The following is a list of fertility treatments we offer routinly at Dr. Shterev Hospital Assisted Reproduction Unit:

Ovulation induction and cycle monitoring – A procedure in which medication is used to stimulate a woman’s ovaries to produce multiple mature follicles and eggs (oocytes). An ultrasound scan is used to monitor growth of follicles and see if they are growing properly and on time.

Intra-uterine insemination (IUI) – Intrauterine insemination is an office procedure in which prepared sperm cells are placed directly into a woman’s cervix or uterus to produce pregnancy, with or without ovarian stimulation to produce multiple oocytes.

In Vitro Fertilisation (IVF) – In vitro fertilization  is a method of assisted reproduction that involves combining an egg with sperm in a laboratory dish. If the egg fertilizes and begins cell division, the resulting embryo is transferred into the woman’s uterus where it will hopefully implant in the uterine lining and further develop.

Intracytoplasmic Sperm Injection (ICSI) – Intracytoplasmic Sperm Injection is a micromanipulation procedure in which a single sperm is injected directly into an egg to attempt fertilization, used with male infertility or couples with prior IVF fertilization failure.

Intracytoplasmic Morphologically Selected Sperm Injection  (IMSI) – A modified ICSI procedure which is based on microinjection into retrieved oocytes of spermatozoa with strictly defined morphologically normal nuclei.

Frozen/thawed embryo transfer (FET) – An ART procedure in which cycle monitoring is carried out with the intention of transferring a frozen/thawed embryo or frozen/thawed embryos. Note: A FET cycle is initiated when specific medication is provided or cycle monitoring is started with the intention to treat.

Cryos InternationalDonor sperm from Cryos International sperm bank. Cryos International is the world’s largest sperm bank. Cryos International is licensed according to the EU-Tissue Directive 2004/23/CE, 2006/17/EC and 2006/86/EC, setting standards of quality and safety for the donation, procurement, testing, processing, preservation, storage and distribution, import and export of sperm.

Egg (oocyte) donation

At the beginning of the treatment program according to Bulgarian legislation for ART are required the following analysis:
Tests for women:
Blood group determination and Rh-factor
Complete blood count and ESR
AST, ALT, Albumin, Total Protein, alkaline phosphatase (ALP), GGTP
PT/INR, Fibrinogen, activated partial thromboplastin time (aPTT)
Hepatitis B blood test
Hepatitis C blood test
Syphilis blood test
HIV blood test
Microbiological analysis of vaginal discharge

Tests for men:
Hepatitis B blood test
Hepatitis C blood test
Syphilis blood test
HIV blood test
Microbiological analysis of ejaculate