In Vitro Fertilization (IVF): The injection of a spermatozoid in each ovum, awaiting fertilization for its subsequent transfer into the uterine cavity. THIS PROCEDURE IS ONLY DONE IN PANAMA.

INDICATIONS:

Tube Damage (obstructed tubes), Male factor (poor sperm), Endometriosis grades II, III, IV, 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 40 years old (we can supply the donor)
2. Male with spermatozoa in ejecta/ejaculate or testicles, confirmed by aspiration (we can supply the donor if is required)
3. Woman with uterus, or who can supply a relative or surrogate womb (surrogate not provided).

STEPS:

1. Allignment: It consists of the use of contraceptive pills in order to sychronize the ovaries and uterus in the same period of the menstrual cycle, making the menstrual period comes day one of the month. For Costa Rican and International patients this has to be the day of the first appointment in our office in office in hospital CIMA San Jose, Costa Rica (Phone 506 2208 8417).

2. Induction and Follicular Monitoring: Induction consists of the use of medication starting on the 5th day post-contraceptive use (day one of the month). This is done so that the ovaries grow and produce the necessary amount of follicles and the endometrium grow enough to help the embryo implantation procedure. Follicular Monitoring consists of ultrasound follow ups on the 1st, 7th and 10th day of the month in order to adjust the medication dosages as well as determine the date for Follicular Aspiration and semen sample reception. International Patients (US, Canada and others) and Patients residing in Costa Rica may have this step at our clinic in San Jose (Costa Rica), coordinated under Dr. Ariel Perez. We recommend travel from Costa Rica to Panama the day 12 in the Morning because we may have to aspirate the ovaries in Panama day 12 afternoon or during the day 13 of the month.

3. Collection of Semen samples: This stage consists of the collection of semen samples in the comfort and privacy of your own home or hotel (in international patient cases) 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.

4. Follicular Aspiration: It is the suctioning of the Ovarian Follicles 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 40 hours after the placement of the Ovidrel injection (HCG).

5. 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 (more than 7) 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 bases on our recommendations (usually 3 to 5 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 11 days in Costa Rica and 6 days in Panamá.

6. Waiting Period: It is the following 12 days, during which a specific amount of progesterone must be used. On the 12th day a blood pregnancy test must be done.

Cases over 40 years old with egg donor closed at a 60% pregnancy rate during the 2009.

Prices per Attempt:

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 $500 (includes all embryos obtained).
• Transfer of frozen embryos $1000
• Ovum donor $3000 (includes medication for the donor).

You may also provide your own donor and pay only $200 for the anesthetics, plus the cost of medication (approx. $1400).

• Sperm donor $200.
• Epididymal and Testicular aspiration $600 (includes anesthesiologist).
  

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