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Assisted reproduction

Getting pregnant with specialist help

The birth of a child is one of life's greatest miracles. Today, more and more couples encounter various challenges on the path to this miracle. Fortunately, there are treatment options available for couples who face difficulties in conceiving, which can facilitate this natural process. In vitro fertilization (IVF) was first introduced in the late 1970s, when the first baby was born using this method. Therefore, it is a well-developed and safe approach.

Infertility treatment includes a variety of different methods and technologies, with one of the most commonly used being in vitro fertilization (IVF). Since its inception, more than 8 million babies have been born worldwide using IVF technology. According to the latest data published by the World Health Organization (WHO), approximately 48 million couples worldwide experience infertility. 

Infertility treatment brings about a range of emotions. The waiting, anxiety, and demands of the treatment process can lead to feelings of frustration, confusion, and resentment. We believe that the more you understand about the tests and treatment process, the less anxiety and worry you will feel about your situation. If you are going through this process with a partner, take some time to review this information together.

Assisted reproduction procedures

Northway Fertility Centres offer a full range of assisted reproduction services, including intrauterine insemination (IUI), in vitro fertilization (IVF), micromanipulation IVF procedures such as ICSI and PICSI, testicular sperm aspiration (TESA) and restoration of sperm motility, open testicular biopsy (Micro-TESE), as well as the vitrification (freezing) of embryos and reproductive cells.

Additional procedures are utilized during assisted reproduction, including endometrial preparation prior to assisted reproduction, PRP therapy for the uterine lining and ovaries, assisted hatching for embryo zona thinning, a specialized medium for restoring sperm motility, oocyte activation with CultActive medium, Embryo Gen medium for embryos, and Timelapse monitoring of embryos.

Assisted reproduction inside a woman's body (IUI)

The assisted reproduction method in which the fertilization of a woman's egg by sperm occurs inside the woman’s body is called intrauterine insemination (IUI). This is a common assisted reproduction procedure used to treat various types of infertility:

  • Infertility of unknown origin;
  • Ovulation disorders;
  • For low- to intermediate-stage endometriosis;
  • Minor abnormalities in semen analysis;
  • Immune infertility due to cervical mucus abnormalities;
    infertility of unknown origin;
  • And other causes of infertility.

Intrauterine insemination (IUI) is performed during a natural cycle at the time of ovulation or by stimulating ovulation with medications. During IUI, specially prepared sperm cells are placed directly into the woman's uterus using a specialized catheter. This method is appealing because it does not require surgical intervention or anesthesia. It is a straightforward and painless procedure.

In vitro fertilization (IVF)

The best-known assisted reproductive technology in the world is in vitro fertilization (IVF). This method can be used when the following conditions were diagnosed:

  • Infertility of unknown origin;
  • Damaged or blocked fallopian tubes;
  • Ovarian dysfunction and ineffective treatment,
  • Severe male factor infertility;
  • Severe endometriosis.

In vitro fertilization may also be recommended when other treatment methods, such as intrauterine insemination, have been unsuccessful.

In vitro fertilization (IVF) (outside the woman's body) is a method in which eggs are collected from a woman's body after being stimulated with medication and are combined with purified sperm from a man in a laboratory. This process takes place in a test tube. It is very similar to natural conception, except that the embryos are grown in an incubator and then transferred to the uterus. To achieve the best results, Northway Fertility Centres use Esco Miri® TL embryo incubators, which utilize a time-lapse (non-invasive periodic imaging) method to monitor embryo development at any moment, allowing only the best embryos to be selected for transfer to the uterus. 

As in natural process, reproductive cells are necessary during the treatment. The eggs are retrieved (by aspirating them from the follicles) during the ovarian puncture, while the sperm is collected from a semen sample. If there are no sperm cells in the semen and azoospermia is diagnosed, in some cases sperm can be obtained from the testes during the TESA procedure. The reproductive cells are not artificially created; they are natural and belong to the couple undergoing treatment.

In order for an egg to be fertilized, it is sufficient to place it in an environment containing hundreds of thousands of sperm cells. In other words, if the sperm cannot reach the egg or if the surrounding conditions are not suitable for them within the woman's body, ideal conditions for the fusion of the cells—the meeting of sperm and egg—are created in the laboratory. Fertilization occurs when at least one of the sperm cells enters the cytoplasm of the egg and fertilizes the nucleus. A single drop of suitable medium, the right temperature, and other parameters that mimic a woman's body are all that is needed for fertilization to take place.

ICSI

ICSI (intracytoplasmic sperm injection) primarily addresses male infertility issues, such as poor sperm motility, reduced sperm count, and the inability to penetrate the egg. In such cases, the embryologist must select morphologically normal, the most motile, and physiologically mature sperm cells.

Using this method, the woman’s eggs are placed in a test tube, and then a single sperm cell is directly injected into each egg. This procedure requires a high level of skill and responsibility from the embryologist to ensure that the most suitable sperm is selected. Using this assisted reproductive technology, the likelihood of conception is higher compared to traditional IVF methods, particularly in cases of male factor infertility and unexplained infertility.

TESA

If there are no sperm cells in the semen sample, they can be directly extracted from the testes during the TESA procedure. This is a microsurgical technique in which seminiferous tubules are taken from the testes to search for sperm cells.

Donor egg fertilization

The Northway Fertility Center in Riga offers programs for egg, sperm, and embryo donation. Assistance is provided to patients who require assisted reproduction with donor reproductive cells, including single women.

Assisted reproduction reimbursed by the PSDF

Northway Fertility Centres in Lithuania (Vilnius, Kaunas, Klaipėda) provide assisted reproduction services reimbursed by the PSDF (Compulsory Health Insurance Fund).

The process of assisted reproduction

IUI IVF
Couple's consultation
Tests
Ovarian stimulation
Sperm collection
Sperm preparation
Sperm injection into the uterus
Sperm collection
Sperm preparation
Ovarian Puncture
Fertilization in the laboratory
Embryo growth
Transfer of embryos into the uterus
Pregnancy

You don't know where to start? Let's connect

You don't know where to start? Let's connect

Renata Gylytė Coordinator of Northway Fertility Centers I will reply to your enquiry within 24 hours (weekdays) LT / EN / RU

Why us?

  • Long-standing experience

    We've been helping people have children for 12 years.

  • Large team of experts

    A wide team of skilled medical experts will take care of your reproductive health.

  • Wide range of services

    Consultations, tests, medical and surgical treatments, assisted reproduction procedures, reproductive cell freezing, donation programmes.

  • State-of-the-art equipment

    State-of-the-art laboratory equipment, cutting-edge embryo production and evaluation methods and a quality system.

  • Reimbursed services

    Assisted reproduction services can be reimbursed by the the Territorial Health Insurance Funds.

  • Fertility laboratories in each branch

    We accompany you at every step. You can choose to undergo all procedures in Vilnius, Kaunas, Klaipėda or Riga.

Testimonials

Everything is always very neat. The clinicians answer questions and take care of patients during the treatment. This is undoubtedly the best experience I have had in a medical institution.
I enjoy everything in the clinic. Clinician Elina Žurman and her nurse are friendly and professional, answering all queries.
Dr. Rasa Dargienė provided excellent communication and clear explanations for all questions throughout the appointment. She is professional and knowledgeable about her work. Only the best feedback.
I liked the clinic's location, as well as clinician Gricius. He is detailed, tells it like it is, and tells me what I need to do next to get the desired result. I will surely return.
Clinician Žydrūnas Žėba is highly professional, attentive, and listens well. He is highly attentive to the problem, allows adequate time for consultation, and responds to all questions concretely and clearly. Pleasant and calm clinic environment.
Pleasant atmosphere as soon as you enter the clinic, the staff is helpful and pleasant. Ž. Misevičius is a top clinician.

You don't know where to start? Let's connect

Renata Gylytė
Coordinator of Northway Fertility Centers
I will reply to your enquiry within 24 hours (weekdays)
LT / EN / RU