IVF and psychological help: there are options! Artificial insemination, differences between IVF and artificial insemination. General principles of artificial insemination using the eco-ixi method

According to statistics, today almost every second couple cannot get pregnant, and therefore have to resort to a procedure such as artificial insemination. It is impossible to conceive a baby naturally for a number of reasons, and the main one is infertility, which most parents are diagnosed with. It is worth noting that treating infertility is much more expensive artificial insemination, and therefore it is better to use this 100% method than to undergo treatment for a long time different ways, take pills and have no confidence in tomorrow. There are different methods of how to get pregnant, but each of them should be carried out only under the guidance of a specialist who can provide competent and individual approach, as well as a guarantee of achieving the set goal.

Existing types of fertilization

Types of fertilization, or in other words, the procedure for conceiving a baby, can be different, since it all depends on the physiology of the parents and the presence or absence of certain problems.

Namely, conception can be:

Artificial;
Natural;
External;
Internal.

If everything is clear with the second point, then there is still a lot of controversy regarding the first. To be more precise, there are those people who reject insemination and IVF because they consider it an interference with nature, and there are those who have dedicated their lives to researching these ways to help parents become human.

Medical artificial insemination: what is it?

The various ways in which an egg is artificially fertilized is generally called insemination. During this procedure, sperm is introduced into the lumen of the fallopian tubes or directly into the uterine cavity.

Conception, therefore, is done if:

Men have health problems such as impotence, hypospadias, and lack of ejaculation or sluggish sperm.
A woman has pathologies in the development of the cervix.
The girl is diagnosed with vaginismus, which cannot be treated.
There is mucus in the cervical cavity that can disarm sperm.

Before artificial insemination is performed, a process of examining the sperm of the man and the female reproductive system is carried out. This is required to accurately identify the cause of infertility.

Insemination is carried out 2-3 times per cycle, and the procedure can be repeated at least 3 cycles in a row.

If the study yields a result in the form of sperm pathology, for example, their absence or sluggishness in their activity, then in this case they are looking for a donor or, in other words, a person who will fit all the parameters of the parents’ requests, will be able to give his seed and will not have any the right to an unborn child and even the opportunity to meet him. Sperm is injected into the uterine cavity using a special syringe, and this helps to bypass all the obstacles and dangers that kill sperm.

How to do artificial insemination

Insemination of women is not a difficult process for modern specialists, but careful preparation is required. First, the man’s entire body is examined, and this must be done a couple of months before the day of planned conception. After this period, a woman undergoes stimulation of ovulation, which requires special medications.

Typically used:

Menopur;
Gonal-f;
Puregon.

Only one remedy is used, which must be taken strictly at specific times. Administration is carried out intravenously and subcutaneously. The entire process of egg growth is carried out under the supervision of a specialist, due to ultrasound examination and tracking hormone levels.

The drugs contribute to the maturation of the egg, not just one, but several at once.

This is what increases the likelihood that 2 people will finally have children. A puncture of the ovarian follicle is required, and if laparoscopy is required, anesthesia is required local action. The entire diagnostic process is carried out under ultrasound control, which eliminates the possibility of harm to the female reproductive system. The needle for sampling is inserted through the cavity Bladder or through the vagina. Once the eggs are collected, they are placed in a special thermostat, in which they are further cultured.

Next, the male seed is taken, in which artificially Sperm are separated from the seminal fluid, as well as processed and placed in the incubator. After this, they are attached to the egg, and as soon as they are fertilized, they choose the most suitable ones. The remaining cells are frozen. Throughout this period, the woman needs to take progesterone and estrogen. Due to these hormones, a favorable atmosphere is created for the implantation of zygotes and their adaptation to new living conditions. As a rule, 3 zygotes are taken, of which 2 are attached to the uterine cavity, and the rest are simply placed in it. The result of this treatment can be seen within 2 weeks by simply taking a pregnancy test.

Stages of artificial insemination at home

There are many specialists you can contact to carry out a procedure such as extra corporal insemination, for example, Autleva Susanna Ruslanovna and others, however modern women Are you wondering why this can’t be done at home? It is worth noting that now indeed in vitro fertilization it is quite possible to carry out at home, and the procedure will resemble the most ordinary sexual intercourse, only without the participation of a man.

To carry out this procedure, you will also need to undergo a preliminary examination to exclude:

Pathologies;
Diseases;
Other reasons why natural conception does not occur.

Just as in a clinical setting, it is necessary to remove the exact date conception, for example, by taking a hormone test or a special ovulation test. To carry out artificial insemination and do it yourself, it is important to remember that the activity of sperm is only 2 hours. It cannot be frozen at home or simply stored in a separate bag; therefore, it simply will not work to create conditions like in a hospital.

The main methods of artificial insemination

There are different reviews about whether artificial insemination with a successful result is possible, but it is worth noting that specialists have their own success statistics, since they have their own specific indicators.

In studies of cats and dogs, they were able to carry out fertilization successfully up to 100%.

Why is fertilization called corporate? Because when an egg is implanted into the uterus, several zygotes are used at once, which can completely survive everything, which will cause the birth of twins or triplets.

Fertilization methods are different, but:

They must be carried out under the guidance of a specialist.
The process can only be carried out after thorough research.
The result will be achieved only if all doctors' recommendations are followed.

Semen should be used immediately after ejaculation, and a syringe without a needle is used for injection, and in addition, a special vaginal dilator can be used.

It is strictly forbidden to inject sperm directly into the uterine cavity, as it should not penetrate the sterile cavity. The likelihood that home insemination will be successful is very low, and you should not hope too much for a positive result, so as not to be disappointed later.

Current types of artificial insemination

In general, the fertilization process itself is not too complicated. The seed is placed in the woman's genital tract. You need to wait until fertilization occurs. The egg is implanted into the cavity of the uterine wall, and the natural development of the fetus begins. This method of fertilization eliminates the formation of several or, in other words, extra embryos. How quickly a positive result will be achieved directly depends on concomitant diseases namely chronic type that parents have.

In some cases, women have a pathology such as the absence of menstruation at all, and therefore preliminary testing is required to determine the onset of ovulation or its absence.

As a rule, after fertilization it is not recommended to carry out sex life, since this can cause rejection of the implanted sperm, and the uterus will simply be in shock. This will provoke menstruation, and all procedures will not work. During the period of preparation for fertilization and directly during and after it, you need to be as careful as possible and try as best as possible to protect the uterus from exposure to bacteria and the body from viruses. As a rule, fertilization with a successful result makes it possible to undergo pregnancy without complications.

Fertilization artificially may be extrapolar, as well as insemination.

Each method is considered:

Effective;
In demand;
Carefully thought out.

They differ from each other in the way sperm enters the uterine cavity and how it is recruited. Only a specialist available at each center can advise who needs such fertilization reproductive medicine. Options to carry out fertilization for free are completely excluded, since it requires the use of expensive equipment and the work of highly qualified doctors, which costs quite a lot.

Differences between IVF and artificial insemination

Currently, with the help of new reproductive technologies, the process of artificial conception gives many childless couples diagnosed with infertility the hope of becoming parents.

How does conception occur?

AI is a technology that is used to give birth to children in women suffering from various types infertility. Today they are widely used 2 most popular methods of fertilization, each of which has its own specifics:

Artificial insemination
In Vitro Fertilization

IVF involves creating conditions for conception outside the woman’s body, while artificial insemination occurs directly inside it.

Intrauterine insemination method

The essence of the method is the introduction of male seed into the female body, bypassing many different obstacles. The main condition is the patency of the fallopian tubes. The fact is that, despite the guaranteed “landing” in the uterine cavity, the sperm must themselves reach the egg. But they can only do this through the fallopian tubes. If there are problems with patency, this method is not recommended.

Before sperm is injected, it is subjected to special processing, during which only healthy sperm are left. Thus, not only the quality of sperm increases, but also the risk of having a child with pathological changes is reduced.

IVF – laboratory way of origin of life

Among the scientific achievements of the twentieth century, the method of in vitro fertilization is perhaps one of the most outstanding. By using this method The problem of infertility was almost completely resolved.

IVF is a technology that allows reproduction the necessary conditions for conception outside human body. As a rule, this procedure is resorted to by people who have been trying to conceive a child for several years and have failed, and treatment has been ineffective.

Today there are about five million IVF children on earth, many of whom have already become parents themselves. Currently, we can safely say that children conceived in the laboratory are no different from babies conceived naturally.

IVF technology involves going through several stages, during which patients are under constant medical supervision.

The first phase involves taking hormonal drugs that stimulate ovulation. This procedure necessary for maturation large quantity eggs.
The second stage involves transvaginal puncture of the follicles, during which mature eggs are extracted.
Next comes the third phase. The so-called embryo cultivation: the resulting egg and sperm are subjected to special processing, after which their fusion (fertilization) occurs. The embryos must then reach a certain stage of development.
On final stage embryos are transferred into the uterine cavity for their further development.

As a rule, several embryos are placed into the uterus at once to increase the likelihood of a favorable outcome.

Cost of the procedure and statistics

It should be noted that no one can guarantee a 100% result that will follow after artificial conception. Some women manage to get pregnant this way after the first attempt, while others get negative result and after several procedures.

In the case of artificial insemination, the probability of a positive result is about 30%. The cost of the procedure ranges from 15 to 30 thousand rubles.

When using in vitro fertilization, the chance of getting pregnant is about 40%. The price for IVF varies from 115 to 200 thousand rubles.

If you are unable to conceive a child naturally, this does not mean that you cannot become the genetic parents of your child. Modern medicine really does work miracles. The main thing is not to lose hope and only move forward.

The statistics are disappointing - every year the number of infertile couples only increases, and how many of them want children! Thanks to the latest technologies and progressive treatment methods, babies are born, even though it would seem that this is impossible. Artificial insemination is a procedure that allows a woman diagnosed with infertility to become a mother using donor sperm. What is the essence of the technology, to whom it is contraindicated and how great are the chances of having a child - more on this later.

What is artificial insemination

As one of the methods of artificial insemination, insemination helps parents find their long-awaited child. The procedure significantly increases the likelihood of conception, since it is preceded by a careful selection of material for the operation. Among the sperm, the most active ones are selected, and the weak ones are removed. The protein components of the ejaculate are removed because they can be perceived by the female body as foreign.

Intrauterine insemination is not a panacea for infertility, but only one way to get pregnant artificially. According to research positive effect is estimated at a maximum of 30–40 percent. A single session does not guarantee the development of pregnancy, so the operation is performed up to 3 times per monthly cycle. If conception does not occur after several procedures, it is recommended to turn to other methods of artificial insemination. Pregnancy itself with intrauterine insemination is no different from normal.

Why is artificial insemination possible?

It would seem why women cannot get pregnant, but with the artificial introduction of ejaculate, fertilization occurs. One of the features lies in the female body. The point is that in cervical mucus Antibodies are produced against male sperm. It turns out that it simply kills sperm, and does not facilitate their penetration into the egg. The procedure helps deliver the treated material directly to the uterus, bypassing the cervical canal. In this way, even with low sperm motility, the chance of getting pregnant increases.

Indications

As can be seen from the above, the main indication for artificial intrauterine insemination is the immunological incompatibility of partners. In fact, individual reasons, for which the procedure is resorted to much more often, so it is worth considering them in more detail. The main problems for women are considered to be inflammatory processes V cervical canal. The disease prevents sperm from passing into the uterus, preventing a woman from becoming pregnant.

Artificial insemination is used for vaginismus, a problem where sexual intercourse is not possible due to spasms and pain. Injuries and pathologies of the reproductive organ that interfere with getting pregnant, abnormalities in the position of the uterus, infertility of an unclear nest, surgical interventions on the cervix - another of the many reasons to contact the clinic for an insemination procedure.

Until recently the reason female infertility were sought only among the weaker sex, but, as studies have shown, men's problems are often dominant in this issue. Low mobility and a small amount of sperm that find it difficult to reach the end point, and azoospermia are some of the main diseases due to which artificial insemination is prescribed if previous treatment does not produce any results. Disorders with potency and ejaculation can also be an indication for the procedure.

Genetic diseases that may result in a risk of being born sick or with psychophysical characteristics baby is another reason why artificial insemination is prescribed. True, then the procedure is carried out with the donor’s sperm, to which the husband (and the future official father) gives written consent. Fertilization with seminal fluid from the clinic’s database is also carried out for single women who want to become pregnant.

Advantages

Intrauterine insemination is the first method that is used for problems with conception. The main advantage is the absence great harm female body. Artificial insemination can be carried out even if the exact cause of infertility has not been established. The procedure does not require lengthy preparation, and its implementation does not take much time. The most important advantage of using this method is its low cost.

Preparation

Like any operation, but intrauterine insemination medically is such, the procedure requires preparation. Just the desire to do artificial insemination is not enough; you need to come to an appointment with a doctor, who will prescribe an action plan after drawing up a family history and a thorough analysis of the situation during a conversation. Then it is necessary to sign certain papers confirming the consent of the spouses to carry out the conception. If it is necessary to use donor sperm, the number of documents for approval increases significantly.

Tests before insemination

Previously, to determine whether the couple is prepared for the artificial insemination procedure, the following tests are taken from the couple:

HIV AIDS);
stick infections;
hepatitis;
passive hemagglutination reaction (RPHA).

After 3-5 day period After abstinence, a man takes a spermogram, which determines sperm motility. Women will have their patency checked fallopian tubes, using hysterosalpingography, the uterus is examined. Ultrasound detects the presence of ovulation. If there are problems, hormones are used to stimulate egg production. The microflora is cultured to determine the presence of papillomavirus, ureplasma, group B streptococcus, which can cause the impossibility of bearing a fetus.

Sperm preparation

Immediately before the insemination procedure, seminal fluid is given artificially, after which it is examined and processed. There are 2 ways to prepare cells: centrifuge processing and flotation. The first option is preferable, since this increases the chances of conception. Sperm preparation involves removing acrosin from it, a substance that inhibits sperm motility. To do this, portions are poured into cups and left to liquefy, and after 2-3 hours they are activated special drugs or passed through a centrifuge.

On what day is insemination done?

According to doctors specializing in these issues of gynecology, the best option To carry out artificial insemination is the introduction of sperm into the uterus three times:

1-2 days before ovulation;
On the day of ovulation;
After 1-2 days, if there are several maturing follicles.

How does the procedure work?

Artificial insemination can be carried out independently or directly with the participation of a specialist in the clinic. To do this, the woman is placed on a gynecological chair, and access to the cervix is opened with the help of a mirror. The doctor inserts a catheter, and a syringe connected to it is filled with biological material. Then there is a gradual introduction of sperm into the uterine cavity. After insemination, the woman should remain motionless for about 30-40 minutes.

Insemination with donor sperm

When identifying serious illnesses the woman's partner, such as hepatitis, HIV and other potentially dangerous diseases, including genetic ones, then the donor’s sperm is used, which is stored frozen at a temperature of -197°C. Information about a person is not declassified, but the wife can always bring with her a person who has the right to donate seminal fluid for subsequent artificial insemination of the patient.

Husband's sperm

When using biological material from a spouse, sperm collection occurs on the day of the insemination procedure. To do this, the spouses come to the clinic, where biological material is donated. After this, the semen is analyzed and prepared for use. It is important to understand that before donating sperm, a man must abstain from sexual intercourse for at least 3 days in order to improve the quality of sperm.

Artificial insemination at home

Artificial insemination at home is allowed, although according to doctors its effectiveness is considered minimal, however, judging by reviews, successful attempts were recorded. You can buy it at the pharmacy special set for carrying out manipulations at home. The algorithm differs from that carried out in the clinic in that the sperm is injected into the vagina, and not into the uterus. When performing insemination on your own, you cannot reuse the kit, you must not lubricate the labia with saliva or cream, or inject sperm directly into the cervix.

Efficiency of the method

Positive result with the intrauterine artificial insemination procedure, it is achieved less frequently than with in vitro fertilization (IVF) and ranges from 3 to 49% (these are the most positive data). In practice, the number of attempts is limited to 3–4, since larger number the sample is considered ineffective. After this it is necessary to carry out additional research or adjustment of treatment. If pregnancy does not occur, you should resort to another method of artificial conception or change the sperm donor.

Risks and possible complications

As such complications intrauterine insemination does not cause, women are more at risk due to taking drugs that cause ovulation, so it is necessary to conduct tests for the possibility of allergies. In addition, the risk of having twins, or less often triplets, increases, due to the fact that several attempts are made to introduce sperm and stimulate the formation of more than one follicle.

Contraindications

Although artificial intrauterine insemination is a simple procedure with virtually no consequences, there are still some restrictions due to which it may be refused. Among them are problems with ovulation itself, which occurs with disturbances, tubal infertility(it is necessary that at least one intrauterine labor is capable), inflammation of the appendages and uterus, hormonal imbalances, infectious and viral diseases.

Price

It is impossible to say definitely how much artificial insemination costs, since prices will differ in each clinic in Moscow. It is important to understand that the procedure consists of several stages, including consultation, tests, and treatment. It is necessary to take into account the price of the medications that you will have to take. If donor sperm is used, then its cost should be added to the price. Today, according to the information provided on the Internet, the following figures can be cited:

Video

Achievements modern medicine allow you to make dreams of children come true. These days, no one is surprised to hear about IVF.

What do you need to know?

If you want to use artificial insemination, then you need to familiarize yourself with its basic principles. Reviews from people who have gone through this procedure are always a good help.

According to statistics, Most infertile couples prefer artificial insemination. This procedure has an affordable cost. It is done in many Russian clinics.

average price for artificial insemination (artificial insemination) fluctuates around 15,000 rubles.

The advantage of this procedure- it does not require separation from usual life. That is, immediately after the session the woman can begin her work.

Reviews about this procedure, usually positive. Here we must understand that success depends not only on the skills of doctors. The health status of the spouses is the most important factor, which determines the outcome of the session.

Concerning in vitro fertilization, then sometimes such a procedure is the only way out. Judging by the reviews, women who have gone through IVF recommend choosing a clinic carefully.

It is important to determine which medical equipment equipped center. It is equally important to find out the level of qualifications of embryologists.

If the embryology of the clinic is at a low level, then the procedures may fail. In this case, treatment turns into a banal pumping of money out of an infertile couple.

But IVF performed by professionals works wonders. There are excellent specialists in Russia who have helped many people become happy parents. Therefore, choose a medical center need recommendations, and not by the cost of services.

Methods and types of artificial insemination

Under artificial insemination understand the whole complex special methods infertility treatment.

This includes in vitro fertilization with transplantation of fragmented embryos into the uterus and fertilization by artificial insemination.

What is artificial insemination?

This method is also called insemination. In this option, sperm is injected into the lumen of the fallopian tubes or into the uterine cavity.

Artificial insemination is used in the following cases:

for certain diseases of men (impotence, hypospadias, lack of ejaculation, etc.);
anatomical changes in the cervix;
vaginismus that cannot be treated;
if antisperm antibodies are detected in a woman’s cervical mucus.

Before the procedure specialists examine the man's sperm. They find out the cause of infertility.

Insemination is carried out 2-3 times during one cycle. The procedure is repeated for at least 3 cycles.

If the examination revealed what the husband's sperm has pathological changes(decreased sperm count or no sperm at all), then we're talking about about donor sperm.

Sometimes the reason for using donor sperm becomes, which does not respond to treatment, and also genetic diseases from the husband's closest relatives.

Thus, the man’s seed is introduced into the female reproductive tract, bypassing barriers that are harmful to it. The procedure mechanism here is as follows: sperm are placed in the genital tract or uterine cavity.

Further one of them fertilizes a mature egg (artificial insemination). After this, it is implanted into the wall of the uterus, and the embryo continues to develop. With such fertilization there is no problem of “extra” embryos.

The positive result of the procedure largely depends on the diseases that the couple has. Sometimes a woman may miss her period even though she is not pregnant. Therefore, you can definitely find out about conception only with the help.

If ovarian stimulation is not performed, then insemination can be performed several times.

Usually, after insemination with donor sperm, pregnancy occurs in 80% of cases. Women who have undergone artificial insemination are under the supervision of a specialist from the antenatal clinic.

Typically, pregnancy and childbirth proceed without complications. Anomalies of fetal development in such cases do not occur more often than in other pregnant women.

What is in vitro fertilization (IVF)?

This method involves fertilization performed outside the body. Simply put, it is performed in laboratory conditions (in vitro).

The first test tube baby was born back in 1978. Today, in vitro fertilization is the most important method infertility treatment.

Every year there are born in the world more than 200 thousand children conceived through IVF.

This procedure is used in the following cases:

if a woman is infertile due to removed fallopian tubes;
with obstruction and low patency of the fallopian tubes;
in the absence of effect from long-term conservative treatment(more than 5 years);
surgical treatment did not bring positive results;
cases of unexplained infertility.

To carry out IVF, the uterus must fully retain its functions. That is, it is important that there are conditions for implantation of the embryo and for bearing the fetus.

Besides, the patient should have no contraindications for pregnancy and childbirth(here we mean chronic diseases women).

The ovaries must also retain the ability to respond to stimulation of the ovulation process. An important aspect is the absence of neoplasms, inflammation and anatomical changes in reproductive organs. Women over 40 years old IVF is contraindicated.

The procedure (process) of artificial insemination includes next steps:

obtaining eggs from the patient;
fertilization of eggs with the spouse's sperm;
surveillance developing embryos in laboratory conditions;
transfer of embryos into the uterine cavity.

You can take a hormone test or buy one.

If you want to carry out insemination on your own, then Please note that sperm remains active for no more than 2 hours. It cannot be properly frozen and stored at home.

That is, it will not be possible to completely imitate the conditions of a clinic. Therefore, sperm should be used immediately after ejaculation.

The procedure is carried out using a syringe without a needle. To collect sperm you will need a sterile and dry container. You can use a vaginal dilator.

After receiving sperm from the donor, wait for it to liquefy (no more than 20 minutes). After that sperm is drawn into a syringe and inject it into the vagina.

Wherein is strictly prohibited inject sperm into the uterine cavity. Independent manipulations should not affect the sterile cavity. This can lead to infection or injury.

If home insemination is successful, the result will be pregnancy.

Despite the fact that artificial insemination does not always result in conception, don't despair. Try hard, be patient and professional approach specialists are important success factors.

The reward for your work will be a long-awaited baby.

ECO. School of Doctor Komarovsky.

Nowadays, women are increasingly forced to turn to special medical centers that offer artificial insemination services. One can talk a lot about the reasons that influenced the occurrence similar situation, but that's not that important. The important thing is that a woman who really wants a charming baby to appear in her family is suddenly faced with the fact that this cannot happen. And he finds himself in a state of despair and hopelessness...

Yes, it would be wonderful if you could just touch a Buddha statue and be sure to conceive at the very first sexual contact, like in the movie “Love in the City 2.” But, unfortunately, this is only a movie...

However, in reality, there is also a saving option. This is artificial insemination. And it doesn’t matter that sometimes you have to wait for results for years, making numerous attempts and spending money over and over again. It is important that there is a chance. But even here everything is not so simple: there are certain conditions for successful fertilization.
For example, IUM (intrauterine insemination) can only be carried out if the woman is healthy and has patent the fallopian tubes. In the husband, the fertilizing abilities of sperm are reduced, but with certain manipulations they become sufficient to fertilize the egg directly in the uterine cavity. This procedure is also carried out in case of incompatibility of spouses, when cervical mucus has a negative effect on sperm. In other cases, they resort to the help of a donor (ISD). Fertilization is attempted on the most favorable day for this, sometimes even several times per cycle. The efficiency of ISM and ISD is quite high - up to 40 and 80%, respectively.

Another type of artificial insemination is GIFT, when eggs with already implanted sperm are transferred into the fallopian tubes. This procedure will be successful if it is performed in a timely manner and if the woman does not have tubal obstruction.

With transfer, but already of the embryo (i.e. in in this case zygotes), another method of artificial insemination is connected to the pipe - ZIFT. This method is believed to be more effective. However, both of them are carried out once. Another difference is that with GIFT, input is made from the side abdominal cavity, and with ZIFT - directly through the cervix. The effectiveness of both methods is estimated at a 30% chance of conception. The downside is that these methods are practically not used in our country.

The most popular method nowadays is IVF - in vitro fertilization. In this case, fertilization is carried out in vitro, i.e. An egg is taken from a woman, after which it is fertilized with her husband’s sperm, and then observations are made initial development fetus in laboratory conditions. Only after this the fetus is transferred into the uterine cavity, usually this happens 2-5 days after fertilization. The procedure for transferring an embryo into the uterine cavity is very simple and takes only a few minutes: the woman sits on a gynecological chair, and the unborn baby is inserted through the cervix through a special catheter. For the method to be effective, several eggs are usually taken from a woman at once, stimulating their maturation hormonal drugs(after all, for menstrual cycle only one matures). And usually several embryos are also fertilized and transferred, usually two. This increases the chances, but also the possibility of having twins. The effectiveness of the IVF method is estimated at 30%.

Modern medicine has come a long way. Therefore, there is no need to despair. It's worth taking advantage of the new opportunities. And your reward will be the smile of your newborn baby (or babies). The main thing is to believe!