MDs state that infertility is referred both to a medical problem, and social one. 15% of the couples break up namely because they cannot have children. The half of them would be treated with medications (drugs, surgery). The rest would require assisted reproductive technologies (ART), which include:
- in vitro fertilization (IVF);
- surrogacy;
- use of donor cells;
- Intra Cytoplasmic Sperm Injection (ICSI);
- intrauterine insemination (IUI);
- oocyte cryopreservation (freezing and storage);
- preimplantation genetic diagnosis of the embryo (PGD);
- TESA method for collecting sperm from the men.
The IVF is one of the assisted reproductive technologies used in the patients with infertility. Such conception differs from the classical one in that it occurs outside the mother's body. The necessary genetic material is taken from the mother and father. In laboratory conditions, the oocytes are fertilized, then the embryo is transferred to a special incubator. If the fertilization process and development of the embryo occur normally, then one or two embryos are selected for transfer to the woman's uterus, usually on the 5th day.
Who could get an IVF quota - we will tell in the material.
Since 2010, in Kazakhstan, citizens could have gone through IVF procedure free of charge within the quotas allocated for IVF program.
In 2021, the number of allocated quotas will be increased up to 7000. This will expand the range of indications for issuing the quotas and significantly reduce the queue for their receipt.
The IVF is included in the state guaranteed benefit package (SGBP).
The SGBP does not include the tests for hormones, sexually transmitted infections, genetic analysis, magnetic resonance imaging and other expensive studies.
Who can be qualified for receiving a quota
The citizens of the Republic of Kazakhstan are referred to IVF within the SGBP.
Those are patients of reproductive age with a good ovarian reserve (a sufficient number of oocytes for a successful IVF program). The patient's somatic condition should be normal. The IVF under the SGBP is provided once a year.
The quota will not be issued to those who have serious illnesses that will not allow them to gestate pregnancy on their own.
The contraindications to the IVF program include various tumors of the ovaries, uterus, malignant neoplasms (cancer), uterine cavity problems, under which implantation of embryos or carrying a pregnancy is impossible, as well as acute inflammatory diseases of any organs, somatic and mental illnesses that are contraindications for carrying pregnancy and childbirth, low ovarian reserve.
Clinics that provide IVF quotas
There are 5 medical organizations working under the quota:
- LLP International Clinical Center for Reproductology "PERSONA" (Almaty);
- "National Scientific Center for Motherhood and Childhood" (Astana);
- RSE "Scientific Center of Obstetrics, Gynecology and Perinatology" (Almaty);
- LLP "Astana EKOLife" (Astana);
- Medical Center "Marriage and Family", Taraz;
- LLP "IVF Center", Almaty;
- LLP "ECOmed";
- LLP "Privat clinic" (Almaty);
- LLP IVF Center Ust-Kamenogorsk.
Each clinic that conducts IVF has a website and official data about the price, statistics and it is open for consultation.
A patient could be familiar with the existing information and make a decision about choosing a clinic.
A procedure for applying for quotas
If there is indication for receiving a quota, your actions should be as follows:
- Registration in the queue in the women health clinic at the place of residence.
- Getting a referral from the women health clinic to a reproduction clinic for a consultation with a reproductive specialist.
- Consultation with a reproductive specialist with further examination at the reproduction clinic. To be effective, both partners must visit the fertility clinic.
- If no contraindications have been identified - passing the medical commission.
- Passing the commission in the IVF clinic, to obtain a protocol with the consent of the clinic for IVF procedure.
- Provision of the protocol received at the commission for queuing at the women health clinic to receive a quota.
- Obtaining a quota.
- Coordination with the reproductive clinician of the IVF date and registration in the portal.
Entry into the IVF program with fulfillment of all recommendations and requirements of the reproductive specialist.
