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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.


Your health and safety are our priorities


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.


Annonymous spermiogram analysis


The same as every year, this summer in June we offer “Annonymous spermiogram analysis”. You can book your sperm analysis using specific individual code according to which we wil track your result. The cost of the analysis is 1000 Kc.  Booking is possbile at the reception, by e-mail or phone.


Easter opening hours


Dear patients,  during Easter will be the clinic opened just for urgent cases on Saturday 11th and Monday 13th only in the morning. In urgency call +420 602  758 353. The clinic opens for you on Tuesday 14th April.  Thank you for understanding. We wish you happy Easter!


Notice for patients: Coronavirus (COVID-19/ SARS-CoV-2)


Dear patients and citizens seeking advice and assistance! As an assisted reproduction centre, even we are striving to protect our patients against potential coronavirus infection as best possible. At present, there is a prevalence of uncertainty, because a vast quantity of contradictory information is available in the media and on social networks. The “infodemic” - meaning the surplus of rumors, false reports and fake news - is minimally as problematic as the epidemic itself! For this reason, we strive to provide you with objective and up-to-date information on the topic of assisted reproduction, pregnancy and coronavirus disease, and to observe the recommendations of authorities and healthcare facilities. We ask you not to visit our assisted reproduction centre if you are suffering from symptoms suggesting coronavirus infection, or if you have spent time in any of the current high-risk areas in recent weeks, or have come into contact with potentially infected individuals. Currently, the high-risk areas are: Italy Iran In China: Province Hubei (inkl. City Wuhan) In South Korea: Province Gyeongsangbuk-do (Nord-Gyeongsang) Source: Robert-Koch-Institut (RKI): Status: 10th March 2020 At present, the health risk for citizens e.g .in Germany is classified as moderate. (Source: RKI: Status: 2 March 2020, 12:30 p.m.). Contagion from person to person is the gravest means of infection. In general, the same preventive, protective and hygienic measures as those applicable during ordinary flu season should be observed. This includes proper hand hygiene, not shaking hands when greeting and keeping a distance from individuals who are ill - including people with cold or flu symptoms.( COVID-19 infection is generally mild, sometimes entirely asymptomatic. The level of danger of the pathogen cannot yet be reliably assessed - but it seems to be substantially lower than in the case of MERS or SARS, and is likely to be comparable to the seasonal flu (source: AGES, status: 3 March 2020, In some cases, the course of the illness can be severe. The illness tends to be fatal primarily among the elderly and/or individuals with a severe chronic health anamnesis. At present, there is no reason to believe that COVID-19/ SARS-CoV-2 infection would have a more severe progression among pregnant women than women who are not pregnant. Likewise, no cases of transmission of the virus to an unborn child have been described or confirmed yet (status: 2 March 2020). In addition to the usual preventive measures, we recommend that patients who wish to get pregnant be vaccinated against the flu, not least to avoid concurrent infection with COVID-19/ SARS-CoV-2 and the flu. This applies both to unvaccinated pregnant women and unvaccinated women who wish to get pregnant. Vaccination against the flu virus poses no threat to pregnant women, and does not require the postponement of pregnancy therapy, because it is a “dead vaccine”. Therefore, pregnancy is not a contraindication to flu vaccination. Although the 2019/2020 flu season has most likely already peaked, you should get a flu vaccination even now. In fact, vaccination against the flu is explicitly recommended for pregnant women. The Standing Committee on Vaccination in Germany (STIKO) recommends flu vaccination for all pregnant women from the 2nd trimester; if there is a higher health risk due to other medical problems (e.g. asthma or diabetes), from the 1st trimester of pregnancy.


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Beautiful "Thank you" from a happy, new mother

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

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.



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



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 



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  




We would like to thank to the whole GEST team for their care, namely Dr. Šulc, his colleagues, which we also met - Dr. Poláková, Dr. Černý and Dr. Alexandr. 
On 28th October was born our healthy babyboy Jakoubek. 
Thank you very much!
Jana and Martin 

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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 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


Phone.: +420 257 212 516 - 518
Mobile: +420 602 328 346
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