Becoming a parent is what many couples dream of. After all, it is with the advent of the child that the family becomes complete, and life takes on meaning. It so happens that numerous attempts by spouses to have children naturally prove futile. Fortunately, today these families have the opportunity to use the method of in vitro fertilization. This article discusses the basic definitions and aspects, as well as information about the implementation of the IVF procedure in Ufa: where can it be done, how to enter the protocol for free, what documents and studies are required for this.
ECO. Only three letters, but a lot of hope
The extracorporeal method is the fertilization of an egg outside the body (in the external environment, that is, in a test tube), followed by culturing and transferring it inside the woman’s uterus.
IVF is done on medical grounds, the main of which is infertility. In this case, couples with the factor of female infertility often resort to such an advanced method, for example, because of obstruction of the fallopian tubes (and if patency cannot be restored).
The process technology includes several sequential manipulations:
- Obtaining an egg. It is carried out by stimulating the maturation of follicles, under the supervision of ultrasound. The harvest of mature germ cells is done under local anesthesia.
- Sperm production. It is carried out naturally or by aspiration biopsy of the testis and epididymis.
- In vitro fertilization (i.e. in vitro: seminal fluid is added to the egg and fertilization occurs with one of the sperm).
- Embryo cultivation. He is in a special environment for 25 days in an incubator until he reaches 46 degrees of cell maturity.
- Transfer of the embryo into the uterus (several embryos are transferred, after which corrective hormone therapy is prescribed to the woman).
Many people know that in vitro fertilization is an expensive procedure, but now there is the opportunity to enter the IVF protocol on compulsory medical insurance in Ufa.
When help is needed
If during the year (sometimes they take a period of one and a half years) of regular intimate life (without using any methods of contraception), the couple does not have the desired pregnancy, there is reason to believe that the wife or husband has impaired reproductive function.
First you need to visit a gynecologist in the clinic at the place of registration, so that the specialist appoints a full examination. A woman should check the fallopian tubes for the fact of patency, ovulatory and endocrine components, endometrium and pass an analysis for infection. A man needs to do a study of ejaculate and exclude infectious diseases.
When identifying diseases, it is necessary to undergo treatment.
Conditions for performing IVF on compulsory medical insurance in Ufa for free
Below is the maximum list of conditions. In order to get on the IVF waiting list in Ufa, you must:
- the presence of a passport of the Russian Federation;
- have a compulsory medical insurance policy;
- so that the woman’s age does not exceed 47 years;
- the couple has no common children;
- female (or male) infertility;
- impaired reproductive functions of inexplicable genesis;
- the absence of restrictions and contraindications from the list of order No. 107n of 08/23/2012.
The service can be used by a single woman if she pays for the use of donor sperm. Also, the couple is not required to officially register the marriage.
However, if the couple has not passed a mandatory medical examination or has contraindications to assisted reproductive technologies, then she will not be able to take advantage of the possibility of conducting IVF by the quota.
Clarification: if the IVF procedure was successful, the pregnancy occurred and ended in childbirth, artificial insemination is allowed again.
Approved!
So, confirmation of the possibility of referral to a free in vitro fertilization procedure has been received. There are no contraindications, there is a compulsory medical insurance policy, now you can ask for help at one of the clinics (at the choice of patients), which are included in the register of medical organizations in whose competence to carry out the specified activity.
IVF Clinics in Ufa:
- GBUZ Republican MHC - 8 (347) 251-20-19 (rmgcufa.ru).
- Clinic "Mother and Child" - 8 (347) 293-03-03 (mamadetiufa.ru).
- Clinic "Family" - 8 (347) 246-10-20 (medufa.ru).
- Clinic "Women's Health" - 8 (347) 248-13-56 (eko-rb.ru).
Commission decision
After reviewing all the documents submitted, the commission makes a decision either on registering the needy couples in IVF by compulsory medical insurance in Ufa, or a justified refusal. Next, a referral to a medical clinic, which the patient chose from the ones indicated in the registry, is completed for the implementation of the artificial insemination procedure. The commission forms a waiting list (in electronic form, with online access).
You can find out the order of the queue in the IVF list (Ufa) either by calling the clinic where the couple is going to do the procedure, or online on the website of the Bashkir Ministry of Health (the data is encrypted, the patient’s code is the number of the insurance policy).
Vivid example
Consider the detailed sequence of steps to complete the procedure on the example of the medical clinic "Mother and Child" Ufa, IVF for employees of which is a regular procedure, which gave the happiness of parenthood to many couples, not only in Bashkiria.
Conditions to get a referral
So, the couple underwent the necessary examinations in the clinic at the place of registration, received an opinion on the factor of infertility, the approval of the commission and chose a clinic for the free IVF procedure in Ufa (in our case, “Mother and Child”).
In order to receive a referral to register the couples awaiting IVF, in addition to the doctor’s opinion on the factor of infertility, you must pass:
- Tests for RV, HIV, hepatitis B and C (both are given in pairs).
- Blood from a vein on AMG (woman donates).
- Spermogram and MAP - test (passed by a man).
Further, the issued direction is delivered by the applicant to Polyclinic No. 1 (4 Tsyurupa St., room 218).
Required documents for submitting data:
- passport;
- compulsory medical insurance policy;
- statement (a sample can be taken from a doctor);
- referral by an LCD doctor or reproductologist.
What is included in the compulsory medical insurance program?
At the expense of state funds, the following manipulations are carried out:
- Stimulation of controlled superovulation (all necessary medical supplies and drugs are included).
- Folliculometry (observation by the attending physician by means of ultrasound of the growth of follicles and endometrium).
- Transvaginal follicular puncture (general anesthesia is used and is also included in the program).
- Fertilization of collected eggs by IVF.
- Finding embryos in a culture incubator (development phase 72 or 120 hours).
- Transfer of 1-2 embryos into the uterus under ultrasound control.
- Cryo-freezing and storage of gametes and embryos, if required in a particular case (maximum 2 embryos can be stored on one carrier);
- Thawing the stored embryos with their subsequent transplantation into the uterine cavity (from the moment of issuing the quota, a single transfer is allowed during the year).
What does not include IVF IVM program?
The following actions, procedures and drugs (if necessary) are paid for independently by the patient, separately:
- Ultrafast freezing of high-quality embryos at the request of the patient (if there are no medical indications).
- Storage of frozen embryos.
- The provision of donor sperm.
- Diagnosis of the condition of the uterus before transfer.
- Medications for maintaining pregnancy.
- If hCG begins to grow and corresponds to a certain period of pregnancy, all additional consultations are also paid separately.
The list of studies for queuing at IVF in Ufa for compulsory medical insurance
The woman needs to do the following studies (the term of their validity is indicated in brackets):
- fluorography (12 months);
- UAC (2 weeks);
- biochemical blood test (2 weeks);
- OAM (2 weeks);
- hemostasiogram (2 weeks);
- the conclusion of the therapist with data on the possibility of bearing the fetus (12 months);
- smears on the flora (2 weeks);
- analysis of oncocytology (12 months);
- colposcopy protocol (12 months);
- ultrasound examinations of the thyroid and mammary glands (12 months);
- bacteriological culture of flora and sensitivity to antibiotics from the cervical canal (6 months);
- smears - by PCR method for chlamydia, herpes simplex viruses type I and II, cytomegalovirus, microscopic method for candidiasis, gonorrhea, trichomonads (6 months);
- blood test for syphilis, antibodies to hepatitis B virus antigen, immunoglobulins to hepatitis C proteins.
- blood for rubella antibodies (12 months);
- HIV and herpes simplex virus DNA in type I and type II blood (3 months);
- hormonal studies of biological fluid - AMG, TSH, T4sv, FSH, LH, prolactin, estradiol, testosterone, progesterone - all in accordance with the monthly cycle (12 months);
- ultrasound examinations of abdominal organs, kidneys (6 months);
- electrocardiogram (1 month);
- blood on the Rh factor, a group (does not matter).
Accordingly, the following studies for men:
- bacteriological culture of flora and sensitivity to antibiotics from the cervical canal (6 months);
- spermogram and MAP test (3 months);
- smears - by PCR method for chlamydia, herpes simplex viruses type I and II;
- blood test for syphilis, antibodies to hepatitis B virus antigen;
- cytomegalovirus, microscopic method on the flora (6 months);
- immunoglobulins to proteins of hepatitis C virus, HIV and herpes simplex virus DNA in blood type I and II (3 months);
- analysis for Rh factor, group (does not matter);
- the conclusion of the doctor andrologist (if there is a male factor in infertility).
If there is a financial opportunity ...
There are families in which the money issue is not so acute, and they do not need to provide IVF services at the expense of the state. Or it happens that a couple simply does not want to wait and lose precious time, using all methods: someone takes money from parents or relatives, others take a loan, and some decide to use the accumulated savings for these purposes. It’s not worth blaming anyone, everyone has their own path to happiness. So, if there is a financial opportunity, then below is a list of clinics where you can carry out IVF in Ufa at your own expense as soon as possible and without queues.
- Clinic "Mother and Child" - st. Academician Korolev, 24, tel .: +7 (347) 216-03-19.
- Clinical Hospital "Mother and Child" - Lesnoy proezd, 4, tel .: +7 (347) 216-03-19.
- Medical center "Family" - Oktyabr ave., 73, building 1, tel .: +7 (347) 246-10-20.
- Network of clinics "Women's Health" - st. Kirova, d. 52 (addresses of the branches - General Kusimova St., 15/1 and Sorge St., 75), tel .: 8-800-775-69-69.
- Republican Perinatal Center (Hospital) - ul. Aurora, d.16, tel .: +7 (347) 250-78-16.
- Republican Perinatal Center - ul. Mazhita Gafuri, d. 74, tel: +7 (347) 272-40-67.
There is a choice, and you can choose an IVF center in Ufa, counting on satisfying the maximum number of your requests.
Probability of success
Information that IVF does not work the first time is a myth. Many factors must be considered. There is a generally accepted indicator of a successful procedure - 35-40%. This is due to the fact that a woman under the age of 30 may need only one IVF attempt, especially if she has a common cause of infertility. Then the probability of fertilization and the fact that the embryo will "take root" in the uterine cavity is about 70%.
And women who are over 35 years old and have concomitant diagnoses in the form of, for example, endometriosis, may need several attempts, which reduces the possibility of conception by 10-20%. From here the average indicator is taken.
What people say
About IVF in Ufa, the reviews are different. Nevertheless, this is such a procedure, where not everything depends on the doctors, there are a lot of individual moments. After all, all couples come with different factors of infertility, they may have genetic abnormalities that prevent pregnancy.
The main task of doctors is to correctly identify what exactly is the reason and make every effort to help spouses become parents.
Very good reviews about the Russian Orthodox Church: most of the consultations and visits by doctors are free, there is the opportunity to undergo high-quality pregravid training, the staff has genetics, and it is also possible to go to the hospital for a comprehensive examination and treatment for men.
GK "Mother and Child" position themselves as medical institutions with innovative equipment, specialists in them are aware of all the latest innovations regarding obstetrics and gynecology. Many note the high cost of the procedures, but the quality as in a private clinic is up to par, and this is hard to argue with. In addition, there are examinations that the couple can only pass here, since Mother and Child has exclusive diagnostic methods and medical equipment of the latest generations.
When planning to enter the IVF protocol in Ufa, spouses should understand that this is not a quick process, but to make it as comfortable as possible, one must carefully approach the choice of a treating doctor who will not only be a professional with a capital letter, but also be able to support the family morally all the way to parenthood.