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"},"1557":{"operation":{"name":"Operativer Schwangerschaftsabbruch","alias":"surgical-abortion","use_for_listing":true},"country_price":{"US":{"amount":750,"max_amount":1600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2100,"max_amount":3900,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":650,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":1200,"max_amount":2000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"IT":{"amount":900,"max_amount":1800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"IT":false}},"1708":{"operation":{"name":"ROPA-Methode (Reziproke IVF)","alias":"ropa-method-reciprocal-ivf","use_for_listing":true},"country_price":{"US":{"amount":14500,"max_amount":23000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3600,"max_amount":5800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":6500,"max_amount":10500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":6200,"max_amount":8800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"IT":{"amount":5800,"max_amount":8800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"IT":false}}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":5,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":12585}},"direction":{"id":68,"name":"Reproduktionslehre","alias":"reproductology"},"illness_kind":{"id":68,"name":{"en":"Reproductology"}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["local_sedation"],"back_to_work_days":{"min":1,"max":2,"unit":"days","qualifier":"Light or office work often resumes 1-2 days after retrieval; embryo transfer needs little or no time off."},"complication_rate_pct":{"min":0.2,"max":1,"unit":"percent","qualifier":"Major events per cycle: severe OHSS needing hospitalization or serious retrieval complications (each about 0.1-0.5%). Minor symptoms excluded."},"contraindications":["Pregnancy","Uterine cavity abnormality preventing pregnancy, until treated","Severe active ovarian hyperstimulation risk (relative; may need freeze-all)","Uncontrolled systemic illness making pregnancy unsafe (cardiac, renal, hepatic)","Unexplored abnormal uterine bleeding or suspected gynecological malignancy","Very low ovarian reserve or poor response (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Egg retrieval and embryo transfer are performed as day-case procedures without overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Avoid strenuous exercise while ovaries are enlarged after retrieval; light activity is allowed earlier."},"final_result_months":{"min":10,"max":14,"unit":"months","qualifier":"Birth about 9 months after successful transfer; lead-up is about 1-3 months. Failed first transfer adds time."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Fly 1-3 days after egg retrieval if no OHSS signs, pain or bleeding. Frozen transfer is a separate later visit."},"follow_up_visits":[{"purpose":"assessment","requirement":"conditional","after":{"min":2,"max":5,"unit":"days","qualifier":"Check after egg retrieval if symptoms occur; conditional on pain, bloating or other concerns."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":75,"unit":"days","qualifier":"Review of embryo genetic results and embryo sex before transfer planning; timing varies by lab."}}],"indications":["Infertility requiring IVF with embryo sex selection","Preventing X-linked disease by selecting unaffected-sex embryos"],"main_risks":["Ovarian hyperstimulation syndrome","Bleeding, infection or organ injury at egg retrieval (uncommon)","Risks of sedation","Multiple pregnancy if more than one embryo is transferred","Failure of stimulation, fertilization, embryo development or implantation","Biopsy-related embryo damage and rare testing errors or inconclusive results","Ectopic pregnancy and miscarriage"],"pain":"Injections and monitoring cause mild discomfort; egg retrieval is done under sedation with mild to moderate cramping and bloating afterward. Embryo transfer is usually nearly painless.","preparation":["Fertility assessment of both partners (reserve, semen, uterus)","Infectious disease screening and general health check","Genetic counseling and confirmation of legal eligibility for sex selection","Ovarian stimulation with ultrasound and blood monitoring","Fasting before sedation for egg retrieval","Avoid smoking and alcohol; maintain healthy lifestyle"],"recovery_timeline":[{"phase":"Egg retrieval day","description":"Short observation after sedation, with mild cramping and bloating.","restrictions":["No driving after sedation","Rest for the day"]},{"phase":"Days 1-3 after retrieval","description":"Bloating and mild discomfort settle; ordinary activity resumes gradually. Seek care for severe pain, fainting, heavy bleeding or rapid weight gain.","restrictions":["Avoid strenuous exercise"]},{"phase":"Embryo biopsy and genetic testing","description":"Embryos are biopsied at blastocyst stage, frozen, and tested; results usually take days to a few weeks.","restrictions":[]},{"phase":"Frozen embryo transfer","description":"Selected embryo is transferred in a subsequent prepared cycle, followed by a pregnancy test about 9-14 days later.","restrictions":["Avoid heavy exertion per clinic advice"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Ordinary functional recovery after egg retrieval; no formal rehabilitation."},"result_longevity":"The result is permanent: a child born from a sex-selected embryo keeps that sex for life, and the procedure does not need to be maintained.","revision_rate_pct":{"min":30,"max":50,"unit":"percent","qualifier":"Share of patients needing a repeat stimulation cycle to obtain a euploid embryo of the chosen sex; rises with age."},"scars":"No visible scars are left, because egg retrieval is a transvaginal needle puncture and embryo transfer uses a catheter through the cervix.","sessions_or_stages":{"sessions":{"min":2,"max":2,"unit":"visits","qualifier":"Egg retrieval and frozen embryo transfer as treatment procedures, excluding monitoring scans and follow-up checks; further cycles may be needed."},"stages":[{"code":"egg_retrieval","label":"Egg retrieval after ovarian stimulation, fertilization and embryo culture","after":{"min":10,"max":14,"unit":"days","qualifier":"From start of stimulation."}},{"code":"embryo_biopsy_pgt","label":"Blastocyst biopsy, freezing and genetic testing including sex determination (laboratory stage)","after":{"min":15,"max":21,"unit":"days","qualifier":"From start of stimulation; typically day 5-7 of embryo culture after retrieval."}},{"code":"frozen_embryo_transfer","label":"Transfer of a selected embryo of the chosen sex in a prepared cycle","after":{"min":40,"max":90,"unit":"days","qualifier":"From egg retrieval; depends on test turnaround and cycle preparation."}}],"qualifier":"One IVF cycle with PGT and frozen transfer; further cycles may be needed."},"success":{"metric":"Live birth rate per single frozen euploid embryo transfer (sex-selected embryos)","value":56.7,"unit":"percent","horizon":"Per transfer, to live birth","evidence_status":"limited","population":"IVF/ICSI with PGT-A, single frozen euploid transfer, both sexes available"},"techniques":[{"name":"IVF/ICSI with blastocyst biopsy and PGT-A (chromosomal screening with sex determination)","suits_whom":"Couples wanting aneuploidy screening with sex information, where legally permitted","recovery":"Same as egg retrieval; embryos frozen pending results."},{"name":"IVF with PGT-M and sex determination for X-linked disease","suits_whom":"Carriers of X-linked conditions","recovery":"Same as egg retrieval; longer test preparation may be needed."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.25,"max":0.5,"unit":"hours","qualifier":"Egg retrieval procedure only; ovarian stimulation takes about 10-14 days and embryo transfer is a separate short visit."},"initial_assessment_documents":["AMH and FSH blood test results","Recent pelvic ultrasound with antral follicle count","Partner's semen analysis","Previous IVF cycle reports (if available)","Genetic carrier report for X-linked condition (if available)","Hysteroscopy or uterine cavity report (if available)"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Trip 1: stimulation and retrieval, 11-17 days. Trip 2: frozen transfer 40-90 days later, stay 3-7 days."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the clinic's policy on nonmedical sex selection before treatment starts","scope":"procedure","source":{"url":"https://www.asrm.org/practice-guidance/ethics-opinions/disclosure-of-sex-when-incidentally-revealed-as-part-of-preimplantation-genetic-testing-pgt-an-ethics-committee-opinion-2018/","host":"asrm.org","quote":"Clinics should inform patients of these policies prior to initiating treatment.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check that consent to the procedure is informed and given without coercion","scope":"procedure","source":{"url":"https://www.asrm.org/practice-guidance/ethics-opinions/use-of-reproductive-technology-for-sex-selection-for-nonmedical-reasons-an-ethics-committee-opinion-2022","host":"asrm.org","quote":"providers should ensure that consent is informed and that patients are not subject to coercion in choosing the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that you receive full counselling about the risks of the procedure","scope":"procedure","source":{"url":"https://www.asrm.org/practice-guidance/ethics-opinions/use-of-reproductive-technology-for-sex-selection-for-nonmedical-reasons-an-ethics-committee-opinion-2022","host":"asrm.org","quote":"she must be counseled fully about the risks of the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check whether the clinic has a national regulator and which laws it must follow","scope":"treatment_abroad","source":{"url":"https://hfea.gov.uk/treatments/explore-all-treatments/fertility-treatment-abroad/","host":"hfea.gov.uk","quote":"Ask your clinic if there's a national regulator or what laws they are required to follow.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check the clinic's multiple pregnancy rate","scope":"treatment_abroad","source":{"url":"https://hfea.gov.uk/treatments/explore-all-treatments/fertility-treatment-abroad/","host":"hfea.gov.uk","quote":"You should also ask about your clinic's multiple pregnancy rates.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C6","text":"Check in advance how complaints are handled if something goes wrong","scope":"treatment_abroad","source":{"url":"https://hfea.gov.uk/treatments/explore-all-treatments/fertility-treatment-abroad/","host":"hfea.gov.uk","quote":"You should find out in advance how a complaint will be handled in the event that something goes wrong.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C7","text":"Check the clinic's record on standards and safety","scope":"treatment_abroad","source":{"url":"https://hfea.gov.uk/treatments/explore-all-treatments/fertility-treatment-abroad/","host":"hfea.gov.uk","quote":"What is the clinic’s record on standards and safety?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it 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summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare 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day","source":{"url":"https://my.clevelandclinic.org/health/treatments/22457-ivf","host":"my.clevelandclinic.org","quote":"Many people will return to normal activities right after their egg retrieval procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}},{"id":"ivf-m-sex","name":"IVF with PGT-M and sex determination for X-linked disease","how_it_works":{"text":"Embryos are made outside the body and tested for the condition","source":{"url":"https://www.guysandstthomas.nhs.uk/our-services/pre-implantation-genetic-testing-pgt-msr","host":"guysandstthomas.nhs.uk","quote":"Embryos are created outside of the body and are tested for the genetic condition in the family.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":403}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/treatments/22457-ivf","host":"my.clevelandclinic.org","quote":"Many people will return to normal activities right after their egg retrieval procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=italiya/city=milan/procedure=eko-ekstrakorporalnoe-oplodotvorenie-s-vuborom-pola/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":60},"manualSeo":[],"updatedAt":"2026-11-12T10:15:13.000Z","activeCountries":["IT","TR","AT","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}