Eco according to the quota which tests are paid. Basic tests before IVF. Price

IVF is a rather costly and often long procedure.

In preparation for it, it is necessary to exclude as much as possible the influence of various adverse factors from the health of the couple. Therefore, preparation for the procedure includes careful and full examination the health status of both partners. There is a list of tests for IVF that a married couple must undergo before this procedure.

Before the IVF procedure, the couple is consulted by a doctor who provides information not only about what tests are needed before IVF, but also talks about the course of the procedure and possible risks. To have a complete picture of the health of a married couple, it is important for the doctor to know about hereditary diseases that took place in the families of relatives. Spouses are encouraged to find out if there have been cases of miscarriages or the birth of a child with genetic abnormalities. After anamnesis, the doctor makes a list of tests before IVF. Depending on the clinical situation, the doctor may recommend additional tests and studies.

List of IVF tests given by a woman and their expiration date

What tests for IVF are taken in without fail?

blood test for HIV, RW, hepatitis "A" and "C";
determination of the Rh factor and blood group.

Hormonal tests

Gonadotropic hormones donated for 3-5 days menstrual cycle:

follicle stimulating hormone (FSH);
luteinizing hormone (LH);
estradiol;
prolactin;
somatotropic hormone (STG);
progesterone (surrendered on the 20-25th day of the cycle);

Tests for sexually transmitted infections required for IVF: chlamydia, toxoplasmosis, gardnerellosis, ureaplasmosis, trichomonas, herpes, mycoplasmosis, candidiasis, cytomegalovirus, gonorrhea.
All of the above analyzes have a validity period of 3 months.

Timing following analyzes valid for 1 month only and must be retaken after this time:

urinalysis (on an empty stomach, in the morning);
clinical and biochemical blood tests;
blood test for toxoplasmosis IgM and Ig G;
blood test for clotting rate (on an empty stomach, in the morning);
blood test for rubella IgM and Ig G;
blood test for tumor markers CA15-3, CA19-9, CA125;
microbiological analysis on the sensitivity of microorganisms to antibiotics.

Also, a woman is required to undergo a series of examinations:

electrocardiography;
fluorography;
cytological examination of the cervix (smear to detect atypical cells).

A woman needs to get advice from a therapist and, if necessary, other specialists - an endocrinologist, a mammologist.

List of IVF tests required for a man

general urine analysis
blood test for group group and Rh factor;
blood test for HIV, syphilis (RW), hepatitis "A" and "C".
spermogram (in the clinic on an empty stomach) for:
- control of sperm motility in a portion of semen;
- MAR-test (presence of antisperm antibodies);
- the presence of leukocytes and their number in a portion of semen;
smear and blood for urogenital infections (the list of infections is similar to that in women).
biochemical blood test (bilirubin, AST, ALT, GGG, creatinine, urea, glucose).
blood test for hormone levels (must be taken in the morning on an empty stomach):
- LG
- FSH
- Prolactin
- Testosterone
- T3 (triiodothyronine)
- Estradiol
- TSH (thyroid stimulating hormone)
- DGA-S
- T4 (Thyroxine)

Also, a man should get advice from a urologist-andrologist and have his conclusion to this list of tests.

In some cases it may be necessary additional documents and analyzes (including according to the quota): hysteroscopy, endometrial biopsy, MAP test, hysterosalpingography, colposcopy, immunogram.

What tests and examinations are needed for IVF for a married couple over 35 years old?

In addition to the list of tests listed above for couples over 35 years old, a mandatory appointment is genetic testing and consultation. It should be noted that the list of analyzes by quota and analyzes by CHI remains unchanged.

genetic research

HLA typing is a study that determines how spouses are compatible or different in antigens. For proper pregnancy it is necessary that the antigens of the parents differ. The formed embryo has its own antigens, which are foreign to maternal immunity. The woman's body reacts to the cells of the fetus by launching defense mechanisms that preserve the fetus. If the similarity of the HLA genes of the spouses exceeds the norm, then the fetus is dominated by cells that identical to cells mother. The immune system of a pregnant woman recognizes the fetus as a foreign agent and destroys it. As a result, a miscarriage or congenital pathologies fetus.

Determination of the karyotype. After the doctor has explained what tests to pass before IVF, you should proceed to the delivery of the biomaterial. An important genetic study is the analysis of the karyotype. This study allows you to determine genetic diseases and predict the risk of their occurrence in a child. If one of the parents has a dubious set of chromosomes, there is a risk that the baby will be born mentally retarded.

Diagnosis of hereditary polymorphism. Modern research give reason to believe that inherited thrombophilia can lead to miscarriage, preeclampsia and placental abruption. Even a minimal risk of thrombosis significantly affects the course of pregnancy.

Human chorionic gonadotropin is a specific protein that is produced by the membranes of the embryo during pregnancy. HCG supports proper development fetus. Thanks to the hCG hormone female body the processes that trigger menstruation are blocked. Increasing hCG - early sign pregnancy. HCG is a mandatory study, which is included in common list tests before IVF. There are times when the hCG test is negative. Such a result may be early dates pregnancy, as well as with pathological attachment of the embryo (in the fallopian tubes). To identify pathological abnormalities fetal hCG analysis is carried out in the period from the fourteenth to the eighteenth week.

If a married couple has decided to use the service of in vitro fertilization, then they are recommended to undergo a thorough medical examination, which will allow assessing the state of the body of both the expectant mother and the future father. Laboratory and instrumental analyzes for IVF allow to identify diseases of infectious and non-infectious nature, which is extremely important before the onset of physiological pregnancy.

It is on how carefully the body of a woman and a man was examined that the outcome of in vitro fertilization largely depends. Modern medical diagnostic procedures are aimed at identifying hormonal and other disorders. During a joint medical consultation, both spouses can receive a list of referrals for medical diagnostic procedures.

Patients who will soon have to use one of the reproductive methods are recommended to undergo such general laboratory tests before IVF, as the determination of Rh antibodies, blood groups and Rh factor. These measures are necessary in order to avoid future immune conflict between maternal organism and body developing fetus. Medical specialists in reproductive medicine identify a list of necessary laboratory tests that are recommended for each patient to undergo without fail.

The primary task for reproductologists is to evaluate hormonal background future mother. Based on the information received, medical specialists draw conclusions about the causes of infertility, as well as options for selecting an in vitro fertilization protocol.

From the 3rd to the 5th day of the menstrual cycle, each woman is recommended to take a laboratory test for the level of gonadotropic hormones. These hormones include:

luteinizing hormone. The main function of this biological compound is to stimulate the production of estrogen in the female body. When the level of concentration of this hormone reaches peak values, the process of maturation and release of the egg (ovulation) starts in the female body.
Follicle stimulating hormone. This compound is produced in the pituitary gland. It is under the action of this hormone that the formation and maturation of follicles in women occurs, and spermatogenesis is also carried out in representatives of the male part of the population.
Prolactin. The site of prolactin production is the anterior pituitary gland. When a woman bears a child, this biologically active compound is synthesized by the cells of the mucous membrane of the uterine cavity.
Estradiol. In terms of activity, this compound occupies a leading position in the body of a woman. The site of production of estradiol is the placenta, adrenal cortex and ovaries.
somatotropic hormone. Synthesized by the cells of the anterior pituitary gland, somatotropin is a catalyst for the growth of the whole organism.

Starting from the 20th to the 25th day of the menstrual cycle, every woman is recommended to take a blood test for progesterone levels. This substance is produced by the corpus luteum of the ovary and is responsible for the normal course of pregnancy. It is the deficiency of progesterone that leads to premature or spontaneous abortion at different times.

Highly important point preparation for the implementation of in vitro fertilization is an assessment of the state thyroid gland. If we talk about the role of this anatomical formation in the female body, then under its leadership everything is regulated metabolic processes. During the assessment of the state of the thyroid gland, the patient passes laboratory tests for the level of hormones such as T4, T3, T4 free, as well as thyroid-stimulating hormone.

Before using one of the in vitro fertilization algorithms, the expectant mother is recommended to examine her body for sexually transmitted infections. The presence of infectious agents in the body serious consequences both for the body of the patient and for the body of the future fetus. Many of these pathogens lead to the formation of anomalies and malformations of the fetus. Medical professionals are interested in laboratory data regarding the presence or absence of such infectious agents:

gonococci;
Chlamydia;
Mycoplasmas;
Ureaplasma;
Gardnerella.

In addition, the patient is prescribed such additional tests for IVF according to the protocol:

Laboratory studies of the smear vaginal flora on the degree of purity;
Coagulogram;
Test for antibodies to hepatitis C and B;
Analysis for syphilis and HIV;
Cytological examination of smears from cervical canal;
Analysis for the level of antibodies to toxoplasma and rubella virus.

If the results bacteriological research smears from the vagina, pathogens of infectious and inflammatory diseases were found, then the implementation of in vitro fertilization is possible only if complex treatment followed by recovery.

If a woman has previously undergone any laboratory and instrumental examination before IVF, she must provide the results to a reproductive specialist. The most valuable research results include:

Pictures of hysterosalpingography;
Hysteroscopy;
Ultrasound examination of the pelvic organs, abdominal cavity and retroperitoneal space;
Magnetic resonance imaging of the brain, which has data on the state of the pituitary gland and the Turkish saddle;
Results of laparoscopic examination of the area fallopian tubes(if carried out);
Ultrasound of the mammary glands.

For men

The assessment of the health status of the future father is at least important point preparation for in vitro fertilization. As obligatory diagnostic manipulations, there is such a list of tests for IVF according to the protocol:

Blood test for Rh factor;
Determination of the blood group;
Analysis for antibodies to hepatitis C and B;
Wasserman's reaction (analysis for syphilis);
Determination of antibodies to HIV.

Also, a mandatory study is a spermogram, during which the quantitative and qualitative composition seminal fluid. It is thanks to this study that it is possible to assess the potential male body to the conception of a child.

Before surrender biological material, a man is recommended to refrain from ejaculation for 4 days. It is important to remember that the period of abstinence should not be less than 2 and more than 7 days. If this period is prolonged, then spermatozoa with low motor activity will be determined in the seminal fluid samples.

On the eve of the delivery of biological material, it is strictly forbidden to visit saunas and baths, drink alcohol and even smoke. If necessary, the attending physician may ask the future father to take a series of seminal fluid tests, which are carried out within 30-90 days.

To exclude infectious and inflammatory diseases, along with a general clinical analysis of blood and urine, a man is prescribed a study of urethral smears for urogenital infections. The list of potentially dangerous pathogens corresponds to that indicated in studies for women.

In addition to the above methods of examination of the body, before in vitro fertilization, preparatory stage provides for the following additional conditions:

Examination of blood samples for the level of prothrombin.
Assessment of blood glucose concentration.
Family history taking, which includes information about various pathologies along the female line. The diseases of interest are diabetes and malignant neoplasms.
Carrying out a general analysis of urine, which includes an assessment of the level of leukocytes, protein and glucose.
Biochemical study of blood samples.
Compilation of a list of all childhood infectious and non-infectious infectious diseases.

Enough important information for medical specialists are the timing of the onset of menopause, and the nature of the course of childbirth in the mother of a woman who is preparing for in vitro fertilization.

In addition, each patient before implementation auxiliary methods fertilization, it is recommended to bring in proper condition oral cavity. We are talking about the elimination of infectious and inflammatory foci in the mouth, which are potential sources of pathogens.

If necessary, medical specialists can expand the list of mandatory studies before performing IVF.

genetic

A particularly important point in the preliminary preparation for the implementation of in vitro fertilization is the genetic diagnosis of both spouses. This study allows you to assess the state of the genetic material of the future mother and father, as well as to identify the risk of transmission hereditary diseases from parents to offspring. Genetic studies before in vitro fertilization are recommended in such cases:

Previously, there were cases of unsuccessful implantation of ready-made embryos, and there was also a miscarriage;
There are no common children;
Each spouse is over 35 years of age;
There is asthenozoospermia or oligospermia in the spermogram of the future father;
There are cases of transmission of hereditary diseases.

The most valuable genetic studies are:

HLA typing;
Laboratory test for the detection of hereditary diseases such as galactosemia, cystic fibrosis, spinal amyotrophy, as well as phenylketonuria;
Karyotyping of both spouses.

Genetic research methods can reduce the risk of developing genetic and hereditary diseases in the unborn fetus. The purpose of this type of research is shown by couples who have already encountered unsuccessful attempts implantation of ready embryos.

If one of the spouses already has a physical and mental healthy child, then genetic research are assigned only to the second of the spouses. During genetic diagnostics, medical specialists evaluate the structure and condition of chromosomes, since their anomalies lead to intrauterine mutations and miscarriage.

The so-called HLA typing is laboratory method tissue compatibility assessments. If the future mother and father have matching loci in the diagnostic results, then there is big risk that the immune system expectant mother reject the fruit. In the presence of such results, a face-to-face consultation with an immunologist is recommended for the couple.

Validity periods

Along with the question of what tests are needed for IVF, future parents are interested in the validity of the results obtained. These figures directly depend on the type of medical diagnostic procedure. The relevance of the results and has the following form:

Vaginal swabs, urinalysis, general clinical analysis blood, blood biochemistry coagulogram - 10 days;
Bacteriological examination of urogenital smears - 30 days;
Cytological examination of the smear, PCR from the cervical canal, fluorography, colposcopy with biopsy - 1 year;
Analysis for syphilis and HIV - 3 months;
Determination of blood group and Rh factor - indefinitely;
The conclusion of the endocrinologist and therapist - six months;
Spermogram and hormonal background of a woman - individually.

After the statute of limitations for the analyzes has expired, the couple needs to update the results of the studies.

List (video)

What tests are given for IVF, you will definitely be told at the clinic you go to. Tests before IVF are necessary training to IVF. Tests before IVF are handed over at the appropriate time - so that the results of tests before IVF are valid for the duration of the protocol.

What tests are needed for IVF for women:

List of tests for IVF.

AT general analyzes Before IVF, it is mandatory to include: Blood type, Rh factor, Rh antibodies

Hormonal tests before IVF:

Gonadotropic hormones - for 3-5 days of the cycle:
* FSH (follicle stimulating hormone)
* LH (luteinizing hormone),
* Estradiol
* Prl (prolactin),
* STH (somatotropic hormone)
* Progesterone (it is better to take it in the second phase for 20-25 days of the cycle)

Thyroid hormones
* TSH (thyroid-stimulating hormone), T1-T4

Tests before IVF for infections :
* chlamydia,
* ureplasma,
* mycoplasma,
* gardnerella (smear, blood),
* gonokkok
* smear on flora (degree of purity),
* cytological examination cervical canal,
* HSV, CMV (smear, blood),
* antibodies to hepatitis B and C.
* AIDS, syphilis (blood),
* rubella antibodies, toxoplasmosis,
* Blood hemostasis

Research results
* A picture of the uterus and tubes (HSG result),
* results of laparoscopy (if performed)
* results of hysteroscopy,
* biopsy results,
* results of ultrasound observations,
* a picture of the Turkish saddle (if any),
* results of a tomographic study (if performed)

And other documents that you have accumulated during the examinations.

In addition to the IVF procedure. Examination:
1) Collect all information about diseases in the female line (mother, grandmother, sister, aunt, etc.) in terms of: oncology, diabetes, and others serious illness.
2) remember everything past illnesses in childhood (if you don’t remember, ask your relatives).
3) Ask at what age your mother had menopause (if it did), how did your birth go, were there any problems with conception, the length and frequency of cycles.
4) It is necessary to treat the teeth before the start of the IVF program.
5) Conduct an examination in addition to the IVF procedure:
* biochemical composition blood (blood from a vein - bilirubin total, cholesterol, AST, ALT, total protein, urea) - taken on an empty stomach,
* blood test for glucose and prothrombin - taken on an empty stomach
* urine test (protein, glucose, leukocytes) to make sure there are no concomitant pathologies.

If necessary, the list of tests for IVF may increase.

What tests are needed for IVF for men.

List of tests for IVF

* blood type,
* Rh factor
* HIV1/2 (antibodies to HIV),
* RW- (syphilis),
* antibodies to hepatitis B and C,
* spermogram (no later than 3 months),
* smear and blood for urogenital infections (see above, in the list "Tests before IVF" for women)

Where can you get tested? Price.

IVF, as well as other procedures of assisted reproductive technologies, are carried out on the basis of specialized medical clinics. IVF tests can be taken:
* Directly at the clinic where you intend to do IVF. The cost of services will correspond to the price list of the clinic.

* in the polyclinic at the place of residence, if the polyclinic has the necessary resources to take tests for IVF. The price of procedures in this case will be much lower and will not be included in the total cost of IVF.

* in commercial laboratories doing tests to prepare for the IVF procedure. The price in different laboratories can fluctuate.
Moscow city:

In vitro laboratory www.invitro.ru, tel. 363-0363 (blood only)

In the Pasteur Center www.paster.ru (blood and swabs)

At the anti-herpetic center,
phone number 921-98-65

In the Laboratory of the Institute of Physical Education, Elizavetinskiy Lane, 10)

Average prices for tests:
hormone - 190-300 rubles
smear from 100 rubles.

Many couples today are unable to have children for one reason or another. Then they turn to IVF. it effective way to have a child, sometimes not even one at a time. But you need to prepare for it: before the procedure, you need to pass certain tests. What to do and how much do tests cost before IVF?

In contact with

Many studies for IVF are mandatory, since they are aimed at revealing hidden pathology and preventing relapses. Thanks to others, it is possible to confirm the diagnosis that was previously identified by the doctor, to carry out treatment, taking into account the characteristics of a particular organism. Some are only advisory in order to prevent pathology during pregnancy. Before performing certain tests, consult your doctor.

List of tests before IVF for women:

PCR smear to detect pathogenic bacteria in the form of chlamydia, mycoplasmas and ureaplasmas;
KLA and OAM (general blood and urine test), additional analysis blood, where the percentage of protein, bilirubin, urea, creatinine, sugar is detected;
ALT and AST;
hemostasiogram;
tests to determine the status FSH hormones, LH, PRL, T4 and TSH;
blood for detecting the Rh factor;
smear on flora to detect pathogenic microbes or their absence;
cytology research;
tests for the presence of syphilis, HIV, hepatitis B and C herpes virus antigens (PCR blood);
rubella test;
blood for herpes antibodies of the first two types of cytomegalovirus;
Ultrasound of the thyroid and parathyroid glands;
Ultrasound of the mammary glands;
fluorography.

List of tests before IVF for men:

spermogram;
blood to determine the factor;
smear on the flora from the urethra;
blood for syphilis, HIV, hepatitis B and C;
detection of antigen to herpes simplex (PCR blood test);
PCR smear for the detection or absence of chlamydia, mycoplasma with ureaplasma.

They also ask to carry out PCR diagnostics of the ejaculate, and consult a psychologist.

Don't be afraid of these big lists, all analyzes are given in order to receive complete picture about the health of future parents, and exclude the risk of its deterioration, in case of detection serious pathologies, and prevent possible negative manifestations during a future pregnancy.

The price of this or that procedure depends on the region of the country. Closer to the center of Russia, the cost may be more expensive than in other regions and subjects of the Federation. Mandatory tests usually cost from 250 to 5000 rubles in private clinics:

To donate blood to detect Rhesus costs from 550 rubles, to identify one or another sex and non-sex hormone as well. Donating blood, smears to detect diseases that interfere with pregnancy or its course from 500 rubles. To detect HIV, syphilis, hepatitis or other diseases - 500 rubles. The cost of analysis for chlamydia with mycoplasmas and ureplasmas will cost the same price.
To pass or a hemostasiogram in order to assess blood clotting will cost 1200-3500 rubles.
A smear on the flora to assess the purity of the uterus and tubes or the absence of it - from 250 rubles.
To identify urogenital infections with chronic infectious diseases from 3200 rubles.
to assess the patency and study the state of the endometrium, hysteroscopy will cost from 2100 to 5500 rubles.
Colposcopy with taking a smear for oncocytology will cost from 1200 rubles.
Spermogram from 1200 rub.
Addition to laboratory research women will have a transvaginal ultrasound to look at the structure and contents of the uterus with the ovaries. It costs from 1500 rubles.
Urinalysis to assess kidney function and absence of infectious studies in bladder costs from 200 rubles.
Consultation of a specialist is paid - from 1000 rubles.
thyroid ultrasound and parathyroid glands- from 1350 rubles.
Fluorography - from 350 rubles.
A blood test to determine the level of progesterone - 550 rubles.
Hysterosalpingography - 1500 rubles.
Determine one indicator - 350 rubles.
Diagnostic testicular biopsy - from 1500 rubles.

More than half of these tests can be taken free of charge under a general policy at local clinics.

There are many options where to do tests before IVF. Studies required in order to participate in the IVF program or, possibly free of charge, if you go to the local therapist and gynecologist. This method is the most impractical, because it takes a lot of effort and time. It will be necessary to accurately calculate how many analyzes will be ready for the program and whether they will be suitable for it.

The second option is more convenient, but, of course, it is more expensive. You can take all the tests for a fee in special paid clinics. Many of them offer to pass everything comprehensively in order to get results faster. Their cost often includes visits to specialists. On average, the complex price varies from 40,000 rubles per person. It does not contain manipulations and some actions to assemble material (for example, oncocytology studies).

Finally, the third option is free and paid tests. Somewhere it makes no sense to overpay for a fluorography, general blood or urine tests, a smear for flora and others, and you can do them for free, but somewhere there is no point in doing them in state clinics and they are not done there without paying their cost. For example, these include ultrasound of organs in men and women, testing for hormones, as well as colposcopy and other operations.

Each analysis has its own expiration date. This is the period of time for which the results of the study are considered correct. You can view the expiration date table on any portal. It is important that all studies are "fresh" in order to receive a quota and get into the program. If the tests are not suitable for the program, they will need to be retaken. Below are the main indicators of how much is stored.

One month the studies are stored:

flora tests;
blood in biochemistry;
urine;
hemostasiograms.

3 months results are saved:

blood for syphilis with hepatitis and HIV.

Six months are effective:

ELISA (antibodies for rubella, toxoplasmosis, genital herpes);
PCR (infections in the scrotum);
spermogram.
1 year relevant:
oncocytological studies;
examinations in the field of hormones;
fluorograms;
electrocardiogram;
the fallopian tubes;
Ultrasound with mammography.

About analyzes before IVF on video:

Preparation for the in vitro fertilization procedure involves numerous examinations aimed both at finding out the cause of infertility and at eliminating factors that can become a contraindication to IVF. Scroll mandatory tests is fixed in one of the main documents regulating ART in Russia - the Order of the Ministry of Health "On the procedure for using ART".

The order was adopted in 2013, since then no changes have been made to the list of tests, so the list of 2015 is also relevant in 2016 - for receiving or joining the program. All studies are divided into two groups: to identify indications for the use of ART and to determine contraindications. We list them, indicating the average cost in Moscow clinics and laboratories.

Studies to determine the causes of infertility and indications for ART

The need for a detailed examination before IVF is defined by law

1. Blood test for group and Rh factor (from 550 rubles).

2. Assessment of the endocrine status; First of all, the study of the hormonal background. Blood for hormones is donated on day 3-5 of the cycle, with the exception of progesterone and estradiol, which are taken on day 20-22 ( best option- one week after ovulation). The day before the test, it is important to exclude smoking, alcohol and emotional stress, give up physical activity and from taking certain drugs (their list is discussed with the doctor). Blood is taken on an empty stomach, in the morning.

follicle stimulating hormone;
luteinizing hormone;
estradiol;
growth hormone;
prolactin;
thyroid hormones (T1-T4 and TSH);
progesterone.

An addition to laboratory studies are instrumental - transvaginal ultrasound for examining the uterus and ovaries.

average cost analysis to determine the level of one hormone - 550 rubles. Many clinics offer comprehensive programs Women's hormonal profile(from 5000 rubles)

3. Evaluation of the patency of the pipes. It is done primarily by conducting instrumental studies - laparoscopy and hysterosalpingography.

4. Study of the state of the endometrium. The main method - involving research inner surface uterus and biopsy diagnostic curettage) with histological examination.

Identification of contraindications

Contraindications to in vitro fertilization - both absolute and relative - are common diseases, therefore, everyone who plans to enter the ART program needs to do an ECG, fluorography, ultrasound of the abdominal cavity, thyroid gland and small pelvis, get a conclusion from a therapist and narrow specialists, if any chronic diseases. Women over 35 should have mammography results on hand, and women under 35 should have an ultrasound of the mammary glands. In addition, you need to pass a number of tests.

1. Analysis for the presence of antibodies. A number of diseases, which are not dangerous in a normal situation, during pregnancy can have a serious Negative influence to the fruit. To assess the degree of risk, blood tests for the presence of antibodies to the following diseases(from 550 rubles):

herpes virus;
toxoplasmosis;
rubella.

2. Blood for HIV, syphilis, hepatitis. The cost of one analysis is from 500 rubles. Some laboratories offer comprehensive programs that include the determination of HIV, hepatitis, and syphilis in the blood. Price - from 1700 rubles.

3. Clinical and biochemical analyzes blood, which allow to identify common diseases, disorders in work individual bodies. The price is from 700 rubles. for clinical analysis up to 5500 for advanced biochemistry.

4. to assess blood clotting (1200-3500 rubles, depending on the set of indicators).

5. A smear on the flora to assess the cleanliness of the vagina and the absence (or content in normal amount) microorganisms such as:

yeast;
trichomonas;
streptococci, staphylococci;
gonococci;
coli.

The cost of the study itself starts from 500 rubles, you will have to pay separately for the collection of material (from 400 rubles)

6. Examination for the presence of urogenital infections and chronic infectious diseases, involving the collection of a smear. The doctor collects biomaterial from the mucosa, after which it will be studied PCR methods or RIF. Before taking a smear, it is important to refrain from sexual intercourse, not to use vaginal tablets, candles, douching. This method reveals:

It makes sense to pass comprehensive study, since it involves taking one smear for all indicators. average price complex - from 3200.

7. Urinalysis to assess the functioning of the kidneys and the absence of infection in the bladder (from 200 rubles)

8. Colposcopy with (from 1200 rubles)

If deviations are found in the analyzes, do not panic. Most of the contraindications are relative, that is, you can join the program after eliminating the factors that can negative impact. For example, in the absence of antibodies to rubella, a vaccination is recommended, three months after which you can start the IVF procedure.

List of studies for men

The list of tests that are needed for IVF has also been compiled for men. Most of them coincide with the "female" version, but there are some features. Like women, they need to get the results of fluorography and the opinion of the therapist. In the list of laboratory tests:

blood test for Rh factor and group;
antibodies to HIV and hepatitis;
analysis for syphilis;
urogenital infections - necessary tests the same as for women;
smear on the flora from the urethra;
determination in the blood of antibodies to the diseases listed above;
. If it is found, another study is prescribed - an antiglobulin reaction. Basic cost - from 1500 rubles.

Tests after IVF

After unsuccessful IVF appointed additional examinations to identify the causes

The first analysis that a woman needs to pass after the in vitro fertilization procedure is, which is given about two weeks (sometimes on day 12) after the transfer has been made. Its results allow us to conclude whether the pregnancy has occurred or the attempt was unsuccessful.

After a failure, it is first of all important to find out its causes, so that when you try again to minimize the action. negative factors and increase the chances of a favorable outcome. Therefore, it is possible that a doctor will be appointed additional research. Their list might look like this:

An analysis for the presence of antiphospholipid antibodies, which is prescribed to diagnose diseases of the immune system.
Detection of antibodies to hCG. The reason for their formation in the body is not fully understood, but the mechanism of action is known: antibodies disrupt receptor binding corpus luteum and chorionic gonadotropin, which leads to a change in hormonal levels and termination of pregnancy.
to determine tissue compatibility antigens in both spouses.
Immunogram for the study of cytotoxic cells.
Extended hemostasiogram with determination of lupus coagulant, D-dimer and other criteria.
Revealing chromosomal disorders by studying.

Unlike those listed above, these tests are not mandatory and are prescribed at the discretion of the doctor only after an IVF attempt (or several attempts) has failed.

Validity periods

Each assay has an "expiration date". It refers to the period during which these studies are considered valid and relevant. If more time has passed since the date of delivery, you will have to take the tests again to receive a quota or enter the CHI program. Let's list the deadlines.

One month:

smears for flora;
blood tests for biochemistry and clinical;
Analysis of urine;
hemostasiogram.

Three months:

blood for syphilis and hepatitis;
blood for HIV.

Six months:

ELISA (antibodies to rubella, toxoplasmosis, genital herpes);
PCR (urogenital infections);
spermogram.

One year:

smear for oncocytology;
hormonal studies;
fluorogram;
electrocardiogram;
data from pipe patency studies;
Ultrasound and mammography.

They do not have an expiration date and are performed once for the group and Rh factor, as well as karyotyping.

Mandatory examinations before IVF

Where to get tested

The analyzes that are mandatory for participation in compulsory medical insurance programs and for obtaining a quota can be taken free of charge, with a referral from a local therapist or from a gynecologist from antenatal clinic. This option is inconvenient in that it takes a lot of time, since most studies are done by appointment. You will have to very carefully and accurately calculate the timing of the tests, so that all of them are valid by the time the documents for IVF are submitted.

The second option is convenient, but expensive: paid testing in the clinic where the procedure will be performed, or in independent laboratories. Many clinics today offer comprehensive programs, the cost of which may include specialist consultations. The average cost of the complex - from 30 000 rubles per spouse, it does not include instrumental manipulations and some actions for taking material (for example, a smear for oncocytology).

Finally, the third option is a combination of free and paid analyzes. Some studies make sense to go to the laboratory in the direction of the antenatal clinic (for example, general blood and urine tests, biochemistry). Others, especially complex and demanding special equipment, - in a paid clinic.