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In Vitro Fertilization (IVF) in Croatia
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Ruzica Topalovic, 11 September 2020
Kudos to the staff of the IVF polyclinic! My biggest recommendation: not to get the most professional staff, but also the kindest!
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What you need to know about In Vitro Fertilization (IVF) in Croatia
In order for a pregnancy to occur naturally, the ovary releases an egg at ovulation which travels through the Fallopian tube where it meets the sperm and is then fertilized. The fertilized egg enters the uterine cavity where it implants in the thickened lining of the uterus (the endometrium).
Through IVF treatment (In Vitro Fertilisation), the ovaries are stimulated to produce a number of eggs which are then collected and mixed with sperm in the laboratory; this then allows fertilization to occur. The developing embryos are monitored closely and the healthiest embryos are then transferred into the uterus to allow implantation to occur.
IVF is a series of procedures performed to treat infertility especially to women over the age of 40. It can also be used as a treatment for certain health conditions such as Ovulation Disorder, Premature Ovarian Failure, Fallopian Tube Damage, Endometriosis, Unexplained Infertility, Uterine Fibroids, Impaired sperm production or function, Previous tubal sterilization or removal, Genetic Disorder, or Fertility preservation for cancer patients.
What is the cost of In Vitro Fertilization (IVF) in Croatia?
In Croatia, the monetary dimensions tied to In Vitro Fertilization (IVF) extend from the professional charges of the medical team to the pricing of fertility medication, lab evaluations, and infrastructure expenses. The financial weight of such a treatment route can be a dominant factor for couples contemplating this option. Moreover, it's noteworthy to foresee the chance of needing more than one cycle of the treatment, considerably escalating the total pricing.
Some patients may need supplementary treatments like Intracytoplasmic Sperm Injection (ICSI) or Preimplantation Genetic Diagnosis (PGD), which substantially contribute to the expenses. Besides, it's pertinent to remember that the preserving of surplus embryos for prospective usage may also result in additional financial implications.
The price for In Vitro Fertilization (IVF) could also be affected by the prevailing fertility regulations in that territory, the type of insurance plan accessible, and the standard market cost for these services. Suppose you contemplate journeying to Croatia for this intervention; it's necessary to also account for travellings, living arrangements, and daily costs during your visit into your financial plan. Taking all these factors into account, it's fair to conclude that the rate of In Vitro Fertilization (IVF) can have considerable variances.
What does a In Vitro Fertilization (IVF) Procedure Involve?
IVF is a long process and may take several months to be complete. Although this procedure will increase your chances of getting pregnant, there’s still no guarantee that it will all be effective to all.
Before performing IVF procedures, you and your partner must first undergo a series of tests such as Semen analysis, Ovarian reserve testing, Infectious disease screening, Mock embryo transfer, and Uterine cavity exam.
After the screening, both of you will now undergo IVF procedures:
- Fertility medications - these are prescribed medications to stimulate your ovaries to increase your egg production. Multiple eggs must be produced because it is expected that some eggs will not develop or be fertilized after retrieval. During this stage, a transvaginal ultrasound is used to check the ovaries and also a blood test will be administered to check your hormone levels. Your eggs will be collected through minor surgery. This procedure will be done by using the latest ultrasound technology to guide a needle in each of your ovaries for egg extraction. Usually, propofol-based anesthesia will be used while you undergo the procedure.
- Sperm sample - Your partner will now be asked to produce a sperm sample that will be combined with your extracted eggs for fertilization. If you will be using donated sperm, it will be removed from being frozen and will be prepared the same way.
- Insemination - In this procedure, the eggs and sperm will be mixed together and be stored in a laboratory dish to undergo fertilization. If in case there is a low possibility of fertilization, intracytoplasmic sperm injection (ICSI) may be used. By doing this, a single sperm will be directly injected into the egg; the eggs will be closely monitored if fertilization will occur.
- Embryo Transfer- Once fertilization is successful, cell division will take place; fertilized eggs are now called embryos. These embryos will now be transferred to your uterus 3-5 days upon egg retrieval and fertilization. For women under 40, one or two embryos can be transferred and for women aged 40 and above, a maximum of 3 embryos can be transferred. The number of embryos to be transferred must be restricted to prevent the risks of multiple births.
How Long Should I Stay in Croatia for a In Vitro Fertilization (IVF) Procedure?
Although it is advisable that you will need to take it easy after the embryo transfer, some women are able to resume their normal daily routine after the procedure. Note that your scheduled follow-up checkups with your surgeon are essential to your recovery and healing and you will be expected to stay in Croatia for 10-12 days. However, you must also be aware of its possible side effects:
- Passing a small amount of fluid (may be clear or blood-tinged) after the procedure
- Mild cramping and/or bloating
- Constipation
- Breast Tenderness
What's the Recovery Time for In Vitro Fertilization (IVF) Procedures?
Although the In Vitro Fertilization (IVF) isn't a surgery procedure, it consists of specific methods that call for a recuperation period. After the embryo has been inserted, it's common for medical professionals to advise a brief rest interval. The human body requires a span of adjustment in anticipation of possible conception, hence the importance of granting it the needed time.
The actual recovery from the specific stages of the embryo implantation and egg collection is typically rapid, generally inside a day or possibly two. However, the actual recuperation and waiting period expands to roughly a fourteen-day period following the embryo insertion - infamously known as the "two-week wait". This timeframe marks the potential start ofearly pregnancy stages, and can serve as both a physical and emotional healing process from the procedure.
The hormone-based medications administered as part of the In Vitro Fertilization (IVF) can also bring about symptoms such as fluid retention, stomach ache, mood fluctuations, and sensitivity where the injection is administered. These symptoms are apt to decrease as your body accustoms to the hormonal variation, but they could add to the duration of the recovery phase.
What sort of Aftercare is Required for In Vitro Fertilization (IVF) Procedures?
Following your In Vitro Fertilization (IVF) process, ensuring strict adherence to post-procedure instructions becomes a crucial part of your recovery journey. This could encompass a variety of elements such as medicinal, dietary, physical, and mental health-based measures. Hormonal injections could continue for a few days or weeks post the embryo transplantation.
Furthermore, many clinics offer explicit dietary plans that you are expected to adhere to. This involves a significant shift toward consuming more nourishing food, increasing your water intake, and refraining from certain dietary habits. Your diet significantly influences the embryo's growth by setting up ideal conditions. It's important to note that your well being should never be neglected. Adequate rest, efficient stress management, and abstaining from strenuous exercises are suggested to maintain your health at an optimal level for successful conception.
Post-procedure care typically provided by the clinic includes regular monitoring of your hormonal levels and general health. You may experience slight discomforts such as mild bloating, and constipation following the procedure, for which the medical team will provide relevant advice and medical attention. A pregnancy test is slated for about a fortnight following the embryo transplantation. Provided the test is positive, your clinic will either transition your care to your usual OB/GYN or handle your prenatal care management as needed.
Moreover, counseling is very important when you are having IVF; everyone must fully understand that not all IVF procedures have successful outcomes. It is highly recommended that couples should have proper counseling during and after IVF treatment
What's the Success Rate of In Vitro Fertilization (IVF) Procedures?
Assessing the effectiveness of the In Vitro Fertilization (IVF) requires a comprehensive analysis. The effectuality rates can be substantially impacted by various elements, such as the patient's age and overall wellness, the reason behind infertility, the specific procedure implemented, and lifestyle elements like dietary habits and physical activity routines. 40% of Women under the age of 35 will be successful and 25% of women aged 36 to 41 will be successful and only 4% over the age of 42 will be successful. You must also understand that pregnancy rates are not exactly the same as the live birth rate.
Moreover, the aptitude and proficiency of the involved healthcare experts should also be factored in. For example, the patient's age is a vital factor in determining success rates, with younger women generally having healthier egg cells, thereby elevating the possibility of IVF success. Essentially, the capabilities of the clinic, the technology within the lab, and the embryologist's professional expertise collectively contribute to the outcome of the procedure. Therefore, taking these aspects into account, it becomes crucial to opt for a clinic recognized for its high success rates.
Are there Alternatives to In Vitro Fertilization (IVF) Procedures?
In Vitro Fertilization is not the only possible treatment for infertility. Other fertility treatments to consider may include:
- Intrauterine Insemination - commonly known as artificial insemination. In this procedure, sperm is inserted via the cervix into your uterus when you’re ovulating.
- Surgery - in some cases both males and females must undergo a corrective surgical procedure if their reproductive organs are the ones causing fertility issues. Such corrective surgical options can help without the need for other infertility treatments.
- Lifestyle changes - instead of undergoing any infertility treatment, your fertility specialist may suggest that you make a series of lifestyle changes that may be causing such problems. This may involve weight reduction, reducing alcohol consumption, and quitting smoking.
What Should You Expect Before and After the Procedure?
Before starting the In Vitro Fertilization (IVF), it's important for patients to go through certain preparatory processes. Initially, your healthcare professional will conduct a comprehensive evaluation of your medical records and perform a range of fertility assessments to check your eligibility for the procedure.
Upon completion of the evaluation, hormone therapy is provided to boost egg production. Routine injections and regular blood tests could be part of your daily routine during this stage. Moreover, the growth of eggs is carefully observed by using ultrasound to designate the optimal time for extraction. The period leading up to the procedure can be physically and emotionally taxing but providing support in the form of mental health and stress management techniques can be beneficial.
Post In Vitro Fertilization (IVF), patients could undergo few side effects like bloating, cramping, or minor bleeding. Generally, these effects are mild and temporary, but if the symptoms are severe or enduring, it's essential to notify your medical provider. During this period, the medical center offers post-care guidance to promote healing and enhance the likelihood of successful implantation.
Most patients are counseled to evade strenuous activities; some might also have food restrictions or suggestions. A pregnancy test is usually planned approximately two weeks post embryo transfer. The period of waiting for this test can be emotionally charged, filled with hope and anticipation.
What are Potential Risks of In Vitro Fertilization (IVF)?
Just as with any medical intervention, the In Vitro Fertilization (IVF) has its own potential perils and side effect profiles. They can vary from mild unease associated with hormonal injections to the challenge of ovarian hyperstimulation syndrome (OHSS). Minor threats include nausea, vomiting, and transient episodes of fainting, while the more grave ones include potential complications with the kidneys, liver, or lungs, mandating the In Vitro Fertilization (IVF) be approached with careful consideration.
Furthermore, the act of retrieving eggs has inherent risks, including the possibility of infection, bleeding, or harm to surrounding ovarian structures. There's also a minute possibility of multiple pregnancies, escalating the chances of having newborns with low birth weight and premature delivery. Finally, if the procedure does not succeed, it could evoke emotional upheaval and financial hardships.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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