The current situation involving a rise in infertility is often a result of postponing a first pregnancy until the prospective parents are in a higher age bracket. At the same time, the percentage of involuntarily childless couples is increasing because of a rising incidence of male and female sterility.
According to the World Health Organisation (WHO), a couple is considered infertile if they are not able to achieve pregnancy in the course of one year of regular sexual intercourse. This diagnosis currently applies to 10 to 15 percent of partners.
The first step is usually drug treatment of sexual organ disorders and appropriate timing of sexual intercourse. It is important to monitor the ovarian response to the given medication and match the timing of intercourse to the period when the egg is released. This stage of treatment falls within the practice of your local gynaecologist. If this treatment is not successful within a short time, it is necessary to investigate the cause of the problem.
IUI - INSERTION OF SPERM INTO THE UTERUS
Intrauterine insemination (IUI), insertion of sperm into the uterus, is the easiest method of assisted reproduction. We insert the sperm during ovulation following hormonal preparation or without it. IUI is recommended especially with an immunological cause of infertility because sperm antibodies act especially directly in the cervix. The condition is passable fallopian tubes and at least 2 million sperm in 1 milliliter.
IVF - IN VITRO FERTILISATION
In vitro fertilization (IVF) is fertilization of the oocyte (egg) outside of the woman's body, namely through co-culture of eggs and sperm in a special bowl. It is a fundamental method used in reproductive medicine. This methodology is indicated only in the case of physiological spermiogram (normozoospermia). The essence of this method is that the sperm themselves must penetrate the oocyte, which may not always occur, or an abnormal sperm can penetrate the oocyte. Therefore, especially in cases of various disorders of the semen, the ICSI method is indicated.
ICSI - INTRACYTOPLASMIC SPERM INJECTION
This is a method of micromanipulation in which a sperm is introduced with a special glass pipette under a microscope directly into the egg cytoplasm (intracytoplamic sperm injection). The embryologist selects the sperm under high magnification after assessment of its morphological (structural) properties and on the basis of its motion. Subsequently the sperm is immobilized and injected into a mature oocyte. This method ensures a higher probability of fertilisation. The success rate between 70 and 80 percent. ICSI is indicated with various disorders of the sperm, for older female patients (over 35), but also in cases when stimulation results in the formation of a lower number of oocytes.
PROLONGED CULTIVATION OF EMBRYOS
In case of natural conception, the egg is fertilized in the oviduct, in its ampullary section. After fertilization, the embryo is transported into the uterine cavity; this journey takes about 6 days. With prolonged cultivation we create conditions that are the same as in natural conception. We insert the embyo into the uterus at the same time as natural conception would take place and the size of the embryo is the same. With prolonged cultivation we create better conditions for the embryo to become implanted by selecting the best quality embryo, thereby increasing the success rate.
IVM - IN VITRO MATURATION OF OOCYTES
In vitro maturation (IVM), maturing of eggs outside of the mother's body, is a method of extracorporeal fertilization, in which we extract immature eggs from the ovary. After they mature in the media, in vitro fertilization follows and, finally, embryo transfer. Such a method of treatment is not very common; it requires modified conditions for ova extraction and handling. The method is suitable for patients who respond poorly to stimulation of the ovaries. We consider IVM of oocytes the best prevention of ovarian hyper-stimulation syndrome (OHSS); we often use it on patients with the polycystic ovary syndrome (PCOS).
Preimplantation genetic diagnosis of embryos in the prevention of genetically determined diseases and habitual abortion.
IVF SOFT - LIGHT STIMULATION INTERVENTIONS
The purpose of drug preparation of the ovaries for ova harvesting is to obtain a higher number of eggs enabling the transfer of the highest quality embryos. Under certain specifically determined conditions the so-called minimum ovary stimulation is performed using pills or injections. The procedure of the treatment is the same as for IVF or ICSI followed by embryo transfer, but the success rate is reduced with a smaller number of eggs.
SINGLE EMBRYO TRANSFER
Each of our treatments gives nature a helping hand, "assisting" nature in order to maximize the chance of an egg and sperm merging, giving rise to the embryo and eventually facilitating a healthy pregnancy — that is why these methods of treatment are called "assisted reproduction." However, assisted conception is usually not the beginning of the treatment. We start instead with simple recommendations and proceed to more complicated methods if necessary until pregnancy is achieved.
The donor program at our centre for assisted reproduction involves a process of donating sperm and oocytes (eggs), which in turn allows many infertile couples to realize their dream of having a child. Donation of reproductive cells is the only possible way of achieving the desired pregnancy. The success rate of the treatment with donated cells is 55-60%!
The identities of the donor and the recipient are kept in strictest confidence and the two parties remain entirely anonymous. The process involves compensation for expenses associated with the donation.
In the case of one-day surgery procedures in gynaecology, we perform short operations, which require the patient to be hospitalised for no more than 24 hours. Patients usually leave for treatment at home on the same day as the surgery. The most common interventions are diagnostic laparoscopy, diagnostic and surgical hysteroscopy, curettage, conization and others. For more information contact us by phone or e-mail.
Dear Dr. Války and your great Team
In December 2014 I have born my twins after 36 weeks and 4 days of pregnancy. It´s a girl and a boy. They are so wonderfull, so sweet, so lovely, so curious, so beautiful – and they are mine! No words can tell you my happiness Thank you!
Dear Dr. Války. In the beginning we would like to send you warm greetings and we would like to thank you and the employees of Iscare for your great attitude and our beautiful daughter Laura. Thanks to you we have a happy and healthy baby, who was born out of love on Valentine’s Day, the 14th of February 2014. Once again, thank you.
On the 20th of May 2003 the best thing happened in our lives. After 11 years of marriage our daughter Sofia was born. She is gorgeous and brings endless joy to us. Our daughter was born thanks to your help and after so many years of waiting and wishing she fulfilled our marriage and gave a new sense to it. It is very difficult to describe our feelings but we can at least express our gratitude for your help. read more...
With great joy we can now announce that thanks to you our biggest dream in life came true after 12 years of trying. Our daughter Tamara was born on the 24 February 2003, 3600g and 54 cm. Today she is 4 months old, is doing well and brings great joy to us. read more...
Because we were one of the couples that had not been able to conceive a child for several years, in 2004 we contacted you with our problem. In July 2004 we undertook IVF-ICSI. The transfer of embryos took place on the 5th of July and after a positive pregnancy test we only hoped that pregnancy would go without any complications and difficulties, and that we would be able to achieve a successful outcome. That is exactly what happened. read more...
We would like to thank you for helping us make our dream come true. After several visits to your centre and several months of waiting we finally welcomed our son Samuel, who was born on 30.10.2002 at 21:15, to the world. He was born 3.25kg and 51cm long. read more...
Application of the LASER system (Navi Lase) in assisted reproduction:
1.) Blastocyst biopsy for PGD
2.) Assisted hatching/zona drilling
3.) Sperm immobilisation
4.) Embryo defragmentation
5.) Vitrification (collapsing blastocysts)
6.) LAISS (selection of live immobile sperms)
The Centre for Assisted Reproduction ISCARE, a.s. was the first IVF centre in Slovakia with 16 years of experience. During its existence, the centre has made possible the birth of over 3000 children and is currently it undergoing a new expansion.
As of 2014 our centre has become part of the FutureLife s.r.o. group of medical facilities owned by Hartenberg Capital Fund. The group of FutureLife s.r.o. includes the best centres in the Czech Republic and several other centres thoughout Europe. Within this extensive group of related companies knowledge and experience is transferred quickly and a wide range of new treatment possibilities emerge. As a result of its recent affiliation with FutureLife s.r.o., we have updated our equipment at ISCARE labs and can now benefit from the experience of the organization’s Czech centres. We maintain a very close cooperative relationship with the centre Reprofit in Brno —a working relationship that includes exchaning staff, sharing experience and organising joint seminars. Our centre in Slovakia is also frequently visited by MUDr. Marek Koudelka who is known to many patients. Our newly created company can confidently claim that our Slovak patients will be treated just as successfully in our centre here as they would be in any of the other centres that are part of our international affiliates.
We provide complex services in the treatment and diagnosis of infertility, taking care of pregnant women, some gynaecological and urological services and one-day surgery interventions in the fields of gynaecology and urology. We are leaders in providing healthcare treatment for infertile couples, a position proven by the number of children born thanks to our treatment. We place emphasis on diagnosing the causes of infertility, which is the key for successful treatment, and for making our clients' dreams come true. We work with renowned experts and consulting doctors in endocrinology, immunology and haematology in Slovakia and the Czech Republic. Our primary concern is the health of children born with our assistance and the resulting quality of family life.
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Zuzka had no idea that she was unique: Her parents revealed her big secret only when she got pregnant!more >>
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