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Examination procedures

Here is a general description of infertility examinations which may vary in individual cases.

For men, the most important examination is the semen analysis – spermiogram. The analysis always needs to be done after several days of sexual abstinence (minimum of 2, maximum of 7 days). Semen is obtained by masturbation in a special room designated for this purpose near our laboratory. It is also possible to analyse a sample which you bring with you; however, we do not recommend it because there might not be optimal conditions during the transport.

A definite conclusion cannot be reached after one negative finding; the test needs to be repeated after a time (4 - 6 weeks). In serious cases it is necessary to determine the levels of sex hormones in blood; in extreme cases the testicle biopsy may be needed. The microscopic analysis can reveal whether the production of sperm takes place or what development forms of sperm are present (TESE). Using micromanipulation methods (ICSI) it is then possible to use even the thus-obtained sperm for assisted reproduction. Severe cases of male fertility disorders require genetic tests to exclude some inherited diseases.

Part of the semen analysis is the examination of a large number of parameters, most important of which is the count of sperm, its motility and morphology (i.e. the correct form). The reference values are standardized by the World Health Organization (WHO) and listed in the table below. Part of the examination is also determination of white blood cells. In case of their increased occurrence a culture test that may detect infection should be carried out.

Beyond the normal testing, we also offer optional examination including DNA fragmentation of sperm. This examination gives us more information about the quality of sperm, which can be used to plan the next treatment steps. After previous phone call, we also offer the sperm analysis to the patients who are not treated in our clinic.

Semen analysis (spermiogram)

The reference values of sperm analysis according to the current WHO Manual (2010). As a matter of interest, they are compared to the values from 1999.

Semen parameters Low reference limit (WHO 2010 - current) Low reference limit (WHO 1999)
Volume of ejaculate [ml] 1,5 ml 2 ml

Sperm count [mil/ml]

15 mil/ml 20 mil/ml
Sperm motility (progressive movement) [%] 32% 50%
Sperm morphology (normal forms) [%] 4% 15%

For women, the emphasis is on proving the ovulation. The most accurate method is repeated ultrasound examination - folliculometry, which enables us to monitor the growth and bursting of a follicle. Sometimes, we need to assess the results in connection with the analysis of hormone levels in blood. It should be emphasized that calculation of ovulation by measuring the basal temperature is very inaccurate. Femal hormonal profile test together with determining the ovarian reserve, in particular by AMH (antimullerian hormone) is really important. We test the right thyroid function. Fallopian tube patency is diagnosed with the ultrasound test during which the uterus and fallopian tubes are filled with a contrast agent - HyCoSy. This testing is the least intrusive of all possible tubal patency examinations. In case of suspection of a uterine polyp or other atypical findings in the uterine cavity we perform hysteroscopy. It is a surgery under general anaesthesia, during which the abdominal cavity is monitored by thin optics inserted into the cervix uteri. The most accurate information about the condition of inner genitals, including evidence of potential endometriosis, adhesions of the uters, etc., is provided by laparoscopy. The immunological cause of infertility can be found by the presence of antibodies in sperm or blood of one or both partners. In some cases, genetic test or, possibly, testing for thrombophilia is needed. After repeated IVF failures we can do the ERA test (endometrial receptivity array) to be able to examine whether the endometrium is receptive on the day of embryotransfer, i.e. able to receive the embryo.

We also care for women with recurrent miscarriage, because as reproductive gynaecologists we have rich experience in this field.

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Where do you find us?

ProCrea Swiss IVF Center s.r.o.
Nádražní Str. 762/32
(entrance from Rozkošného Str. 1058/3)
150 00  Prague 5 - Smíchov

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News

Interview with Mirna Turcinovic, team manager of the coordinators

09.04.2021

Four questions to our IVF team at the ProCrea Swiss IVF Center Prague This time with customer care manager Mirna Turcinovic "ProCrea Swiss IVF Center is a perfect mixture of a private, family clinic and advanced technologies avilable to couples who need medical support to pregnancy planning." 1) What does your working day mean to you? Adventure, tension, joy or mission? The role of our team (treatment coordinators) is to povide support to our patients in all phases of the treatment. It starts with first contact via e-mail or lasts until viable pregnancy is achieved. In our team we have only women who can relate to all female issues around infertility and provide help with not only treatment information but also empathy and understanding of what our patients are going through.  When we use the statement "I had a successful day", "I did well today", what can we imagine in that in your profession? A good day for us means a day when we received many positive pregnancy tests. For us it is biggest reward knowing we were able to help our couples on their journey to desired baby. It gives us huge energy wave and confirmation that what we do is important becasue we are able to make a difference in this world and bring joy to someone´s life. 2) How would you characterize the field of reproductive medicine. Importance, benefits for society today and in the near future? I believe that everyone, especially young women should be educated about their fertility. It is not a taboo topic, biology has its principles and many young women would benefit from understaning them. There is no reason to fear biologic clock or pressure to find a right partner at a certian time in life, there is vriety of options availble from diagnostics, fertility preservation, pregnancy planning etc. Medicine and technology have made huge progress and today we are able to help almost everyone who wishes to have a child. There are different sets of methods avilable and by creating individual treatment plans, everyone can learn about their options. As time when women become mothers has shifted from 20ies to 30ies and 40ies, many women and men will need help of reproductive medicine to achieve pregnancy. We should accept it as normal situation in 21st century and take the best from it. Everyone can manage their own fertility. 3) As an expert, what would you say to women who do not yet have a family and children? There is never a perfect timing. Many couples postpone parenthood until all conditions are met. Today in time of COVID, we face how unpredictable life is. And more then ever we understand how important family is as a basic unit of our society. Young women should learn about their fertility and their options from young age and not to wait for last minute to contact reporoductive medicine specialists. The earlier we start evaluating fertility, more options we will have to preserve it and make plan for future pregnancy. We would advise all women to contact our Info Center and learn about their options.  4) Simply and concisely: what makes ProCrea different and unique? ProCrea Swiss IVF Center is a perfect mixture of a private, family clinic and advanced technologies avilable to couples who need medical support to pregnancy planning. Many couples who come to us, complain that at the big centers they feel like a „number“ and that treatment is not indiviual enough. Our approach is opposite, we provide Individual plan for each patient and in a setting that is comfortable and does not scare the patient with its size. We support of Next Clinics (20 IVF clinics in our group) we are able to combine top knowledge and best practices from many European centers and deliver it locally in a private atmosphere.   Mirna Turcinovic, MSc Customer Care Manager v ProCrea Swiss IVF Center Prague  

WHOLE ARTICLE

COVID-19 operating information, 1.3. 2021

01.03.2021

Dear clients, we would like to inform you and assure you that the current government measures of the Czech Republic do not have an impact on the treatment of our patients and do not limit the operation of the clinic. Please only cooperate by following the procedures below: •    Fill out a COVID-19 consent form at the clinic reception.  •    Please wear a mask when entering the clinic. •    Your temperature will be checked upon entry.  •    If you are feeling unwell please call the clinic first, do not come to the clinic. •    If consultations are not possible in person, we can reschedule it or arrange it via Skype-Zoom to make sure we give  attention on time to your case. •    If you have been in close contact to a COVID positive person, please inform us and we will postpone your treatment    for two weeks.  •    Please attend your appointments alone or with your partner, with no extra company. •    We will continue to monitor new government regulations to provide the safest treatment environment for you and your  family. •    International patients, please contact clinic Coordinators at info@procreaivf.cz to receive latest travel updates and receive necessary travel documentation.  Stay healthy and safe and we look forward to planning your pregnancy at ProCrea.    

WHOLE ARTICLE

We help to bloossom new lives. We are an IVF clinic with an individual and sensitive approach.

13.01.2021

We help to bloossom new lives. We are an IVF clinic with an individual and sensitive approach. Reproductive medicine has made greate progress in recent years and can help with most reproductive problems. Even in the Czech Republic, the treatments have already helped thousands of couples with their families. The peak of a woman’s fertility is reached at around age 20 and after age 25 fertility slowly starts to decrease.  More rapid decrease happens normally after the age 35 when embryo implantation rates decreases and women face higher chances of having a miscarriages. The reason are explained by genetic abnormalities in eggs which result in genetically abnormal embryos without potential to develop into healthy pregnancy.  Men are not facing this challenges as they produce new, young sperm every 60-70 days and are not so limited by reproductive age.  Our grandmothers and mothers were more in line with this biologic factors, but today as young women deal with education, career, financial independence and are waiting to align with right partner, motherhood is postponed to late 20-ies, to be exact: 29 years old which is Czech and European average to become mothers for the first time mothers. Getting further away from biology, many couples turn to reproductive medicine to help them plan parenthood. Our job is not just to treat, but also to educate our patients when to seek help, we recommend to contact the clinic right away if: •    You are 35 or younger and you’ve been trying to get pregnant for 1 year without success •    You are over age 35 and you’ve been trying for more than 6 months without success •    You’re over age 40 and you’d like to start a family Time factor plays important role and we encourage woman to continue trying naturally but also to learn about their fertility and make realistic plan with time frame how to plan pregnancy. Contacting a clinic is not a taboo and many couples are parents today to children born with the help of assisted preproduction. Clinic has Info Center ready to answer all your questions and organize your first visit to the clinic ProCrea Swiss IVF Center in Prague.  Contacts:  Phone: +420 257 212 516 – 518 E-mail: info@procreaivf.cz  

WHOLE ARTICLE

Happy New Year 2021

31.12.2020

WHOLE ARTICLE

Christmas holidays non-working day

07.12.2020

We would like to inform you that our clinic will be closed 24th – 27th December. In case of any questions, please contact us ahead. We wish you Happy Holidays! ProCrea Swiss IVF Center Prague

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Your health and safety are our priorities

16.10.2020

Clinic is operating daily in accordance with epidemiology instructions in Czech Republic. Your health and safety are our priorities.   If you are travelling from abroad, we offer: - Official clinic invitation to confirm that travel is of medical purpose - FREE COVID PCR test for travel purposes for our female patients as part of their IVF treatment packages Feel free to contact us for more information.

WHOLE ARTICLE

Client ranking

The most beautiful Christmas

The most beautiful Christmas
05.01.2021

"We would like to thank you very much for our treasure Karolína. We are your clients and thanks to you, our little girl was born on December 20, 2020 and became our most beautiful Christmas gift. The little one was 48cm and 3210g and we are very grateful to you.” Family Ženatík

Beautiful

Beautiful "Thank you" from a happy, new mother
15.04.2020

Even during COVID pandemic time babies are born, including via IVF treatments. We received this beautiful thank you message from a happy new mother.

"I wish you primarily good health, so you could handle this challenging times and continue with your work. You have helped us greatly and we will be forever grateful."

Thank you

Thank you
04.03.2020

Dr. Šulc,

we would like to use this opportunity to thank you and your colleagues for the  care we received during our IVF treatment and following pregnancy from May 2019 until now.

We are especially grateful for your personal approach to our case, we felt cared after even when situation was not easy, we always knew we can turn to you for advice. We are aware that today it is unfortunatelly not a standard everywhere, so we value not only your medical help but also kind approach.

Michalka

Michalka
26.02.2020

Finaly even me can boast with joyfull news. On 10th February 2020 was born gorgeous girl Michalka (3650 g, 51 cm). She arrived 10 days after predicted date of birth. We, happy parents, want to thank to the whole Gest team for the longwished happiness. Markéta and Lukáš

Michal

Michal
07.01.2020

Finally can we show off our babyboy Michal. He was born on 24.12.2019, his weight was 2720g and was 48 cm long. Michal came into this world little bit earlier - at 37th week. 
Thanks a lot to the whole team - finally we have our little treasure. 
Happy parents Jaroslava and Luboš 

Zuzanka

Zuzanka
11.12.2019

We would like to thank the whole GEST team for the birth of our babygirl Zuzanka. She was born on 13. 7. 2018. Her weight was just 1120g - she was early born (28+6 week). She became a healthy, beautifull girl.
Grretings and thanks a lot again. 
Milena Wágnerová  

 

Address

ProCrea Swiss IVF Center s.r.o.
Nádražní Str. 762/32
(entrance from Rozkošného Str. 1058/3)
150 00 Praha 5 - Smíchov

Surgery hours:

Monday 8:00 - 16:30
Tuesday 8:00 - 19:00
Wednesday 8:00 - 19:00
Thursday 8:00 - 16:30
Friday 8:00 - 16:30
Saturday Emergency only

Contact

Phone.: +420 257 212 516 - 518
Mobile: +420 602 328 346
E-mail: info@procreaivf.cz  
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