{"id":897,"date":"2020-03-14T17:05:40","date_gmt":"2020-03-14T16:05:40","guid":{"rendered":"https:\/\/fertilityport.vesmirnekure.cz\/?page_id=897"},"modified":"2020-04-13T19:56:26","modified_gmt":"2020-04-13T17:56:26","slug":"casto-kladene-dotazy","status":"publish","type":"page","link":"https:\/\/fertilityport.com\/cs\/casto-kladene-dotazy\/","title":{"rendered":"\u010casto kladen\u00e9 dotazy"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8220;1&#8243; _builder_version=&#8220;4.4.0&#8243; background_color=&#8220;#e2e2e2&#8243; background_enable_image=&#8220;off&#8220;][et_pb_row column_structure=&#8220;2_3,1_3&#8243; _builder_version=&#8220;4.4.0&#8243;][et_pb_column type=&#8220;2_3&#8243; _builder_version=&#8220;4.4.0&#8243;][et_pb_text module_class=&#8220;c_blurb&#8220; _builder_version=&#8220;4.4.1&#8243;]<\/p>\n<h1>\u010casto kladen\u00e9 dotazy<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8220;1_3&#8243; _builder_version=&#8220;4.4.0&#8243;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8220;1&#8243; _builder_version=&#8220;4.4.0&#8243;][et_pb_row _builder_version=&#8220;4.4.0&#8243;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.4.0&#8243;][et_pb_text _builder_version=&#8220;4.4.0&#8243;]<\/p>\n<h2>Co je to neplodnost?<\/h2>\n<p>Podle definice Sv\u011btov\u00e9 zdravotnick\u00e9 organizace (WHO) je za neplodnost ozna\u010dov\u00e1n stav, kdy nedo\u0161lo k ot\u011bhotn\u011bn\u00ed b\u011bhem jednoho roku pravideln\u00e9ho nechr\u00e1n\u011bn\u00e9ho pohlavn\u00edho styku. U \u017een nad 35let v\u011bku se v\u0161ak nedoporu\u010duje \u201e\u010dekat\u201c cel\u00fd rok, \u017eeny by m\u011bly absolvovat alespo\u0148 z\u00e1kladn\u00ed vy\u0161et\u0159en\u00ed ji\u017e po 6 m\u011bs\u00edc\u00edch.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8220;4.4.0&#8243;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.4.0&#8243;][et_pb_text _builder_version=&#8220;4.4.0&#8243;]<\/p>\n<h2>Je neplodnost \u010dast\u00fdm probl\u00e9mem?<\/h2>\n<p><span style=\"font-size: 16px;\">S nemo\u017enost\u00ed po\u010d\u00edt se pot\u00fdk\u00e1 a\u017e 10-15% \u017een ve fertiln\u00edm v\u011bku. Neplodnost se tedy bohu\u017eel st\u00e1v\u00e1 b\u011b\u017en\u00fdm probl\u00e9mem dne\u0161n\u00ed spole\u010dnosti a nen\u00ed nutn\u00e9 se za ni styd\u011bt.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8220;4.4.0&#8243;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.4.0&#8243;][et_pb_text _builder_version=&#8220;4.4.0&#8243;]<\/p>\n<h2>Kdo za to m\u016f\u017ee?<\/h2>\n<p>Asi ve 40% p\u0159\u00edpad\u016f je p\u0159\u00ed\u010dina na stran\u011b mu\u017ee a ve 40% p\u0159\u00edpad\u016f na stran\u011b \u017eeny. U mu\u017e\u016f je nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou n\u00edzk\u00e1 koncentrace spermi\u00ed nebo jejich pohyblivost. U \u017een se m\u016f\u017ee jednat o n\u00edzkou, \u010di naopak velmi vysokou z\u00e1sobu vaj\u00ed\u010dek, nedozr\u00e1v\u00e1n\u00ed vaj\u00ed\u010dek (tzv.anovulace) \u010di nepr\u016fchodnost vejcovod\u016f. Asi u 20% dvojic se kombinuj\u00ed p\u0159\u00ed\u010diny u obou partner\u016f. U 10% p\u00e1r\u016f se dostupn\u00fdmi metodami p\u0159\u00ed\u010dinu zjistit nepoda\u0159\u00ed.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8220;4.4.0&#8243;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.4.0&#8243;][et_pb_text _builder_version=&#8220;4.4.0&#8243;]<\/p>\n<h2>Jak dlouho se m\u016f\u017eeme sna\u017eit, ne\u017e nav\u0161t\u00edv\u00edme l\u00e9ka\u0159e\/specialistu?<\/h2>\n<p>Obecn\u011b se doporu\u010duje nav\u0161t\u00edvit IVF centrum alespo\u0148 k z\u00e1kladn\u00edmu vy\u0161et\u0159en\u00ed obou z p\u00e1ru po cca roce nechr\u00e1n\u011bn\u00e9ho pohlavn\u00edho styku. S postupuj\u00edc\u00edm v\u011bkem \u017eeny ale \u0161ance na spont\u00e1nn\u00ed ot\u011bhotn\u011bn\u00ed i \u0161ance z jak\u00e9koliv metody IVF klesaj\u00ed, proto by m\u011bly \u017eeny nad 35let vyhledat pomoc d\u0159\u00edve, doporu\u010duje se po 6 m\u011bs\u00edc\u00edch ne\u00fasp\u011b\u0161n\u00e9 snahy.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8220;4.4.0&#8243;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.4.0&#8243;][et_pb_text _builder_version=&#8220;4.4.0&#8243;]<\/p>\n<h2>Je mo\u017en\u00e9 b\u00fdt v p\u00e9\u010di ambulantn\u00edho gynekologa?<\/h2>\n<p>Op\u011bt z\u00e1le\u017e\u00ed hlavn\u011b na v\u011bku \u017eeny a dosud proveden\u00fdch vy\u0161et\u0159en\u00ed, nap\u0159. spermiogramu partnera. V\u00e1\u0161 ambulantn\u00ed gynekolog v\u00e1s ale m\u016f\u017ee informovat o va\u0161\u00ed ovari\u00e1ln\u00ed rezerv\u011b a m\u016f\u017ee m\u011bs\u00ed\u010dn\u011b sledovat ultrazvukem va\u0161\u00ed ovulaci.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8220;4.4.0&#8243;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.4.0&#8243;][et_pb_text _builder_version=&#8220;4.4.0&#8243;]<\/p>\n<h2>Jak\u00e9 vy\u0161et\u0159en\u00ed plodnosti mohu o\u010dek\u00e1vat?<\/h2>\n<p>Z\u00e1kladn\u00ed vy\u0161et\u0159en\u00ed u \u017eeny zahrnuje ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed vaje\u010dn\u00edk\u016f \u2013 ur\u010den\u00ed po\u010dtu takzvan\u00fdch antr\u00e1ln\u00edch folikul\u016f, velikost a tvar d\u011blohy, v\u00fd\u0161ku sliznice vzhledem k f\u00e1zi cyklu \u017eeny, event. test pr\u016fchodnosti vejcovod\u016f. D\u00e1le se prov\u00e1d\u00ed odb\u011br krve na tzv. hormon\u00e1ln\u00ed profil v\u010detn\u011b stanoven\u00ed hormonu AMH, kter\u00fd slou\u017e\u00ed k odhadu z\u00e1soby vaj\u00ed\u010dek ve vaje\u010dn\u00edc\u00edch \u017eeny.<\/p>\n<p>U mu\u017ee je nutn\u00e9 ur\u010dit koncentraci spermi\u00ed na mililitr ejakul\u00e1tu, jejich pohyblivost a morfologii.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8220;4.4.0&#8243;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.4.0&#8243;][et_pb_text _builder_version=&#8220;4.4.0&#8243;]<\/p>\n<h2>Co si m\u00e1m p\u0159edstavit pod pojmem IVF?<\/h2>\n<p>IVF (In Vitro Fertilizace) je z\u00e1kladn\u00ed metodou asistovan\u00e9 reprodukce. Jedn\u00e1 se v podstat\u011b o metodu oplodn\u011bn\u00ed vaj\u00ed\u010dka, kdy se na vaj\u00ed\u010dko v misce nalij\u00ed spermie a \u010dek\u00e1 se do druh\u00e9ho dne, zda dojde k oplozen\u00ed vaj\u00ed\u010dka. Tato metoda se ji\u017e dnes prov\u00e1d\u00ed minim\u00e1ln\u011b, vaj\u00ed\u010dka jsou nej\u010dast\u011bji oplozena metodou ICSI (intracytoplasmic sperm injection), kter\u00e1 spo\u010d\u00edv\u00e1 ve vpraven\u00ed jedin\u00e9 spermie do cytoplazmy oocytu pod mikroskopem p\u0159i mnohon\u00e1sobn\u00e9m zv\u011bt\u0161en\u00ed pomoc\u00ed mikrojehly. \u00dasp\u011b\u0161nost fertilizace metodou ICSI je mnohon\u00e1sobn\u011b vy\u0161\u0161\u00ed ve srovn\u00e1n\u00ed s metodou IVF, mezi 70-80%. Pojem IVF je dnes ale ji\u017e tak v\u017eit\u00fd, \u017ee se uv\u00e1d\u00ed p\u0159i cyklu stimulace obecn\u011b, ani\u017e by se samotn\u00e1 metoda IVF pou\u017e\u00edvala.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8220;4.4.0&#8243;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.4.0&#8243;][et_pb_text _builder_version=&#8220;4.4.0&#8243;]<\/p>\n<h2>Kdo m\u016f\u017ee b\u00fdt v \u010cesk\u00e9 republice l\u00e9\u010den?<\/h2>\n<p>L\u00e9\u010dbu v oblasti asistovan\u00e9 reprodukce m\u016f\u017ee dle \u010desk\u00e9 legislativy dostat pouze p\u00e1r mu\u017ee a \u017eeny. Nez\u00e1le\u017e\u00ed v\u0161ak na tom, zda je p\u00e1r sezdan\u00fd \u010di nikoliv.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8220;4.4.0&#8243;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.4.0&#8243;][et_pb_text _builder_version=&#8220;4.4.0&#8243;]<\/p>\n<h2>Na co m\u00e1m n\u00e1rok od sv\u00e9 zdravotn\u00ed poji\u0161\u0165ovny?<\/h2>\n<p>Zdravotn\u00ed poji\u0161\u0165ovna hrad\u00ed \u017een\u011b do 39.narozenin 3-4 cykly IVF stimulace. Z\u00e1le\u017e\u00ed na tom, kolik si nech\u00e1 \u017eena zav\u00e9st embry\u00ed v prvn\u00edch dvou cyklech IVF. Pokud si \u017eena nech\u00e1 p\u0159i prvn\u00ed \u010di druh\u00e9 stimulaci zav\u00e9st embrya rovnou dv\u011b, m\u00e1 n\u00e1rok na 3 stimulace celkem. Pokud je p\u0159i prvn\u00ed i druh\u00e9 stimulaci zavedeno pouze jedno embryo, m\u00e1 \u017eena do 39.narozenin n\u00e1rok celkem na 4 stimulace. Po\u010det kryoembryotransfer\u016f a po\u010det embry\u00ed zaveden\u00fdch p\u0159i kryoembryotransferech se na zdravotn\u00ed poji\u0161\u0165ovnu hl\u00e1sit nemus\u00ed.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8220;4.4.0&#8243;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.4.0&#8243;][et_pb_text _builder_version=&#8220;4.4.0&#8243;]<\/p>\n<h2>Jak prob\u00edh\u00e1 cyklus stimulace v r\u00e1mci cyklu IVF?<\/h2>\n<p>V jednom ovula\u010dn\u00edm cyklu \u017eeny (cca jednou za m\u011bs\u00edc) se v\u011bt\u0161inou uvol\u0148uje jedno vaj\u00ed\u010dko. Pro z\u00edsk\u00e1n\u00ed v\u011bt\u0161\u00edho po\u010dtu vaj\u00ed\u010dek je nutn\u00e1 hormon\u00e1ln\u00ed stimulace, kter\u00e1 trv\u00e1 kolem 10dn\u016f. \u017dena si aplikuje stimula\u010dn\u00ed hormony denn\u011b drobnou podko\u017en\u00ed injekc\u00ed. Aplikace je velmi snadn\u00e1 a nemus\u00edte se j\u00ed ob\u00e1vat. B\u011bhem hormon\u00e1ln\u00ed stimulace je kontrolov\u00e1n r\u016fst folikul\u016f uvnit\u0159 va\u0161ich vaje\u010dn\u00edk\u016f, p\u0159i\u010dem\u017e jeden folikul by m\u011bl n\u00e9st jedno vaj\u00ed\u010dko. P\u0159i kr\u00e1tk\u00e9m z\u00e1kroku v celkov\u00e9 nark\u00f3ze se v\u011bt\u0161inou poda\u0159\u00ed z\u00edskat kolem 8-14 vaj\u00ed\u010dek, zale\u017e\u00ed v\u0161ak na v\u011bku a ovari\u00e1ln\u00ed rezerv\u011b \u017eeny. V den odb\u011bru vaj\u00ed\u010dek v\u00e1s bude na kliniku doprov\u00e1zet v\u00e1\u0161 partner, kter\u00fd odevzd\u00e1 spermie, kter\u00fdmi budou ve stejn\u00fd den va\u0161e vaj\u00ed\u010dka oplozena. Oplodn\u011bn\u00e1 vaj\u00ed\u010dka, neboli embrya, se d\u00e1le vyv\u00edj\u00ed v inkub\u00e1toru a jejich v\u00fdvoj je embryologem denn\u011b kontrolov\u00e1n. Jedno nebo dv\u011b nejlep\u0161\u00ed embrya jsou t\u0159et\u00ed a\u017e p\u00e1t\u00fd den v\u00fdvoje zavedeny \u017een\u011b zp\u011bt do d\u011blohy. Tento z\u00e1krok \u2013 embryotransfer, je v\u011bt\u0161inou snadn\u00fd a rychl\u00fd. Zbyl\u00e1 kvalitn\u00ed embrya budou zamra\u017eena a ulo\u017eena v tekut\u00e9m dus\u00edku. D\u00e9lka skladov\u00e1n\u00ed zamra\u017een\u00fdch embry\u00ed nem\u00e1 vliv na jejich kvalitu p\u0159i n\u00e1sledn\u00e9m pou\u017eit\u00ed a m\u016f\u017eou b\u00fdt takto skladov\u00e1na v \u0159\u00e1du let. Po samotn\u00e9m embryotransferu budete u\u017e\u00edvat l\u00e9ky na podporu uhn\u00edzd\u011bn\u00ed, kter\u00e9 si budete zav\u00e1d\u011bt vagin\u00e1ln\u011b. Po dvou t\u00fddnech pln\u00fdch o\u010dek\u00e1v\u00e1n\u00ed budete z t\u011bhotensk\u00e9ho testu v\u011bd\u011bt, zda dan\u00fd cyklus prob\u011bhl \u00fasp\u011b\u0161n\u011b \u010di nikoliv.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8220;4.4.0&#8243;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.4.0&#8243;][et_pb_text _builder_version=&#8220;4.4.0&#8243;]<\/p>\n<h2>Jak\u00e1 je \u00fasp\u011b\u0161nost IVF terapie?<\/h2>\n<p><span style=\"font-size: 16px;\">Obecn\u011b se \u00fasp\u011b\u0161nost IVF terapie uv\u00e1d\u00ed mezi 40-60%. Z\u00e1le\u017e\u00ed na mnoha okolnostech a faktorech, nejv\u00fdznamn\u011bj\u0161\u00edm faktorem je v\u0161ak jednozna\u010dn\u011b v\u011bk \u017eeny. Mlad\u0161\u00ed \u017eeny pod 37let pak maj\u00ed \u0161anci na t\u011bhotenstv\u00ed vy\u0161\u0161\u00ed a \u0161ance se pohybuj\u00ed pr\u00e1v\u011b kolem 60%. Naopak \u0161ance na t\u011bhotenstv\u00ed nad 42.rok v\u011bku \u017eeny je maxim\u00e1ln\u011b 5-10%. Zde tedy plat\u00ed \u010d\u00edm d\u0159\u00edve, t\u00edm l\u00e9pe.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8220;4.4.0&#8243;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.4.0&#8243;][et_pb_text _builder_version=&#8220;4.4.0&#8243;]<\/p>\n<h2>Co d\u011blat, pokud ji\u017e \u017eena nedisponuje dostatkem kvalitn\u00edch vaj\u00ed\u010dek?<\/h2>\n<p><span style=\"font-size: 16px;\">Hlavn\u011b u star\u0161\u00edch \u017een je mnohdy jedinou \u0161anc\u00ed k doc\u00edlen\u00ed vytou\u017een\u00e9ho t\u011bhotenstv\u00ed u\u017eit\u00ed darovan\u00fdch vaj\u00ed\u010dek. Tato vaj\u00ed\u010dka jsou z\u00edsk\u00e1v\u00e1na od mlad\u00fdch \u017een, jejich kvalita by tud\u00ed\u017e m\u011bla b\u00fdt optim\u00e1ln\u00ed. Uv\u011bdomujeme si, \u017ee u\u017eit\u00ed darovan\u00fdch vaj\u00ed\u010dek je pro v\u011bt\u0161inu \u017een a p\u00e1r\u016f velk\u00fdm kompromisem a na fin\u00e1ln\u00ed rozhodnut\u00ed je pot\u0159eba dostatek \u010dasu.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8220;4.4.0&#8243;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.4.0&#8243;][et_pb_text _builder_version=&#8220;4.4.0&#8243;]<\/p>\n<h2>Jak\u00fd je v \u010cesk\u00e9 republice v\u011bkov\u00fd limit k proveden\u00ed IVF terapie?<\/h2>\n<p>Dle platn\u00e9 legislativy lze prov\u00e9st embryotransfer nejpozd\u011bji do 49.narozenin \u017eeny.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8220;4.4.0&#8243;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.4.0&#8243;][et_pb_text _builder_version=&#8220;4.4.0&#8243;]<\/p>\n<h2>Jak\u00fd je rozd\u00edl mezi darovan\u00fdmi vaj\u00ed\u010dky a n\u00e1hradn\u00edm mate\u0159stv\u00edm?<\/h2>\n<p>Darovan\u00fdch vaj\u00ed\u010dek mohou vyu\u017e\u00edt \u017eeny, kter\u00e9 ji\u017e z jak\u00e9hokoliv d\u016fvodu neprodukuj\u00ed sv\u00e1 vlastn\u00ed, av\u0161ak jinak jejich vnit\u0159n\u00ed genit\u00e1l \u2013 d\u011bloha zcela v po\u0159\u00e1dku, schopna p\u0159ijmout embryo. Zjednodu\u0161en\u011b \u0159e\u010deno u n\u00e1hradn\u00edho mate\u0159stv\u00ed je to zcela naopak, \u017eena produkuje dostatek vaj\u00ed\u010dek \u2013 jej\u00ed vaje\u010dn\u00edky jsou v po\u0159\u00e1dku, ale z ur\u010dit\u00e9ho d\u016fvodu nen\u00ed schopn\u00e1 ve sv\u00e9 d\u011bloze embryo donosit, proto mus\u00ed vyu\u017e\u00edt pomoci od jin\u00e9 \u017eeny, kter\u00e1 jej\u00ed embryo donos\u00ed ve sv\u00e9 d\u011bloze.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u010casto kladen\u00e9 dotazyCo je to neplodnost? Podle definice Sv\u011btov\u00e9 zdravotnick\u00e9 organizace (WHO) je za neplodnost ozna\u010dov\u00e1n stav, kdy nedo\u0161lo k ot\u011bhotn\u011bn\u00ed b\u011bhem jednoho roku pravideln\u00e9ho nechr\u00e1n\u011bn\u00e9ho pohlavn\u00edho styku. U \u017een nad 35let v\u011bku se v\u0161ak nedoporu\u010duje \u201e\u010dekat\u201c cel\u00fd rok, \u017eeny by m\u011bly absolvovat alespo\u0148 z\u00e1kladn\u00ed vy\u0161et\u0159en\u00ed ji\u017e po 6 m\u011bs\u00edc\u00edch.Je neplodnost \u010dast\u00fdm probl\u00e9mem? S nemo\u017enost\u00ed [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"<p>[et_pb_section fb_built=\"1\" _builder_version=\"4.4.0\" hover_enabled=\"0\" background_enable_image=\"off\" background_color=\"#e2e2e2\"][et_pb_row column_structure=\"2_3,1_3\" _builder_version=\"4.4.0\"][et_pb_column type=\"2_3\" _builder_version=\"4.4.0\"][et_pb_text module_class=\"c_blurb\" _builder_version=\"4.4.0\" hover_enabled=\"0\"]<\/p><h1>Frequently asked questions<\/h1><p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_3\" _builder_version=\"4.4.0\"][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\"1\" _builder_version=\"4.4.0\"][et_pb_row _builder_version=\"4.4.0\"][et_pb_column _builder_version=\"4.4.0\" type=\"4_4\"][et_pb_text _builder_version=\"4.4.0\" hover_enabled=\"0\"]<\/p><h2>What is infertility?<\/h2><p>In approx. 40% of the cases the cause is in the female partner. It is most commonly a low or very high supply of eggs, eggs\u2019 failure to mature (anovulation) or ovarian obstruction. The same ratio \u2013 40% \u2013 is constituted by the causes in the male partner. 20% of the infertility causes are a combination of both factors \u2013 male and female.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.4.0\"][et_pb_column _builder_version=\"4.4.0\" type=\"4_4\"][et_pb_text _builder_version=\"4.4.0\" hover_enabled=\"0\"]<\/p><h2>Is infertility a common problem?<\/h2><p>10-15% of women of fertile age suffer from inability to conceive a child. Infertility is therefore unfortunately becoming a common problem of the today\u2019s society and there is no need to feel ashamed because of it.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.4.0\"][et_pb_column _builder_version=\"4.4.0\" type=\"4_4\"][et_pb_text _builder_version=\"4.4.0\" hover_enabled=\"0\"]<\/p><h2>Who is there to blame?<\/h2><p>About 40% of the cases show that the cause is on the side of the man while another 40% show an issue on behalf of the woman. Men most commonly suffer from a low concentration of sperm or low agility. The women may suffer from a very low or high supply of eggs, immature eggs (anovulation) or tubal obstruction of the Fallopian tube. Approx. 20% of couples see causes with both partners. 10% of the couples cannot be successfully diagnosed using the methods available.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.4.0\"][et_pb_column _builder_version=\"4.4.0\" type=\"4_4\"][et_pb_text _builder_version=\"4.4.0\" hover_enabled=\"0\"]<\/p><h2>How long should we try to conceive before we visit a doctor\/specialist?<\/h2><p>The general recommendation is to visit an IVF centre to perform at minimum a basic examination of both partners after approx. one year of unprotected sexual intercourse. As the woman\u2019s age increases her chances of a spontaneous pregnancy as well as chances of success of any IVF method decrease. Therefore, it is recommended for women of 35 years of age or more to seek help sooner, preferably after 6 months of unsuccessful attempts.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.4.0\"][et_pb_column _builder_version=\"4.4.0\" type=\"4_4\"][et_pb_text _builder_version=\"4.4.0\" hover_enabled=\"0\"]<\/p><h2>Is it possible to visit a private gynaecologist?<\/h2><p>Again, it is mainly a matter of the woman\u2019s age and the results of the examinations performed so far, e.g. the spermiogram of your partner. Your private gynaecologist can, however, inform you about your ovarian reserve and can observe your ovulation on a monthly basis using sonography.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.4.0\"][et_pb_column _builder_version=\"4.4.0\" type=\"4_4\"][et_pb_text _builder_version=\"4.4.0\" hover_enabled=\"0\"]<\/p><h2>What kind of examinations regarding infertility can I expect?<\/h2><p>The basic examination of the woman includes sonography examination of the ovaries \u2013 determining the count of the so-called antral follicles, the size and shape of the uterus, endotermial thickness related to the phase of the woman\u2019s cycle, potentially a test of the patency of Fallopian tubes. There is also a blood sample taken in order to ascertain the so-called hormonal profile including the determination of the AMH hormone, which is used to assess the egg supply in the woman\u2019s ovaries.<br \/>The man has to undergo the determination of the sperm concentration in one millilitre of the ejaculate, their agility and morphology.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.4.0\"][et_pb_column _builder_version=\"4.4.0\" type=\"4_4\"][et_pb_text _builder_version=\"4.4.0\" hover_enabled=\"0\"]<\/p><h2>How should I understand the term \u201cIVF\u201d?<\/h2><p>IVF (In Vitro Fertilisation) is the basic method of assisted reproduction. It is in essence a method of fertilising the egg during which sperm is poured over an egg in a dish and then left for one day to fertilise the egg. This method is used today only in marginal amount of cases, the eggs are most commonly fertilised using the ICSI (IntraCytoplasmic Sperm Injection) method, which is based on introducing a single sperm into the cytoplasm of the oocyte in a microscope under strong magnification using a microneedle. The success rate of the fertilisation using ICSI method is many times higher compared to IVF, namely 70-80%. IVF is, however, a term so common that it is used in connection when talking about cycle stimulation in general, despite the fact that the IVF method is rarely used nowadays.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.4.0\"][et_pb_column _builder_version=\"4.4.0\" type=\"4_4\"][et_pb_text _builder_version=\"4.4.0\" hover_enabled=\"0\"]<\/p><h2>Who can be the receiver of the treatment in the Czech Republic?<\/h2><p>The treatment in the area of assisted reproduction may only be administered to a couple of a man and a woman according to Czech legislation. However, they do not have to be married.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.4.0\"][et_pb_column _builder_version=\"4.4.0\" type=\"4_4\"][et_pb_text _builder_version=\"4.4.0\" hover_enabled=\"0\"]<\/p><h2>How is the stimulation cycle performed within the IVF cycle?<\/h2><p>The usual situation is that during one ovulation cycle (approx.once per month) one egg is released. To obtain a larger quantity of eggs hormonal stimulation is necessary, lasting usually for about 10 days. The woman gives herself stimulating hormones using a small intradermal injection on a daily basis. The injection of the hormones is very easy and there is no need to fear it. During the hormonal stimulation the growth of the follicles in your ovaries is checked. One follicle typically contains one egg. After a short operation performed in general anaesthesia usually between 8 and 14 eggs are obtained, the specific number depending on the age and ovarian reserve of the woman. On the day of the operation you will be accompanied to the clinic by your partner who will submit his sperm, which shall be used on the same day to fertilise your eggs collected. The fertilised eggs, or embryos, undergo further growth in an incubator and their development is observed by an embryologist. One or two best embryos are introduced back into the woman\u2019s uterus between the third and fifth day after the operation. This operation \u2013 embryotransfer \u2013 is usually easy and quick. The rest of the embryos will be frozen and stored in liquid nitrogen. The length of the storage has no impact on their quality during their further usage and the embryos may be stored for many years. After the embryotransfer you will use medication to support the nesting of the egg, which shall be applied intravaginally. Two weeks later you will learn from the pregnancy test whether the given cycle was successful or not.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.4.0\"][et_pb_column _builder_version=\"4.4.0\" type=\"4_4\"][et_pb_text _builder_version=\"4.4.0\" hover_enabled=\"0\"]<\/p><h2>What is the success rate of the IVF treatments?<\/h2><p>In general the IVF therapy success rate is stated between 40-60%. It depends on many factors and circumstances, the most prominent of which is undoubtedly the woman\u2019s age. Younger women, aged 37 and less, have a larger chance to get pregnant, namely around 60%. On the other hand the chances of a woman aged 42 and more are 5-10%. It is therefore clear that the sooner, the better.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.4.0\"][et_pb_column _builder_version=\"4.4.0\" type=\"4_4\"][et_pb_text _builder_version=\"4.4.0\" hover_enabled=\"0\"]<\/p><h2>What to do when the woman does not have a sufficient amount of quality eggs?<\/h2><p>Especially in older women usage of donated eggs is often the only chance to achieve the desired pregnancy. These eggs are obtained from young women, so their quality should therefore be optimal. We understand that the usage of donated eggs is a significant compromise for most women and couples and an abundance of time is necessary to reach the final decision.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.4.0\"][et_pb_column _builder_version=\"4.4.0\" type=\"4_4\"][et_pb_text _builder_version=\"4.4.0\" hover_enabled=\"0\"]<\/p><h2>What is the age limit for performance of IVF treatment in the Czech Republic?<\/h2><p>The current legislation states that the embryotransfer may be performed no later than on the woman\u2019s 49th birthday.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.4.0\" hover_enabled=\"0\"][et_pb_column _builder_version=\"4.4.0\" type=\"4_4\"][et_pb_text _builder_version=\"4.4.0\" hover_enabled=\"0\"]<\/p><h2>What is the difference between donated eggs and surrogacy?<\/h2><p>onated eggs may be used by women who no longer produce their own but her internal genitalia \u2013 the uterus \u2013 is in good condition and capable of receiving the embryo. Simply put surrogacy is the opposite \u2013 the woman produced enough eggs \u2013 her ovaries are all right, but for a reason she is not able to carry the embryo in her uterus and therefore has to seek help of another woman, who carries her embryo in her own uterus.[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","_et_gb_content_width":"","footnotes":""},"class_list":["post-897","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u010casto kladen\u00e9 dotazy o neplodnosti | FertilityPort Prague<\/title>\n<meta name=\"description\" content=\"\u010casto kladen\u00e9 dotazy k t\u00e9matu neplodnosti - jak\u00fd je postup, jak\u00e1 vy\u0161et\u0159en\u00ed a co je to IVF?\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fertilityport.com\/cs\/casto-kladene-dotazy\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u010casto kladen\u00e9 dotazy o neplodnosti | FertilityPort Prague\" \/>\n<meta property=\"og:description\" content=\"\u010casto kladen\u00e9 dotazy k t\u00e9matu neplodnosti - 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