TESA–ICSI with egg donation and the partner’s sperm ‘Chance’ (gender selection is included) Ukraine

Surgical sperm retrieval packs (empowering TESA protocol for collecting semen samples that will be used in ICSI, IMSI, or PICSI embryo generation technique). TESA abbreviation stands for testicular sperm aspiration, which is performed by sticking by the andrologist or urologist a testicular fine–needle in the testis and aspirating fluid and tissue with negative pressure. 

Collecting sperm by the method of TESA – 1,000.00 EUR (€)/month.

THE PAYMENT SCHEDULE FOR THE PROGRAM

●1st payment is done on the day of the Contract signing –– 3,600.00 EUR (€). 

●2nd payment is done on the day of the donor’s ovarian puncture (the donor’s egg retrieval –– 3,000.00 EUR (€)).

Additional payments:

●Additional IVF–ICSI with the donor’s oocytes and sperm (if no embryos left) –– 4,850.00 EUR (€);

●Additional repeated ET of the existing embryos (cryoprotocol) –– 1,650.00 EUR (€);

●Preimplantation Genetic Diagnosis for 5 chromosomes (PGD–5) –– 1,000.00 EUR (€);

●Preimplantation Genetic Diagnosis for 9 chromosomes (PGD–9) –– 1,500.00 EUR (€);

●Preimplantation Genetic Diagnosis for all 24 chromosomes (PGD–24, comparative genomic hybridization (CGH) technique) (is PGD protocol is empowered for screening up to 10 embryos) –– 2,500.00 EUR (€).

Available packs:

●Surgical sperm retrieval, ICSI, IMSI, PICSI using the donor’s oocytes and Gender Selection

●Surgical sperm retrieval, ICSI, IMSI, PICSI using the donor’s oocytes, Gender Selection, and PGD

●Pack #1 ‘TESA–ICSI UltimatePro with egg donation’ ‘Chance’: surgical sperm retrieval (TESA), ICSI–, IMSI–, PICSI–empowered embryo generation using the retrieved fresh partner’s sperm and the donor’s fresh oocytes, prolonged cultivation & embryo development monitoring in EmbryoScope, PGD protocol for empowered for the embryo gender selection, prolonged embryo cultivation (developing the blastocysts), embryo transfer, embryo cryopreservation (embryo vitrification) and storage of the vitrified embryos during 12 months’: virtual consultation with VittoriaVita medical coordinator (initial online in–person consultation via Skype or phone (or email) regarding the choice of the most suitable treatment pack) + virtual consultation with VittoriaVita Fertility Pro on the patient’s or couple’s demand + timeframing the first visit of VittoriaVita+ in–person consultation with VittoriaVita Fertility Pro (medical history review, pelvic ultrasound scan of uterine and pelvic physiology and pathology, antral follicle count (AFC), IVF pack selection, and generation of the IVF protocol) + pre–cycle diagnostic screening protocol (before ‘booking’ the IVF pack there are some tests like Fallopian tube patency test (hysterosalpingo–contrast sonography, abbr. HyCoSy), semen analysis, and more tests if required) + lab. screening tests (serology tests: AMH (Anti–Müllerian Hormone) test, complete blood count test, blood chemistry test; sexually transmitted diseases (STD panel): HIV 1+2, Syphilis, Hepatitis B+C, blood type + RH factor for the couple + other serology tests that are essential for empowering the right IVF protocol, the other lab. screening tests necessary for your case may involve extra fees charged) + consultation with the Fertility Pro and egg donor selection + pre–cycle diagnostic screening protocol empowered for the egg donor + synch. of the donor’s and recipient’s cycles, prep. of the dual protocol for the both women + prep. and empowerment of the donor’s medicated controlled ovarian stimulation (COS) protocol using the hormones (follicle–stimulating hormone (FSH) and, sometimes, Luteinizing hormone (LH) + management and monitoring of the donor’s hormonal COS protocol (blood tests and lab. screening tests) + medicated prep. of the donor to the oocyte pick–up (selecting the anesthetic, if any tests are essential for selecting anesthesia, like allergic tests they will be done) + ultrasound–guided oocyte retrieval mini–invasive surgery under anesthesia plus the donor’s compensation + prep. and empowerment of the recipient’s medicated (hormonal) endometrial preparation protocol + management and monitoring of the recipient’s endometrial prep. cycle + ICSI, IMSI, PICSI using the partner’s fresh sperm and the donor’s fresh oocytes + prolonged embryo cultivation until the blastocyst stage and embryo development monitoring in EmbryoScope + empowerment of the PGD screening protocol for completing the baby gender selection + embryo transfer + cryopreservation of remaining embryos for the future FET cycle(s) and their cryostorage during 12 months + the patient’s early pregnancy clinical management and monitoring + HCG blood test (human chorionic gonadotropin) in 14 days after the embryo transfer + early ultrasound scan (if the HCG blood test’s result is positive, the ultrasound scan is done in one week after it) pack’s cost starts at 6,600.00 EUR per cycle + ultimate surgical sperm retrieval pack: preoperative medical examination + the partner’s surgical sperm retrieval (TESA) with sperm collection and prep. for being used in ICSI, IMSI, PICSI (1,000.00 €) pack’s cost starts at 7,600.00 EUR per cycle.

TESA, IVF–ICSI using the donor’s oocytes and the partner’s fresh sperm involving the gender selection plus PGD–5 screening.

●Pack #2 ‘TESA–ICSI ProMax–PGD–5’ with egg donation and the retrieved fresh partner’s sperm’ ‘Chance’: IVF–ICSI embryo generation using the donor’s oocytes and the partner’s retrieved fresh sperm with PGD protocol empowered for the embryo gender selection and for 5 Chromosome Testing, prolonged embryo cultivation (developing the blastocysts), embryo transfer, embryo cryopreservation (embryo vitrification) and storage of the vitrified embryos during 12 months’ pack’s cost starts at 8,600.00 EUR per cycle. The pack’s fee transparency: IVF–ICSI with egg donation costs 6,600.00 EUR per cycle + ultimate surgical sperm retrieval pack: preoperative medical examination + the partner’s surgical sperm retrieval (TESA) with sperm collection and prep. for being used in ICSI, IMSI, PICSI (1,000.00 €) + PGD–5 that covers screening of up to 10 embryos (1,000.00 €).

TESA, IVF–ICSI using the donor’s oocytes and the partner’s fresh sperm involving the gender selection plus PGD–9 screening.

●Pack #3 ‘TESA–ICSI ProMax–PGD–9’ with egg donation and the retrieved fresh partner’s sperm’ ‘Chance’: IVF–ICSI embryo generation using the donor’s oocytes and the partner’s retrieved fresh sperm with PGD protocol empowered for the embryo gender selection and for 9 Chromosome Testing, prolonged embryo cultivation (developing the blastocysts), embryo transfer, embryo cryopreservation (embryo vitrification) and storage of the vitrified embryos during 12 months’ pack’s cost starts at 9,100.00 EUR per cycle. The pack’s fee transparency: IVF–ICSI with egg donation costs 6,600.00 EUR per cycle + ultimate surgical sperm retrieval pack: preoperative medical examination + the partner’s surgical sperm retrieval (TESA) with sperm collection and prep. for being used in ICSI, IMSI, PICSI (1,000.00 €) + PGD–9 that covers screening of up to 10 embryos (1,500.00 €).

TESA, IVF–ICSI using the donor’s oocytes and the partner’s fresh sperm involving the gender selection plus PGD–24 screening.

●Pack #4 ‘TESA–ICSI ProMax–PGD–24 with egg donation and the retrieved fresh partner’s sperm’ ‘Chance’: IVF–ICSI embryo generation using the donor’s eggs and the partner’s retrieved fresh sperm with PGD protocol empowered for the embryo gender selection and for all 24 chromosomes’ ultimate screening (PGD–24, comparative genomic hybridization (CGH) technique, up to 10 embryos will be screened), prolonged embryo cultivation (developing the blastocysts), embryo transfer, embryo cryopreservation (embryo vitrification) and storage of the vitrified embryos during 12 months’ pack’s cost starts at 10,100.00 EUR per cycle. The pack’s fee transparency: IVF–ICSI with egg donation costs 6,600.00 EUR per cycle + ultimate surgical sperm retrieval pack: preoperative medical examination + the partner’s surgical sperm retrieval (TESA) with sperm collection and prep. for being used in ICSI, IMSI, PICSI (1,000.00 €) + PGD–24 that covers screening of up to 10 embryos (2,500.00 €).

Additional IVF–ICSI with the donor’s eggs and the partner’s retrieved fresh sperm (if no embryos left) – 4,850.00 EUR (€) with TESA sperm extraction. This cycle is initiated if the couple doesn’t have embryos left for the embryo transfer. 

●Pack #5 ‘TESA–ICSI ProMax with egg donation –– extra trial’ ‘Chance’: surgical sperm retrieval (TESA), ICSI–, IMSI–, PICSI–empowered embryo generation using the retrieved fresh partner’s sperm and the donor’s fresh oocytes, prolonged cultivation & embryo development monitoring in EmbryoScope, PGD protocol for empowered for the embryo gender selection, prolonged embryo cultivation (developing the blastocysts), embryo transfer, embryo cryopreservation (embryo vitrification) and storage of the vitrified embryos during 12 months’: virtual consultation with VittoriaVita medical coordinator (initial online in–person consultation via Skype or phone (or email) regarding the choice of the most suitable treatment pack) + virtual consultation with VittoriaVita Fertility Pro on the patient’s or couple’s demand + timeframing the first visit of VittoriaVita+ in–person consultation with VittoriaVita Fertility Pro (medical history review, pelvic ultrasound scan of uterine and pelvic physiology and pathology, antral follicle count (AFC), IVF pack selection, and generation of the IVF protocol) + pre–cycle diagnostic screening protocol (before ‘booking’ the IVF pack there are some tests like Fallopian tube patency test (hysterosalpingo–contrast sonography, abbr. HyCoSy), semen analysis, and more tests if required) + lab. screening tests (serology tests: AMH (Anti–Müllerian Hormone) test, complete blood count test, blood chemistry test; sexually transmitted diseases (STD panel): HIV 1+2, Syphilis, Hepatitis B+C, blood type + RH factor for the couple + other serology tests that are essential for empowering the right IVF protocol, the other lab. screening tests necessary for your case may involve extra fees charged) + consultation with the Fertility Pro and egg donor selection + pre–cycle diagnostic screening protocol empowered for the egg donor + synch. of the donor’s and recipient’s cycles, prep. of the dual protocol for the both women + prep. and empowerment of the donor’s medicated controlled ovarian stimulation (COS) protocol using the hormones (follicle–stimulating hormone (FSH) and, sometimes, Luteinizing hormone (LH) + management and monitoring of the donor’s hormonal COS protocol (blood tests and lab. screening tests) + medicated prep. of the donor to the oocyte pick–up (selecting the anesthetic, if any tests are essential for selecting anesthesia, like allergic tests they will be done) + ultrasound–guided oocyte retrieval mini–invasive surgery under anesthesia plus the donor’s compensation + prep. and empowerment of the recipient’s medicated (hormonal) endometrial preparation protocol + management and monitoring of the recipient’s endometrial prep. cycle + ICSI, IMSI, PICSI using the partner’s fresh sperm and the donor’s fresh oocytes + prolonged embryo cultivation until the blastocyst stage and embryo development monitoring in EmbryoScope + empowerment of the PGD screening protocol for completing the baby gender selection + embryo transfer + cryopreservation of remaining embryos for the future FET cycle(s) and their cryostorage during 12 months + the patient’s early pregnancy clinical management and monitoring + HCG blood test (human chorionic gonadotropin) in 14 days after the embryo transfer + early ultrasound scan (if the HCG blood test’s result is positive, the ultrasound scan is done in one week after it) pack’s cost starts at 4,850.00 EUR per cycle + ultimate surgical sperm retrieval pack: preoperative medical examination + the partner’s surgical sperm retrieval (TESA) with sperm collection and prep. for being used in ICSI, IMSI, PICSI (1,000.00 €) pack’s cost starts at 5,850.00 EUR per cycle.

TESA, IVF–ICSI using the donor’s oocytes and the partner’s fresh sperm involving the gender selection plus PGD–5 screening – extra trial.

●Pack #6 ‘TESA–ICSI ProMax–PGD–5 with egg donation and the retrieved fresh partner’s sperm – extra trial’ ‘Chance’: IVF–ICSI embryo generation using the donor’s oocytes and the partner’s retrieved fresh sperm with PGD protocol empowered for the embryo gender selection and for 5 Chromosome Testing, prolonged embryo cultivation (developing the blastocysts), embryo transfer, embryo cryopreservation (embryo vitrification) and storage of the vitrified embryos during 12 months’ pack’s cost starts at 6,850.00 EUR per cycle. The pack’s fee transparency: IVF–ICSI with egg donation costs 4,850.00 EUR per extra trial + ultimate surgical sperm retrieval pack: preoperative medical examination + the partner’s surgical sperm retrieval (TESA) with sperm collection and prep. for being used in ICSI, IMSI, PICSI (1,000.00 €) + PGD–5 that covers screening of up to 10 embryos (1,000.00 €).

TESA, IVF–ICSI using the donor’s oocytes and the partner’s fresh sperm involving the gender selection plus PGD–9 screening – extra trial.

●Pack #7 ‘TESA–ICSI ProMax–PGD–9 with egg donation and the retrieved fresh partner’s sperm –– extra trial’ ‘Chance’: IVF–ICSI embryo generation using the donor’s oocytes and the partner’s retrieved fresh sperm with PGD protocol empowered for the embryo gender selection and for 9 Chromosome Testing, prolonged embryo cultivation (developing the blastocysts), embryo transfer, embryo cryopreservation (embryo vitrification) and storage of the vitrified embryos during 12 months’ pack’s cost starts at 7,350.00 EUR per cycle. The pack’s fee transparency: IVF–ICSI with egg donation costs 4,850.00 EUR per extra trial + ultimate surgical sperm retrieval pack: preoperative medical examination + the partner’s surgical sperm retrieval (TESA) with sperm collection and prep. for being used in ICSI, IMSI, PICSI (1,000.00 €) + PGD–9 that covers screening of up to 10 embryos (1,500.00 €).

TESA, IVF–ICSI using the donor’s oocytes and the partner’s fresh sperm involving the gender selection plus PGD–24 screening – extra trial.

●Pack #8 ‘TESA–ICSI ProMax–PGD–24 with egg donation and the retrieved fresh partner’s sperm – extra trial’ ‘Chance’: IVF–ICSI embryo generation using the donor’s eggs and the partner’s retrieved fresh sperm with PGD protocol empowered for the embryo gender selection and for all 24 chromosomes’ ultimate screening (PGD–24, comparative genomic hybridization (CGH) technique, up to 10 embryos will be screened), prolonged embryo cultivation (developing the blastocysts), embryo transfer, embryo cryopreservation (embryo vitrification) and storage of the vitrified embryos during 12 months’ pack’s cost starts at 8,350.00 EUR per cycle. The pack’s fee transparency: IVF–ICSI with egg donation costs 4,850.00 EUR per extra trial + ultimate surgical sperm retrieval pack: preoperative medical examination + the partner’s surgical sperm retrieval (TESA) with sperm collection and prep. for being used in ICSI, IMSI, PICSI (1,000.00 €) + PGD–24 that covers screening of up to 10 embryos (2,500.00 €).

The main advantages of the IVF program ‘Chance’:

●Extensive egg donor database;

●Time– and money–saving — everything is included in the program, so you do not need to spend extra time and money on your trip and accommodation;

●PGD (preimplantation genetic diagnosis) screening protocol can be attached to your ‘core’ IVF protocol and empowered for excluding the embryo with genetic diseases, chromosomal abnormalities, ‘wrong genome configuration’, etc. from the embryonic cohort suitable for further embryo transfer to increase IVF pregnancy rate;

●Gender selection (the technique that makes it possible to divide the male and female embryos and select the embryo of the desired gender for further embryo transfer and gestation);

●You will have a dedicated coordinator assigned to you who will guide you through the entire process of IVF treatment.

THE IVF PROGRAM ‘Chance’ includes:

●Meeting at the airport, transfer to the apartment;

●Check–in the comfortable apartment for the couple;

●Pack of services for organizing and monitoring the implementation of the medical program;

●Translation and interpretation services;

●Pre–cycle diagnostic screening tests;

●Egg donor selection from VittoriaVita egg donors’ database;

●Synchronization of a menstrual cycle of the recipient and donor;

●Clinical management and monitoring of the egg donor’s medicated controlled ovarian stimulation cycle;

●Clinical management and monitoring of the patient’s hormonal endometrial prep. cycle and the Fertility Pro’s recommendations;

●Ultrasound–guided egg retrieval mini–invasive surgery under anesthesia;

●Sperm collection and prep. being used in ICSI–, IMSI– or PICSI–embryo generation;

●ICSI–, IMSI– or PICSI–embryo generation using the donor’s fresh oocytes and the partner’s fresh sperm;

●Prolonged embryo cultivation during 120 hours (developing the blastocysts — the powerful embryos with high implantation potency);

●PGD screening;

●Gender selection; 

●Fresh embryo transfer;

●Cryopreservation and storage of the embryos left after the embryo transfer for future use in FET cycles (storage for 1 year);

●Monitoring of the patient’s pregnancy.

STAGES OF THE PROGRAM AND VISITS

Online consultation.

●Initial consultation via Skype, email, or phone with our medical coordinator regarding the choice of the most suitable treatment for you.

●Egg donor selection from VittoriaVita database.

First visit:1–3 days. Empowerment of the pre–cycle diagnostic screening protocol and empowerment of the recipient’s hormonal endometrial prep. protocol.

●Meeting at the airport and accommodation in comfortable apartments.

●Initial consultation with the Fertility Pro — pre–cycle diagnostic screening protocol selection, ‘editing’, and empowerment.

●Laboratory blood tests (serology screening protocol selection, ‘tuning’ (if necessary), and empowerment.

●The husband’s sperm collection, semen analysis, and semen sample(s)’ cryopreservation.

●Choosing the most appropriate IVF protocol for you — preparation of the hormonal endometrial prep. protocol.

●The signing of the contract with VittoriaVita and the medical documents necessary for completing the program.

●Excursions across Kyiv in free time.

Your hormonal endometrial prep. protocol will be implemented in a remote mode. Your VittoriaVita Fertility Pro can coordinate your local Fertility Pro or OB–GYN for the management and monitoring of your prep. cycle. 

●For increasing the chances of successful embryo implantation after the embryo transfer, you will undergo medicated endometrium preparation for 14 days, starting from the Day 2 of your menstrual cycle. The medication is essential for the better growth of the uterine lining (endometrium).

●On day 12–14 of your menstrual cycle you should have an ultrasound scan for measuring the thickness of the endometrium with your local Fertility Pro or OB–GYN. The ultrasound scan’s results should be sent to VittoriaVita via email.

Dual prep. protocol: controlled ovarian stimulation protocol and endometrium prep. protocol. 

●While you are undergoing the endometrial prep. cycle, the egg donor undergoes the controlled ovarian stimulation cycle. 

●Consultation with the Fertility Pro, final ‘editing’ of the donor’s medicated COS protocol. Clinical management and monitoring of the ovarian response to the medication the egg donor takes (ultrasound scans and blood tests).

●The donor’s ovaries are stimulated by taking hormones (follicle–stimulating hormone (FSH) and, sometimes, Luteinizing hormone (LH).

Second visit to the Medical Center: 5–8 days. Oocyte retrieval, oocyte collection, and prep. for being used in ICSI–, IMSI– or PICSI–embryo generation, ICSI–, IMSI– or PICSI–embryo generation using the donor’s oocytes and the partner’s sperm, PGD, and Embryo Transfer.

●Ultrasound–guided oocyte retrieval mini–invasive surgery under the anesthesia is performed for the egg donor. Oocyte collection and prep. for being used in ICSI–, IMSI– or PICSI–embryo generation.

●ICSI–, IMSI– or PICSI–embryo generation using the donor’s eggs and the husband’s/partner’s sperm. 

●PGD screening protocol is ready to be empowered on Day 3 or Day 5 embryos.

●Prolonged embryo cultivation (developing the blastocysts during 120 hours). 

●Selection of the genetically healthy embryos for completing the embryo transfer. 

●Embryo transfer. 

●Cryopreservation of the remaining embryos for future FET cycles.

●Pregnancy tests.

●Early pregnancy monitoring.

In 14 days after embryo transfer, the woman undergoes an HCG blood test (human chorionic gonadotropin). The high levels of this hormone detected in the blood sample indicate that the pregnancy is in progress. If the result is positive, in one week the ultrasound scan is scheduled and done to confirm the viable pregnancy (embryonic heart activity should be detected). 

The pregnancy will be monitored by your local OB/GYN.