Diagnosing infertility
Infertility is the inability to conceive naturally during a year of regular sex life, with no contraception used. For reference:
- 35 % of couples have natural pregnancy after first 3 months
- 55 % of couples – after 7 months
- 10 % of couples – after a year
Algorithm of providing medical care for patients with infertility (using Compulsory Medical Insurance)
Step 1. Visiting a medical facility (usually Maternity Clinic) which has a license for medical practice in obstetrics and gynecology
Step 2. Preliminary diagnostics and treatment of infertility causes by a doctor in Maternity Clinic within 9-12 months in accordance with the Order of the Ministry of Health No.107N. If, after establishing the cause of infertility, the treatment, including laparoscopic and hysteroscopic correction, stimulation and therapy of the male factor of infertility, is recognized as ineffective (no pregnancy for 9-12 months), patients are referred for treatment with the use of ART (IVF). In accordance with decision of panel of doctors, women over 35 years old can be sent for treatment with the use of ART before the expiration of the specified period.
Step 3. Establishing diagnosis “infertility”1 and medical examination to determine the indications and identify possible contraindications to IVF
Step 4. Referral of a patient from the Maternity Clinic to the Commission for obtaining a quota for IVF using the Compulsory Medical Insurance
Step 5. The patient receives IVF treatment as part of the Compulsory Medical Insurance Program (using a quota) in a chosen facility which has a license medical practice in obstetrics and gynecology with the use of assisted reproductive technologies, and participates in the implementation of territorial assistance of the Compulsory Medical Insurance Program (this information is available on the Compulsory Medical Insurance websites of your region and in your insurance company)
*various forms of female infertility: tubal blockage, endocrine and immunological, as well as male factor, ICD 10 codes N 97, N 97.0, N 97.1, N 97.3, N 97.4, N 97.8, N 97+N 97.4, N 97.9.