IVF with gender selection Argentina

GENDER SELECTION Technique’s cost is not included in our IVF packages. Gender Selection fee is USD 3000. This technique can e synchronized with IVF bundles we have. IVF with ICSI bundle costs 3500 USD. 

The procedure, in itself, includes a stage of ovarian stimulation, the aspiration in the operating room and with anesthesia, of the follicles (recovery of the follicles between days 11 and 15 of the cycle) and the subsequent insemination, in a culture medium, with a sample of semen containing sperm of good mobility. Then they are kept in an incubator and after 16 hrs. the ovules are examined to see if any are fertilized. In the positive case, between 48 hours and five days are expected to carry out the transfer to the uterus of one, two embryos, those of better quality, by means of a catheter. The amount to transfer will depend on its morphological aspect and its viability, as well as the background of each couple.

If more embryos are obtained from that cycle than those transferred, they are then cryopreserved for use in future cycles.

First consultation

The Patient/the couple will have their first visit by skype, without traveling. During this consultation, the draft treatment protocol is designed including the pre–treatment tests needed and discuss the treatment. It costs $ 300 (transfer commission not included).

Evaluation Test

Women: 

— Blood sample on the day 2, 3 or 4 of the menstrual cycle (taking as day 1 the day the bleeding starts) that includes FSH, LH, Estradiol, Anti Mullerian Hormone (AMH, )Prolactin, TSH, T4, ATPO, ATG, Toxoplasmosis IgG, HIV, HBsAg, HCV Ac, VDRL., HBsAg, HCV Ac, VDRL, Rubella IgG, CMV IgG. Hemogram with platelets, coagulogram, creatinine, urea, glycemia.

— Transvaginal ultrasound on day 3 to 7 of the cycle to see the ovaries (follicular antral count) and endometrium thickness.

— Electrocardiogram.

— Gynecological control (PAP smear and mammography) from the last year.

Men:

— Spermogram, with Kruger morphology and TUNEL Test.

— In blood: HIV, HBsAg, HCV Ac, VDRL.

— And from both, a peripheral blood karyotype in lymphocyte culture with standard technique and banding G.

Previous cycle

You will start or continue to take folic acid 5mg and any other medication that is indicated for a particular reason. Generally, during this cycle a hormonal medication that inhibits ovulation is indicated. It may, in some cases, not be indicated or done in different ways to put in rest the ovaries and to coordinate traveling dates. 

Ovarian Stimulation

Normally, the woman produces only one egg in each cycle but with ovarian stimulation with hormones, several oocytes are produced and that depend on the response capacity of the ovaries and the scheme and dose of medication used. When the growing follicles reach the appropriate size, the medication is suspended and follicular aspiration is carried out. The first evolutionary control ultrasound is generally performed on day 5 of the menstrual cycle, adjusting the dose of the medication according to the ovarian response.They will take place every two days. Day 5 and 7 ultrasounds may be done in your country and the results may be sent by mail on the same day to check ovarian response and adjust the medication dose. Day 9 ultrasound may be carried out in Halitus.

Medication

The stimulation medication may differ according to each particular case, reason why it is not included in the budget.

Egg Retrieval

It is the stage of recovery of oocytes that takes place between day 11 and 15 of the cycle. It takes about half an hour, depending on the number of follicles, and is performed with anesthesia and transvaginal. The doctor, is helped by a transvaginal ultrasound that allows him to see the follicles and puncture them, aspirates the content and sends the captured ovules to the laboratory. Aspiration is done to all the follicles.

Oocyte Fertilization

The oocytes are analyzed in the laboratory and cataloged according to their quality and maturity. The day of the aspiration, the man brings his sperm sample, except in those cases in which the man had previously done it to be cryopreserved. Sperm are separated with good motility and quality, and are placed with each oocyte so that some adhere to the outer layer of the ovule and, if given the conditions, one achieves penetration (in IVF cases) o they are injected into every oocyte (in ICSI cases). They are kept in the incubator under appropriate conditions of temperature and gases.

Embryo Culture

About 16 hours later, the oocytes are examined for fertilization, which is confirmed by the presence of the two pronuclei representing the genetic material of the oocyte and the sperm. Through the microscope the evolution of the embryos that have formed as the hours pass can be observed.

Embryo Transfer

The transfer of embryos is usually done between 72 hours but can be carried out until 120 hours (5 days) after the aspiration of the oocytes. The ideal time to do it varies according to the characteristics of the couple and the background. The number of embryos to transfer will depend fundamentally on the morphological aspect and viability of the same and on the antecedents of each couple in particular. Embryos of better quality are placed with a catheter in the bottom of the uterus with ultrasound control. The procedure does not require anesthesia and is performed with a thin catheter through the natural hole of the cervix. Just about 14 days after the transfer, the pregnancy test is performed. You can go back to your country 24/48 hrs. after embryo transfer. 

Cryopreservation 

Cryopreservation is done when, at the time of transfer, there are more embryos that are not transferred to avoid multiple pregnancy. Those embryos of good morphology and quality that have not been transferred in this cycle are observed in their evolution until their blastocyst stage and those that are viable are cryopreserved for use in future cycles. Not included in the budget. 

Extra cost may be charged for additional treatments: annexin V, embryo criopreservation.