The happiness of becoming parents of your baby is priceless, but sometimes for its implementation couples with a diagnosis of "infertility" are forced to pay a very high price. The payment for such happiness is expressed not only in currency signs with several zeros. But also in the impact on the health of the future mother, again, is not a cheap "preparatory" therapy for the conception of the child, disappointments and efforts for failed attempts at conception, fears and experiences for the health of the child during his gestation, birth and all subsequent life. And, in spite of these facts, many thousands of families, whose birth was made possible only by an effective means of modern medicine - in vitro fertilization (IVF), will certainly answer that in order to keep their crumbs on their hands, such "sacrifices" are justified over and above.
Well, if the financial capabilities of the family (the average cost of IVF is within $ 4 thousand) allow you to repeatedly perform the procedure of artificial insemination, and what to do to infertile couples, if this is not possible? In this case, getting a free quota for IVF from the state will help. It should be noted that the concept of "free" does not include the cost of carrying out expensive studies and analyzes with a limited period of validity (STD, TORCH-infection, etc.), nutrition, accommodation, if necessary, flight, etc.
As a rule, subsidies for IVF are carried out according to the legislation of each individual state, and there are not so many in the world of such ECO adherents who fully fund it: Israel, Belgium, France, Greece, Slovenia Sweden, some CIS countries. Despite the specifics of their legislation, in many ways they are similar: quotas are distributed both at the national (federal) level and in the regions at the beginning of each year; they are attached primarily to public clinics. There are similarities in the procedure for their registration.
Who is given a quota for IVF?
Each state presents its age requirements to applicants for free IVF. For example, in Russia women with a greater degree of probability can get a quota at the time of application from 22 to 38 years. In Ukraine, from 19 to 40 years, they should have a "tubal" factor of infertility (obstruction or absence of fallopian tubes), absence of positive results of treatment of female or male infertility of the family for 2 years. In addition, the mandatory conditions for obtaining quotas for IVF include the following:
- officially registered marital relations;
- presence of registration in the city / region of the presence of the state clinic;
- absence of joint children in pairs;
- the absence of contraindications to the procedure of IVF - the state of women's health, which can harm a woman in case of pregnancy and childbirth or a child (diseases of the psyche, other organs and systems, including special attention to the endocrine, congenital defects of the uterus or its acquired deformity, ovarian or uterus tumors , requiring surgical intervention, any acute inflammatory diseases, the presence of any malignant neoplasms, even previously transferred).
How to apply for a quota for IVF?
Having decided to get a quota for IVF, a woman in the place of her residence should apply to the gynecologist of the women's consultation, who will have to collect and assure the necessary documents of the couple from the woman's counselor. In it, along with an extract from the history of the future mother, includes the results of the following studies and analyzes necessary for the quota for IVF:
- both spouses must pass blood tests for the group and Rh factor, AIDS, RW, antibodies to hepatitis C, the Australian antigen (if necessary), undergo a medical genetic examination (if the age of the spouses is more than 35 years), provide information about the previous treatment infertility;
- the spouse submits the analysis of a semen (spermogram);
- spouse - a general blood test, coagulogram, blood on hormones (prolactin, TTG, T3, T4, FSH, etc.), blood on TORCH - infections, swabs on flora and purity of the vagina, a smear from the cervix (cytology), crops on STD (chlamydia, ureaplasmosis, mycoplasmosis), pictures of the fallopian tubes and uterus, the conclusion of a therapist about the possibility of bearing pregnancy.
Having handed over all necessary medical documents and results of analyzes for quota on IVF, it is necessary to take the direction from the gynecologist to the reproductologist. He appoints treatment and sends an application to the commission for a final decision.
The Commission, in case of approval of the application, sends the documents to the Ministry of Health (possibly at the regional level), which approves the candidacy, issues a special voucher for IVF, and coordinates with the clinic to which the patient will be sent under the state program. The time of hospitalization depends on the length of patients' queuing on IVF by quota,
Unfortunately, it may happen that the commission will be denied a free quota. In this situation, it is necessary to obtain an extract from the minutes of the commission meeting, which will indicate either the reason for the refusal or the need for an additional survey indicating the institution and the list of necessary procedures to conduct (if they are included in the list of compulsory health insurance services, they will be free for the patient) . In case of disagreement with the decision of the commission, it can be appealed in a higher instance or in court.