Infertility diagnostics and treatment
- Donor sperm
- Egg donor program
- Medicinal fertilization procedures
- extensive knowledge
- specially-trained staff
- designated laboratory and medical equipment
- if only one embryo is selected for embryo transfer
- in the event of retreatment
- Men's fertility diagnostics
- Refrain from sexual activity for not less than two and not more than seven days
- Refrain from alcohol, and preferably also smoking
- Refrain from saunas or hot baths
- Sperm sample should not be provided until two weeks after an antibiotic treatment or cold
- Sperm sample is given in a designated room - with magazines and video provided. The man’s wife or sexual partner can also assist the process of course. The crucial aspect is for the WHOLE ejaculate to be collected in the container
- Men's fertility operative treatment
- very poor spermatogenesis
- threat of spermatogenesis termination
- Sperm bank
- planned testis operation
- planned vasectomy
- radiotherapy or chemotherapy (in the case of oncologic illness)
- cessation of spermatogenesis
- work conditions that could negatively impact sperm cell formation
- husband working abroad
- women's fertility diagnostics
IUI (intrauterine insemination) – one of the simplest infertility treatment methods. This method is based on inserting sperm cells - which are first cleansed of needless cells - into the uterus. Insemination is performed around the time of ovulation, often with medical ovulation stimulation. Egg fertilization takes place in the uterine tube. IUI can be performed either with the husband’s sperm or donor sperm. Pregnancy after IUI with the husband’s sperm is expected in approximately 12% of cases, and 15% with donor sperm.
IVF (in vitro fertilisation) – the standard method of insemination, whereby the egg is united with sperm cells that fertilise the egg under special conditions and in a supportive medium. A few days later, the resulting embryos are inserted into the uterus with a special catheter. See the FAQ section for more information about the procedure, process, and recommendations.
ICSI (intracytoplasmic sperm injection) – fertilization is enabled by injecting the sperm cell directly into the egg. See the FAQ section for more information about the procedure, process, and recommendations.
PICSI PICSI (Preselective Intracytoplasmic Sperm Injection) is a method used in conjunction with ICSI, which assists the selection of mature sperm cells for ovum fertilization. It has been proved that mature sperm cells can bind to hyaluronic acid in the egg shell. By adding hyaluronic acid to the medium, mature sperm cells become conjugate and inactive, which facilitates our embryologists’ work. Thereby the option also arises to select active, well-formed, healthy and viable sperm cells. PICSI significantly increases the chances of pregnancy and the number of qualitatively fertilized eggs and embryos.
Blastocyst cultivation During the first fertilization, usually the embryo transfer into the uterine cavity occurs on the second or third day after fertilization when it reaches the stage of 2-4-8 cells. But after being transferred into a woman's body, it cannot be known whether the embryo continues its development. Yet by performing embryo transfer at the blastocyst stage (on the fifth-sixth day of development), i) there is confidence that the embryo is alive, and ii) it’s strength is known, i.e. natural selection has occurred. An embryo at the blastocyst stage is completely ready for binding to the uterus, and there is a much higher chance that this will happen. By helping the embryo grow to the blastocyst stage, we can choose embryos with higher implantation potential. During the natural fertilization process, if fertilization took place in the female uterine tube then the embryo reaches the uterine cavity at the blastocyst stage.
This method is used:
Assisted hatching The next day after the blastocyst stage (fifth day after fertilization) the embryonic shell should hatch and embryo development should continue. However, if the embryologist detects excessive thickness of embryonic shell or if there’s a need to increase likelihood of a positive result (i.e. at least one unsuccessful embryo transfer, blastocyst needs to be vitrified, embryos used after thawing, woman is over 37 years of age), assisted hatching can be performed with a special needle, laser or chemically. This process prepares the embryo for successful binding to the uterine wall and pregnancy.
Embryo vitrification During the medical fertilization process, more embryos are developed than required - more than can be used the first time. As a fail-safe measure, should the first attempt not be successful then the embryos can be frozen. This quick-freeze method provides a much higher chance of embryo survival than slow freezing (which contributes to crystal formation in embryo cell cytoplasm). Only good quality embryos with the potential for future development are vitrified. So the embryo transfer can be repeated during the next cycle, avoiding the need to repeat the hormonal stimulation for the receipt of fertilized eggs. Latvian legislation allows for embryos to be stored for 10 years.
Egg vitrification A method that facilitates storing young eggs for a longer time, e.g. to postpone family planning (a woman’s egg quantity and quality over 35 years of age decreases yearly, while chromosomal abnormalities increases) or in the event of an oncological disease that necessitates chemotherapy. Egg vitrification requires ovarian stimulation and puncture, and further storage.
Before a spermogram is performed, the following measures should be adhered to:
Women's reproductive health
- Gynecological examination and consultation
Men's reproductive health
- Urological consultations and examination
- Dopplerography examinations
- Ultrasound of men’s genitals (including prostate, testicles and penis) and urinary tract ultrasound
- TESA - testicular biopsy
- Micro TESE
Any sperm retrieval treatment is performed in the surgery room under local or general anaesthesia - so is completely painless.
Longing for a baby...
- Gynecological examination and consultations
Expecting a baby...
- Multiple pregnancy ultrasonography
- Pregnancy - observation and consultation
- Your care in accordance with the governing principles of the Latvian Association of Gynecologists and Obstetricians
- Ultrasonography in accordance with the new national standards of the appropriate healthcare practice
- 1st trimester screening - 11-13th pregnancy weeks
- 2nd trimester screening - 20-22nd pregnancy weeks
- 3rd trimester screening - 34-36th pregnancy weeks
- 3-D/4-D ultrasonography is sometimes necessary for additional examination (e.g. if a physician suspects congenital defect). Yet happily, prospective parents most often select this examination procedure for their own joyful record of the pregnancy. This type of ultrasonography complements data received from 2-D ultrasonography - presenting a fuller picture of the baby's gender and appearance. This first snapshot of the baby is a beautiful and touching memento for the loving parents. 3-D/4-D ultrasonography is only performed in the event of specific medical need.
- Cardiotocography of the fetus is performed to more precisely evaluate the future baby's health. The fetus' heart tones can be measured and recorded with a specialized device from the 38th week.
- Abdominal ultrasonography
Abdominal ultrasonography should be attended with an empty stomach - not having eaten for at least six hours. You can drink water and take any daily medication. A urinary bladder examination must be attended with a full bladder.