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Alternative A
COMPLETE IVF CYCLE AT OUR INSTITUTE IN PRAGUE

Once you have paid the initial deposit to confirm your interest in treatment with us your first visit to the clinic can be booked. Please arrange the first appointment (first visit to Prague) on a date directly prior to your expected menstruation and if possible, several weeks in advance.

First visit
The participation of both partners is required.
We will explain the topic of extracorporeal fertilization in detail – stimulation, egg retrieval, embryo transfer. We explain the significance of individual special procedures such as ICSI, PICSI, assisted hatching, extended cultivation, embryo freezing, or PGS, if applicable. You shall be issued consent forms along with treatment to look over. Their signature along with the verification of identity shall be performed during following visit.
The first visit shall also include a gynaecological examination. This is followed by a blood sample for testing of sexually transmitted diseases in both partners. If these tests were already performed, the samples will not be necessary with the exception of the planned freezing of sperm (see following). A negative result is a prerequisite for further treatment at our facility.
If you wish to minimize the partner’s necessary period of stay, freezing of his sperm may be immediately arranged. The partner must also sign a consent form in front of the practitioner for treatment with verification of his identity.
Payment without performing tests 120 EUR
Payment when performing tests of both partners 360 EUR
Payment for performing tests only in the man or only in the woman 240 EUR
(This payment shall be deducted from the IVF cycle price during the final billing).
Sperm freezing – if agreed 128 EUR

Stimulation treatment
Begins on the 2nd day of the cycle
The first day is considered to be the day when full intensity bleeding presented by 9 a.m. If the bleeding occurred later, we designate this day as day ―0.‖
Both partners sign their consent forms for treatment with a verification of identity based on a passport (if not signed earlier). A gynaecological examination is unnecessary. We prepare the simulation treatment schedule; we issue your medication necessary until your next check-up, and teach you properly how to administer it. We further decide (together), when the general health status examination takes place (possible at our clinic).
Reimbursement:
Payment for IVF cycle 1980 EUR
(the amount paid during the first visit and the deposit shall be deducted,
reimbursement for sperm freezing, if necessary, shall not be deducted)
Package of stimulation medication - the price may fluctuate according to the planned
consumption of medication – approximately 400 EUR
The next check-up is planned for the 6th - 8th day of the cycle.

Included in the treatment is an ultrasound check-up of the finding and blood investigations for testing of sexually transmitted diseases again in both partners (if sperm were not frozen in advance – then we obviously only take a sample from the woman). We supplement any necessary investigations for the general health status examination. We plan the next stimulation treatment based on the US finding.
Reimbursement:
Package of stimulation medication - the price may fluctuate according to the real
consumption of medication – approximately 600 EUR

General health status examination
Available at our clinic, every Wednesday afternoon. Blood samples must be performed at least one day in advance while fasting.
Reimbursement:
Price including ECG and laboratory investigations 132 EUR
We always plan further check-ups according to the current finding

Egg retrieval (follicle puncture)
Occurs between 8 a.m. and 10 a.m. This procedure is performed under general anaesthesia. This means that prior fasting is necessary, i.e. no eating after dinner, no drinking after midnight. We also recommend avoiding smoking prior to the procedure. After the follicle puncture, the woman remains lying for approximately 2 hours at our clinic. Afterwards, we notify the client(s) of how everything went and what the next step will be. We explain how to administer medication for luteal support. Leaving our clinic is thereafter possible. An escort is necessary.
Reimbursement:
ICSI method 352 EUR or PICSI method 640 EUR
General Anaesthesia 132 EUR

Embryo Transfer
The transfer itself always takes place in the early afternoon, or on Saturday before the midday.
Starting with the second day after the egg collection, we will inform you about the progress of the embryo cultivation and we will tell you in time which afternoon the transfer will take place.
The transfer itself is a painless procedure. Before the transfer you will be thoroughly informed about the result, i.e. how many and what embryos will be transferred and how many of them were possibly frozen for further use.
You will leave our institute after 1 to 2 hours after the transfer. We recommend that the woman limits all activities that are not absolutely essential for approximately the next 3 days.
The best date for leaving the Czech Republic is after 3 or 4 days following the embryo
transfer. A sooner departure is also possible.
Reimbursement:
extended cultivation above 48 hours - 140 EUR
assisted hatching – 1 embryo - 132 EUR
further as negotiated
freezing of excessive embryos and storage for 1 year - 148 EUR
embryo glue – 66 EUR

Pregnancy test
A Pregnancy test should be performed after 16 to 18 days following the transfer. If the test is positive, luteal hormonal support must still be maintained. If the test is negative, you shall discontinue this medication. Menstrual bleeding usually appears after the termination of luteal support therapy. Should bleeding appear earlier, we recommend that you discuss the further procedure with us.
Please notify us of the pregnancy test result by telephone or by mail.
If the treatment is successful, please inform us as well on the course of the pregnancy and on the delivery.

Subsequent cycles with embryo cryopreservation
In case the pregnancy did not appear and other embryos are available in their frozen state, another transfer should be arranged.
We recommend a minimal interval of 1 month.
We recommend using a combination of drugs for managing the cycle – oestrogens and progestins. You will administer the medication with the micronized oestradiol on day 1 in dosage 3 x 2mg daily. We can sell you this medication ourselves (delivery via post possible + 60 Eur) or your gynaecologist may prescribe it for you.
A condition for transfer is a uterine mucosal height of at least 7 mm. The finding may be verified by your gynaecologist. After the required endometrial height has been achieved (usually between the 12th and 14th day), we add the micronized progesterone medication in a dosage of 3 x 200 mg per day.
The transfer will follow after 2 to 5 days depending on the stage of the frozen embryos.
The transfer date may be arrange by telephone and arrival in the Czech Republic on the day of transfer is usually sufficient. All specifics will be provided based on the actual situation. It is possible and even better, to arrive in the Czech Republic around the 12thday of the cycle.
Check-ups before the transfer are then performed at our clinic.
Residency in the Czech Republic for 3 days after the transfer is sufficient.
The partner’s attendance is not necessary. But we need a signed Application for an embryo transfer procedure (the document will be sent to you in advance).
The transfer is performed in an identical manner as in the first cycle.
The price is 484 EUR + possibly 132 EUR for assisted hatching/ 1 embryo + possibly 66 EUR for embryo glue