Treat infertility by CHI
Favorable conditions for infertility treatment are being created in Russia
Assisted reproductive medicine in Russia is developing rapidly. Today, infertile couples have access to modern IVF technologies that guarantee the safety and effectiveness of the procedure, on the way to the birth of a long-awaited child. According to the CHI policy, you can undergo the necessary examinations at the stage of preparation for IVF and get the IVF procedure itself.
The most effective method of infertility treatment – IVF – has been available under the CHI system since 2013. All these years, the state continues to expand the program of support for infertile couples. If earlier there were restrictions on the age of patients and the number of medical manipulations, then since 2015 it has become possible to receive IVF according to indications – as usual medical care. The number of IVF procedures for CHI is not limited. If a couple has already become happy parents with the help of IVF, then they have the opportunity to repeat this success. In 2018, the list of services covered by the CHI expanded to include embryo cryopreservation procedures.
According to Elena Mladova, a reproductive doctor, another significant opportunity for the population is the absence in Russia of a ban on the use of donor sperm and eggs, on surrogacy programs and preimplantation genetic diagnostics. In many European countries, the use of these procedures is limited.
The creation of favorable conditions for combating infertility in the Russian Federation is due to the demographic policy of the state. The development of assisted reproductive medicine is one of the priority areas, since the use of in vitro fertilization technology makes an important contribution to increasing the birth rate in Russia. The Ministry of Health plans to provide at least 72 thousand IVF cycles at the expense of CHI by 2020 and 80 thousand by 2024. However, IVF even outside the framework of compulsory medical insurance – in a commercial clinic, in Russia it will cost at least three times cheaper than a similar procedure in the USA: from 150 thousand rubles in our country against about $ 10,000 per IVF cycle in the USA (excluding the cost of drugs for stimulation).
What does the preparation for the IVF procedure include?
In Russia, an in-depth examination is carried out before the appointment of in vitro fertilization. In many countries, before IVF, you only need to pass tests for HIV, syphilis, hepatitis B and C. In Russia, a woman, in addition, undergoes a full-fledged medical examination, which allows to identify somatic diseases that interfere with pregnancy. The examination includes tests for the presence of antibodies to TORCH infections, examination of the cervix, mammary glands and thyroid gland, as well as fluorography, clinical and biochemical blood parameters, blood clotting tests, electrocardiogram and consultation with a therapist.
Thus, even before the start of any procedures, a woman can detect diseases that she might not have known about, and cure them in a timely manner.
"As part of such an examination, we often "accidentally" detect even serious diseases – for example, thyroid cancer or cervical cancer – about which, due to the asymptomatic course, the patient might not have known if not for such careful preparation for motherhood as part of the IVF program," says reproductologist Elena Mladova.
Often people can postpone a preventive visit to the doctor because of a subconscious fear of finding out about a serious illness. However, the earlier the diagnosis is made, the more chances of successful treatment. Therefore, the mandatory requirement of doctors to undergo an examination before IVF solves two important tasks at once: preparation for pregnancy and the ability to detect the disease and undergo treatment in time.
IVF today and IVF 10 years ago – what has changed?
Today, reproductive medicine has made a huge step forward. Previously, the most common adverse events were ovarian hyperstimulation syndrome (too strong reaction to drugs that stimulate ovulation) and the occurrence of intra-abdominal bleeding after oocyte puncture. "Thanks to the development of reproductive medicine technologies, these complications have practically disappeared – their frequency is negligible today and amounts to only 0.01% of the total number of cycles," emphasizes reproductologist Elena Mladova, referring to the latest data from the European Society for Human Reproduction and Embryology (ESHRE).
With the development of in vitro fertilization technology, there was a solution to the problem of multiple fertility – the only proven complication associated with IVF. Multiple pregnancies themselves are more difficult than single pregnancies, and are associated with a greater relative risk of miscarriage and premature birth. This problem is solved by the modern tactics of transferring a single embryo.
How safe is it?
For almost 40 years of the existence of the method of in vitro fertilization, more than 6.5 million children have been born worldwide. Numerous studies have not revealed that they are more susceptible to any diseases than babies conceived naturally. In particular, data from national registries refute the increased risk of neurological disability (cerebral palsy) and delayed psychorechological development (PSRD) in children conceived with IVF. In the course of an extensive cross-European study, there were also no differences in the level of IQ, communication and socialization, self-confidence, motor skills, efficiency and self-organization in ECO-children, compared with children from the control group.
Experts note that the method of conception does not affect the health of the unborn child. Factors such as the age and state of health of the parents, the management of childbirth, the course of the neonatal period, nursing and proper provision of resuscitation care affect.
Parents can also (however, at their own expense) make a complete genetic analysis of embryos in order to exclude the most frequent genetic diseases and transfer a healthy unborn baby into the uterine cavity. Such tactics increase the likelihood of pregnancy and its favorable course by at least a third.
One of the most common fears associated with assisted reproductive medicine is the risk of developing cancer. For example, data from the cancer registry in Sweden indicate that there is no connection between pediatric oncology in IVF children and the risks of the IVF procedure itself.
Portal "Eternal youth" http://vechnayamolodost.ru