was strictly forbidden. Thirdly, even a single woman can do IVF by compulsory medical insurance and take advantage of all the proposed reproductive technologies. Fourth, the patient has the full right to independently choose a medical institution for the procedure from all who support the program.
The basic IVF procedure includes: stimulation of superovulation with special drugs, monitoring of the growth of the endometrium and follicles, the state of hormones. Also, you will be sure to get a follicle puncture for free, fertilize the egg, cultivate the embryo and transfer it to the uterine cavity. However, sometimes there are individual cases when the list of services provided is not enough, and additional costs are required. But they can not be compared with the cost of a full-fledged IVF procedure.
What are the requirements for fertilization?
IVF procedure for compulsory medical insurance It is carried out absolutely free of charge, but this is precisely why the federal program has certain requirements for everyone. So, each participant must:
- to be a citizen of the Russian Federation;
- have infertility (female or male), confirmed by appropriate medical reports;
- provide evidence regarding treatment methods that have been ineffective;
- have a compulsory medical insurance policy issued to every citizen of the Russian Federation from birth;
- be at a reproductive age (up to 39 years);
- not have contraindications for the procedure and pregnancy;
- prove that he does not have children born in the same marriage;
- Do not be an alcoholic or drug addict;
- not have mental and other illnesses.
What should be the evidence to get directions?
A referral to IVF by compulsory medical insurance is issued if any of the following expert opinions take place:
- Female infertility (primary), which is diagnosed due to the lack of ovulation or complete obstruction (absence) of the fallopian tubes.
- Male infertility
- Previous treatment. If the couple went through all the procedures prescribed by the doctor, and the pregnancy did not occur within a year after that, then you can count on IVF by compulsory medical insurance.
- Diseases that preclude pregnancy without the use of IVF.
Restrictions on the use of the program
Do not count on the procedure:
- Persons whose readings of the anti-Muller hormone deviate from the norm (from 0.5 ng / ml to 0.7 ng / ml).
- Couples who have such conditions when performing IVF by OMS will not be effective, and the use of donor or (and) other types of germ cells, surrogate motherhood is indicated.
- Women who have hereditary ailments linked to the floor ( Duchenne muscular dystrophy , hemophilia, ichthyosis and others)
- Persons suffering from tuberculosis, HIV (during incubation), syphilis, viral hepatitis, chronic blood ailments, the presence of neoplasms requiring surgical intervention.
- Couples who are diagnosed with certain diseases of the musculoskeletal system and connective tissue, gastrointestinal tract, genitourinary system.
- Men who have a pathological change in sperm.
- Couples who did not pass all the necessary tests for IVF by compulsory medical insurance and did not pass the appropriate diagnosis.
What tests will be necessary for the procedure?
In order to exclude the presence of not only all of the above diseases, but also many other ailments, both a man and a woman will have to pass a rather impressive number of tests. Although those couples who are ready for anything for the birth of the long-awaited baby, this is absolutely not scary.
So, what kind of tests are needed for both partners? This includes a microbiological examination for ureaplasma, mycoplasma, chlamydia, herpes virus, and seeding for aerobic and anaerobic microorganisms, and tests for the detection of antibodies to HIV and viral hepatitis. This is a list of compulsory studies, although in each case it may change (be supplemented).
The list of tests that a woman will have to pass includes: routine and biochemical blood tests, determination of prolactin, a vaginal smear, pelvic ultrasound, cytological examinations of the cervix, fluorography, electrocardiogram, breast ultrasound (for women under 35, then - mammography). As additional studies, which may be necessary for one reason or another, they often do contrast echo hysterosalpingoscopy, appoint an endocrinologist, geneticist, and general practitioner.
It is important for men not to have those contraindications that were described above, and it is necessary to submit sperm for analysis.
How to get a referral for the procedure?
If there are appropriate indications for the procedure and the results of the examinations, the medical institution prepares an extract of epicrisis, which contains a recommendation for IVF. Next, the woman needs to go to a special commission of the subject of the Russian Federation, which selects patients for the described procedure. This commission considers the extract, all the attached medical documentation, checks what there are indications for IVF, whether there are contraindications and restrictions in accordance with the standards for the use of reproductive technologies, and makes a decision on issuing directions for IVF at the state expense.
If a dream has come true, and after long wanderings you are the proud owner of such a “ticket”, then the aforementioned organization should also provide a list of those clinics that participate in this state program, and you just have to choose. Here you should be warned that in case of an unsuccessful attempt to get pregnant, you can again expect to receive another free referral.
What to do next?
Once you have received the coveted direction, you must also collect the following documents: insurance policy (which was issued by the compulsory medical insurance), passport, all extracts from the medical card. Now you can go to any institution from the list issued to you. If all the documents turn out to be in perfect order, then the procedure will be carried out within a month from the day of contacting the clinic.
So you have reached the goal. Yes, the path to it does not promise to be easy and fast. You will have to get around many doctors, pass a huge number of tests, be patient and optimistic. Indeed, in this case, the statement that the end justifies the means fits simply perfectly. Believe in yourself, in your strength, often think that in the end you will have a long-awaited and beautiful baby, and even then you will not remember how much you had to endure.