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Medical tourism

What is medical tourism?

Medical tourism is travel to other countries or other parts of your own country, with the aim of seeking medical care, dental services, cosmetic procedures, these are immediately services that you cannot get in this place of residence, but abroad you can do it by combining rest and travel with appropriate procedures aimed at improving your health at a higher and higher quality level.

Is Medical Tourism Safe?

Safety in medical tourism should be considered from several points of view: the direction, the level of health care in the selected country, the professionalism of the climbing doctors you are going to visit, the insurance policies with which you travel.

Obviously, by choosing a country in where there are conflicts or social unrest, you will not feel safe. Another important aspect is the level of sanitary standards in this country. Perhaps there are quite modern hospitals and even excellent professionals, but there are certain countries and areas of the world with a particularly high prevalence and danger of endemic diseases and infections, you should definitely check these data thoroughly before your trip. In addition, you should always consult with your healthcare professional before traveling to another country, especially if you are on different continents, and take preventive measures accordingly.

What is hospital accreditation and what are its benefits?

Accreditation of hospitals and other medical institutions is one of the most important mechanisms through which the state (as well as international organizations, insurance funds …) influences the quality of medical services and the procedure for their provision. Accreditation is “an organization’s peer review used to accurately assess the level of its performance in relation to established standards and to identify ways to continuously improve the quality of services.” Thus, accreditation is essential for the quality of services and patient safety.

Why is health care cheaper in some countries?

First, in these countries, the level of salaries for specialists and the costs of medical institutions is at least twice as low as in Western Europe or the United States.

Secondly, the insurance system, incl. professional responsibility of medical workers, other, and, accordingly, costs. These factors, along with others, determine the low prices, allowing clinics to provide their patients with a high level of medical care at an affordable price.

Will I have language or translation problems?

We will provide you with a manager / translator who is fluent in your native language and will be with you throughout the treatment

Are contracts legally enforceable?

Yes, contract between intended parents and the surrogate mother is fully enforceable in Ukraine. Moreover, there is a legal requirement that such contracts are executed in written form and before a Ukrainian notary.

Is a preimplantation genetic diagnosis (PGD) allowed and available in Ukraine?

Yes, a PGD is available in most Ukrainian reproduction clinics. It is also possible to choose between Fluorescent in situ Hybridization (FISH) and Next-Generation Sequencing (NGS) methods of testing.

I did not find the procedure I needed on your site. What should I do?

If you have not found the necessary procedure on the website, please contact us and we will promptly provide you with all the information you need.

What types of fertility treatment is available in Ukraine?

In most cases yes, provided that the candidate sourced by the intended parents qualifies under Ukrainian law, passes the compulsory medical screening and successfully passes our psychological screening

  • non-invasive treatment with medications;
  • surgical procedures (e.g. laparoscopic surgery for endometriosis, fibroids, etc.);
  • treatment using assisted reproduction technology (ART).

Furthermore, in addition to in vitro fertilization (IVF) or IVF with intracytoplasmic sperm injection (ICSI), Ukraine is popular for its fully legal and regulated egg donor and surrogacy programs.

Genetic testing is also legal and such tests as a preimplantation genetic diagnosis (PGD), non-invasive prenatal test (NIPT), and amniocentesis are often exercised within ART programs.

Are there any waiting lists?

There are no waiting lists, unless the donor of your choice is in another program and agrees to make a donation after it, which takes about two months after the previous stimulation. Matching an appropriate egg donor or gestational carrier may take some time (up to couple of months). It all depends on how long is your checklist and your readiness to agree on compromises should not all of your criteria be met.

Please be aware that during the coronavirus pandemic, many intended parents have decided to delay their treatment until the situation improves and this is creating a backlog in demand. Consequently, once everything settles down, it is likely that we will face delays and probably will have to introduce waiting lists to cope with an increased number of programs.

Surrogacy

Is surrogacy legal in Ukraine?

Yes, gestational surrogacy (when the surrogate mother has no direct genetic relation to the child) is legal and regulated in Ukraine

Is gestational surrogacy as well as traditional surrogacy available?

Only gestational surrogacy is legal in Ukraine. The law stipulates that the surrogate mother has no genetic relation to the child (with the exception of the intended parents» close relatives when they may be indirectly genetically related to the child).

Obviously, by choosing a country in where there are conflicts or social unrest, you will not feel safe. Another important aspect is the level of sanitary standards in this country. Perhaps there are quite modern hospitals and even excellent professionals, but there are certain countries and areas of the world with a particularly high prevalence and danger of endemic diseases and infections, you should definitely check these data thoroughly before your trip. In addition, you should always consult with your healthcare professional before traveling to another country, especially if you are on different continents, and take preventive measures accordingly.

Can a single woman, single man, or a gay couple participate in a surrogacy program?

Unfortunately, no. Ukrainian surrogacy law stipulates that only officially married heterosexual couples are allowed to participate in programs related to the surrogacy process.

What legal protections does Ukraine offer to intended parents and surrogates?

Intended parents are recognized in Ukraine as the child’s legal parents from the moment when the embryo is transferred to the surrogate mother. Consequently, neither a surrogate mother, nor an egg or sperm donor have any parental rights in relation to the child born via a surrogacy arrangement.

Secondly, the insurance system, incl. professional responsibility of medical workers, other, and, accordingly, costs. These factors, along with others, determine the low prices, allowing clinics to provide their patients with a high level of medical care at an affordable price.

To what extent is contact between a surrogate mother and the intended parents is encouraged?

Our agency encourages direct contact between intended parents and the surrogate mother. Surrogacy is usually a stressful experience for both parties and establishing good relations between them, in addition to supervision conducted by our agency, often helps to make the journey more comfortable. Thus, intended parents have better control of the situation, whereas, the surrogate mother will be assured that she is not alone and there are people that really care about the baby whom she is carrying and also about her well-being during the surrogacy process.

Are contracts legally enforceable?

Yes, contract between intended parents and the surrogate mother is fully enforceable in Ukraine. Moreover, there is a legal requirement that such contracts are executed in written form and before a Ukrainian notary.

Who can be a surrogate?

Based on legal requirements, a surrogate mother is an adult woman with full legal capacity and who has at least one healthy child of her own, subject to a voluntary written consent and absence of medical contraindications

How is a surrogate matched?

The key factors in matching a gestational carrier are the candidate’s physical and mental health that is assessed during her medical and psychological screenings. Additionally, in a series of interviews, we aim to understand her motivation, awareness of related risks, etc. An additional but not decisive factor would be the distance between where the candidate lives to the clinic and her ability to communicate in foreign languages.

Will the agency work with a surrogate sourced by intended parents?

In most cases yes, provided that the candidate sourced by the intended parents qualifies under Ukrainian law, passes the compulsory medical screening and successfully passes our psychological screening

Does the agency recruit surrogates?

Yes, our agency recruits surrogates

Is a preimplantation genetic diagnosis (PGD) allowed and available in Ukraine?

Yes, a PGD is available in most Ukrainian reproduction clinics. It is also possible to choose between Fluorescent in situ Hybridization (FISH) and Next-Generation Sequencing (NGS) methods of testing.

Oocyte and sperm donation

What is oocyte / egg donation?

The oocyte (egg) donation program is one of the technologies for the treatment of female infertility with methods of reproductive medicine. If a married couple is unable to conceive a child on their own due to various circumstances related to a woman’s health, then donor eggs can be used for fertilization on the recommendation of doctors.

Important!
By participating in the oocyte donation program, you help married couples who have no other opportunity to have a child and become a full-fledged family. Egg or oocyte donation is a standard procedure used at IVF, which brings together women who have healthy eggs (donor) with those who are unable to produce their own eggs. Egg donation allows these two groups of women to help each other.

Who can become an egg / oocyte donor?

Finding an egg donor can be difficult, choosing it is a very serious and responsible stage.

A woman aged 20 to 32 who has given birth to at least one completely healthy child can become an egg donor in Ukraine. An egg donor is selected without any bad habits or any diseases. A thorough examination is carried out with an assessment of the general state of health. An analysis is made for sexually transmitted infections, a study of the hormonal background is mandatory. In the event that a woman, acting as an oocyte egg donor, has all the indicators in order, she is sent for a consultation to a geneticist and a therapist.

The donation program is completely anonymous. According to the established rules, an egg donor in Ukraine does not know and cannot meet with the couple for which he was chosen. The only exception is if a relative or acquaintance acts as a donor of the patient at will.

We give absolute guarantees that no one will be able to find out about the procedure with donor eggs – any information will be completely protected from unauthorized access.

Since only young and healthy women up to 32 years old can become oocyte donors, such in vitro fertilization programs with donor oocytes are much more effective than the classical IVF procedure.

How does egg / oocyte donation work?

The oocyte is obtained by transvaginal puncture under ultrasound control using the finest needle under anesthesia. Egg donation is not dangerous for your health – in general, the procedure will take about 5-7 minutes. The donor receives material compensation for egg donation.

If you would like to receive more information about egg donation, please fill out the feedback form or call and let us know if you want to become a donor or need a donor.

What is sperm donation?

Sperm donation is a voluntary donation, an altruistic act of solidarity, when a healthy man with very high sperm quality donates a part of biological material for use in treatment programs for couples with infertility problems, thanks to which they can fulfill their dream.

Who can become a sperm donor?

Sperm donors are men aged 20 to 40 years, without bad habits, having healthy children, having a pleasant appearance, without pronounced phenotypic signs, somatically healthy.

Sperm donors undergo a full medical examination, regulated by Order No. 787 of the Ministry of Health of Ukraine dated 09.09.2013. A prerequisite for a sperm donor is normal sperm counts.

All donor sperm samples are used after 6 months of quarantine. The requirement for such a long quarantine of donor sperm is explained by the need to exclude the presence of a latent infection in the donor at the time of sperm collection. Frozen donor sperm can be withdrawn from quarantine after a second negative test result for infections from the donor. The selection of a donor is carried out taking into account the wishes of the married couple: blood type, Rh factor, phenotypic characteristics, education, etc.

How does sperm donation work?

The most difficult and longest part of sperm donation is preparation. The donation process itself is much easier and faster than with egg donation. Semen is obtained by masturbation. For this there is a separate room where a man can retire and hand over material. You should not use any lubricants during masturbation, because this can affect the quality of the seminal fluid. There is usually pornographic material in the semen collection rooms.

It is necessary to collect sperm strictly within the walls of the germ cell bank in a special container issued by specialists. Donor material cannot be brought from home: bank employees must check that the ejaculate was received from a specific man and collected according to the rules. In addition, while a man delivers a container with material from home to a cryobank, sperm cells may die – they live only a few hours outside the female vagina.

In the room where you will do this, no one will stand next to you. You cannot take your partner with you to this room in order to donate sperm while having sex with her. Mucus that is secreted in a woman’s genital tract makes semen unsuitable for donation.

Preservation of reproductive health

What is oocyte / egg donation?

Reproductive health is an important component of overall human health. It includes physical, spiritual and social condition. Reproductive health ensures a person’s ability to:
• sexual activity, without the risk of contracting infections,
• sexually transmitted diseases;
• safety of bearing and giving birth to a healthy child;
• possibilities of planning the next pregnancy;
• safe prevention of unwanted conception.

What are the indications for using the method?

A woman’s reproductive health does not only change with age. It is affected by various internal and external factors that reduce the ability to produce healthy eggs. Indications for the use of the vitrification method (ultrafast freezing) of oocytes are the following conditions:
• preparation for surgery – oophorectomy, in which one or both ovaries capable of producing eggs are removed;
• oocyte preservation due to the impossibility of obtaining male sex cells on the day of oocyte collection;
• malignant processes in a woman’s body, requiring chemical or radiation therapy. These methods of treatment negatively affect not only cancer cells, but also reproductive cells;
• long-term planning of pregnancy; entering the risk group for the development of hereditary ovarian wasting syndrome;
• preservation of oocytes for repeated artificial insemination. Sometimes the first IVF attempt does not lead to the desired fertilization. In order to have material for a repeated procedure, it is recommended to freeze a part of the obtained eggs. Gradually, the vitrification method is replacing the cryopreservation method.

What is the advantage of the vitrification method?

For the period 2000-2017. the vitrification method has been used in 40 countries around the world. More than 500 thousand successful procedures have been performed. The survival rate of vitrified oocytes was more than 90%. The advantage of vitrification over cryofreezing is:
• longer shelf life of biomaterial;
• the ability to carry out the required number of IVF procedures without re-sampling of oocytes. This reduces the psychological and physical stress on the woman, saves her material resources;
• reducing the number of procedures for drug stimulation of oogenesis;
• a decrease in the number of ovarian punctures;
• preventing the risk of developing ovarian hyperstimulation syndrome; • fewer (40%) damaged eggs and embryos during thawing. Today, innovative assisted reproductive technologies are used, including the modern method of oocyte vitrification.

How to maintain reproductive health?

To maintain reproductive health, which everyone should know about: lead a healthy lifestyle; protect yourself from sexually transmitted infections, if there was a chance of contracting an STI, do not self-medicate, but seek help from specialists; follow the rules of personal hygiene – observe intimate hygiene daily and take a bath or shower at least twice a week; protect themselves from unwanted pregnancy; women need to visit a gynecologist twice a year, pay attention to the regularity of the menstrual cycle.

What negatively affects the reproductive system?

First of all, stress. Emotionally intense work, difficult living conditions, conflict situations – all this leads to the release of adrenal hormones, which hit various systems, but most of all – the cardiovascular, hormonal-endocrine and especially the female reproductive system. In stressful situations, the liver is disrupted, which contributes to an imbalance in reproductive hormones. The second factor is unhealthy diet, which can also lead to an imbalance in hormonal status and impaired reproductive health. Smoking and alcohol are incredibly harmful to the body and are categorically contraindicated during pregnancy or planning. A sedentary, sedentary lifestyle has an extremely negative effect on reproductive function. It promotes the accumulation of excess body weight and impaired blood microcirculation, including in the pelvic organs. As a result of insufficient blood supply to the pelvic organs, there are not enough substances necessary for their normal functioning. Therefore, when sedentary work, it is extremely important to take a warm-up break every hour. In addition, you definitely need to activate your lifestyle, go to the pool, to fitness, water aerobics. Movement in the water helps to prevent the accumulation of excess body weight, the good functioning of the pelvic organs.

How does nutrition affect the reproductive system?

Both male and female bodies need complete animal proteins – meat, fish, eggs, dairy products. For men, the need for meat is higher than for women, because it contains substances that contribute to the reproductive functions of the male reproductive system. Dairy products and fish are healthier for women than meat. These products support the female reproductive system. Although women also need meat, but to a lesser extent than men. Vegetables, fruits, berries, herbs, nuts are useful to everyone – it is in their composition that there are substances that specifically affect the male and female organisms. For the reproductive system, antioxidants (vitamins E, C), folic acid, iodine, magnesium, vitamins A and D, omega 3, iron, copper, proteins, the amino acid arginine, lecithin and calcium are very important.

IVF

What is IVF?

IVF is a method of achieving pregnancy with infertility. With IVF, fertilization takes place outside the woman’s body. For IVF, eggs are removed from the woman’s body, and the man donates sperm.

How does the IVF process take place?

To start IVF, you need to consult a fertility specialist. Before the start of the program, the couple undergoes an examination. Based on the results of the examination, the reproductologist forms the tactics of the IVF program. There are 5 main stages of IVF: stimulation, puncture, fertilization, embryo development, embryo transfer.

What tests do I need to take for IVF?

Analyzes are necessary to exclude contraindications to IVF and to determine the correct tactics for the program. A woman undergoes clinical tests, hormonal examinations, ultrasound and other examinations as indicated. A man takes a spermogram and clinical tests. Analyzes before IVF have a validity period.

What are the risks?

IVF doesn’t always result in pregnancy, and it can be both physically and emotionally demanding. You should be offered counselling to help you through the process. There are also a number of health risks involved, including:

• side effects from the medications used during treatment, such as hot flushes and headaches

• multiple births (such as twins or triplets) – this can be dangerous for both the mother and the children

• an ectopic pregnancy – where the embryo implants in the fallopian tubes, rather than in the womb

• ovarian hyperstimulation syndrome (OHSS) – where too many eggs develop in the ovaries

How safe is IVF?

IVF is generally very safe and most who have it experience no problems with their health or pregnancy. However, there are some risks to be aware of, which include:

• ovarian hyperstimulation syndrome(a severe reaction to fertility drugs)

• having a multiple pregnancy or birth (twins, triplets or more), which can cause serious health problems to both mum and babies

• having an ectopic pregnancy

• possible birth defects (these are rare and research is still ongoing).

What are the chances of success?

The success rate of IVF depends on the age of the woman undergoing treatment, as well as the cause of the infertility (if it’s known). Younger women are more likely to have a successful pregnancy. IVF isn’t usually recommended for women over the age of 42 because the chances of a successful pregnancy are thought to be too low. Between 2014 and 2016 the percentage of IVF treatments that resulted in a live birth was:

29% for women under 35

23% for women aged 35 to 37

15% for women aged 38 to 39

9% for women aged 40 to 42

3% for women aged 43 to 44

2% for women aged over 44

These figures are for women using their own eggs and their partner’s sperm, using the per embryo transferred measure. Maintaining a healthy weight and avoiding alcohol, smoking and caffeine during treatment may improve your chances of having a baby with IVF.

Contact us

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«Mother and child»

Kyiv, Ukraine

«Medical plaza»

Dnepr, Ukraine

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