Morning Clarita,
The deep dive into clinics get intense, doesn't it?! Once I made a decision, it was a huge weight off.
The timeline also confused me for a bit. They put together the plan for me, and mine went/is going a bit like this:
1) One month before the treatment you take the contraceptive pill for 21 days (therefore let us know when you can travel and we can arrange this) I emailed them the day my period began and they advised to start the pill on day 2 of the full flow
2) Perform a baseline Antral follicle count scan, in Australia, between days 1-3 of your menstrual cycle (I decided to be in Greece for the entire time). This can also be done in Greece if it proves difficult to travel last minute (approved by Dr. Chris!). If everything is clear you will be instructed to start your stimulation with injectable medications for about 10-14 days.
3) You will need monitoring with ultrasound scans after the start of treatment on day 5, day 7, and day 9 of your stimulation or until your follicles reach the correct size. You will need to be in Greece no later than day 9 of your stimulation so we can perform your final scan(s). Of course, you can have the day 5 and day 7 scan in Greece too, if you wish to travel over and stay for a longer period of time.
4) We will perform your egg collection under mild sedation. No hospitalization is needed and you leave the clinic after 1-2 hours.
5) On the same day, the donor sperm of your choice will be utilized and fertilization will be performed through the use of ICSI.
6) We then will culture all embryos for 5 days (blastocysts) Reaching the blastocyst stage is pivotal as:
- Only at that stage do, we have the final morphological assessment of the embryos.
- During day 3 of embryo development, the paternal gene kicks in and we can see how the sperm affects the embryos.
- We allow ‘nature’ filters to stop the development of certain chromosomally abnormal embryos and hence transfer embryos that have high chances of implantation.
7. During your stimulation treatment we will need to assess the endometrial lining for your frozen embryo transfer scheduling. You will not be able to perform a fresh embryo transfer, due to your high ovarian reserve, in order to exclude the risk of hyperstimulation and achieve higher success rates as the high levels of estrogen (due to the increased number of follicles developing) affects the lining and it does not remain receptive.
The length of stay in Greece:
1st phase of treatment (stimulation- egg collection): the length of stay will be for about 14 days – you will have only one scan in Australia and then fly to Greece
2nd phase of treatment (frozen embryo transfer): you will need to have a couple of scans in Australia and be in Greece for 2-3 days (this for me will be in 2023).
For me, we are lucky to have sick leave in Aus, so I have been able to take the whole 3 weeks off as it's considered a medical procedure. NewLife does work closely with prescribing Drs in the UK, so medicine should not be a problem. I am having issues getting my meds prescribed in Australia under the subsidised rate, however, they are available in Greece it will just cost me (which in the grand scheme of things, worth it!). They arrange all this for me, when I arrive they will arrange the pharmacy visit.
I do believe having the scans etc in the UK is going to be much easier as they have an office based there I think? Or at least, a team that works closely with a UK team.
Australia is a little behind in their IVF laws and approach, so it's not as common for people to be arranging themselves, it is changing though.
All in all, once you have your meeting with them, it all falls into place quite quickly!
The info I've received from them has been very thorough, and anything I am unsure of, I just sent an email and they get back to me pretty quickly. You're lucky you're in the same time zone!
The price of freezing, I am unsure. Will have to go back further into some emails. Will update when I can!
Hope this helps, happy to help where I can :)
GP