Center for Medically Assisted Reproduction

The Center for Medically Assisted Reproduction is situated on the first floor and is reachable from the mezzanine
floor (where the main entrance to the hospital is) through stairwell A. The result of a collaboration with Tecnobios Procreation, a center specialized in the diagnosis and treatment of sterility and assisted insemination, the center has three clinic rooms and a secretary. In the adjoining areas, there are the operating rooms and the Day Surgery ward on the first floor. There are two waiting rooms available for patients.

Services offered by the center:

• Gynecological visit
• Andrological visit
• Psychological counseling
• Genetic counseling
• Simple ovulation induction
• Multiple ovulation induction
• Intrauterine Insemination on spontaneous cycles (IAH)
• Intrauterine Insemination (IUI)
• Semenological evaluation
• DNA molecular genetic inquiries of the semen
• TESA (Percutaneous Sperm Aspiration)
• Culture and treatment of female and male gametes
• Embryo culture
• Cryopreservation of female and male gametes for conservation
• Cryopreservation of egg cells
• Cryopreservation of embryos (in cases foreseen by the Italian law 40/2004)

Services done in Day Hospital admission:

• IVF-ET (In Vitro Fertilization and Embryo Transfer)
• ICSI (Intracytoplasmic Sperm Injection)
• Towako (Transmyometrial Embryo Transfer)

Medically assisted reproduction treatment can only be done after consultations with a doctor from the department. Consultations can be booked by calling the secretary of the center and are available in agreement with the health service as well as by paying privately.
During the course of the consultation the doctor will evaluate the couple's medical records, propose the ideal treatment, illustrate the procedures that are used, and talk about the probabilities for success, risks involved, and costs. In the same session, the doctor will give the couple a list of the exams needed to ascertain the suitability for anaesthesiological treatment and a list of the tests needed to highlight any eventual diseases which may cause harm during the pregnancy and to the future child.

The topics discussed during the meeting are summarized in the information folder and on the consent form. It will be the doctor's responsibility, in cases where the couple meets the requirements of Italian law 40/2004 and decides to proceed with treatment, to put the couple on the appropriate waiting lists.
For hormone or ultrasound monitoring, patients must come in the morning from 7.30 am to 9.30 am to the service's reception where, respecting privacy by using numbered folders, they will be called to undergo the necessary blood/chemical tests and ultrasounds.
At the end of each monitoring session, patients are contacted by telephone to fix the next check-ups and possible modifications to their treatments.

For ultrasound guided oocyte collection, patients are invited to arrive to the department two hours before the scheduled entrance into the operating room. This is to ensure that the procedure is done in total peace without having to worry. The nurses of the Day Surgery will assign patients to a bed, prepare them for the day's procedures, and bring them to the operating room when the time has come.At the end of the procedure, the patient will be taken back to her room in the ward. After about two hours, the doctor having already evaluated the post-operative course of action, will communicate to the patient the outcome of the oocyte collection and give her the discharge letter. He will also give her any informative material, prescriptions, and numbers to call in case of emergency.

In regards to embryo transfers, patients are invited to the center 15 minutes before the scheduled transfer because special preparations are not necessary.
The procedure, nevertheless, is done in a secure environment in the framework of the operating room. Once the embryo transfer has taken place, patients are invited to stay in the gynecological bed for 10 minutes to allow the liquid injected into the uterine cavity to spread evenly. When the patients are discharged they are handed a report regarding the treatment undergone and the therapy which must be done at home.

For more information, please go to www.tecnobiosprocreazione.it