IVF programs in Shymkent

WHAT IS IVF?

In Vitro Fertilization (from Lat. extra — outside, outside and Lat. corpus — the body, that is, fertilization outside the body, socr. IVF) is an assisted reproductive technology used to treat infertility. Synonyms: “in vitro fertilization”, “in vitro fertilization”, “artificial insemination”, in English is denoted by the abbreviation IVF (in vitro fertilization).

During IVF, the egg is extracted from the woman’s body and artificially fertilized in “in vitro” (“in vitro”), the resulting embryo is kept in an incubator, where it develops for 2-5 days, after which the embryo is transferred to the uterine cavity for further development. To grow an egg in the ovaries, the reproductive doctor uses hormonal stimulants.

Advantages of IVF in the “Ecomed” clinic:

  • the protocol is selected individually for each married couple, which allows you to achieve the maximum chance of pregnancy;
  • actively using “soft” stimulation schemes that are well tolerated and safe for the patient’s health;
  • full compliance of the embryological laboratory with strict American quality standards;
  • constant support of a reproductive doctor who performs artificial insemination. You can always come to him for an appointment or make a phone call.

Our doctors

Reproductologist is a doctor who treats infertility using various assistive technologies. At the Ecomed IVF Infertility Treatment Center in Shymkent, receptions are conducted by experienced reproductive doctors who have completed internships in Europe and the USA, authors of many scientific papers and publications, regular participants of international symposiums, seminars and conferences in the field of reproduction.

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6 steps of IVF

1.
Stimulation

Ovulation stimulation

In order for several eggs to mature in a woman’s ovaries at once, gonadotropins and agonists or antagonists of GRG are used. Usually drugs are prescribed from 2-3 days of the menstrual cycle. There are different regimens for taking these drugs, and in each case they are selected individually, taking into account the health status of the woman, her follicular reserve and gynecological pathology.

2.
Puncture

Ovarian puncture

Approximately in the middle of the cycle (on day 13-15), the doctor performs an ovarian puncture. This is a low-traumatic outpatient IVF operation, which is performed under general intravenous anesthesia. Its duration is about 5-10 minutes.

3.
Fertilization

Fertilization (ICSI/IMSI)

After receiving the cells from the couple, they are fertilized on the same day. To do this, men’s spermatozoa are pre–processed – this is necessary in order to select the most mobile, mature and healthy gametes. After treatment, the cells are placed in a nutrient medium containing oocytes.

4.
Cultivation

Embryo cultivation
Fertilized eggs are placed in a special nutrient medium, after which they are transferred to an incubator. It simulates an environment identical to a woman’s fallopian tubes. Embryos are cultured for 3 to 5 days.

5.
Transfer

Embryo transfer
At the discretion of the doctor, embryo transplanting is carried out on the 3rd or 5th day. It depends on whether the embryos have reached a certain level of development and how ready the woman’s body is to accept them.

6.
Pregnancy

Support and control of pregnancy development
After embryo implantation, the reproductologist prescribes hormonal drugs to the woman, designed to create conditions for the onset of pregnancy and its maintenance. The dosage of medications may change after ultrasound. It is determined by the doctor. After 14 days from the moment of embryo transfer, a blood test for hCG is performed. A week later, a woman is prescribed an ultrasound to confirm pregnancy. Diagnosis of fetal heartbeat is the only reliable confirmation of pregnancy.

Indications for IVF for men

  • Severe asthenozoospermia (low sperm motility, not treatable)
  • Abstursive azoospermia (obstruction of the seminal canal)
  • Teratozoospermia (modified spermatozoa, with an irregular shape)
  • Vasoctomy
  • Infertility that does not respond to conservative treatment;
  • Preparation and passage of chemotherapy in the near future.

Indications for IVF for women

  • Absence or obstruction of the fallopian tubes;
  • Anovulation — absence of ovulation (eggs do not mature);
  • Endometriosis;
  • Polycystic;
  • Hormonal disorders;
  • Absence of a uterus (IVF program with a surrogate mother is used);
  • Delayed motherhood (eggs are frozen for future use);
  • Preparation and passage of chemotherapy in the near future.

Price of services

Consultation of a reproductologist
(Ultrasound for free)

10 000 KZT

IVF in the natural cycle

250 000 KZT

IVF in a stimulated cycle

350 000 KZT

IVF with a guarantee

2 000 000 KZT

Skype consultation

Online consultation with a reproductologist from anywhere in the world

3 000 KZT

The first IVF clinic founded on April 18, 1995 in Kazakhstan

The largest group of 14 IVF clinics in Kazakhstan

Our first test tube baby was born in Central Asia

Full cycle of infertility treatment by IVF

Own bank of donors and surrogate mothers

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    The scope of the examination before IVF

    The amount of examination required for the IVF program
    (Approved by the Ministry of Health of the Republic of Kazakhstan on January 7, 2005)
    Below is a list of necessary examinations of a married couple before starting an IVF program, indicating the expiration date of each analysis. For your convenience, you can take many studies at your place of residence. In case of clarification of the result of any study, we recommend that it be carried out in our diagnostic laboratory.

    Mandatory amount of research for a woman:

    • General and special gynecological examination (examination of a gynecologist-reproductologist);
    • Ultrasound examination of the pelvic organs (1 month);
    • Determination of blood type and Rh factor (once);
    • General clinical blood test, including clotting time (10 days);
    • Biochemical blood analysis (alanine transferase, asparaginate transferase, total. bilirubin, glucose, total. protein, urea, creatinine, cholesterol) (10 days);
    • Coagulogram (prothrombin index, APTT, fibrinogen, INR, D-dimer, Prothrombin time, Thrombotest), lupus anticoagulant (10 days);
    • General urinalysis (10 days);
    • Examination for flora from the urethra, cervical canal and vagina (smear) (10 days);
    • Blood test for syphilis (RW), human immunodeficiency virus (hereinafter referred to as HIV code 110.1), hepatitis B and C at the place of residence or in the RCC code 110.1 (3 months);
    • IgG and IgM ELISA infections (chlamydia, ureaplasmosis, mycoplasmosis, herpes simplex virus, cytomegalovirus, gonorrhea, trichomoniasis, toxoplasmosis, rubella) (3 months);
    • Cytological examination of cervical smears for oncocytology) (1 Year);
    • Determination of anti-Muller hormone (AMH), follicle-stimulating (FSH) and luteinizing (LH) hormones, prolactin, testosterone, thyroid-stimulating hormone, triiodothyronine, thyroxine, estradiol in the blood on 3-5 days from the beginning of the menstrual cycle (6 months);
    • Blood for cancer markers CA-125, NE-4, CA-15-3, ROMA index(6 months);
    • Electrocardiogram (ECG) (1 Year);
    • Fluorography or chest X-ray (1 Year);
    • Examination of the therapist about the state of health and the possibility of pregnancy with the provision of a conclusion (1 Year);
    • Ultrasound of the mammary glands, ultrasound of the thyroid gland (1 Year);
    • Examination of other specialists according to indications with the provision of a conclusion: mammologist, endocrinologist; certificate from the mental health center (1 Year);
    • Cytogenetic analysis of the karyotype and medical and genetic counseling with clinical and genealogical analysis, phenotypic examination (once);
    • Examination of the uterus and fallopian tubes by hysterosalpingography and/or laparoscopy;
    • Hysteroscopy with histological examination of the endometrium; examination of the state of the uterus and fallopian tubes by hysterosalpingography and/or laparoscopy.

    Mandatory amount of research for a men:

    • Determination of blood type and Rh factor (once);
    • Blood test for syphilis (RW), human immunodeficiency virus (hereinafter referred to as HIV code 108.2), hepatitis B and C at the place of residence or in the RCC code 108.2 (3 months);
    • Spermogram, morphological examination of the ejaculate, mag test (determination of spermatozoa turned off from fertilization) (1 month);
    • Consultation of a urologist-andrologist (1 year);
    • IgG and IgM ELISA infections (chlamydia, ureaplasmosis, mycoplasmosis, herpes simplex virus, cytomegalovirus, gonorrhea, trichomoniasis) (3 months);
    • Urethral smear microscopy (1 month);

    Examination of men according to indications:

    • Ultrasound examination of the scrotum, pelvic organs;
    • Examination for LH, FSH, testosterone, prolactin, TSH;
    • Examination of the secret of the prostate gland;
    • Bacteriological seeding of sperm (or prostate secretions);
    • Karyotype determination;
    • Hypoosmolar test and sperm flotation (for necrospermia);
    • Examination of sperm chromosomes (FISH sperm);
    • DNA-sperm fragmentation test;
    • Blood on PSA (after 40 years).
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