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For patients-recipients:


I. Analyses

If You decided to visit Private Clinic "ELITE" with infertility problems and will use donor oocytes, then please send us the following tests:
 

1. Analyses for oocyte recipient:

  • HIV
  • Hepatitis B and C
  • Rubella(IgM+IgG)
  • Cytomegalovirus(IgM+IgG)
  • Herpes simplex virus type I+II (IgM+IgG)
  • Syphilis (RPR)
  • Chlamydiosis, gonorrhoea, trichomonosis
  • ABO-Rh Blood typing
  • Complete Blood Count
  • FSH,LH,PRL,Test,TSH
  • PAP test

2. Analyses for husband of oocyte recipient:

  • HIV
  • Hepatitis B and C
  • Cytomegalovirus(IgM+IgG)
  • Herpes simplex virus type I+II (IgM+IgG)
  • Syphilis (RPR),
  • chlamydiosis, gonorrhoea, trichomonosis
  • sperm analysis


Test results are valid only for 6 months.

HIV; RPR; HBsAg and anti-HCV are valid for 6 months. PAP test is valid for 2 years. Taking or not other tests is on your responsibility. We strongly suggest taking all the tests listed.

Testing is important because this is about your child and we can’t make any mistakes regarding your child. It is not enough that patient says and gives us guarantees (“I know and do assure that I do not have any diseases nor viruses”) but we need to have written proofs (that means test results). Viruses are not only sexually transmitted. These are our rules and we are responsible for that.

We prefer to receive your test results faxed (+3727409931) or scanned and sent by e-mail (head@fert-c.ee). If you like, you may also send them by ordinary mail (that takes more time and due to that it is not considered to be best option).

Woman - vaginal tests and blood test - one time.

Man - sperm test, test from urethra and blood test from vein - one time.

Blood will be given once but several tests will be made from it.

In Sweden egg donors are tested for HTLV I and II. This is not something You test Your donors for?

We determine HIV-1/HIV2 antibodies In Vitro. With fresh embryos we can never have 100% guarantee for HIV protection. To have 100% guarantee, we need first to freeze the embryos, hold embryos 6 month in quarantine, after that check again donor for HIV and only after that perform  FET. With frozen embryos, we can wait 6 month, perform again test to donor (extra price) and then perform FET.

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VISIT(S) TO TARTU, ESTONIA:

There is 2 options:

  1. coming once (1 time, stay for about 3 days) only for the procedure being prepared at home (possible only if you have a doctor at home willing to help you with ultrasounds and hormonal tests) – usually this option is used by foreign patients!
  2. coming several times (starting from doctor`s consultation, testing and continuing with preparations)

In case of option 1 - man needs to be in Tartu once and woman once, you may come separately if needed. Once for sperm collection/egg retrieval and then 3-5 days later for embryo transfer. No additional days.

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COMING ON WEEKENDS OR NATIONAL HOLIDAYS:

In case you want to come on weekend, there will be extra price (double price).

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DOCTOR AT HOME:

Your doctor at home need to perform a scan and hormonal tests. The scan is needed to check endometrium and ovaries, also is needed hormonal test for E2.

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ABOUT PAYING:

After we receive payment the embryo transfer will be usually after 6-9 weeks.

Using an egg donor there is a need to pay first payment to book a donor.

First payment is done to:

  • book a donor
  • start to investigate your donor and take tests
  • pay for donor’s time and efforts.

Second payment is done to:

  • start donor’s preparations using medications, that means stimulation and other procedures. That means we start to prepare a donor for your procedure. That is the reason we ask second payment before your time of ET.

Bank account:

Kliinik Elite AS

account no 221020791602

SWEDBANK

Liivalaia 8, TALLINN

Swift code/BIC: HABAEE2X

IBAN: EE06 2200 2210 2079 1602

Please confirm all payments via e-mail head@fert-c.ee or andrei@fert-c.ee.

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SHARING AN EGG DONOR WITH ANOTHER COUPLE

If you have your test results and everything is fine with them, you pay first payment, send to us filled questionnaire of your medical data (incl. Your 3 last period times) and after that doctor starts to search a suitable family and a donor and within half a year will be embryo transfer (ET).

Using this option you can’t order ET for example in August or September because time depends also on other family and donor (and their cycles). But doctor will give his best to perform ET time you wish but we can’t guarantee this.

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STORAGE OF EMBRYOS

In Estonia it is allowed to keep the embryos in the freezer for 7 years, so do we. First year is for free (included in the price).

Whether you will be pregnant or not - price includes freezing and storing the embryos for 1 year.

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TIME OF FP AND ET

Usually FP is carried out on Monday till Wednesday and ET Wednesday till Friday. Day of FP depends on how donor’s cells are growing, that is the reason we plan usually FP 2 days and then we say when we see that donor is ready.

Usually man needs to come to Clinic Elite in the morning 9-12.00 and ET is usually performed 12-15.00.

Exact times can be said when we know the time we take eggs from donor. The day when male partner must come depends on donor’s oocytes growing process.

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TRAVELLING TO TARTU, ESTONIA

Straight flights to Tartu from Stockholm, Riga - http://www.tartu-airport.ee/

Possible to come also via Riga or Tallinn, Clinic Elite offers transfer service (you will be met by our driver in the place you wish, for example airport or port) so the journey will be as much comfortable as possible.

In Clinic Elite there is also a possibility to stay overnight, we can help with other hotel bookings if needed.

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MEDICATIONS

Medication for recipient – you can get them from your doctor in home country or we can send all medications by DHL. Medications usually needed:

  1. Diphereline 3,75 mg depo (or Zoladex 3,6 mg depo)
  2. Estrofem (or Progynova) 2 mg IV org
  3. Progesterone intravaginal 400 mg N 80 or Crinone gel V org

Usually cost of medication is about 400-430 EUR (includes DHL costs).

2 mg x 3 means: 2 mg at the morning, 2 mg at lunch time, 2 mg in the evening.

According to the result of recipient’s ultrasound doctor decides the doses of medication needed for ET.

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EMBRYOS

Clinic Elite thaws usually as long as we have 2 good embryos for ET. Statistically about 50% of frozen embryos die after the thawing procedure.

Usually we transfer 2 embryos (pregnancy rate ~ 25%.). In Estonia is allowed to transfer also 3 embryos but due to the risks for mother and babies Clinic Elite does not suggest that.

With one embryo pregnancy rate is about 12,5%.

Sometimes from 2 embryos we have one good, sometimes from 10 embryos after thawing there is none good enough for embryo transfer. For example from 4 embryos it is very good if we get 2 for embryo transfer after thawing!

In case we have 8 egg cells from donor and they fertilize and we get 4 good embryos, 2 will be transferred and 2 frozen. We keep them for 1 year for free and after that storage is for extra price.

If all embryos will die or don’t grow as they should, Clinic Elite pays recipient back 90% (10% for consultations) of the sum patients have paid as a prepayment.

Price of FET does not depend on the amount of embryos transferred.

If you want to use frozen embryos, that will be a new program, you will need a schema and new preparation with hormones, ultrasounds and we need to prepare the embryos to grow them and transfer.

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TWINS

How many women get twins after FET with 2 embryos? About 13%.

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USING A RELATIVE AS A DONOR

Allowed in Estonia.

NB! In Estonia are only allowed anonymous donors and donors who are recipient’s relatives.

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USING A FRIEND AS A DONOR

Not allowed in Estonia!

Also possible for example husband’s sister + donated sperm.

Donor and recipient may be prepared at home and come to Clinic Elite, Tartu only for FP+ET.

Possible to have recipient’s and donor’s preparation (consultations, tests during stimulation, medication - that means the whole process) also in Clinic Elite. Exact price will depend on amount of medicines needed.

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INFORMATION ABOUT YOUR EGG DONOR

Estonian law says that child and recipient are allowed to gain only information that is written in the list we send you via e-mail (list of egg donors and a list of sperm donors) and nothing more.

It is not allowed to see donor’s photos in Estonia.

Donating is a woman’s free will, there is no contracts etc., that means a woman donates only if she wants and likes to. If she has a vacation or she has other plans or problems with health (for example her nose is running or she has a cold or she is stressed), we can’t use her and that is why we ask to choose more than one donor. Also besides issues regarding donor’s plans and health, we have then a possibility to choose a donor who is best regarding cycle synchronization. Doctor will choose best of them for you. Of course possible to choose only one donor but that means more stress and even maybe the result is better if last choice can be made by doctor.

Donor must be healthy mentally and physically, must have 12 years of basic education, suggested to have a healthy child (so we have a proof that she herself is able to have children).

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PREPARATION OF YOUR EGG DONOR

We need 3-4 weeks for tests of donor (caryotypus and cystic fibrosis need time), after that 4-5 weeks of donor preparation for ovum pick up and same time for your preparation. When money will be transferred the testing of donor starts immediately.

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USING SPERM OF EUROPEAN SPERM BANK

Recipient may buy and use sperm of ESB (although we have our sperm bank). Clinic Elite is not responsible of the quality of sperm bought from ESB. In case recipient has decided to buy sperm from ESB, all the questions considering sperm are needed to ask directly from ESB. Clinic Elite does not have any additional information about sperm donors from ESB. In case recipient has bought ID-release donor sperm from ESB, there is a need to follow their rules and when recipient’s child is 18 years old, he or she can ask information according to rules and laws of ESB.

Regarding sperm:

  • For IVF two straws necessary,
  • for ICSI one straw,
  • for IUI two straws.

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FREQUENTLY ASKED QUESTIONS ABOUT INSTRUCTION

In the instruction there is said: "Last obligatory sexual intercourse (date is just an example) January 22". What is meant by that?

You must have sexual intercourse or ejaculation on 22nd, after that it is not allowed. That is needed because we need sperms 3 days after intercourse (in case of IVF) and 2 days in case of ICSI.

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GENETICS

It is not possible to say even approximately percentages how your child will look like and what he or she will inherit from donor because nobody knows how these things exactly work. But of course you may consult with geneticist and ask professional opinion and advice. Only information we can provide about donors is in the donor list.


CONTACT

Should you have questions, concerns, or require any additional information, please do not hesitate to let me know.

Kristina

Foreign patients contact person Kristina Sõritsa

head@fert-c.ee or kristina@fert-c.ee

+37255689664

In case I did not reply within 5 working days, please send your e-mail again, I might have not received it.

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Clinic ELITE 2009
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