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IVF and Assisted Reproduction

Fertilization outside the body, i.e. in vitro fertilisation and embryotransfer (IVF+ET) is a method thanks to which thousands of healthy children were born all over the world.

This method is the only treatment option for bilateral fallopian tube obstruction and andrology infertility (low sperm quality). Additional indications are the ovarian, immunologic and idiopathic type of infertility and endometriosis.

Basic principle: the egg is aspirated from the ovary, fertilized by sperm in laboratory and the resulting embryo is then transferred into the uterus.

How does it work? The entire process takes place during one menstrual cycle. Using hormonal drugs in the first half of the cycle we stimulate the function of the ovaries in order to have more eggs maturing at the same time. The aim of hormonal stimulation is that we want to get more eggs to choose from. From experience we know that some eggs are incapable of being fertilized and furthermore after fertilization only some embryos develop and are viable.

Autoaplikace léků pro hormonální stimulaci vaječníkůThis controlled hormonal stimulation starts on the 2nd or 3rd day of the cycle, where despite the menstruation we usually perform ultrasound examination to make sure that everything is all right. If it is, a nurse administers the first injection dose and because these drugs are intended for self-administration, she explains everything to the patient and gives her necessary drugs till the next check-up. We monitor the ovarian response through repeated ultrasound examination - about 2- 4 times during 10-15 days. At the last check-up we plan the date for egg retrieval.

Egg retrieval (oocyte pick-up [OPU]) or also follicular puncture takes place in a short general anaesthesia. Therefore, it is necessary to have preoperative examination done by your practitioner. We aspirate the eggs with a needle inserted through the vaginal wall while checking the process with ultrasound; we insert the eggs into a special culture media and then they are under the care of an embryologist. The woman then rests for about two hours in bed.

About at the same time her partner hands in the sperm to be used to fertilize the eggs. The couple then talks with the embryologist about the number of eggs retrieved and is informed on further procedure. Depending on the situation we issue a sick leave note for the woman. The embryos are further cultured and after two to five days we insert the embryo or embryos through the vagina and cervix into the uterus, using a thin catheter. This is called the embryotransfer (ET).

Before embryotransfer the couple or just the woman is informed about the course of embryo culture procedure by an embryologist and then the embryotransfer itself takes the place; after this, there is about one hour rest in bed. We do not require a full bladder for embryotransfer. After ET we recommend to refrain from heavy physical activity. Since the egg retrieval the woman has taken progestogens, mostly in the form of vaginal capsules which should be taken at least until a pregnancy test. If she gets pregnant, she needs to take progestogens until approximately the 8th week of pregnancy.

Těhotenský testAll medical treatments are performed on an outpatient basis, without hospitalization. It is necessary to have an identity card to have the OPU and ET performed.

If we obtain more embryos than those transferred into the uterus, other embryos can be frozen and transferred after thawing in one of the next cycles, ideally after successful IVF, i.e. postpartum. This procedure is called FET – frozenembryotransfer. The woman thus no longer has to undergo ovarian stimulation or puncture.

The proof of pregnancy is performed after 14 to 16 days after ET through a reliable urinal test. Until then the woman should not discontinue using drugs, even if bleeding occurs!

Currently, the IVF method is covered by health insurance to women up to 39 years (39th birthday) by all health insurance companies. They pay three or four IVF cycles according to the number of transferred embryos. If only one embryo is transferred into the uterus in each of the first two cycles, the insurance company covers four IVF cycles. In case of transferring two or more embryos, only three cycles are covered.

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Poděkování

Poděkování
04.03.2020

Vážený pane doktore Šulci,

Chtěli bychom se touto cestou vrátit zpátky k péči, které se nám dostávalo od Vás a Vašich kolegů z GESTu od cca května loňského roku a které se nám dostává stále v průběhu prozatím dobře se vyvíjejícího těhotenství.

Vám bychom chtěli moc poděkovat mj. také za Váš přístup k nám, díky kterému jsme se i v ne vždy pozitivně vyhlížející situaci cítili tak, že je o nás postaráno a že je tady někdo, na koho se můžeme obrátit pro pomoc a radu. Moc si toho vážíme, protože nám to jednak pomohlo a také jsme si vědomi toho, že to v dnešní době bohužel stále není standard.

 Ještě jednou moc děkujeme

Michalka

Michalka
26.02.2020

Finaly even me can boast with joyfull news. On 10th February 2020 was born gorgeous girl Michalka (3650 g, 51 cm). She arrived 10 days after predicted date of birth. We, happy parents, want to thank to the whole Gest team for the longwished happiness. Markéta and Lukáš

Michal

Michal
07.01.2020

Finally can we show off our babyboy Michal. He was born on 24.12.2019, his weight was 2720g and was 48 cm long. Michal came into this world little bit earlier - at 37th week. 
Thanks a lot to the whole team - finally we have our little treasure. 
Happy parents Jaroslava and Luboš 

Zuzanka

Zuzanka
11.12.2019

We would like to thank the whole GEST team for the birth of our babygirl Zuzanka. She was born on 13. 7. 2018. Her weight was just 1120g - she was early born (28+6 week). She became a healthy, beautifull girl.
Grretings and thanks a lot again. 
Milena Wágnerová  

 

Jakoubek

Jakoubek
25.11.2019

We would like to thank to the whole GEST team for their care, namely Dr. Šulc, his colleagues, which we also met - Dr. Poláková, Dr. Černý and Dr. Alexandr. 
On 28th October was born our healthy babyboy Jakoubek. 
Thank you very much!
Jana and Martin 

Babyboy

Babyboy
04.11.2019

We want to thank to the whole GEST team for their excellent care and kindliness. Because of them is our family bigger. On 30th September 2019 was our babyboy (4270g) born. 

Tomáš and Klára 

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Where do you find us?

Address

NL - CLINIC Gest IVF s.r.o.
Nádražní Str. 762/32
(entrance from Rozkošného Str. 1058/3)
150 00 Praha 5 - Smíchov

Surgery hours:

Mon - Fri

8 - 19 On Fridays is open only until 5pm 
Sat 8 - 13  

Contact

Phone.: +420 257 212 516 - 518
Mobile: +420 602 328 346
E-mail: info@gest.cz
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