Medical examination and decision on the type of your treatment:
Each In vitro procedure begins with preparation and medical examinations months beforehand.
Your medical examination does not mean that you will be examined once and you can start the procedure immediately. It is important your entire menstrual cycle to be observed closely in order your ovulation to be tracked and all the changes in your body, caused by the hormones, to be determined.
The decision on the type of your treatment is related to the type of the stimulation and medicines that appropriate for you.
When should I make an appointment?
Your physician will advise you when you have to come to the hospital for examination. Usually this is on the 9th -10th day of your menstrual cycle, and if your cycle is longer (32 days and more) you should make an appointment for the 12th -13th day of your menstrual cycle.
Before starting the actual IVF procedure you can schedule your appointment for a checkup in "Nadezhda" hospital at the Registration Desk or by phone: 0882 193970 or 02/44 17 970.
You will be asked several particular questions by our employees in order the purpose of your visit to be clearly defined in the schedule of your physician.
It is important that you are able to provide the following information:
- the first day after your last menstruation, your ID number and full name.
Important: The length of your cycle is calculated from the first day of your bleeding in the previous month to the first day of your bleeding in the following month.The first day of your menstruation is the first day of your pronounced bleeding. If the bleeding has occurs in the afternoon or in the evening, then the first day of your menstrual cycle is considered to be the following day.
Examination carried out by an obstetrician-gynecologist: On the day of your check-up your physician will carry out an ultrasound vaginal examination to assess your gynecological status, the condition of your ovaries, uterus and the thickness of your uterine lining. The examination provides important information on how the In vitro procedure will be planned further.
Before having your medical checkup it is necessary that you:
• remember the dates of your last menstruation;
• your bladder is empty.
Analysis of basal serum hormone levels:
After your examination, your physician will prescribe you to have a hormone analysis: your physician will specify which hormones are to be tested, but in general, the levels of the following hormones are tracked:
LH - luteinizing hormone
FSH - follicle stimulating hormone
E2 - estradiol, a hormone belonging to the group of sex hormones
Prolactin - a hormone that is produced and secreted from the anterior pituitary gland
TSH - thyroid stimulating hormone, the values of which indicate how the thyroid gland is functioning
The analysis of the hormones is carried out on certain days of your menstrual cycle and is often related to your first visit, before the procedure, in order your cycle to be tracked:
The following hormones are analyzed (on the second or third day of your menstruation): Estradiol, LH, FSH
- The analysis is directed from the consulting office to the Clinical Laboratory. Venous blood is used, collected by venipuncture, and the test-results are ready within two hours. There is no need you to be on a certain diet before the blood tests.
On the day when you have no bleeding (fresh cycle day) are analyzed the following hormones:
- TSH: The hormone is tested in the morning when your stomach is empty and you have not had any coffee; peripheral blood is collected from the vein.
- Prolactin: before the testing the you must be in a relaxed condition and sit still for at least 15 minutes in front of the the lab.
You can wait for your doctor’s comments on the results in front of his office or to have them on the day of your next visit.
Detailed analyses and consultations on indications (at the discretion of your physician): Sometimes there are some comorbidities and underlying diseases that affect the success of the In vitro procedure (eg diabetes, thyroiditis, etc.). This requires consultation with other specialists to whom you will be directed by your physician;
For your partner:
Before starting the procedure, your partner should do the following tests:
- Ejaculate analysis – general microbiology and semen analysis of ejaculat. For the semen analysis before the test it is required a sexual abstinence from 2 to 7 days (according to the fifth edition of the World Health Organization). For the semen analysis and general microbiology your partner has to make an appointment in advance. This can be done in the following ways:at the Registration Desk or by phone: 02/44 179 70 or 0882 193 970. The results can be obtained from the Andrology laboratory (room № 9).
- AIDS, Syphilis, Hepatitis B and C analysis are carried out not later than three months before you start the In vitro procedure (for the purposes of the testing blood is collected from a vein, it is not necessary a certain diet to be followed). If for the In vitro procedure are used donor sperm, your partner is not required to have these tests.
- Detailed analyses and consultations on indications: if your partner has any underlying diseases and comorbidities, your physician may appoint additional tests and consultation with a specialist.
- In the process of preparation for the In vitro, you will become aware of the different stages of the procedure and your physician will discuss with you the methods of the treatment. You will be also given answeres to all the questions that you want to ask us.
You can ask for anything related to the upcoming medical procedure, and also discuss with us some emotional aspects of your treatment.