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The Centre

of Reproductive Medicine 

& Gynaecology

20 years of tradition and more than 8,000 children

The Centre

of Reproductive Medicine 

& Gynaecology

20 years of tradition and more than 8,000 children

Question detail

Dobrý den pane doktore, dovolím si ještě jednou a naposled reagovat na Vaši odpověď ohledně UZ vyšetření a přibližného termínu početí. Odpověděl jste mi, že pokud UZ ukazuje např. 11+2, tak k oplodnění reálně došlo až cca o 14 dní déle, tedy okolo 9+2, a taky, že u IVF je to jednoznačné. Můj konkrétní problém spočívá v tom, že mám pocit, že jsem otěhotněla dříve a to už třeba pár dní před PM. Byla jsem už na čtyřech UZ a ukazovaly následující:
Dle PM 9+0, UZ ukazuje 8+5
Dle PM 11+0, UZ ukazuje 11+0
Dle PM 13+0, UZ ukazuje 13+3
Dle PM 21+0, UZ ukazuje 20+1.
Cyklus mám 26 dní. Když tedy vezmu to nejstarší datum13+3, tak myslíte, že jsem otěhotněla někdy před +- 11+3 týdny? Nebo spíš se zeptám takto: Je možné, abych otěhotněla už před datumem dle UZ, tedy před PM, kdy UZ ukazuje 13+3 a k oplodnění došlo už před třeba 14+0 týdny? Stane se někdy u IVF, že datum v kalendáři, kdy došlo k oplodnění, je starší o nějaký ten den, než jaké stáří ukazuje UZ cca do 14.týdne?
Mnohokrát děkuji za odpověď i když jsem si vědoma, že do Vaší poradny moc nepatří, ale umíte všechny dotazy tak pěkně a pro laika srozumitelně vysvětlit a já bych si ráda udělala ve všem jasno.
Přeji hezký den.

Dobrý den.
Provedená ultrazvuková vyšetření prakticky vylučují chybu. Jsou ve velmi dobré shodě. K otěhotnění s velmi vysokou pravděpodobností došlo cca 2 týdny po začátku poslední menstruace.
Při dataci 9+0 dle PM odpovídal plod 8+5, tedy otěhotnění odhadoval 13 dní po začátku menses.
Při dataci 11+0 dle PM odpovídal plod přesně 11+0, tedy otěhotnění odhadoval 14 dní po začátku menses.
Již tyto dva údaje by stačily. Další měření ale vše jen potvrzují. O něco větší rozptyly jsou možné v závislosti na růstu plodu a na tom, jaké parametry se měřily. V prvém trimestru se měří prakticky vždy jen CRL plodu (=crown-rump length, t.j. vzdálenost od hlavy k zadku). Později se měří hlavička, bříško, dlouhé kosti, aj.
Závěr: s nejvyšší možnou pravděpodobností považuji otěhotnění před menses na základě výše uvedených údajů za nemožné.
U IVF někdy v 14. týdnu vidíme při UZ měření odchylku několika málo dnů oproti termínu oplodnění, který známe. Nikdy však ale nejde o 2 týdny!
Důležitější než měření v 14. týdnu, kdy již může hrát roli odchylka v růstu, je datace v prvním trimestru, tedy ve Vašem případě první 2 měření.
S pozdravem MUDr. Jan Šulc

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News

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.

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Annonymous spermiogram analysis

19.05.2020

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.

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Easter opening hours

08.04.2020

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!

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

11.03.2020

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.(https://www.infektionsschutz.de/coronavirus-sars-cov-2.html). 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, https://www.ages.at/themen/krankheitserreger/coronavirus/). 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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Client ranking

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  

 

Jakoubek

Jakoubek
25.11.2019

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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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@gest.cz
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