IVF Frequently Asked Questions

Less-costly In vitro fertilization treatment and a relaxing IVF vacation… this sounds too good to be true. Is there a catch?

We get asked this question a lot. The truth is IVF fertility treatments cost many thousands of dollars more in the U.S. than in the Czech Republic. It is well reported in the news that the increasingly high cost of medical treatment is forcing Americans to consider going abroad for treatment, such as In vitro fertilization. My IVF Alternative enables you to have your IVF treatment, and enjoy a European vacation, for less money than an IVF treatment in the U.S.  In addition, IVF and trip expenses can be tax deductable. Read about our success stories here.

I see some doctors from Reprofit on Zlin website, what is the difference?

Prof. Pilka is in charge of both centers: Reprofit & Zlin so these centers are interconnected. Dr. Rumpik is running the Zlin clinic and is one of the partners at Reprofit.

Reprofit specializes in egg donation and treatment of foreign patients; Zlin offers IVF and egg donation as well but specializes in treatment of Czech patients.

To sum it up, both clinics belong together, they don’t compete with one another but cooperate.

Do you have a “cut-off” age for your IVF patients?

Currently, we are able to offer a fertility treatment to patients up to the age of 49. To be more specific, female patient must turn 49 years of age no earlier than on the day of her embryo transfer to be eligible for treatment.

I hear that sitting on an airplane for the transatlantic flight may harm my eggs, is this true?

This is absolutely not true. A woman’s eggs cannot be damaged in-flight, no matter the number of days prior to an IVF fertility treatment. We specifically designed a 7 or a 14 day IVF treatment schedule in the Czech because we understand leaving work or leaving the country for more than two weeks could be a hardship for some couples.

Is surrogacy legal in the Czech Republic?

Surrogacy is not illegal, but for Czech citizens it is not yet fully protected by law. So infertility clinics are offering this treatment to their patients. Our doctors are here to help patients get the baby they have been longing for and not to judge who will give birth. In other words, you can get your IVF treatment using a surrogate.

It is important however, that you have complete legal papers documented with your surrogate. You can contact an attorney, who is also a past patient of My IVF Alternative, if you need assistance with a surrogate contract. Her legal services are affordable and she is happy to answer your questions. You’ll find her link on the banner on this site.

How are people of color treated in the Czech Republic?

The Czech Republic is very liberal when it comes to race. Many of our IVF patients are African-Americans, Indian and mixed-race and they tell use they didn’t have any issues during their stay in Czech. In fact, some couples tell us they were treated like celebrities because different skin colors are not frequently seen in Czech, and they were perceived as exotic.

Can I have frozen sperm shipped to the clinic in Brno?

Yes, you can. You can read about how I have traveled with a dry shipper from Atlanta, GA all the way to Brno, Czech Republic at: http://www.myivfalternative.com/diary-2008

under October. It was hard as the shipper had to be kept upright at all times and when you are traveling with suitcases, it wasn’t easy. Having the frozen specimen shipped is the best way. I have used company called Xytex and I dealt directly with Angela. I highly recommend them for any of your tissue storage/shipping needs as they are the least expensive and easiest to deal with.

Angela Beausejour

Xytex Tissue Storage (XTS)

Xytex Cord Blood Storage (XCB)

Tissue Bank Coordinator

1100 Emmett Street

Augusta GA 30904

1-800-277-3210

706-736-9720 (fax)

tissues@xytex.com

Why do I need to get a treatment date from the clinic for my IVF with donor eggs?

When undergoing IVF using your own eggs, at My IVF Alternative we tell you to choose the best 14 days that will best work for your schedule, and the IVF clinic will work around your schedule.

As IVF with donor eggs is a more difficult procedure, and more people are involved (the donor and the recipient’s schedules need to be synchronized) the In vitro fertilization clinic will review your medical questionnaire and your questionnaire for OD recipient and provide you with a treatment date when they can offer you the best donor matching your requirements. We try to accommodate your treatment dates at least for a particularly requested treatment month, but that cannot always be guaranteed.

Your medical needs are of the upmost importance, and the IVF clinic excels in its ability to provide exceptional medical care, giving every patient the time and attention they deserve.

How can I select 2 weeks in advance if I don’t know where I will be in my cycle?

It is very easy. We ask all our patients undergoing IVF treatment to start any brand of Monophasic birth control pills (BCP) after all of their tests are done. Thanks to this BCP, you are in charge of your cycle. BCP will not only help your body prepare for your treatment but it also give us the option to shorten or lengthen your cycle as needed to fit your travel dates without any problems. Monophasic BCP is the only kind of BCP that can do that. That is why you don’t have to worry and calculate when you should go so that you ovulate on time. You just pick the best two weeks that work for you and the Monophasic BCP will help your cycle and your body to cooperate.

Why are we given estimated dates of my/donor’s egg retrieval?

Because we are working with human bodies, and because we want to provide you with the best IVF treatment in regards to having mature quality eggs instead of sticking to a time schedule, we give you estimated dates and discuss with you in person what you can expect. Your stay in Czech is calculated with this variable in mind. Our In vitro fertilization patients appreciate this approach.

What if my husband or I get sick during an IVF cycle?

Please call our office for instructions. Most colds or upper respiratory infections will not be a problem. Most over the counter medications and antibiotics are safe to use with the fertility drugs, but check with us first.

What is the average number of embryos transferred?

The doctor will make the decision after discussing this with you. Generally, two or three embryos will be transferred, but the number may vary slightly depending on the quality of the embryos and the age of the female partner.

Why must I get a blood pregnancy test after an IVF cycle?

We must show documentation that a blood test was performed to verify pregnancy status. Many IVF patients will often have implantation bleeding and assume they are not pregnant when in fact they are.

What are Monophasic birth control pills?

In these, all doses of estrogen and progestogen are exactly the same for 21 days of the 28-day cycle. The last seven days are filler doses – pills containing no active drug that are included to allow you to keep to a daily schedule.

Oral contraceptives usually are packaged containing 21 days of active tablets along with seven days’ worth of inert sugar pills. The oral contraceptive is taken for three weeks of the cycle, followed by seven days of sugar pills to keep on a 28-day cycle. Women usually have their period within a couple of days of starting the sugar pills.

If a woman continued to take the active pills and not use the sugar pills, she presumably would not menstruate. Many gynecologists have been advising women for years about this. Women use this technique to “skip” a period. It is important to note that this can be done only with monophasic birth control pills. Many gynecologists recommend that the “skipping” be done for no more than three to four months in a row.

Examples of monophasics include: Alesse, Brevicon, Demulen, Desogen, Genora, Levlen, Levlite, Loestrin, Lo/Ovral, ModiCon, Necon, Nordette, Norethin, Norinyl, Ortho-Cyclen, Ortho-Novum, Ovcon, Ovral, Portia and Zovia.

What do hCG levels mean?

Just like most of you, once I got my hCG results back, I wanted to know what they meant. Were they too low for a good pregnancy? I have done some research and combined some findings below. This information is from the Advanced Fertility Center of Chicago:

HCG, or human chorionic gonadotropin, is a hormone made by the pregnancy that can be detected in the mother’s blood or urine even before the woman’s missed period. This hormone is what we look for with a “pregnancy test”.

HCG is first detectable in the blood as early as 7-8 days after ovulation by very sensitive hCG assays (research assays). In real life, blood pregnancy tests will be positive (> 2 mIU/ml) by 10-11 days after hCG injection or LH surge.

In general, the hCG level will double every 2-3 days in early pregnancy.

85 % of normal pregnancies will have the hCG level double every 72 hours.

HCG levels peak at about 8-10 weeks of pregnancy and then decline, remaining at lower levels for the rest of the pregnancy.

There is a large variation in a “normal” hCG level for any given time in pregnancy.

Pregnancies destined to miscarry or to be ectopic (tubal) pregnancies tend to show lower levels (eventually), but often have normal levels initially.

Some normal pregnancies will have quite low levels of hCG – and deliver perfect babies. Caution must be used in making too much of hCG “numbers”. Ultrasound findings after 5-6 weeks of pregnancy are much more predictive of pregnancy outcome than are HCG levels.

For women that have had an hCG injection as part of their infertility treatment, the hormone will take about 5-14 days to clear from the woman’s system, depending on the dose and the individual woman. This can causes problems with interpretation of pregnancy tests done earlier than 14 days after an hCG injection.

hCG levels from normal singleton pregnancies

Levels are listed for various days after the ovulatory hCG injection or LH surge First (same as Third) International Reference Preparation was used (Second IRP gives lower values)

“High” is highest seen in this group of pregnancies
“Low” is lowest seen in this group of pregnancies
“#” is the number of tests done for that day in this group of pregnancies

These values are from a group of 53 normal singleton pregnancies (a very small group). Because this is a very small group of patients and because lab assays vary, it is important not to rely on these values to try to determine whether your pregnancy is viable, single, twin, etc. Check with your physician about your own levels

NORMAL SINGLE PREGNANCIES

Day after
HCG or LH
Average
mIU/ml
High
mIU/ml
Low
mIU/ml
#
14 48 119 17 12
15 59 147 17 18
16 95 223 33 23
17 132 429 17 21
18 292 758 70 19
19 303 514 111 23
20 522 1690 135 13
21 1061 4130 324 12
22 1287 3279 185 22
23 2034 4660 506 13
24 2637 10000 540 16

The information in the table above is part of a study carried out by Dr. Sherbahn that compared hCG levels from single, twin and heterotopic (combined intrauterine and ectopic) pregnancies.

HCG levels from normal twin pregnancies

Twin pregnancies tend to show higher hCG levels on a given day of pregnancy. However, there is a large variation in hCG levels between pregnancies, and much overlap exists between single and twin pregnancies.

Levels are listed for various days after the ovulatory hCG injection or LH surge

First (same as Third) International Reference Preparation was used (Second IRP gives different values)

“High” is highest seen in this group of pregnancies
“Low” is lowest seen in this group of pregnancies
“#” is the number of tests done for that day in this group of pregnancies

These values are from a group of 29 normal twin pregnancies (a small group). Because this is a very small group of patients and because lab assays vary, it is important not to rely on these values to try to determine whether your pregnancy is viable, single, twin, etc. Check with your physician about your own levels

NORMAL TWIN PREGNANCIES

Day after
LH or HCG
Average
mIU/ml
High
mIU/ml
Low
mIU/ml
#
14 68 313 56 7
15 38 159 26 9
16 146 803 112 12
17 154 542 52 8
18 360 1760 200 9
19 499 2509 215 13
21 963 5859 631 10

The information in the table above is part of a study carried out by Dr. Sherbahn that compared hCG levels from single, twin and heterotopic (combined intrauterine and ectopic) pregnancies.

What Do the Numbers Mean?

The problem is, once an IVF pregnancy is confirmed, you need to know if it progressing along normally.  Keeping track of hCG numbers is one way of measuring fetal viability.  This information is from Conceiving Concepts: hCG is measured in milli-international units per millimeter (mIU/ml).  hCG is first detectable in the blood as early as seven or eight days after ovulation by very sensitive hCG assays.  Blood pregnancy tests will be positive (> 2 mIU/ml) by 10 or 11 days after hCG injection or LH surge, and levels vary with gestational age during pregnancy.

There is a large variation in a “normal” hCG level for any given time in pregnancy.  Caution must be used in making too much of hCG “numbers.”  Ultrasound findings after five or six weeks of pregnancy are much more predictive of pregnancy outcome than are hCG levels.  You won’t expect to see a gestational sac or the fetus until the hCG level reaches at least 1,200 mIU/ml.

However, a single hCG level cannot indicate a normal pregnancy.  In a normal pregnancy there is a regular increase of the hCG, so you need to see more than one value before you can better understand what’s going on.  Additionally, a single value cannot always tell you how far along the pregnancy is, because of the wide range of blood hCG levels in pregnancy.  To illustrate the limitations of looking at a single measurement, here is a sample reference list for hCG levels in singleton pregnancies, based on days past ovulation (DPO):

  • At 14 DPO, avg hCG level is 48 mIU/ml, with a typical range of 17-119 mIU/ml.
  • At 15 DPO, avg hCG level is 59 mIU/ml, with a typical range of 17-147 mIU/ml.
  • At 16 DPO, avg hCG level is 95 mIU/ml, with a typical range of 33-223 mIU/ml.
  • At 17 DPO, avg hCG level is 132 mIU/ml, with a typical range of 17-429 IU/ml.
  • At 18 DPO, avg hCG level is 292 mIU/ml, with a typical range of 70-758 IU/ml.
  • At 19 DPO, avg hCG level is 303 mIU/ml, with a typical range of 111-514 IU/ml.
  • At 20 DPO, avg hCG level is 522 mIU/ml, with a typical range of 135-1690 mIU/ml.
  • At 21 DPO, avg hCG level is 1061 mIU/ml, with a typical range of 324-4130 mIU/ml.
  • At 22 DPO, avg hCG level is 1287 mIU/ml, with a typical range of 185-3279 mIU/ml.
  • At 23 DPO, avg hCG level is 2034 mIU/ml, with a typical range of 506-4660 mIU/ml.
  • At 24 DPO, avg hCG level is 2637 mIU/ml, with a typical range of 540-10,000 mIU/ml.

Accordingly, the key to interpreting the true value of hCG measurements is to look at their progression.  In general, the hCG level will double every two to three days in early pregnancy.  Approximately 85 percent of normal pregnancies will have the hCG level double every 72 hours.  However, as you get further along in your pregnancy and the hCG levels get higher, the expected doubling time increases.

  • For hCG levels <1200 mIU/ml, the expected doubling time is 48-72 hours.
  • For hCG levels 1200 to 6000 mIU/ml, the expected doubling time is 72-96 hours.
  • For hCG levels >6000 mIU/ml, the expected doubling time is >96 hours.

HCG levels peak at about eight to 10 weeks of pregnancy and then decline, remaining at lower levels for the rest of the pregnancy.  Here is a sample listing of expected hCG levels based on time after conception:

  • 0-1 week: 0-50 mIU/ml
  • 1-2 weeks: 40-300 mIU/ml
  • 3-4 weeks: 500-6,000 mIU/ml
  • 1-2 months: 5,000-200,000 mIU/ml
  • 2-3 months: 10,000-100,000 mIU/ml
  • 2nd trimester: 3,000-50,000 mIU/ml
  • 3rd trimester: 1,000-50,000 mIU/ml
  • Non-pregnant females: <5.0 mIU/ml
  • Postmenopausal females: <9.5 mIU/ml

How do I interpret Sperm analysis?

If you’ve wondered what those numbers and percentages mean on your partner’s sperm analysis, here’s a guide you can use for interpreting the results. Please remember that your doctor can best tell you what the sperm analysis mean for your IVF treatment.

Normally, seminal fluid is clear to milky white in color, thick and sticky (viscous) in consistency, has a pH (acidity) level between 7.8 and 8.0, and contains few or no white blood cells (leukocytes).

The World Health Organization (WHO) has developed the following values for normal semen analysis:

  • Total volume – greater than 2 mL
  • Concentration – at least 20 million sperm per mL
  • Morphology – at least 15% normal sperm
  • Motility – greater than 50% sperm with forward movement, or 25 % with rapid movement within 1 hour of ejaculation
  • White blood cells – fewer than 1 million per mL
  • Further analysis (sperm mixed antiglobulin reaction [MAR] test) shows adherent particles in less than 10 % of sperm

Baby Aspirin and IVF?

Aspirin (Acetylsalicylic acid) is among the most commonly used drugs. Low dose (baby aspirin) is being taken more and more to reduce such things as heart attacks and strokes. There is increasing data to suggest that taking a single baby aspirin each day can improve pregnancy outcomes with fertility treatments such as In Vitro Fertilization.

Why would a baby aspirin improve pregnancy rates?

There are several theories:

Aspirin has a positive affect on the body’s immune system and the associated antibodies which may interfere with the embryo’s ability to attach to the lining of the uterus.

  • Baby aspirin may help improve blood supply to various organs. This might help both men and women to:
    • improve the quality or number of eggs produced by the ovaries
    • improve the quality and volume of sperm produced by testicles
    • improve the lining of the uterus
    • and/or help keep the blood vessels of the placenta open
    • help overall during a long international flight to Czech

Should I take a baby aspirin?

  • We suggest that patients take baby aspirin unless it is medically contraindicated for them. Please check with your doctor before taking this medication.

How much should I take?

  • Take one baby aspirin per day. This may say “low-dose” or “baby” aspirin on the label and should contain between 78-100mg of aspirin per tablet.
  • Do not take a full dose aspirin or a nonsteroidal medication such as Ibuprofen instead
  • More is NOT better. Taking more than one baby aspirin a day may decrease your fertility and be dangerous to your health.
  • If you have any questions about the dose of the aspirin you have selected, please ask your pharmacist or one of our staff.

We suggest that you start taking a baby aspirin now (as opposed to starting only when on fertility drugs) to achieve the potential maximum benefits as well as to see if you have any side affects prior to being in the middle of fertility treatment.

Risks?

Taking one low-dose baby aspirin a day is very safe and well tolerated. It is not common to have a true allergic reaction to aspirin.

When is it NOT safe to take a baby aspirin?

Do not a take a baby aspirin if you have any history of the following:

  • Significant bronchospasm or rhinitis
  • Nasal polyps
  • Asthma
  • Allergic skin reactions
  • Bleeding disorders
  • Allergies
  • Sensitivity to aspirin or Ibuprofen
  • G6PD

Are there any other concerns when taking baby aspirin?

  • Your blood may be slightly thinner. We suggest that you keep pressure on your blood draw sites for longer than you usually would.
  • Low dose aspirin is safe in early pregnancy. Your doctor will tell you when to stop the aspirin. We suggest that you do not continue taking aspirin after the first trimester unless you are taking it for medical reasons.
  • Please limit your alcohol intake while taking aspirin. It may cause problems with your stomach and intestine.
  • If you get an upset stomach or have concerns about ulcers, coated baby aspirin is available and should be as effective.
  • While you are on the baby aspirin, we suggest that you limit the following: curry powder, gherkins, licorice, paprika, prunes, raisins, tea and significant use of non-absorbable antacids such as Maalox or Rolaids.

If you have any questions, please do not hesitate to ask your doctor.

When should I test for hCG levels?

For patients after a 3 day transfer, the earliest should be 12 days post ET.

For patients after a 5 day transfer, the earliest should be 10 days post ET.

If the initial test comes back negative, we encourage patients to have their levels checked 2 days later as it may take this extra time for the hCG levels to be detected in the blood stream. We have had several patients testing negative initially and then 2 days later had a positive pregnancy test and their pregnancies were full term.

Spotting or bleeding should never be interpreted as a failed cycle! Keep taking your meds and contact us.

Do I have to be on a complete bed rest after my ET?

No. Although our IVF patients like to come back to their hotel rooms after their ET and watch a movie for a few hours.
Afterwards, they go out to eat and finish their souvenir shopping. I tell my patients: “Don’t do anything you would regret later!”

If you are used to drinking a cup or two of coffee, keep indulging in it; if you would like to have a sip of wine, go for it.

Can my expenses with My IVF Alternative be tax deductible?

Yes, but please check with your CPA. Our CPA in Atlanta has always told us that all of our medical expenses, not covered by our health insurance company, are tax deductible. And if we have to travel to get our medical treatment, all of our expenses are tax deductible: airfare, accommodation, taxi, food even the money Jeremy lost in the Czech casinos!

Keep you hard made money and start your baby’s college fund with it. Go with My IVF Alternative for a tax deductible European vacation.

How many of my embryos will the clinic freeze?

There is no limit on how many embryos you can have frozen, however, Reprofit follows Dr. David Gardner’s (http://www.houstonivf.net/houstonivf/about/DrGardner.asp) grading system and freezing recommendations. Reprofit wants to make sure that the embryos that they tell you were frozen are healthy and strong enough to be thawed and transferred. They don’t want to give anybody a false hope of freezing all of their surplus embryos and then have nothing to transfer upon the patient’s long and expensive travel back to Czech.

Statistically, only about 30% of embryos reach the blastocyst stage (that is why the doctors may recommend you a 3 day transfer). Some embryos stop developing or start fragmenting. Reprofit will freeze only grade 1 and grade 2 embryos. Please understand that we need to wait for the embryologist to assess the embryos on day 6 (following your fresh embryo transfer) to determine which ones, if any can be frozen. Therefore, it is not such a simple math – i.e. if you have 6 embryos on the day of your embryo transfer and you decide to transfer the 2 best ones, it doesn’t mean that the other 4 will automatically be frozen. Even if they look great on the day of your embryo transfer, they may not be suitable for freezing the next day. You will receive your embryo freezing notice within 7 days of your embryo transfer.

Why is treatment in Czech so much cheaper than in the US?

I get this question a lot and as much as we are told by our IVF clinics how much the “going rate” is, we should be asking: “Why is it so expensive in the US?”

I don’t think that spending several thousands of dollars for IVF in Czech is cheap but it is more reasonable and that’s what the cost of IVF should be.

You can read in my IVF diary 2008 that when I went through my IVF treatment in Atlanta, GA; before the IVF clinic knew we had coverage, our IVF treatment at Georgia Reproductive Specialist would have been about $24,000 total. But since we had insurance coverage for IVF, the negotiated rate for IVF between the insurance company and the clinic was less than $6,000!!! Still more than in Czech but this number sounds more reasonable, don’t you think?

So my answer to you is, IVF is not “cheap” in Czech but the IVF in the US is WAY over priced!

What does a sample treatment protocol look like?

Download the example of treatment protocol here

Privacy during ultrasounds.

The clinic’s staff and us at MyIVFAlternative do everything possible to respect your privacy and intimacy during your treatments at the IVF clinic.

As most US patients are used from their OB/GYN or fertility clinic’s visits that they are escorted to an exam room and offered a gown to change into and await the doctor’s arrival, we have a little different system.

First you and your partner meet with your doctor in his office to discuss your IVF treatment and ask any questions. When ultrasound follows, you will be shown a door that leads to a private changing room where you will undress from the waist down and use a sheet (provided) that you will wrap around your waist (the sheet comes to about your knees).

You will then leave your changing room through another door where your doctor (and possibly your partner) will be waiting for you to perform your trans vaginal ultrasound (in most cases). After the exam is complete, you will again go through your changing room back into the doctor’s office for any comments.

Am I allowed to bring a gift for my egg donor?

If you are considering bringing a gift for your egg donor to the IVF clinic, please limit them to small gifts that are not personal. All gifts are subject to verification by the IVF clinic’s staff as anonymity must be maintained.

What is ICSI and how can it help me?

ICSI is intracytoplasmic sperm injection into the female egg. This process has been developed to help couples achieve the highest chances for fertilization.
Simply put, a single sperm gets a “piggy back” ride into the egg. Here is what ICSI procedure looks like: (www.vaunshdharaivf.com/treatments_icsi.html)

ICSI

What do my embryos look like on each day of their cultivation in the laboratory?

Upon fertilization, embryos go through a very rapid growth. Here are their stages in pictures from various laboratories world-wide:

Day 1 – fertilization
Day 2 – 2-4 cells
Day 3 – 6-10 cells
Day 4 – morula
Day 5 – blastocyst, expanded blastocyst or even hatching blastocyst

Day 1: Fertilization:
Embryologists check each dish to see if fertilization has occurred to create zygotes. About 24 hours after insemination, the zygotes typically begin dividing. This early stage of division or “cleavage” gives an indication of the strongest embryos.

Day 2 to 3: Splitting cells and growing embryo:
This is what your embryos can look like within the first three days of fertilization, when you call in to follow up on your embryos’ development, you will know how many cells your embryos have:

Day 3:
If you are having PGD done, biopsy on your embryos is done today:
blastomere biopsy

You can also do an embryo transfer on day 3 as you can clearly see the cells in the embryos and determine which ones are healthy and strong for transfer.

Day 4: Morula and compacted morula:
Why don’t we give out information on your embryo development on day 4? Because day 4 is a transition from a few cell embryo (about 10 cells) to a blastocyst (about 60-120 cells). There is not much to see or tell about the embryo. See for yourself:
1.pic : Morula, 2.pic : More advanced stage – Compacted Morula
 

See what I mean? Not much to report on our baby, is there? ;o)

Day 5 or 6: Blastocyst:
The cells start to become distinguished and separate into placenta cells and fetal cells, called a blastocyst or blast for short.
1.pic : Blastocyst, 2.pic : More advanced stage – hatching expanded blastocyst
 

Do you help only American patients?

No. Since May 2006, we have assisted patients from all over the world and we “have babies” in every continent of this world.

A lot of information on our website is from Mag’s personal experience and struggle with infertility. Since she lives in Atlanta, USA, her experience is compared to the care received in Brno, Czech Republic.We are happy to give our experienced guiding hand to anyone who asks for it.

What is an AMH test and why do you recommend it?

This test is recommended for women planning to use their own eggs during their IVF treatment:

AMH is an Anti-Mullerian Hormone and this test is most commonly used by fertility specialists as another and maybe more accurate indicator of a woman’s fertility than just FSH alone, more specifically in regards to ovarian reserve.

Especially with patients that are border line or of advanced maternal age or their past response to IVF stimulation has been low or past miscarriage etc, this test can be a further indicator of one’s ovarian production.

This test is certainly not required but if you really want to get as much information we can get from your body as possible before deciding which treatment to follow, I would highly recommend this test. Test results of 1.0ng/ml and above are what we are looking for for patients considering to use their own eggs. AMH test can be done on any day of a woman’s cycle.

Donor egg patients – why do you ask about blood type?

Finding out your and/or your partner’s blood type is another measure we take to find you the best donor match. For some couples, completing their family via IVF with egg donation is not an easy decision (family background, religion, laws of the country where they reside, their plans not to tell their child(ren) details of their conception, etc.) Therefore, we offer the possibility of blood type and Rh factor matching as well.

What if I don’t know my or my partner’s blood type?

If your egg donor’s blood type is not important to you, there is no need to know your blood type as from medical stand point, your donor can be of ANY blood type. Remember, you are born with a certain blood type and Rh factor and when you are choosing your mate, your first question isn’t what their blood type is and if you are compatible that way ;o) Some reproductive immunologists also believe that the more different the donor is from the recipient (including the blood type) the better chances for a success.

But if you do want to find out what your blood types are, you can check with your family doctor or OB/GYN if they have those records in your file. If not, you can ask for a simple blood test to determine your blood type.

What is the complete Donor Egg IVF program step-by-step with My IVF Alternative like?

We recommend that you talk to My IVF Alternative or review our Testimonials to ensure you are comfortable with our program and all of your questions about IVF are answered.

After you’ve decided on our In vitro fertilization vacation package, it is time to think about the time that would work best for you getting pregnant with donor egg IVF in Czech. When you contact My IVF Alternative and we are discussing your possible donor egg IVF treatment date, it would be helpful if you knew your and your partner’s blood type and Rh factor. This is particularly important if you are not planning to tell your child where s/he came from, this way, we can provide you with a donor of the same blood type. Please visit our IVF FAQs page for more details on this subject.

You should see your OB/GYN and inform them that you are attempting pregnancy with IVF as they may do your prenatal check up. You will also need to have a trans vaginal ultrasound done on day 12 or 14 of your cycle (non menstruating women need to undergo a mock cycle – please contact My IVF Alternative for more details). Regularly menstruating women, please ask your provider for a prescription of two months worth of monophasic birth control pills (each and every active pill has the same amount of hormones in them). Brand doesn’t matter – ask your doctor if s/he could provide you with a free sample.

We’ll send you our In vitro fertilization medical questionnaire covering your and your partner’s medical/fertility history. This way your treating doctor in Czech will know how to approach your donor-egg IVF treatment the best to achieve pregnancy. Another form is going to be a Questionnaire for donor eggs recipients where you provide information about yourself (you can even include a picture for a better match), you and your partner’s blood type and you can request features of the donor that are important to you (i.e. height, weight, hair/eye color, education, if they have successfully donated before, etc.). We will also send you our IVF contract for your review. Once a signed contract is received with a deposit, you will receive our extensive Traveler’s Manual with tips on how to save even more, low cost airfare and valuable information on vacationing in Czech while undergoing your IVF treatment.

Your treating doctor in Czech will put together a treatment protocol based on your information and the dates of your treatment. Depending on your protocol, the right dosage of your medication is prescribed and we assist you in getting them filled at a low cost pharmacy and delivered at your home. Once you have received your medications, My IVF Alternative coordinator will go over the details of your treatment and medication administration via a video conference to ensure that you are confident with your protocol and medication administration and there are no doubts.. You can fly to several airports so that you can choose a flight that is the most convenient for you. Of course, flying all the way to your final destination Brno is the easiest way to go but you can look into other airports as well, such as Prague, Bratislava and Vienna. My IVF Alternative hostess in Brno (this service is not included but can be provided upon request), will take you to your hotel and provide you with a cell phone with the most important numbers pre-programmed in it, including your IVF clinic’s number. Upon request, you can also receive our MP3 player with meditation, created especially for women undergoing IVF treatments, helping you relax even more while on your IVF vacation.

There are only a few visits to the IVF clinic necessary, leaving you with plenty of time to explore the rest of the Czech Republic or other nearby countries (Austria, Slovakia, Hungary etc.) This is a very comfortable way to be introduced to the Czech culture and experience. At My IVF Alternative we do our best to treat and care for each couple individually, although there will most likely be other couples undergoing their IVF treatment at the same time. We are trying to respect everybody’s privacy but if you request to be known to others, we’ll forward your request to the other couples and we can help you get together. That gives IVF patients the opportunity to share their experience, make friends and really have a great vacation while undergoing In vitro fertilization. Most IVF patients have made a comment that this is a beginning of a great friendship with an extended Czech family.

Your My IVF Alternative hostess (if you have elected this service) will pick you up at the hotel on the day of your donor’s egg retrieval. No need for translating as the doctors speak English. However, we are still present at your appointments should you need any assistance. At this time, the doctor will check your progress by ultrasound and a blood test, if necessary. You can ask your doctor any questions at this time. Your partner will have to provide a sperm specimen after a 2-4 day sexual abstinence; the sperm will be used later that day to fertilize the retrieved mature eggs by the ICSI method. After your first appointment at the clinic (or when you feel like it) My IVF Alternative hostess will show you around Brno, pointing out interesting sights or places of interest helping you get more familiar with the city so that you can get around the city on your own. Feel free to discuss your plans for vacationing in Czech, any trips you’d like to take or things you’d like to see while on your IVF vacation.

You can use the provided cell phone to call and check on the progress of your embryos. Based on their development, embryo transfer day will be determined (usually it is a 3 or 5 day transfer). Embryo transfer is a painless procedure and you can view your selected embryos on the screen prior to them being placed into your uterus. Your husband can be present as well. Immediately after the transfer you’ll stay resting for a while and you can listen to relaxing music. Later, you can get back to your normal activities. You don’t have to be on bed rest, just no running, jumping, bending heavy lifting or hot baths. Generally, don’t do anything you may regret later. You can relax when getting on a plane to fly back home as your embryos will not get hurt during your flight!

If you had any surplus embryos, My IVF Alternative will inform you how many embryos were frozen and we’ll be available via e-mail or phone to talk or provide you with any type of support we possibly can during the long and very hard two weeks’ wait! My IVF Alternative will keep you in our prayers and our fingers crossed for a positive pregnancy test!

Remember, IVF is very safe and IVF treatments are day procedures. Our In vitro fertilization vacation packages are the perfect choice for anyone trying to conceive a baby.

What testing do IVF donors in the Czech Republic have to go through?

The following information is for all donor IVF treatments (donor eggs, donor sperm, donor embryos)

Czech legislation allows only for anonymous donation (eggs, sperm and embryos). No pictures of donors are available. However, you can specify some of the donor’s characteristics that are important to you such as: height, hair color, eye color, weight. You can also provide a picture of yourself for the doctors to match the donor more closely to your looks.

All donors are Caucasians ranging from fair to darker skin. Few Asian and African donors are available as well.

In order for a volunteer to be accepted into the donation program (eggs or sperm) they need to first meet strict requirements.

All tests follow The 2002 Guidelines for oocyte donation of The American Society for Reproductive Medicine published in Fertility and Sterility Vol. 77, No.6, Suppl. 5 in June 2002.
Screening and tests include

Personal and sexual history
Psychological evaluation
Testing for STDs
Serologic testing for Syphilis
Serologic testing for HBV a HCV
Serologic testing for CMV
Serologic testing for HIV
Serologic testing for Chlamydia trachomatis
Test for blood group and Rh
Genetic evaluation
History of familial diseases
Caryotype
Screening for cystic fibrosis

Before a donor is matched to you, about 2-3 weeks prior to your treatment, we’ll send you the possible IVF donor’s description for your approval: year of birth, blood type, hair/eye color, height, weight, achieved education , possibly if she has donated before or if she has her own family. We can also inquire about more details about your donor. Thanks to our exclusive agreement and cooperation since the IVF Clinic first opened their doors to patients in 2006, there is no wait time for egg/sperm donors for My IVF Alternative patients. However, scheduling of an egg donor IVF treatment can take at least 5 weeks, depending on your medical/fertility condition, to properly synchronize your cycle with an egg donor and get your uterus perfectly ready for embryo transfer and acceptance.

What are My IVF Alternative success rates for IVF treatments in the Czech Republic?

Although, the IVF clinic performs close to impressive 3000 IVF cycles a year, My IVF Alternative success rates shown here are based on over 600 patients that we personally had the pleasure of guiding through their IVF treatment in the Czech Republic since 2006.

2012 IVF Success Rate        IVF Success Rate since 2006

What is the complete non-donor IVF ICSI program step-by-step with My IVF Alternative like?

Completed medical questionnaire, covering your and your partner’s medical/fertility history will need to be reviewed by our IVF specialists. This form can be downloaded here.

Once you have researched your options, talked to My IVF Alternative and/or other couples that have used our service in the past (some of them provided their contact information on our website under “Testimonials” others are active member of various message boards and some have provided their video testimonial as well). Once you’ve got all of your IVF questions answered, it is time to think about the best 8 to 14 days that would work for you getting pregnant via IVF in Czech. Thanks to our precise and interactive coordination, you need to stay only 8 to 14 days in Czech to complete your In vitro fertilization treatment.

We believe you should decide when you want to get pregnant with IVF. The IVF clinic is assisting patients seven days a week during their treatment as our ovaries don’t work around our clock. ;o) You should see your OB/GYN and inform them that you are attempting pregnancy with IVF as they may do your prenatal check up. You will also need to have your blood tested anytime within the first three days of your cycle (starting from a full bleed) for: AMH, FSH, LH, TSH, E2 and Prolactin. The results should not be more than 6 months old. Please ask your provider for a prescription of two months worth of monophasic birth control pills (each and every active pill has the same amount of hormones in them). Brand doesn’t matter – ask your doctor if s/he could provide you with a free sample. BCP will prepare your body for the IVF treatment and helps with your flight, cycle and IVF treatment coordination as well.

We will need your completed medical questionnaire covering your and your partner’s medical/fertility history. This way your treating doctor in Czech will know how to approach your IVF treatment the best to achieve pregnancy. We will also send you our contract for your review. Once a signed contract is received with a deposit, you will receive our extensive IVF Vacation Traveler’s Manual with tips on how to save even more, learn about low cost airfare and valuable information on vacationing in Czech. At this time, your US coordinator is assigned to you.

Your IVF treating doctor in Czech will put together a stimulation protocol based on your information and your travel dates. Depending on your protocol, the right dosage of your IVF medication is prescribed; we assist you in getting them filled at a low cost pharmacy. Once you receive them, My IVF Alternative coordinator will go over the details of your treatment and medication administration via video conference so that there are no doubts or questions about your ivf medications. When your In vitro fertilization treatment is all set up, you’ll pay the balance. We have also been helping our patients qualify for free medications, saving them additional hundreds of dollars in addition to the great IVF cost saving benefit of having your In vitro fertilization preformed in the Czech Republic (applies only to US citizens/residents with cooperating fertility specialists).

IVF patients can fly to several airports so that you can choose a flight that is the most convenient for you. Of course, flying all the way to your final destination Brno is the easiest way to go but you can look into other airports as well, such as Prague, Bratislava and Vienna. My IVF Alternative hostess in Brno (this service is not included but can be provided upon request), will take you to your hotel and provide you with a cell phone with the most important numbers pre-programmed in it. Including your IVF clinic’s number! Upon request, you can also receive our MP3 player with meditation, created especially for women undergoing IVF treatments, helping you relax even more while on your IVF vacations in Europe.

There are only a few visits to the IVF clinic necessary, leaving you with plenty of time to explore the rest of the Czech Republic or other nearby countries (Austria, Slovakia, Hungary etc.) This is a very comfortable way to be introduced to the Czech culture and experience. At My IVF Alternative we do our best to treat and care for each couple individually, although there will most likely be other couples undergoing their IVF treatment at the same time. We are trying to respect everybody’s privacy but if you request to be known to others, we’ll forward your request to the other couples and we can help you get together.  That gives IVF patients the opportunity to share their experience, make friends and really have a great vacation while undergoing In vitro fertilization. Most IVF patients have made a comment that this is a beginning of a great friendship with an extended Czech family.

Your My IVF Alternative coordinator will pick you up at the hotel on the day of your first IVF appointment. No need for translating as the doctors speak English. However, she is still present at your appointments should you need any assistance. At this time, the doctor will check your progress of your stimulation by ultrasound and perform a blood test if necessary. Your medication can be adjusted at this time. You can ask your doctor any questions while at your IVF appointment and you will be instructed when to come back for your follow up visit. After your first appointment at the clinic (or when you feel like it) My IVF Alternative hostess will show you around Brno, pointing out interesting sights or places of interest helping you get more familiar with the city so that you can get around the city on your own. Feel free to discuss your plans for vacationing in Czech, any trips you’d like to take or things you’d like to see while on your IVF vacation.

During your next appointment at the IVF clinic, your progress will again be checked by ultrasound and a blood test if necessary and you’ll be scheduled for your egg retrieval. You will be given a “trigger shot” that needs to be administered precisely at the time the doctor tells you. Male partner should be abstinent from ejaculation for 2-4 days on the day of your egg retrieval. He shouldn’t drink alcohol or smoke since midnight prior to your egg retrieval. Since you will be put to sleep for the time of the egg retrieval, you shouldn’t smoke, eat or drink from midnight prior to your surgery until after your egg retrieval.

On the day of your egg retrieval you will arrive at the IVF clinic, change into a gown and slippers that you bring with you for your own comfort. As you are undergoing your egg retrieval, your partner will provide his sperm specimen. He will then meet you at the recovery room where you can rest. You will be informed on the number of mature eggs retrieved and later that day, they will be fertilized by the ICSI method with your partner’s sperm. It is normal to feel tired; you may experience some menstrual cramping like pain as well. Should you feel bloated, nauseous, vomiting or in severe pain, we ask that you please call us or your IVF doctor’s cell phone.

You can use the provided cell phone to call and check on the progress of your embryos. Based on their development, embryo transfer day will be determined (usually it is a 3 or 5 day transfer). Embryo transfer is a painless procedure and you can view your selected embryos on the screen prior to them being placed into your uterus. Your husband can be present as well. Immediately after the transfer you’ll stay resting for a while and you can listen to relaxing music. Later, you can get back to your normal activities. You don’t have to be bed bound – just no running, jumping, bending, heavy lifting or hot baths after the embryo transfer. Generally, don’t do anything you may regret later.

You can relax when getting on a plane to fly back home as your embryos will not get hurt during your flight! If you had any surplus embryos, we’ll inform you of how many embryos were able to be frozen and we’ll be available via e-mail or phone to talk or provide you with any type of support we possibly can during the long and very hard two weeks’ wait! We’ll keep you in our prayers and our fingers crossed for a positive pregnancy test!

What is the complete Donor Embryo IVF/Embryo Adoption IVF program step-by-step with My IVF Alternative like?

As with any other IVF treatment abroad you might be considering, we recommend that you talk to My IVF Alternative or review our Testimonials to ensure you are comfortable with our program and all of your questions about IVF in the Czech Republic are answered.

After you’ve decided on our In vitro fertilization vacation package, it is time to think about the time that would work best for you getting pregnant with donor embryo IVF in Czech. When you contact My IVF Alternative and we are discussing your possible  IVF treatment date, it would be helpful if you knew your and your partner’s blood type and Rh factor. This is particularly important if you are not planning to tell your child where s/he came from, this way, we can provide you with a donor of the same blood type. Please visit our IVF FAQs page for more details on this subject.

You should see your OB/GYN and inform them that you are attempting pregnancy with IVF as they may do your prenatal check up. You will also need to have a trans vaginal ultrasound done on day 12 or 14 of your cycle (non menstruating women need to undergo a mock cycle – please contact My IVF Alternative for more details). Regularly menstruating women, please ask your provider for a prescription of two months worth of monophasic birth control pills (each and every active pill has the same amount of hormones in them). Brand doesn’t matter – ask your doctor if s/he could provide you with a free sample.

We’ll send you our In vitro fertilization medical questionnaire covering your and your partner’s medical/fertility history. This way your treating doctor in Czech will know how to approach your IVF treatment the best to achieve pregnancy. Another form is going to be a Questionnaire for donor eggs recipients and Questionnaire for donor sperm recipients where you provide information about yourself (you can even include a picture for a better match), your and your partner’s blood type and you can request features of the donor that are important to you (i.e. height, weight, hair/eye color, education, if they have successfully donated before, etc.). We will also send you our IVF contract for your review. Once a signed contract is received with a deposit, you will receive our extensive Traveler’s Manual with tips on how to save even more, low cost airfare and valuable information on vacationing in Czech while undergoing your IVF treatment.

Your treating doctor in Czech will put together a stimulation protocol based on your information and the dates of your treatment. Depending on your protocol, the right dosage of your medication is prescribed and we assist you in getting them filled at a low cost pharmacy. Once you receive your medications, My IVF Alternative coordinator will go over the details of your treatment and medication administration via a video conference to ensure that you are confident with your protocol and medication administration and there are no doubts.. You can fly to several airports so that you can choose a flight that is the most convenient for you. Of course, flying all the way to your final destination Brno is the easiest way to go but you can look into other airports as well, such as Prague, Bratislava and Vienna. My IVF Alternative hostess in Brno (this service is not included but can be provided upon request), will take you to your hotel and provide you with a cell phone with the most important numbers preprogrammed in it. Including your IVF clinic’s number. Upon request, you can also receive our MP3 player with meditation, created especially for women undergoing IVF treatments, helping you relax even more while on your IVF vacation.

There are only one visit to the IVF clinic necessary, leaving you with plenty of time to explore the rest of the Czech Republic or other nearby countries (Austria, Slovakia, Hungary etc.) This is a very comfortable way to be introduced to the Czech culture and experience. At My IVF Alternative we do our best to treat and care for each couple individually, although there will most likely be other couples undergoing their IVF treatment at the same time. We are trying to respect everybody’s privacy but if you request to be known to others, we’ll forward your request to the other couples and we can help you get together. That gives IVF patients the opportunity to share their experience, make friends and really have a great vacation while undergoing In vitro fertilization. Most IVF patients have made a comment that this is a beginning of a great friendship with an extended Czech family.

Your My IVF Alternative hostess will pick you up at the hotel on the day of your embryo transfer. No need for translating as the doctors speak English. However, we are still present at your appointment should you need any assistance. At this time, the doctor will go over your embryos’ details and talk about the quality and grade of those embryos being transferred. Your husband can be present as well. Immediately after the transfer you’ll stay resting for a while and you can listen to relaxing music. Later, you can get back to your normal activities. You don’t have to be on bed rest, just no running, jumping, bending heavy lifting or hot baths. Generally, don’t do anything you may regret later. You can relax when getting on a plane to fly back home as your embryos will not get hurt during your flight! After your appointment at the clinic (or when you feel like it) My IVF Alternative hostess will show you around Brno, pointing out interesting sights or places of interest helping you get more familiar with the city so that you can get around the city on your own. Feel free to discuss your plans for vacationing in Czech, any trips you’d like to take or things you’d like to see while on your IVF vacation.

If you had any surplus embryos (patients using fresh donor embryo IVF option) , My IVF Alternative will inform you how many embryos were frozen and we’ll be available via e-mail or phone to talk or provide you with any type of support we possibly can during the long and very hard two weeks’ wait! My IVF Alternative will keep you in our prayers and our fingers crossed for a positive pregnancy test!

Remember, IVF is very safe and IVF treatments are day procedures. Our In vitro fertilization vacation packages are the perfect choice for anyone trying to conceive a baby.