IVF in Ukraine – About Our Clinics

 

Kyiv specialized reproductive clinics will offer a full range of up-to-date infertility diagnostics and treatments such as PGD (sex selection), embryoscopy, ICSI, IMSI, artificial insemination (AI), surrogacy. The most popular fertility service in Ukraine is egg donation with IVF, price of which is very moderate here.

The IVF clinics in Ukraine are very modern and feature the most technically advanced equipment available anywhere in the world.  Our consultants and healthcare professional team are all highly qualified and offer many years of experience in the field of reproductive medicine. IVF prices and prices for egg donation as well as surrogacy in Ukraine can be found below. As with all senior clinicians, our team attends specialist conferences and seminars around the world, sharing best practice with their peers, to ensure their knowledge of developments within their specialization is unsurpassed.

All our clinics are accredited under Ukrainian law.  Our reproductive medicine clinics are Victoria, IRM,  IVmed, ISIDA. Our clinicians are used to treating patients from all over the world and you will be made to feel welcome, confident, and comfortable.

The success rate of IVF treatment in Ukraine is up to 65% compares more than favorably with the UK rate of 25% in the UK, as to our costs, even when travel and accommodation are taken into account. We can usually undertake IVF as a day case, so a night in the clinic is not necessary, but you should allocate a stay of between 5 – 7 days so we can undertake all the pre and post-procedure medical checks necessary.

We have set out below our clinics’ services and prices, shown in pounds sterling.

The average EGG DONATIONS COST IN UK – 10 000 £.  
DONORS ARE NOT ANONYMOUS. SUCCESS RATES IN UK 28-35%.  
REMEMBER – AFTER 18 CHILD CAN ASK HFEA WHO WAS THEIR DONOR.
WAITING TIME MIGHT BELONG

Fertility Procedures

PRICES EUR
 
  • STANDARD IVF-ICSI WITH OWN EGGS – 3850 EUR
  • STANDARD IVF WITH DONOR OOCYTES (IVF + DO) – 4400 EUR
  • IVF WITH DONOR OOCYTES (IVF + DO) WITH A GUARANTEE OF EMBRYOS QUANTITY (min 4 embryos for ET) – 6600 EUR
  • CRYOPRESERVED DONATED EMBRYOS ADOPTION PROGRAM – 2200 EUR
  • Donor’s sperm sample (1 portion) – 230 EUR
  • Sperm collection, cryopreservation (vitrification) and storage up to 12 month – 230 EUR
  • Egg cells cryopreservation (vitrification) – 490 EUR
  • Embryos cryopreservation (vitrification) – 490 EUR
  • Preparation of endometrium (monitoring), embryos thawing and transfer into uterus – 1050 EUR
  • Set of hormonal medications for endometrium preparation before embryo transfer (ET) – 258 EUR
  • Additional embryo cultivation until blastocyst stage – 265 EUR
  • Embryos transfer – 390 EUR
  • Embryos thawing – 390 EUR
  • Storage of embryos / oocytes / sperm 12 month – 190 EUR
  • Testicular sperm aspiration, TESA (incl. anesthesia, puncture sperm cultivation) – 1050 EUR
  • Percutaneous Epididymis Sperm Aspiration, PESA – 990 EUR
  • Testicular Sperm Extraction , TESE – 995 EUR
  • Surcharge for abdominal puncture – 550 EUR
  • Pregnancy care program during 9 months (pregnancy monitoring, incl. Ultrasound screening and PAPP-test) – 1650 EUR
  • PGD/PGS 24 chromosomes testing (incl. X,Y) using NGS method –2 450 EURO (per 10 embryos, each additional 210 EUR0
  • PGD/PGS 9 chromosomes (13,14,15,16,18,21, 22, X, Y) testing using FISH method -1250 EUR
  • PGD/PGS 5 chromosomes testing using FISH method – 1030 EUR
  • NIPT – 725 EUR

                                         

          Average Success Rates of the  Ukrainian IVF clinics is about 64 %

 

Fertility Treatment
 
 
Infertility (sterility) defined when there was no pregnancy conceived within one year at the backdrop of regular sexual life (sexual intercourse at least once a week) with no contraceptives used. There is a great number of reasons resulting in lower fertility (ability to conceive) The most common are –  uterine tubes non-patency, low quality sperm, and ovarian failure.
Infertility (sterility) (Lat. Sterilitas) — If a married couple is infertile, it means that they have been unable to conceive a child after 12 months of regular sexual intercourse without birth control.
The reasons for an infertile marriage may be the reproductive system failures of one or both spouses. Female “infertility (sterility)” may be diagnosed only after the male infertility is excluded from the analysis, and in cases of positive tests confirming the compatibility of sperm and cervix mucus.
To conduct successful treatment it is necessary to identify accurately infertility reasons. In some cases such reasons may be eliminated (hormonal dysfunctions, ovulatory dysfunctions), in other cases the best treatment methods may be chosen after identifying other infertility reasons.
 

Treatment programs

 
Stimulating follicules growth

Indications:

  • Hormonal dysfunctions leading to no follicule growth :
  • Conduct an examination of the patient’s husband
  • Identify uterine tubes status
  • Correct endometrium hyperplasia: the frequency of endometrium hyperplasia with women having PCOS amounts to 20 % and more
  • Correction of other hormonal disbalances: up to 6,5 % women having PCOS were also experiencing hyper- or hypo- prolactinoma, and hyperthyroidism
  • Medical and genetic tests
  • Weight reduction
  • Getting rid of bad habits (smoking, alcohol abuse, etc)

Follicle-stimulating hormone is responsible in the female body for follicle production and maturity. To induce ovulation various medications are used, and they can be roughly divided into two groups:

  • Medications increasing the proper levels of follicle-stimulating hormone («Clomiphene »)
  • Medications containing FSH («Bravel», «Puregon», Gonal F»)
Artificial (intra-uterine) insemination with husband’s sperm
The essence of the program is introducing the husband’s spermatozoa into the uterine cavity following ejaculate’s special preparation. It is possible to conduct such a program both with folloculogenesis stimulation and within the natural cycle. The best time to conduct such a procedure is identified through the ultra-sound monitoring of follicles growth. Sometimes it may be helpful to conduct ovulation tests.
Diagnosis:
  • Moderate deterioration of sperm quality
  • Immune reaction against spermatozoa /immune anti-spermatozoa reaction
  • Uterine pathology
 
Artificial (intra-uterine) insemination with donor’s sperm
The essence of the program is introducing the donor’s spermatozoa into the uterine cavity following ejaculate’s special preparation. Donor’s choice is made following the phenotypical (appearance) characteristics of the spouses, as well as their wishes as to the phenotypical (appearance) characteristics of the sperm donor. Potential donors undergo comprehensive tests to prevent infections and genetic disease transmission. It is possible to conduct such a program both with folliculogenesis stimulation and within the natural cycle. The optimal time to conduct such a procedure is identified through the ultra-sound monitoring of follicles growth. Sometimes it may be helpful to conduct ovulation tests.
Indications:
– Absence of spermatozoa in ejaculate – hereditary diseases – Absence of partner
ART (Assisted Reproductive Technology)
Indications:
  • Uterine tubes dysfunction/failure
  • Endometriosis
  • Unexplainable infertility
  • Long-term (over two years) and non-successful infertility treatment by other methods
The major purpose to conduct extra-corporal insemination program is to receive egg-cells directly from the ovaries, inseminate them in embryology laboratory, and planting several embryos to the uterine cavity.
The program consists of several stages:
  • Following the preliminary testing treatment tactics is chosen, alongside with the protocol of ovaries stimulation (long, short, short with antagonists, modified, natural cycle)
  • Stimulation of super-ovulation with ultra-sound monitoring
  • Introduction of trigger hormones dose to finalize egg-cells maturity
  • Follicles puncture, getting eggs (oocytes), sperm donation, insemination of oocytes.
  • Cultivating embryos, monitoring their development
  • Embryos implantation to the uterine cavity
  • Freezing remaining high-quality embryos
  • Hormonal support of the second stage
  • Pregnancy test
  • Ultra-sound pregnancy diagnostics
 
Intra Cytoplasmic Sperm Injection or ICSI
Indications:
  • No fertilization/insemination under IVF program
  • TESE/MESA (operational spermatozoa production from testis or epididymis)
  • Functional failure of sperm duct or testis.
Differences between IVF and ICSI programs only manifest themselves at the stages of dealing with oocytes: ICSI – this is the method of single spermatozoa introduction/implantation to oocyte with the help of special equipment. ICSI program also consists of the same stages as the IVF program.

What tests needed for man and woman for Egg Donation program

Analyses And Examinations Required For Women:
  1. Rw, HBs, HCV, HIV, syphilis (not older than 6 months before an attempt)
  2. TORCH infections (rubella and toxoplasmosis)
  3. Vaginal discharge tests
  4. Karyotype analysis (termless)
  5. Blood group and Rhesus factor (termless)
  6. Complete Blood Count (CBC) made no more than 1 month before that
  7. Biochemical blood count (bilirubin, AST, ALT, kreatinin, complete protein)
  8. Koagulogram
  9. LH (luteinizing hormone)
  10. FSH (follicle-stimulating hormone)
  11. Vaginal and cervical canal swab (no more than 6 months before)
  12. Microscopic examination of the vaginal canal
  13. Pelvic organs ultrasound
  14. Breast ultrasound
  15. Attending physician’s opinion
  16. Anti-muller hormone test
Analyses and examinations required for men
  1. Rw (Wasserman test)
  2. HBs
  3. HCV
  4. HIV (no more than 3 months before)
  5. Blood group and Rhesus factor (termless)
  6. Karyotype analysis (termless)
  7. Spermogram (no more than 3 months)
  8. ICSI screening

IVF Female mandatory examinations for PGD (sex selection procedure)?

 

IVF Female mandatory examinations:

 

Main tests

(ІРМ)

  

1

General Practitioner’s opinion on the somatic health status

and absence of contraindications to carrying a pregnancy

  

2

Anti – Müllerian hormone

Anti – Müllerian hormone

3

Follicle-stimulating hormone (FSH)

Follicle-stimulating hormone

4

Luteinizing hormone (LH)

Luteinizing hormone

5

Prolactin

Prolactin

6

Estradiol

  

7

Progesterone

  

8

Blood type and Rh

  

9

Complete blood count

Hemoglobin (g/l)

Red cell count

MCV

MCH

MCHC

RDV

Platelet count

MPV

White cell count

Neutrophils

Lymphocytes

Monocytes

Eosinophils

Basophils

Blood Film report

10

Coagulation profile

  

11

General gynecological examination

  

12

Pelvic ultrasound

  

13

Vaginal, urethral, cervical discharge culture testing

  

14

PAP test

  

15

RW

Syphilis IgG/IgM by EIA

16

HIV

HIV 1&2 Abs/P24 Ag screen

17

Hepatitis B

Hepatitis B surface Ag (HBsAg)

18

Hepatitis C

Hepatitis C Ab ELISA (3rd Gen)

19

Toxoplasmosis (lgM, lgG)

  

20

Rubella (lgM, lgG)

Rubella ( lgG)

21

CMV (lgM, lgG)

  

22

Herpes (lgM, lgG)

  
 

Additional (ІРМ)

  
 

Thyroxine (T4)

Thyroxine (T4)
 

Triiodothyronine (T3), free, total

Triiodothyronine (T3), free, total
 

Anti – HBc (IgG/IgM)

Additional – Т4and Т3-+ Anti – HBc (IgG/IgM).

 

 

For many childless couples in the UK, In Vitro Fertilization (IVF) may often provide a solution.

But the criteria for IVF on the NHS are becoming ever more stringent.  Each health authority may operate to a different set of criteria – general guidelines given back in 2004 stated 3 cycles of IVF for childless couples where the woman is between 23 and 29 years of age may be given, diminishing to just one IVF cycle for a woman between 29 and 40. It has been reported that, even as long ago as 1999, 80% of couples approaching the NHS were rejected.  For those able to afford it, IVF in the private sector is a safe option, but in the UK it’s extremely expensive.  Generally speaking, the cost of one cycle in a private clinic in the UK is going to cost upwards of  £3000.
It’s for this reason that an increasing number of couples from the UK seek IVF abroad. Medical tourism is increasing in popularity around the world, with people requiring various procedures traveling to a number of countries where medical and ethical standards are known to be high, but the cost of procedures is low.
In recent years the city of Kyiv, capital of Ukraine, has welcomed a steadily increasing number of people from the UK, Western Europe, USA, Russia, and the Arabian Gulf for a variety of treatments.  The first of these is IVF.  Kiyv welcomes more than 350 couples from the UK who are seeking IVF every year, and this figure is set to increase as the treatment becomes harder to obtain in the UK under the NHS, and increasingly expensive in private clinics.
In 2016 (most recent figures) over 30,000 people visited Ukraine for medical treatment, the most popular being IVF, followed by surrogacy, dental implants, and other dental work.
Ukraine has a well-established track record in reproductive medicine and the country’s clinics are modern and very well equipped.  The health care teams operating within them are trained to the highest international standards and are in constant contact with peer groups all over the world to share advances in this exciting medical field. IVF success rates in Ukraine are impressive – as high as 65% in certain patient profiles.
 Medicare4U www.medicare-4u.com specializes in arranging procedures for people who either cannot access or afford treatments in their own country.  It is British-based and it recognizes that traveling away from home for any health procedure can be traumatic, which is why all patients are met at the airport on an individual basis, accompanied to their accommodation and then to the clinic where they will have their procedure.  Staff at the clinics selected by Medicare4U are used to dealing with an international clientele on a daily basis and speak good English.  They will do all they can to reassure and make patients as comfortable and relaxed as possible.
It is estimated that most IVF procedures in Ukraine, such as egg donation with IVF, cost up to 85% less than the same treatment in Western Europe or the USA.  In Ukraine, a single cycle of IVF may cost as little as £1080. The price of IVF with Egg donation (incl compensation for the egg donor), incl PGD will be around 4800 GBP. With return flights from London to Kyiv starting at less than £150 return, and accommodation at around 60€ per night, traveling to Kyiv for IVF treatment is a highly attractive option both in terms of cost, and in the high IVF success rates claimed in that country. Egg donation is one of the most popular options among medical travelers coming to Kiyv. An estimated price for IVF ICSI in Ukraine is about 1850 GBP. A pregnancy rate for ICSI in this country would be about 45%.
 
The CEO of Medicare4U, Pavel Oltarzhevskyy, explains why Ukraine is an increasingly popular choice for couples seeking IVF “We recognize that infertility is a terrible diagnosis for couples who want to create a family.  In Ukraine, we have a proud track record of helping infertile couples achieve their dream of children.  Our IVF success rates are very high, and our costs very low.  Yet to quality of treatment is not compromised in any way.
“We are only too aware that for some couples, and for a host of reasons, IVF cannot be a solution for childlessness. In Ukraine, we are able to offer surrogacy to these couples.  It is completely legal in our country.  People who think surrogacy may be the answer for them are often put off by what seems to be a sea of red tape – they worry that there will be legal difficulties in getting the child’s birth registered in the country of its parents’ domicile.
 
“But in Ukraine, these difficulties do not exist – the child is considered to be legally belonging to the prospective parents from the moment of conception. Even if a donation program took place and there is no biological relation between the child and its intended parents, their names will be on the birth certificate. For extra reassurance, we have our own British legal advisor to guide couples through the necessary paperwork so they can take the baby back to their own country without any difficulty.  Surrogacy programs are not confined to heterosexual couples, single women may also participate.  There is no concept of same-sex marriage in Ukraine but such patients can be treated as single men or women. ”
There is no stigma attached to traveling abroad for procedures and treatments that are either hard to come by or extremely expensive at home.  With specific reference to IVF, a  paper produced in 2008 by the Human Fertilisation and Embryology Authority included results of a survey undertaken amongst people who had traveled overseas for health care.
Of those polled, 76% said they would consider traveling abroad for health care, for the following reasons in order of importance.
 
No waiting times
Acceptable cost of treatment
High success rates
Availability of donor eggs / sperm
Positive reports from other patients
Availability of donor eggs and sperm, a recommendation from UK clinics and the opportunity to have embryos replaced
 
 
Of the 339 respondents, only 26 said that they would not consider going abroad as they were happy with the fertility treatment they receive in the UK.
 
 

Medicare4U is very experienced in arranging IVF treatment as well as other treatments and procedures, for people from all over the world.

   IVF TREATMENT AND SURROGACY LAWS IN UKRAINE   (more detailed about surrogacy and pricing is here www.medicare-4u.com/treatments/fertility-treatment/surrogacy/

The Law relating to various aspects of IVF treatment Egg Donation and Surrogacy in Ukraine is very different from the laws of most Western Countries.  Assisted Reproductive Technologies (ART) and especially IVF – In vitro fertilization and other assisted laboratory fertilization techniques may require significant effort and can be expensive so it is important to get good legal advice in order to ensure there are no legal problems once the child has been born.
 
 Surrogacy is legal in Ukraine provided certain rules and regulations and legal procedures are strictly followed. Surrogacy is officially regulated by Clause 123 of the Family Code of Ukraine and Regulations issued as Orders from the Health Ministry of Ukraine and the Civil Code of Ukraine.
 With regard to Egg Donation and Surrogacy, there are a variety of legal issues where Ukrainian law is different from most other Western Countries. Ukraine is one of the very few surrogacy friendly states in Europe. It does not limit surrogacy related payments and does not require court orders. No adoption of the child is required. The recipient family creates embryos using their own or donated, gamets through IVF that are transferred to the gestational surrogate mother. Ukrainian law allows the issue of birth certificate to the intended parents in their own names regardless of their genetic links to the child. To date, there has not been a single reported case of a disputed custody claim arising out of a surrogate parenting arrangement or the validity or enforceability of a surrogate parenting agreement. Problems have sometimes arisen however at the new parent’s Embassies because they gave either wrong or untruthful answers to the paperwork questions. This paperwork is an essential part of the procedure as, having gone through all the time, trouble, and expense of getting a child, you will then want to be able to take the child to your own country as part of your family. Our legal team services can be found here   www.ukrlegis.com

 

 GETTING THE RIGHT LEGAL ADVICE AND ASSISTANCE

The period of both IVF treatment and Surrogacy is a worrying, stressful time for the participants. This can adversely affect the chances of successful IVF treatment in particular.
It is essential that as many of the possible hurdles and difficulties are removed before the treatment starts and this, includes legal worries about agreements and documents.
You should seek specialist legal assistance at the earliest possible opportunity, both to help you decide which route to take and also to remove legal difficulties and bring certainty to the entire, complex procedure. 

The author of this text is a British lawyer living and working in Ukraine and will be pleased to assist with all legal requirements and documentation. He can be contacted through Medicare4U offices.

 

FAQ

Who can become an egg donor in Ukraine?
Only females, under the age of 32, who gave birth to at least one child, and who are genetically and mentally healthy, can become egg donors. For IVF, you can use either anonymous egg donors or your relative’s donated eggs.

Can embryos from egg donors be frozen?
Yes, embryos can be frozen for a maximum of 5 years.
 
What if my IVF attempt failed? How long should I wait before trying again?
It’s recommended to wait for at least 2 – 3 months, before starting another IVF treatment.
 
Does ovulation occur from alternate ovaries in alternate months?
No. Which ovary ovulates in a given month is entirely random.
 
Can my husband collect his sperm at home?
Yes, but it must be brought to our lab no longer than an hour after ejaculation. The specimen must be kept at body temperature. You will also need a sterile specimen cup.
 
My doctor advised me to have fertility medications and I am concerned about the risk of multiple pregnancies.
Most fertility drugs increase the risk of multiple pregnancies. However, the majority of women who conceive after taking fertility drugs have a singleton pregnancy. The risk of multiple pregnancies is reduced by careful monitoring by ultrasound scans and blood tests.
 
What is endometriosis?
Endometriosis refers to a benign and common disease in which cells similar to the ones that line the inside of the womb, are established outside the womb.
 
What is premature ovarian failure?
Premature ovarian failure is a loss of ovarian function in women under 40 years when periods stop and estrogen level is low, which causes menopausal symptoms. The cause of POF includes autoimmune or genetic conditions. POF can be permanent, temporary, or periodic and there may be residual ovarian function. Some women with POF may intermittently produce estrogen and even ovulate spontaneously or with the help of potent fertility drugs.
 
My husband was told that he tested positive for antisperm antibodies. What does this mean?
Antisperm antibodies indicate an immunological basis for infertility.
 
What is AHA?
AHA (Assisted Hatching) is a reproductive procedure that can significantly increase the chance of pregnancy. Before embryo transfer, a tiny hole is made on the outer layer of the embryo. This allows to embryo to attach properly to the womb’s wall, and thus increase the success chances of IVF. It is recommended over the age of 35 or after 2 failed IVF cycles.
 
What is the average number of embryos transferred?
The doctor will make the decision after discussing this with you. Generally, 2 or 3 embryos will be transferred, but the number may vary slightly depending on the quality of the embryos and the age of the female partner.
 
What are the most common side effects of fertility medications?
Some of the most common side effects are feeling bloated, hot flashes, and feeling emotional. There may be a localized skin reaction at the injection site.

How much is surrogacy in Ukraine – package price?

Surrogacy package 32 155 USD

Surrogacy with Egg Donation incl IVF – 39 550 USD

 

Fertility Treatment