IVF in Ukraine – About Our Clinics
Kiev, the capital of Ukraine, has a number of specialized reproductive medical clinics which offer a full range of up-to-date infertility diagnostics and treatments. These clinics are very modern and feature the most technically advanced equipment available anywhere in the world. Our consultants and healthcare professional team are all highly qualified and offer many years of experience in the field of reproductive medicine. As with all senior clinicians, our team attend specialist conferences and seminars around the world, sharing best practice with their peers, to ensure their knowledge of developments within their specialization is unsurpassed.
All our clinics are accredited under Ukrainian law. Our reproductive medicine clinics are Victoria, Illaya, Nadiya, ISIDA. Our clinicians are used to treating patients from all over the world and you will be made to feel welcome, confident and comfortable.
The success rate of IVF treatment in Ukraine is up to 65% compares more than favourably with the UK rate of 25% in the UK, as to our costs, even when travel and accommodation are taken into account. We can usually undertake IVF as a day case, so a night in the clinic is not necessary, but you should allocate a stay of between 5 – 7 days so we can undertake all the pre and post- procedure medical checks necessary.
We have set out below our clinics’ services and prices, shown in pounds sterling.
Our prices GBP
Artificial Insemination/Sperm donation (AI) 389
Artificial Insemination/Husband (AI) 292
Egg Extraction/Egg donation (1cycle) 2826
In Vitro Fertilization (IVF) – first attempt 1080*
In Vitro Fertilization (IVF) + ICSI 1699
ICSI (1-10 oocyte) 348
ICSI (more than-10 oocyte) 404
Semen Cryopreservation (per year) 105
Initial consultation 17
Diagnostic department GBP
Pelvic ultrasound examination 20
Ultrasound follicle examination, folliclemetry (four examinations, reproductive specialist48 consultation included)
Breast ultrasound examination 16
Thyroid gland ultrasound examination 16
Abdominal cavity ultrasound examination 16
Ultrasound examination during pregnancy, up to 11th week 16
Plural pregnancy ultrasound examination 32
Ultrasound examination recording on a (digital) carrier 4
Ultrasound examination by Ruslan Bokuchava, MD, prenatal diagnostics medical specialist 28
Digital photocolposcopy 20
Ultrasound salpingography (uterine tubes patency examination with ultrasound control) 96
Complex test (double test + ultrasound examination during 11th to 14th week + risk 60 assessment)
ECG (electrocardiography) 5.6
In vitro fertilization (cycle phases: follicle puncture, culture and embryo transfer) 1000
Intracytoplasmic sperm injection (ICSI): 1 to 10 eggs 344
Intracytoplasmic sperm injection (ICSI): more than 10 eggs 376
In vitro fertilization (with sperm donation) 1280*
Plural pregnancy fetal reduction 283.5
Egg (oocyte) donation program (anonymous donor) 2560*
Sperm cryopreservation and storage, 1 year period 104
Embryo cryopreservation and storage, 1 year period 112
Sample capacitation 15.20
Embryo defrosting, culture and transfer 512*
Husband sperm insemination 176*
Donor sperm insemination 248*
Cervical mucus contact test (compatibility test) 16 MAR (mixed agglutination reaction) test 20
Clinical embryology laboratory prices GBP
In vitro fertilization (first attempt) 1080*
In vitro fertilization (second attempt) 1024*
In vitro fertilization (third and consecutive attempts) 984*
Natural cycle in vitro fertilization 680
Success rates of a IVF Clinics in Ukriane Year 2010
Type of cycle:
Total Cycles of oocyte with own eggs 585
number of pregnancies 261
number of frequency 44.6%
Transmission of “frozen and unfrozen” embryos in not donation cycles 319
number of pregnancies 100
number of frequency 31.3%
Donation Cycles 68
number of pregnancies 31
number of frequency 45.6%
Success Rates one of the leading Ukrainian clinic by age
Infertility (sterility) defined when there was no pregnancy conceived within one year at the backdrop of regular sexual life (sexual intercourse at least once a week) with no contraceptives used. There is a great number of reasons resulting in lower fertility (ability to conceive) The most common are – uterine tubes non-patency, low quality sperm, and ovarian failure.
Infertility (sterility) (Lat. Sterilitas) — If a married couple is infertile, it means that they have been unable to conceive a child after 12 months of regular sexual intercourse without birth control.
The reasons for an infertile marriage may be reproductive system failures of one or both spouses. Female “infertility (sterility)” may be diagnosed only after the male infertility is excluded from the analysis, and in cases of positive tests confirming compatibility of sperm and cervix mucus.
To conduct successful treatment it is necessary to identify accurately the infertility reasons. In some cases such reasons may be eliminated (hormonal disfunctions, ovulatory disfunctions), in other cases the best treatment methods may be chosen after identifiyng of other infertility reasons.
Stimulating follicules growth
- Hormonal disfunctions leading to no follicule growth :
- Conduct examination of the patient’s husband
- Identify uterine tubes status
- Correct endometrius hyperplasia: the frequency of endometrius hyperplasia with women having PCOS amounts to 20 % and more
- Correction of other hormonal disbalances: up to 6,5 % women having PCOS were also experiencing hyper- or hipo- prolactinemia, and hyperthyroidism
- Medical and genetic tests
- Weight reduction
- Getting rid of bad habits (smoking, alcohol abuse, etc)
Follicle-stimulating hormone is responsible in female body for follicle production and maturity. To induce ovulation various medications are used, and they can be roughly divided into two groups:
- Medications increasing the proper levels of follicle stimulating hormone («Clomiphene »)
- Medications containing FSH («Bravel», «Puregon», Gonal F»)
Artificial (intra-uterine) insemination with husband’s sperm
The essence of the program is introducing husband’s spermatozoa into uterine cavity following ejaculate’s special preparation. It is possible to conduct such program both with folloculogenesis stimulation and within natural cycle. The best time to conduct such a procedure is identified through the ultra-sound monitoring of follicules growth. Sometimes it may be helpful to conduct ovulation tests.
- Moderate deterioration of sperm quality
- Immune reaction against spermatozoa /immune anti-spermatozoa reaction
- Uterine pathology
Artificial (intra-uterine) insemination with donor’s sperm
The essence of the program is introducing donor’s spermatozoa into uterine cavity following ejaculate’s special preparation. Donor’s choice is made following the phenotypical (appearance) characteristics of the spouses, as well as their wishes as to the phenotypical (appearance) characteristics of the sperm donor. Potential donors undergo comprehensive tests to prevent infections and genetic diseases transmission. It is possible to conduct such program both with folloculogenesis stimulation and within natural cycle. The optimal time to conduct such a procedure is identified through the ultra-sound monitoring of follicules growth. Sometimes it may be helpful to conduct ovulation tests.
– Absence of spermatozoa in ejaculate – hereditary diseases – Absence of partner
ART (Assisted Reproductive Technology)
- Uterine tubes disfunction/failure
- Unexplainable infertility
- Long-term (over two years) and non-successful infertility treatment by other methods
The major purpose to conduct extra-corporal insemination program is to receive egg-cells directly from the ovaries, inseminate them in embryology laboratory and planting several embryos to uterine cavity.
The program consists of several stages:
- Following the preliminary testing treatment tactics is chosen, alongside with the protocol of ovaries stimulation (long, short, short with antagonists, modified, natural cycle)
- Stimulation of super-ovulation with ultra-sound monitoring
- Introduction of trigger hormones dose to finalize egg-cells maturity
- Follicles puncture, getting eggs (oocytes), sperm donation, insemination of oocytes.
- Cultivating embryos, monitoring their development
- Embryos implantation to uterine cavity
- Freezing remaining high-quality embryos
- Hormonal support of the second stage
- Pregnancy test
- Ultra-sound pregnancy diagnostics
Intra Cytoplasmic Sperm Injection or ICSI
- No fertilization/insemination under IVF program
- TESE/MESA (operational spermatozoa production from testis or epididymis)
- Functional failure of spermaduct or testis.
Differences between IVF and ICSI programs only manifest themselves at the stages of dealing with oocytes: ICSI – this is the method of single spermatozoa introduction/implantation to oocyte with the help of special equipment. ICSI program also consists of the same stages as IVF program.
What tests needed for man and woman for Egg Donation program
Analyses And Examinations Required For Women:
- Rw, HBs, HCV, HIV, syphilis (ont older than 6 months before an attempt)
- TORCH infections (rubella and toxoplasmosis)
- Vaginal discharge tests
- Karyotype analysis (termless)
- Blood group and Rhesus factor (termless)
- Complete Blood Count (CBC) made no more than 1 month before that
- Biochemical blood count (bilirubin, AST, ALT, kreatinin, complete protein)
- LH (luteinizing hormone)
- FSH (follicle-stimulating hormone)
- Vaginal and cervical canal swab (no more than 6 months before)
- Microscopic examination of vaginal canal
- Pelvic organs ultrasound
- Breast ultrasound
- Attending physician’s opinion
- Anti-muller hormone test
Analyses and examinations required for men
- Rw (Wasserman test)
- HIV (no more than 3 months before)
- Blood group and Rhesus factor (termless)
- Karyotype analysis (termless)
- Spermogram (no more than 3 months)
- ICSI screening
For many childless couples in the UK, In Vitro Fertilisation (IVF) may often provide a solution.
But the criteria for IVF on the NHS are becoming ever more stringent. Each health authority may operate to a different set of criteria – general guidelines given back in 2004 stated 3 cycles of IVF for childless couples where the woman is between 23 and 29 years of age may be given, diminishing to just one IVF cycle for a woman between 29 and 40. It has been reported that, even as long ago as 1999, 80% of couples approaching the NHS were rejected. For those able to afford it, IVF in the private sector is a safe option, but in the UK it’s extremely expensive. Generally speaking, the cost of one cycle in a private clinic in the UK is going to cost upwards of £3000.
It’s for this reason that an increasing number of couples from the UK seek IVF abroad. Medical tourism is increasing in popularity around the world, with people requiring various procedures travelling to a number of countries where medical and ethical standards are known to be high, but the cost of procedures is low.
In recent years the city of Kiev, capital of Ukraine, has welcomed a steadily increasing number of people from the UK, Western Europe, USA, Russia and the Arabian Gulf for a variety of treatments. The first of these is IVF. Kiev welcomes more than 350 couples from the UK who are seeking IVF every year, and this figure is set to increase as the treatment becomes harder to obtain in the UK under the NHS, and increasingly expensive in private clinics.
In 2009 (most recent figures) over 30,000 people visited Ukraine for medical treatment, the most popular being IVF, followed by surrogacy, dental implants and other dental work.
Ukraine has a well established track record in reproductive medicine and the country’s clinics are modern and very well equipped. The health care teams operating within them are trained to the highest international standards and are in constant contact with peer groups all over the world to share advances in this exciting medical field. IVF success rates in Ukraine are impressive – as high as 65% in certain patient profiles.
specialises in arranging procedures for people who either cannot access or afford treatments in their own country. It is British-based and it recognises that travelling away from home for any health procedure can be traumatic, which is why all patients are met at the airport on an individual basis, accompanied to their accommodation and then to the clinic where they will have their procedure. Staff at the clinics selected by Medicare4U are used to dealing with an international clientele on a daily basis and speak good English. They will do all they can to reassure and make patients as comfortable and relaxed as possible.
It is estimated that most procedures in Ukraine cost up to 85% less than the same treatment in Western Europe or the USA. In Ukraine, a single cycle of IVF may cost as little as £1080. With return flights from London to Kiev starting at less than £150 return, and accommodation at around 60€ per night, travelling to Kiev for IVF treatment is a highly attractive option both in terms of cost, and in the high IVF success rates claimed in that country.
The CEO of Medicare4U, Pavel Oltarzhevskyy, explains why Ukraine is an increasingly popular choice for couples seeking IVF “We recognise that infertility is a terrible diagnosis for couples who want to create a family. In Ukraine we have a proud track record of helping infertile couples achieve their dream of children. Our IVF success rates are very high, and our costs very low. Yet to quality of treatment is not compromised in any way.
“We are only too aware that for some couples, and for a host of reasons, IVF cannot be a solution for childlessness. In Ukraine we are able to offer surrogacy to these couples. It is completely legal in our country. People who think surrogacy may be the answer for them are often put off by what seems to be a sea of red tape – they worry that there will be legal difficulties in getting the child’s birth registered in the country of its parents’ domicile.
“But in Ukraine these difficulties do not exist – the child is considered to be legally belonging to the prospective parents from the moment of conception. Even if a donation programme took place and there is no biological relation between the child and its intended parents, their names will be on the birth certificate. For extra reassurance, we have our own British legal advisor to guide couples through the necessary paperwork so they can take the baby back to their own country without any difficulty. Surrogacy programmes are not confined to heterosexual couples, single woman may also participate. There is no concept of same sex marriage in Ukraine but such patients can be treated as single men or women. ”
There is no stigma attached to travelling abroad for procedures and treatments that are either hard to come by or extremely expensive at home. With specific reference to IVF, a paper produced in 2008 by the Human Fertilisation and Embryology Authority included results of a survey undertaken amongst people who had travelled overseas for health care.
Of those polled, 76% said they would consider travelling abroad for health care, for the following reasons in order of importance.
No waiting times
Acceptable cost of treatment
High success rates
Availability of donor eggs / sperm
Positive reports from other patients
Availability of donor eggs and sperm, recommendation from UK clinics and the opportunity to have embryos replaced
Of the 339 respondents, only 26 said that they would not consider going abroad as they were happy with the fertility treatment they receive in the UK.
Medicare4U is very experienced in arranging IVF treatment as well as other treatments and procedures, for people from all over the world.
IVF TREATMENT AND SURROGACY LAWS IN UKRAINE
The Law relating to various aspects of IVF treatment Egg Donation and of Surrogacy in Ukraine is very different from the laws of most Western Countries and can prove a dangerous minefield for those who are considering treatment to assist them in producing a family. These procedures, including Assisted Reproductive Technologies (ART) and especially IVF – In vitro fertilization and other assisted laboratory fertilization techniques may require significant effort and can be expensive so it is important to get good legal advice in order to ensure there are no legal problems once the new child has been born.
Surrogacy is legal in Ukraine provided certain rules and regulations and legal procedures are strictly followed. Surrogacy is officially regulated by Clause 123 of the Family Code of Ukraine and Regulations issued as Orders from the Health Ministry of Ukraine and the Civil Code of Ukraine.
With regard to Egg Donation and Surrogacy there are a variety of legal issues where the Ukrainian law is different from most other western Countries. Ukraine is one of a very few surrogacy friendly states in Europe. It does not limit surrogacy related payments and does not require court orders. No adoption of the child is required. The recipient family creates embryos using their own, or donated, gamets through IVF that are transferred to the gestational surrogate mother. Ukrainian law allows the issue of birth certificate to the intended parents in their own names regardless of their genetic links to the child. To date, there has not been a single reported case of a disputed custody claim arising out of a surrogate parenting arrangement or the validity or enforceability of a surrogate parenting agreement. Problems have sometimes arisen however at the new parent’s Embassies because they gave either wrong or untruthful answers to the paperwork questions. This paperwork is an essential part of the procedure as, having gone through all the time, trouble and expense of getting a child, you will then want to be able to take the child to your own country as part of your family.
GETTING THE RIGHT LEGAL ADVICE AND ASSISTANCE
The period of both IVF treatment and Surrogacy is a worrying, stressful time for the participants. This can adversely affect the chances of successful IVF treatment in particular.
It is essential that as many of the possible hurdles and difficulties are removed as possible before the treatment starts and this, of course, includes legal worries about agreements and documents.
You should seek specialist legal assistance at the earliest possible opportunity, both to help you decide which route to take and also to remove legal difficulties and bring certainty to the entire, complex procedure.
The Author of this text is a British lawyer living and working in Ukraine and will be pleased to assist with all legal requirements and documentation. He can be contacted through Medicare4U offices.
Who can become an egg donor in Ukraine?
Only females, under the age of 35, who gave birth to at least one child, and who are genetically and mentally healthy, can become eggs donors. For IVF, you can use either anonymous eggs donors or your relative’s donated eggs. A
Can embryos from egg donors be frozen?
Yes, embryos can be frozen for the maximum of 5 years.
What if my IVF attempt failed? How long should I wait before trying again?
It’s recommended to wait for at least 2 – 3 months, before starting another IVF treatment.
Does ovulation occur from alternate ovaries in alternate months?
No. Which ovary ovulates in a given month is entirely random.
Can my husband collect his sperm at home?
Yes, but it must be brought to our lab no longer than an hour after ejaculation. The specimen must be kept at body temperature. You will also need a sterile specimen cup.
My doctor advised me to have fertility medications and I am concerned about the risk of multiple pregnancy.
Most fertility drugs increase the risk of multiple pregnancy. However, the majority of women who conceive after taking fertility drugs have a singleton pregnancy. The risk of multiple pregnancy is reduced by careful monitoring by ultrasound scans and blood tests.
What is endometriosis?
Endometriosis refers to a benign and common disease in which cells similar to the ones that line the inside of the womb, are established outside the womb.
What is premature ovarian failure?
Premature ovarian failure is a loss of ovarian function in women under 40 years, when periods stop and estrogen level is low, which causes menopausal symptoms. The cause for POF includes autoimmune or genetic conditions. POF can be permanent, temporary or periodic and there may be residual ovarian function. Some women with POF may intermittently produce estrogen and even ovulate spontaneously or with the help of potent fertility drugs.
My husband was told that he tested positive for antisperm antibodies. What does this mean?
Antisperm antibodies indicate an immunological basis for infertility.
What is AHA?
AHA (Assisted Hatching) is a reproductive procedure that can significantly increase the chance of pregnancy. With AHA before embryo transfer, a tiny hole is made on the outer layer of the embryo. This allow to embryo to attach properly to the womb’s wall, and thus increase the success chances of IVF. It is recommended over the age of 35 or after 2 failed IVF cycles.
What is the average number of embryos transferred?
The doctor will make the decision after discussing this with you. Generally, 2 or 3 embryos will be transferred, but the number may vary slightly depending on the quality of the embryos and the age of the female partner.
What are the most common side effects of fertility medications?
Some of the most common side effects are feeling bloated, hot flashes and feeling emotional. There may be localized skin reaction at the injection site.