1. Superovulation induction consists of consultations during a course of gonadotropin injections for the assessment of the growth of follicles and the endometrium. IVF clinics either regard this stage as a whole, i.e. you pay a specified amount of money, whereafter your doctor gives you as many consultations as needed to determine the correct date for a puncture, or go through with it on a visit-by-visit basis. We prefer the second option since in case of some patients it only takes 2 ultrasound investigations for us to learn everything we need to know about the patient's follicles, whereas in other cases patients have to come 3 or 4 times.
2. Ovarian puncture is always on the price list, no matter what.
3. Choosing a sperm selection technique (IMSI, PICSI) and a fertilization technique (IVF, ICSI). A sperm selection technique depends on the quality of sperm but we would like to specify that we are forced to employ IMSI or PICSI in no more than 25-30% of cycles.
A fertilization technique is a more adaptable option. "IVF proper" is not performed very often, only when we have sperm of excellent quality as well as a good quality and a sufficient number of oocytes. More often, we have to employ ICSI and its cost is determined by the number of oocytes that are to be fertilized: less than 5, 6-12 or more than 12. It seems reasonable since the procedure requires a fertility specialist's strenuous work and time as well as the use of expendables.
4. The embryo stage consists in embryo cultivation. Just like puncture, it is a fixed entry. The cost is determined and does not depend on anything.
5. Embryo transfer can be performed on different days without any influence on its cost. The only exception is the so-called "double transfer", e.g. on days 3 and 5 of embryo cultivation. In this case, you additionally pay for a second transfer.