Combined IVF cycle 

At the inital consultation with your doctor, you will discuss your personal medical history and plan the necessary examinations (or review the examinations that have already been conducted). This is necessary to determine an individual treatment plan. You can complete the examinations in your home country and send us the results securely via our patient portal.

The woman’s examination in this case consists of a gynaecological examination, ultrasound examination and blood sampling to examine the thyroid gland, sexually transmitted diseases and to determine the hormonal profile. The male examination includes a spermogram and a blood test for sexually transmitted diseases.

During the consultation, the doctor will also explain everything you need to know about the fertilisation process of the donated egg. We always prefer, to transfer your own embryos rather than embryos from donated eggs. However, the decision is always an individual one and it is entirely up to you which option you choose. You can rest assured that in every case we will provide you with personalised care with the absolute maximum support and information.

Based on your phenotype (hair, eye, skin colour, height, etc.), blood type and other possible preferences you may have, we will select a suitable egg donor from our extensive database. All donors are screened medically, genetically and psychologically.

After analysing the results obtained from the initial examinations, the doctor will design an individual stimulation protocol. This will allow the development and retrieval of more eggs which are usable for fertilisation. During conventional hormonal stimulation, you will apply the medication for 8 to 10 days.

On the basis of an ultrasound examination, which can take place either at your gynaecologist or at Prague Fertility Centre, approximately after one week of stimulation, the doctor will determine the appropriate date for egg retrieval. The procedure will take place at our clinic and under a short anaesthetic, the doctor will retrieve the eggs that have been created. You can then go home after a short bed rest.

Our embryologists will fertilise your own eggs and donor eggs on the day of collection with your partner’s most viable sperm. The embryooligists use the ICSI method, which involves injecting the selected sperm directly into the egg.

To increase the chances of successful treatment, you may choose to use other laboratory methods.

With the MICHSS method, for example, we can better select the most suitable sperm for fertilisation. This is done using a microfluidic chip, which mimics the environment inside the fallopian tubes and allows only the best quality sperm to pass through the membrane.

Even for couples where 100% of the sperm in the sample is immobile, we have a solution in the form of the LAISS method (laser-assisted immotile sperm selection). Using a laser, the embryologist searches for immobile but viable sperm, which are then used for fertilisation.

After fertilisation, the embryos develop, cultivating in our laboratory for several days. We can also use an innovative method to monitor embryos, time-lapse monitoring (EmbryoScope). This allows continuous monitoring of the embryos by a camera, without the need for unnecessary manipulation.

During cultivation, we monitor how the embryos, both from your own and donated eggs, develop. Based on the quality and growth of the embryos, the embryologist determines the date of the transfer of the embryo into your uterus. Before the transfer, the embryologist will give you information about the embryo development process and also answer all your questions so that you can decide which embryo, either one of your own or a donated one, to use for the transfer.

The transfer itself is a quick and painless procedure under ultrasound control. After a short rest you can leave the clinic.

We freeze other high-quality embryos using the vitrification method and you can use them for future treatment if necessary.

After the egg transfer, follow the recommended resting regime. Avoid major physical activity, sexual intercourse and staying in hot environments such as baths or saunas.

You can take a pregnancy test 14 days after the transfer, and you should contact us, whatever the result. If the test is positive, you and your doctor will schedule an ultrasound appointment at our clinic.

If the urine pregancy test is negative, your doctor will recommend a blood test to verify the result. If the blood test is also negative, your doctor will arrange to stop the medication and schedule a follow-up appointment with your doctor to plan your next course of action together.