Fees

First visit due to infertility (Prof. Jerzy Radwan/Prof. Michał Radwan)

Further visit due to infertility (Prof. Jerzy Radwan/Prof. Michał Radwan)

First visit due to infertility – other doctors

Further visit due to infertility – other doctors

Endocrinological visit

Gynaecological visit

Urological visit

Anaesthesiological consultation

General medical visit (internal medicine) dr Hauk-Szklarek

Visit to a psychologist

Assessment of patency of fallopian tubes (HSG)

Diagnostic hysteroscopy without general anaesthesia

Diagnostic laparoscopy

AMH

FSH (2-3 day of the cycle)

ESTRADIOL

PROLACTIN

TSH

KARYOTYPE

Endometrial receptivity analysis (ERA)

Thyroid biopsy

Computer-assisted sperm analysis with assessment of sperm morphology

Sperm auto-preservation – sperm freezing and storage for 12 months

Sperm storage – first year /ongoing annual storage

Sperm chromatin test

Testicular biopsy / sperm extraction from the testicles

• general intravenous anaesthesia;
• biopsy of a testicle

Cryopreservation (sperm freezing)

MicroTESE Microsurgical sperm extraction form the testicles:

• general intratracheal /intravenous anaesthesia
• microsurgical sperm extraction form the testicles
• histopathological examination of the testicular tissue

Cryopreservation (sperm freezing)

Anti-HCV-Ag

HBsAG

Anti-HBc

Anti-HIV-1, 2

VDRL

CMV IgG

CMV IgM

Rubella IgG

Rubella IgM

Toxo IgG

Toxo IgM

Ch. Trachomatis PCR

Cytology

Blood type

Vaginal flora

Anti-HCV-Ag

HBsAG

Anti-HBc

Anti-HIV-1, 2

CMV IgG

CMV IgM

Blood type

VDRL

• Medical supervision over the stimulation (doctor’s appointments, ovulation ultrasound, laboratory tests before anaesthesia)
• Assistance of a psychologist
• Collection of eggs
• General anaesthesia – for the procedure of egg collection
• Detection and assessment of egg cells in the follicular fluid
• Sperm analysis and preparation
• Medical consultation on the day of retrieval of egg cells
• Laboratory procedures – IN VITRO fertilisation:
  • in vitro fertilisation (IVF),
  • monitoring of embryonic development up to the 2nd, 3rd or 5th day (blastocyst stage),
  • Supervision over all the steps of the procedure by an independent, external electronic RI-Witness system using the RFID technology that allows to identify, track and register reproductive cells and embryos.
• Freezing of embryos in the blastocyst stage
• First 12 months of embryo storage

Medical consultation and a pregnancy test up to 15 days after the transfer (does not include a laboratory pregnancy test)

• Medical supervision over the stimulation (doctor’s appointments, ovulation ultrasound, laboratory tests before anaesthesia, estradiol, progesterone)
• Assistance of a psychologist
• Collection of eggs
• General anaesthesia – for the procedure of egg collection
• Detection and assessment of egg cells in the follicular fluid
• Sperm analysis and preparation
• Medical consultation on the day of retrieval of egg cells
• Laboratory procedures – IN VITRO fertilisation:
  • in vitro fertilisation with intracytoplasmic sperm injection (IVF-ICSI),
  • monitoring of embryonic development up to the 2nd, 3rd or 5th day (blastocyst stage).
  • Supervision over all the steps of the procedure by an independent, external electronic RI-Witness system using the RFID technology that allows to identify, track and register reproductive cells and embryos,
• Freezing of embryos in the blastocyst stage
• First 12 months of embryo storage

Medical consultation and a pregnancy test up to 17 days after the transfer (does not include a laboratory pregnancy test)

Embryotransfer (ET) – placing the embryo in the uterus

Frozen-thawed embryo transfer (FET) /delayed transfer

IMSI - intracytoplasmic morphologically selected sperm injection

PCISI - a technique that uses physiological tendency of mature and normal sperm to bind with hyaluronic acid, due to the presence of hyaluronate receptors on the sperm head

Follicular flushing during oocyte retrieval

Oocyte freezing (fee for the freezing of max. 3 egg cells), first 12 months of storage

Continuous embryo monitoring

• Continuous, non-invasive observation of embryos inside the incubator (Primo Vision –Time-Lapse technology)
• Original algorithm for selection of the embryo to be transferred (morpho-kinetic map)
• 24-hour supervision of a certified clinical embryologist
• Continuous monitoring of the physical conditions in the incubator (IRI SIRIUS)

Medium for embryotransfer – Embryoglue*

Assisted Hatching*

Cult-Active – activation of egg cells*

Intravenous infusion of oxytocin antagonist prior to embryotransfer (ET)*

Embryogen – a special medium for the monitoring of embryos in patients with repeated implantation failure (RIF)*

Endometrial scratching prior to embryotransfer with ultrasound guidance*

Embryo storage – ongoing annual storage

Oocyte storage – ongoing annual storage

Semen deposition for in vitro fertilisation

Puncture of unruptured follicle before/during the IVF programme

BIOPSY OF EMBRYONIC TROPHECTODERM (SAMPLE COLLECTION)

ANALYSIS OF ANEUPOIDY IN ALL CHROMOSOMES OF THE FIRST EMBRYO

ANALYSIS OF ANEUPLOIDY IN ALL CHROMOSOMES – fee for each subsequent embryo

COLLECTION OF GENETIC MATERIAL FROM THE PARENTS
DESIGNING MOLECULAR PROBES

BIOPSY OF EMBRYONIC TROPHECTODERM (SAMPLE COLLECTION)

GENETIC MUTATION ANALYSIS IN 1 – 3 EMBRYOS

GENETIC MUTATION ANALYSIS IN 4 – 6 EMBRYOS

GENETIC MUTATION ANALYSIS IN 7 – 10 EMBRYOS

GENETIC MUTATION ANALYSIS IN 10 – 12 EMBRYOS

COLLECTION OF GENETIC MATERIAL FROM THE PARENTS
DESIGNING MOLECULAR PROBES

BIOPSY OF EMBRYONIC TROPHECTODERM (SAMPLE COLLECTION)

GENETIC MUTATION ANALYSIS IN 1 – 3 EMBRYOS
+ ANALYSIS OF ANEUPLOIDY IN ALL CHROMOSOMES

GENETIC MUTATION ANALYSIS IN 4 – 6 EMBRYOS
+ ANALYSIS OF ANEUPLOIDY IN ALL CHROMOSOMES

GENETIC MUTATION ANALYSIS IN 7 – 10 EMBRYOS
+ ANALYSIS OF ANEUPLOIDY IN ALL CHROMOSOMES

GENETIC MUTATION ANALYSIS IN 10 – 12 EMBRYOS
+ ANALYSIS OF ANEUPLOIDY IN ALL CHROMOSOMES

IVF – OD PROGRAMME

• Reimbursement of the cost of acquisition of six egg cells (6 oocytes)*
• Psychological care available
• Thawing and assessment of egg cells
• Laboratory procedures – IN VITRO fertilisation
• Sperm analysis
• Sperm preparation for in vitro fertilisation
• Intra-cytoplasmic sperm injection (ICSI)
• Monitoring of embryonic development
• Freezing of the embryos by vitrification
• First 12 months of embryo storage

FRESH EMBRYO TRANSFER (ET)

• Medical consultation on the day of embryo transfer, transfer of the embryo(s) to the uterus
• Possible freezing of the embryos with potential for normal development
• Medical consultation and a pregnancy test up to 15 days after the transfer (does not include a laboratory pregnancy test)
• Possible telephone consultation following the procedure

Intrauterine insemination with partner’s sperm (IUI)

• CASA sperm analysis
• Sperm preparation
• Doctor’s visit on the day of insemination
• Insemination in a doctor’s office

Intrauterine insemination with donor sperm (IUI)

• Reimbursement of the costs of sperm acquisition (reimbursement of the cost of Sperm collection, storage, processing, distribution and transportation)
• Sperm preparation
• Doctor’s visit on the day of insemination
• Insemination in a doctor’s office

Semen deposition for intrauterine insemination

Consultation prior to the oncological treatment

Assessment of health status before initiation of pharmacological induction of ovulation

OVARIAN STIMULATION AND HARVESTING OF EGG CELLS PROGRAMME

• Medical supervision over the stimulation (doctor’s appointments, ovulation ultrasound, laboratory tests before anaesthesia, estradiol, progesterone): in a short protocol, starting with administration of gonadotropins; in a long protocol, starting with administration of GnRH agonist
• Psychological care available
• Collection of the follicular fluid
• General intravenous anaesthesia for collection of the follicular fluid
• Detection and assessment of egg cells in the follicular fluid
• Medical consultation following the collection of the follicular fluid
• Possible telephone consultation with a physician following the procedure

Freezing of oocytes (egg cells)

• Fee for freezing of up to 3 egg cells
• Fee for further freezing of up to 3 egg cells

Storage of frozen oocytes (egg cells) fee for the first initial 60 months

Sperm analysis (without morphology)

Consultation prior to the oncological treatment

Assessment of health status before sperm freezing

Sperm freezing

Storage of frozen sperm
fee for the first initial 60 months

Testicular biopsy under anaesthesia

• Anaesthesia
• Collection of sperm cells from the testicles/epididymis
• Possible freezing of the collected material (storage not included)

Gynaecological ultrasound, including 3D

3D ultrasound of pregnancy up to 11 HBD

3D/4D ultrasound of pregnancy over 11 HBD

3D/4D ultrasound of a twin pregnancy over 11 HBD

Ultrasound assessment of foetal blood flow

Ultrasound assessment of foetal blood flow in multiple pregnancy

PAPA test + genetic USG
performed between 11.6 - 13.6 gestational week

SANCO (former NIFTY) prenatal test

• Down syndrome
• Edwards syndrome
• Patau syndrome
• Numerical chromosomal aberrations
• Turner syndrome
• Klinefelter syndrome
• XXX
• XYY
• Sex determination

SANCO+ (former NIFTY) prenatal test

• Aneuploiies of all chromosomes
• Deletion syndromes:
  • DiGeorge syndrome
  • 1p36
  • Cri du Chat syndrome
  • Wolf-Hirschhorn syndrome
  • Prader-Willi syndrome

Cervical ultrasound

Urological ultrasound

Breast ultrasound