In Vitro Fertilization (IVF): The result of the ovum/spermatozoid union outside the woman's organism, either by placing the ovum in a spermatozoa dilution (conventional In Vitro) or by injection of a spermatozoid in each ovum (ICSI), awaiting fertilization (achieved in approximately 60% of the injected ova) for subsequent transfer into the uterine cavity, via transvaginally. THIS PROCEDURE IS ONLY DONE IN PANAMA.

INDICATIONS:

Tube Damage (obstructed tubes), Male factor (poor sperm), Endometriosis grades II, III, IV, Anovulation (polycystic ovaries), Cervical Factor, Immunological Factor, Unexplained Infertility, cases of Egg Donor and Surrogacy.

REQUIREMENTS:

1. Woman under 42 years old or ova donor under 35 years old (we can supply the donor).
2. Previous diagnostic hysteroscopy or sonohysterography for the patient or recipient to certify that there are no endometrial pathologies.
3. Male with spermatozoa in ejaculate or testicles, confirmed by aspiration (we can supply the donor if is required).
4. Orientation appointment with our psychologist, before induction of ovulation.

STEPS:

1. Coordination Consultation: A consultation is needed between days 5 and 10 after the first menstruation day, 2 months before the date you selected for your In Vitro procedure. Costa Rica and International cases must consult in our Costa Rica office, phone (506) 2208-8417.

2. Alignment: It consists of the use of contraceptive pills in order to synchronize the ovaries and uterus in the same period of the menstrual cycle.

3. Induction and Follicular Monitoring: The use of medication so the ovaries produce various follicles, it would b started on day 5 after stopping contraceptive pill treatment. Then Follicular Monitoring by vaginal ultrasound follows up to adjust the dosage on the 1st, 7th and 10th day of the beginning of the treatment. Patients residing in Costa Rica may have these two steps done at our clinic in Hospital CIMA San Jose.

4. Collection of Semen samples: This stage consists of the collection of semen samples in the comfort and privacy of your own home or hotel one hour before the follicular aspiration and bring it while storing in at room temperature and avoiding the exposure to the sun or cold temperatures. In cases of Testicular or Epididymal Aspiration, it will be 20 minutes after the aspiration of the female patient.

5. Follicular Aspiration: It is the suctioning of the ovaries while the female patient is under the effects of anesthetics by way of a vaginal ultrasound-guided needle. It is usually administered between 34 and 38 hours after the placement of the Ovidrel (HCG).

6. Embryo Transfer: It is the intra-uterine placement of the embryos under guidance of an abdominal ultrasound. It is routinely administered on the 3rd day after the Aspiration. In cases of several embryos the transfer might be administered on the 5th day (blastocyst) to ensure a better selection. The number of transferred embryos will be decided by the couple based on our recommendations (usually 3 embryos). In cases of International patient couples or of those residing in Costa Rica the patients may return to their country of residence 2 days after the transfer. The average duration of patient stay from Costa Rica is of only 6 days whereas for those residing in other countries typical duration of stay is of 18.

7. Waiting Period: It is the following 12 days after which a blood pregnancy test must be done.

SUCCESS RATES:
Pregnancy rates vary from 45 to 60%, depending on the patients age and cause of infertility.

Prices per attempt:

$2300 (lab) + $ 1200 (doctor's fee) = $3500

Techniques such as Super ICSI, day 3 Embryo Hatching, Embryo Glue, and Blastocyst are all a part of our standard service at no additional cost. The price does not include medications (aprox. $1500) or follow up appointments (3 are needed, $100 each one).

Special Services (if required):

• Embryo freezing $1000 (includes all embryos obtained).
• Transfer of frozen embryos $1000
• Ovum donor $4000 (includes medication for the donor). Patient may provide donor in which case they would only need to pay for the In Vitro procedure.
• Sperm donor $600.
• Epididymal and Testicular aspiration $800 (includes anesthesiologist).
  

Cases from Costa Rica and others countries are coordinated by Dr. Ariel Perez, appointments limited to 20 a month so we recommend call to (506) 2208 8417 or send an email to centrofecundar@hotmail.com for an appointment 2 months previous the month elected for your IVF to get your space.

IVF – IVF Panama – Fertility – Infertility – In Vitro Fertilization – Gametes – Hospital CIMA San Jose – Insemination – Laparoscopy – Gynecology – Cryobank – Obstetrics – Fallopian Tubes – Ovaries – Endometriosis – Polycystics – Infertility - Costa Rica – In Vitro – Panama – Assisted Reproduction – Pregnancy – Ova – Spermatozoa – Donor – Reproductive Medicine – Course    Dr. Ariel Perez