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IUI and IVF/ICSI

IUI and IVF/ICSI

This is a Q&A section that provides answers to most frequently asked questions to our nurses before and during your first scheduled MAR consultations in BetaPlus Center.

The aim of your first consultations is the following:

  • To discuss your and your partner’s medical history,
  • We will get acquainted with your existing test results,
  • If all the tests have not been done, we will develop a plan for diagnostic procedure,
  • If you have all the test results, we will coordinate a treatment plan which is specifically designed to meet your needs.

 

Our physician and nurse will take you through the entire assisted reproduction process in BetaPlus Center in order to make you an equal participant in the process.

What do I need to bring to consultations?

We kindly ask you to bring all your important documentation you have acquired so far in order for our physician to go through it (discharge letters from previous surgery, last gynecological check-up, existing infertility treatment documentation, etc.). You do not need to make copies of those because we will copy the documents that we need.

How old can the test results be to do a procedure?

We ask our patients to bring test results dating up to a year back, whenever this is possible (Pap test, cervical swabs, etc.). Contagious disease markers for patients doing their first MAR procedure can be up to 3 months old.

Does my partner have to come to consultations with me?

We support you coming in with your partner because this can help you memorize and properly understand our instructions, but the presence of your partner is not obligatory.

What forms do I need to fill-in before I come for the first time?

You don’t need to fill-in any forms before you arrive. On the day of your scheduled consultations you will fill-in only a short questionnaire giving your basic contact information. On this occasion you will also be given documents for you and your partner to review and fill-in before you come the next time (informed consent).

Also, once you have scheduled your next appointment (usually to talk about IVF procedure), we will send out to you a document called MAR Questionnaire that we would like you to fill-in prior to coming for your second appointment. This document contains your contact information, basic information on your treatments so far and your medical history. We require this information in order for us to open your personal file at our Center.

What is the consultation waiting time?

It depends on the availability of the physician you wish to schedule with, but waiting time for most of our human reproduction subspecialist is not longer than one week.

How long do the first MAR consultations last?

Depending on your case, we expect you to spend between 40 and 60 minutes with our staff during your first appointment. We kindly ask you to arrive 10 minutes earlier so that you can fill in contact information form. Should you have to re-schedule, please let us know at least one day in advance. We give our best to respect your time and to hold consultations at a scheduled time.

How long do I have to wait to start with the medically assisted reproduction procedure?

It depends on your previous diagnosis and possible need to intervene in any way prior to commencing the procedure, but for most couples with necessary documentation the procedure can begin as early as the following month.

Do you treat patients not living in Zagreb?

Yes, a large number of our patients are not from Zagreb. We successfully cooperate with our colleagues from around the world in preparing our patients for assisted reproduction procedures and to monitor them during the procedure itself. We communicate with our patients through phone, e-mail, Skype, etc., and we don’t ask our patients to come to Zagreb for each folliculometry if it can be done somewhere nearer to their residence.

Can I choose which tests and procedure to take?

No, because that’s not ethical. Our physician will respect your wishes and consult with you based on all the known parameters and then recommend the best options for you.

What is the total cost of my treatment?

The cost of your treatment will depend on whether we plan for insemination or IVF procedure. If we plan for IVF, it will depend on the number of eggs we retrieve, number of ultrasounds done, on the day of your ET (blastocyst culture is charged separately), on cryopreservation of your embryos and the number of carriers for cryopreservation. Generally speaking, an IVF procedure may cost somewhere between 5.000 and 15.000 Kn. Our pricelist can be seen on this webpage.

Are there any additional costs?

Sometimes we need to draw blood to do some hormonal tests. This is charged according to our pricelist. Also, prior to the procedure we may require a so-called “zero ultrasound check” which is charged as are the folliculometries during the procedure. You also buy your own medication at a drugstore.

Do I have to buy the medication from you?

No, you can buy the medication where it suits you. In case you do not know where to buy them, we can recommend drugstores with acceptable prices.

Can I do all the recommended testing in your Center?

Apart from possible laparoscopy, MRI and similar differential tests, all tests can be done at BetaPlus. However, we will accept test results from other centers and clinics. If you have the time, you can do them elsewhere, as well.

How long does one procedure last?

Sometimes we begin the procedure before your period. This can prolong the treatment. However, from the beginning of your period until insemination, i.e. embryo transfer, the procedure usually lasts up to 20 days, most often up to 15 days. During that time you have to do 2-4 ultrasounds and insemination or aspiration and transfer. Therefore, you will have to visit us at least once for insemination or twice in case of aspiration and transfer if your ultrasound is done by your chosen physician. If you opt for ultrasound checks with us, it will mean several more visits to our Clinic

Can I do ultrasound check-ups when it suits me?

Most often – yes – because our opening hours are 8 am until 8 pm. However, from 8 until 10 in the morning we usually do MAR procedures so we are often unable to provide those early slots. Also, your physician has own shifts and full schedules so if you want that specific physician to do your ultrasound check-up – you may have to adjust.

The procedures themselves are always done either in the morning or in early afternoon slots because of our lab work dynamics.

What are your success rates?

Our success rates are made public on these web pages.

How many procedures does it usually take to get a baby?

According to our statistics, 33 percent of all couples will succeed the first time around. The other two thirds will manage either in the second or the third attempt. Younger women with cryopreserved blastocyst have better chances than these because the success rates are higher with them.

How many embryos do you usually return to the uterus?

According to the law in Croatia, a maximum of two embryos can be returned to couples in the procedure. In severely difficult cases, three are allowed. The number of embryos to be returned depends on the couples wishes. We are prone to recommending returning one blastocyst in women under the age of 36 who are undergoing their first or second procedure. This recommendation is not valid for women having day 2 or 3 embryos because they haven’t got as many chances as the blastocyst and in women above the age of 36.

When do you opt for extended culture to possibly form blastocyst?

Should we get more than four embryos after 72 hours of culture we will extend culture of those embryos until blastocyst stage in consultation with the couple.

Can I sign up to Croatian Health Insurance Fund (HZZO) list by phone or email?

No, you can’t. Only our physician can put you on that list during consultation and providing all your test results are regular. In those cases, the physician will check for availability on HZZO lists and sign you up if there is an empty slot, determine your protocol and procedure dates and the nurses will give you other instructions.

Do I have to pay for FET if I had been in the stimulated procedure through HZZO?

Yes, you do. According to our contract with HZZO, they refund the price of a fresh procedure and of cryopreservation in that procedure, should it be made possible. Frozen embryo transfer (FET) and the continuation of cryopreservation after year 5 are not covered with the contract. You can file a document with the National Committee for Medically Assisted Reproduction asking it to allow transporting of your embryos to one of the hospitals (both the transport and FET in the hospital are free of charge) or you can pay for FET in our Clinic for a price on our pricelist which is public.

What if my partner will not be able to be there for the procedure?

If you have been planned for insemination, we advise you to back from the procedure in case your partner cannot be there for it. If you have been planned for aspiration and the semen test results are fine, the semen can be frozen and then thawed on the day of the procedure.