Kinderwunschzentrum Magdeburg –
Your desire to have a child is close to our hearts.

Please send us the following documents by e-mail, fax or post at least 1 week before your initial consultation:

1. referral from both partners
2. Carefully completed and signed medical history form, which you can find on our website
3. Findings, if available (hormone values, letter after uterus/abdominal endoscopy, last smear test from gynecologist, spermiogram)

For diagnostics or before treatment: Insemination (IUI), In-Vitro-Fertilization (IVF), Intracytoplasmic Sperm Injection (ICSI) the following must be observed:

• Please bring your identity card for sample identification to this appointment
• you should not have had a Covid-19 infection at least 3 months before your appointment/before treatment, as this can affect sperm quality
• you should not have taken any antibiotics for at least 2 weeks before your appointment
• you should have observed a waiting period (abstinence) of 2-3 days before your appointment
• you should avoid contamination before taking the sample, as this can lead to false results
• please wash your hands before and after taking the sample and do not touch the inside of the container
• Do not wash your genital area with soap
• Do not use lubricants before collecting the sample

• Maintain a healthy body weight, it can help you to improve your fertility. If you are overweight or underweight, we recommend nutritional advice, a physical examination if necessary, an examination of your insulin metabolism and, if necessary, support with medication
• Completely giving up nicotine long before starting treatment is advisable and can increase fertility in both men and women. Smoking can cause damage to the germ cells (egg cells, sperm cells) but also to ovarian function and sperm quality. The same applies to alcohol and drugs.
• Eat a healthy and balanced diet with plenty of fruit, vegetables and wholegrain products.
• Supplements such as folic acid, iron, vitamin D and omega-3 fatty acids are also recommended.
• Avoid sugar and sugary drinks (cola, lemonade, fruit juices) and eat plenty of protein-rich foods (legumes or quark as well as chicken, turkey or steak).
• Make sure you get enough physical exercise
• It is important to get enough healthy sleep and reduce stress, as stress can affect hormone production and therefore reduce the chances of pregnancy. Try relaxation techniques such as yoga, meditation or breathing exercises.

Endometriosis is a condition where tissue similar to the lining of the uterus is found in various locations within the abdominal cavity. These areas can include the ovaries, fallopian tubes, intestines, bladder, and the lining of the abdomen. This abnormal distribution of tissue can cause various symptoms, including severe menstrual pain, pain during intercourse, and pain during bowel movements or urination.

The exact causes of endometriosis remain unclear. One possible explanation is that menstrual blood flows backward through the fallopian tubes into the abdominal cavity, carrying endometrial tissue with it. Genetic and immunological factors are also being considered as potential causes.

A definitive diagnosis of endometriosis can only be made through laparoscopy. Indications of the disease can be gathered from a detailed medical history (symptoms) and possibly through ultrasound examinations if endometriosis cysts are suspected.

Endometriosis can impair fertility to varying degrees, depending on its severity. Particularly for those wishing to conceive, early detection and treatment of endometriosis are crucial. Treatment can be either medication-based or surgical and is often key to the success of fertility treatments.

If endometriosis is suspected, it is essential to seek prompt evaluation at a fertility center to ensure an accurate diagnosis and appropriate treatment.

We provide treatment to patients with all types of health insurance, whether statutory (“gesetzlich”) or private.

According to §27a SGB V for couples with statutory insurance, 50% of all treatment and medication costs are covered by their health insurance, in case of up to:

• 8 cycles of intrauterine insemination in the spontaneous cycle
• 3 cycles of intrauterine insemination after hormonal stimulation
• 3 cycles of In Vitro Fertilization (IVF) or Intracytoplasmic Sperm Injection (ICSI)

The following requirements must be met:

• The couple must be married.
• The woman must be between the ages of 25 and 40 and the man between the ages of 25 and 50.
• There must be a treatment plan that reflects the planned treatment and the costs incurred.
• The treatment must be medically justified.
• There must be a reasonable prospect that the treatment will successfully bring about a pregnancy.
• Only egg and sperm cells from both partners are used.
• Before the treatment is carried out, a doctor who does not perform the treatment must inform the spouses of the medical and psychosocial aspects.
• The HIV status of both partners must be known.

In case that not all of these requirements are met, the patient must bear the full cost of the treatment.

In private health insurance, reimbursement is based on the originator principle (the insurance company of the person responsible for the main diagnosis pays)

For couples with mixed insurance, determining the cost can be somewhat challenging. Therefore, patients should contact their insurance company to determine the cost coverage before undergoing treatment.

We will discuss the expected costs with you before starting the treatment.

According to §27a SGB V, treatment cost is regulated as follows:

• Insemination: approximately € 100 plus medication worth € 30 to € 300
• In vitro fertilization: around € 700 plus medicines worth € 500 to € 700
• In vitro fertilization with injection of sperm into the egg cell: approximately € 900 plus medication worth € 500 to € 700

Patients who do not fall under the regulation of §27a SGB V must pay for the treatment out-of-pocket.

Therefore, privately insured and self-paying patients receive a cost estimate from us in advance. Privately insured patients should talk to their insurance company about the cost coverage before undergoing treatment.

In the case of insemination, we will bill you, and you will pay on the day of the procedure. In the case of in vitro fertilization, we will bill you, and you will pay on the day of the embryo transfer.

State funds are available to assist childless couples with the cost of assisted reproductive measures in Saxony-Anhalt. This is the first federal state in Germany to offer these allowances to non-married couples, provided that they are co-habiting partners. The grants are available to couples who are members of statutory health insurance (GKV) or who are entitled to benefits from the state aid office and/or a private insurance company (PKV).

The state provides subsidies towards the costs of the 1st to 3rd in-vitro fertilization treatments, including those with sperm injection, with each treatment cycle requiring a new application. Couples can receive funding if they have not yet started the eligible treatment cycle, and treatment can only commence after they have been notified of the grant.

Funding is available up to the following maximum amounts for the first to third treatment cycles:

• In vitro fertilization up to 800 EUR
• In vitro fertilization with sperm injection up to 900 EUR.

To be eligible for the grant, the couple must have their main residence in Saxony-Anhalt and meet the following requirements:

• The woman must be between 25 and 40 years old and the man between 25 and 50 years old.
• The couple must be married or in a non-marital partnership, and the attending physician must confirm that they are living together in an established partnership, with the man acknowledging paternity of the child.

The State Youth Welfare Office (Jugendamt), specifically the Department for Family and Women at the State Administration Office is the contact point for funding. Dana Knipl can be reached at 0345-5141642. The legal basis for the grants is the Directive on the Granting of Grants for the Promotion of Assisted Reproduction Measures by the State of Saxony-Anhalt and the Federal Government (Rd.Erl. des MS dated 18.12.2013-42.2).

Cryopreservation of surplus, fertilized egg cells (pronuclear or PN cells):

As we deliberately allow several follicles to mature during stimulation for in vitro fertilization, more eggs are often retrieved and fertilized than are needed. What happens to the surplus eggs? These must be discarded or can be frozen at your request. These surplus, cryopreserved cells are very useful, especially after an unsuccessful treatment or if you wish to have a sibling. With the help of this procedure, a new treatment cycle is possible without hormonal stimulation and without egg retrieval. Such a treatment cycle is also known as a cryocycle. With these cryopreserved cells, you have an additional chance and can also save money. The costs are independent of the number of fertilized eggs.

• Cryopreservation of fertilized eggs 485 EUR
• per blastocyst 79.89 EUR
• Storage fees for the first six months 180 EUR
• The storage period can be extended from the 7th month by 3 months for EUR 135, 6 months for EUR 220 and 12 months for EUR 320.

Blastocyst culture with embryo transfer on day 4 or 5 after puncture:

If the number and quality of the fertilized eggs/embryos is sufficient, we recommend blastocyst culture. Despite careful examination and planning, it is not possible to predict exactly how many eggs will develop into viable embryos. This means that more embryos may be created than can be transferred to you and than were planned for transfer. At our center, we only cryopreserve surplus embryos that have developed into a blastocyst in culture.

• Blastocyst culture 350 EUR

Time Lapse System (Geri), optimized assessment of cell development:

Using a specially developed camera-microscope unit, we can continuously monitor and assess the development of your eggs and embryos in real time throughout the entire culture in the incubator. This gives us the opportunity to record all changes in the cells/embryos. The additional information obtained, such as the rate of division, allows an optimized assessment of the developmental capacity of the eggs/embryos and thus leads to an improved pregnancy rate.

• Optimized assessment independent of the number of fertilized eggs 400 EUR

Assisted hatching, the “hatching aid” for the embryo:

An embryo initially carries its own shell from which it must hatch before it can implant in the uterine lining. In some cases, this process can be difficult and thus jeopardize successful implantation. With the help of a computer-controlled infrared laser, we can safely incise the embryo’s membrane and thus make it easier for the embryo to hatch. This measure leads to an improved pregnancy rate and is carried out immediately before the transfer.

• Assisted hatching regardless of the number of embryos 150 EUR

EmbryoGlue, support for implantation:

Once we have placed your embryo in the uterus, it must implant in the uterine lining within a certain time window. We can help with this by flushing it with Embryoglue, a liquid containing hyaluronic acid. Hyaluronic acid occurs naturally in all tissues. In the lining of the uterus, it acts as a bridge between the embryo and the lining of the uterus, thus facilitating implantation. This measure leads to an improvement in the pregnancy rate and is carried out immediately before the transfer.

• EmbryoGlue regardless of the number of embryos 100 EUR

These are our cooperation partners:

• VivaNeo Sperm Bank (Düsseldorf)

https://www.vivaneo-spermbank.com/de/samenspender-finden/

• Cryos International (Dänemark)

https://www.cryosinternational.com/de-de/dk-shop/privatpersonen/

• European Sperm Bank (Dänemark)

https://www.europeanspermbank.com/de-de

• SEJ Samenbank Berlin GmbH

https://www.samenbank-berlin.de/

• Cryostore Deutschland GmbH (Essen)

https://www.cryostore.de/

• Sellmer Diers (Dänemark)

https://www.sellmerdiers.de

These are our cooperation partners:

• Sandy Messchendorf

Tel: 0177 1763472 · www.sandy-stockmann.de