How much does IVF cost? In Vitro Fertilization: Clinics

Many couples face the problem of infertility. And it can be both female and male. After a series of unsuccessful attempts to solve this problem, some people come to the need for such a high-tech method of overcoming infertility, as in vitro fertilization.

The concept of "in vitro fertilization"

IVF, or in vitro fertilization, is a fairly new high-tech method for overcoming complex forms of both female and male infertility, consisting in fertilization of the egg cell in vitro (in vitro) and subsequent cultivation and transplantation of the embryo into the uterine cavity.

The first successful attempt of ECO was carried out in 1978 in England. Now this method is widely used, despite its complexity and high cost, so the question of how much ECO costs, worries many childless couples, especially since the effectiveness of this method is about 30-35%, so you may need more than one procedure to achieve the desired result.

Indications for ECO

In vitro fertilization is one of the methods of treatment of the most complex and incurable forms of infertility. It is used when other ways of overcoming this pathology are ineffective.

As an absolute indication for IVF , tubal infertility is considered , when patency in the fallopian tubes is broken and there is no possibility to restore it. That is, when there is an adhesive process associated with inflammatory diseases of the pelvic organs, or there is no one or both fallopian tubes, it makes sense to think about where to do IVF.

Another indication is immunological infertility associated with the development of a woman's antibodies that destroy the sperm of a particular sexual partner, so if you want to have a joint child, you have to resort to the IVF procedure.

The reason to find out how much is the cost of IVF, can be and male infertility in the development of an insufficient amount of sperm or a small number of suitable spermatozoa in it. In any case, in vitro fertilization is the final stage of all diagnostic and treatment procedures that have not yielded the proper result.

Non-infertility reasons for invoking the IVF method are severe hereditary diseases such as cystic fibrosis or hemophilia. In this case, donor genetic material can be used to protect offspring from these pathologies.

Contraindications

Despite the opinion that IVF can be used in any cases when there is a healthy uterus, there are a number of contraindications for carrying out this procedure. These include the presence of serious somatic and mental diseases, which are contraindications for the planning of childbirth, congenital malformations or acquired deformities of the uterine cavity, which prevent the onset and bearing of pregnancy. It is inadmissible to carry out IVF for ovarian tumors or benign neoplasms of the uterus requiring surgical treatment, as well as for malignant tumors of any location, even if they have been removed. Extracorporeal fertilization will also be postponed for the development of any acute inflammatory diseases. Therefore, it is early to find out how much ECO costs, if there is any trouble in the body, in addition to diagnosed infertility.

Preparation for artificial insemination

The process of in vitro fertilization is complex and time-consuming and requires the efforts of many specialists and the patient himself. This method includes many stages that differ depending on the specific pathology, therefore, it takes from one and a half to two months to start from the examination of patients and ending with the moment of onset or non-occurrence of pregnancy. Therefore, in addition to finding out how much it costs to do IVF, you need to be patient and have faith in the achievement of a positive result.

Before IVF, the patient expects a number of tests and diagnostic procedures, such as ultrasound, a blood test for hormones, the presence of AIDS, hepatitis and syphilis, men are given a spermogram. Such a test is waiting for couples who have already been diagnosed with infertility, and attempts have been made to treat or artificially inseminate. Additionally, an examination for genetic diseases may be prescribed . If the family has applied for the first time, it may be necessary to perform any medical procedures or operations, for example, to adjust the hormonal background, cut the adhesions, treat infections of the genitourinary sphere, and so on, which will considerably prolong the preparation for IVF.

Stages of in vitro fertilization

After the survey, the IVF process starts, consisting of several stages, the first of which will be the procedure for stimulating ovulation. This is achieved by the appointment of hormonal drugs that cause the maturation of several follicles, which at times increases the chances of removing and fertilizing a suitable egg. And the presence of several healthy embryos increases the likelihood of pregnancy, since even a few embryos can be pregnant without pregnancy. Hormonal drugs are injected for two weeks, carefully monitoring the patient's condition, since depending on the drugs used, there may be some complications, from the development of allergic reactions to the ovarian hyperstimulation syndrome, which is manifested by swelling and abdominal pain.

After diagnosing the readiness of the body, women move on to the next stage - puncture of the follicles for egg collection. This process, being still a small operation, is carried out in an outpatient setting for one day. This manipulation occurs with the use of anesthesia (most commonly short-term intravenous anesthesia) under ultrasound hardware control.

Fusion of the egg and sperm and embryo cultivation are performed by embryo physicians in a special laboratory that requires the availability of high-tech equipment. After embryo cultivation for 2-4 days, they are transferred to the uterus, which is the simplest and safest procedure from the entire IVF complex. After it, you need to observe a sparing regimen, try to avoid physical and emotional stress, even the issuance of a sick leave sheet is possible. Unused embryos are frozen according to a special technology, and can be further inserted into the uterus if the first attempt was unsuccessful. Before the process of embryo embedding into the uterus, they are tested for various gross developmental defects and chromosomal diseases and choose the ones most suitable for implantation.

After the injection of embryos, the patient receives drugs that will help to keep the pregnancy and prevent rejection of the embryos. Such therapy is carried out until the moment of confirmation of pregnancy or before the next menstruation, if the attempt was unsuccessful.

Cost of in vitro fertilization

Now in Russia there are more than one hundred clinics and reproductive centers that can conduct such a procedure. Practically in every regional center you can find an institution dealing with infertility treatment by IVF. Therefore, you can, after learning how much it cost ECO in Moscow, to look for a more economical option in the province. The cost of in vitro fertilization is composed of many points and depends on the procedures performed and the price of the drugs used. On average, IVF procedure will require the presence of 120-190 thousand rubles. If it is intended to use donor genetic material, the price will increase.

Free ECO

Since 2006, the program for free in vitro fertilization began to operate, as it was included in the list of high-tech medical care financed from the federal budget. Any citizen of the Russian Federation who has appropriate medical indications can apply for such help. However, at the regional level, local authorities can impose restrictions on the age or forms of infertility, in which it will be possible to use the free IVF procedure. For example, the age of 38 years is set on the territory of Moscow and the region, to which you can refer to the budgetary program of IVF, and it will not be used more than twice. There is also no free IVF using donor materials, in which case co-financing is possible: the state will pay for the operation itself, and the donor material is purchased by the patient.

To get a quota for free IVF, the applicant will have to go through a difficult path. These are various surveys to establish the causes of infertility and the preparation of a large package of documents, which falls on the special commission for budget allocation in clinics entering the system for free IVF.

Quota on IVF

Today, couples who dream of having a baby, but unable to do so for medical reasons, have the opportunity to conduct a procedure of expensive artificial insemination at the expense of the federal budget for the policy of CHI. Each year, a certain number of quotas are allocated, which are distributed among all regions. The number of these quotas does not cover the patients' need for high-tech assistance in eliminating infertility, so the quota on eco remains the cherished dream of many married couples.

Some regions of the Russian Federation additionally introduce free places for in vitro fertilization, financed from the local budget. Therefore, the criteria that determine the patients' access to this program may vary widely among regions and may differ from federal requirements.

ECO in Moscow

In Moscow today more than 50 clinics offer ECO. Therefore, it is difficult to choose the right one. At the same time, one can focus on the cost of the procedure or follow the recommendations of the treating doctor or friends and acquaintances, since neither the high qualification of the staff nor the availability of high-quality equipment guarantee the onset of a long-awaited pregnancy, although they increase the chances of this.

It is difficult to specifically answer the question, how much does IVF cost in Moscow, since the price consists of many moments depending on the form of infertility. For example, fertilization using donated spermatozoa or eggs will require large investments. It will also increase the cost of applying such a high-tech procedure as INSI, which consists in artificial insemination with a single spermatozoon, which may be necessary with very poor sperm quality.

The cost of medicines is not included in the price list of programs, they will have to separately spend an average of 40-60 thousand rubles. In general, IVF will require 150-190 thousand rubles for one cycle of procedures. Repeated procedures are usually given discounts.

IVF in St. Petersburg

A lot of medical institutions offer their services for conducting commercial in vitro fertilization. The cost of IVF in St. Petersburg can be very different. Each clinic offers its own software packages that allow you to select a set of research and procedures for each particular pair.

For example, the Euromed In Vitro clinic offers IVF for 52,000 rubles (this is the price without the cost of tests, consultations of specialists and the purchase of necessary medications). As a result, the amount of 110-120 thousand rubles will be spent for in-vitro fertilization. Clinics can also offer a system of discounts or installments, but the procedure still remains unavailable for many women who do not have the opportunity to conceive in the usual way.

Thus, it can be said that the IVF procedure is quite an effective method in overcoming severe forms of infertility, which, despite the high cost, gives hope to acquire offspring to many families.