We're really pleased to have Juliet Le Page write another guest blog for us.
I am Juliet Le Page working as a fertility awareness practitioner in Edinburgh with a further qualification under my belt! Fertility UK (www.fertilityuk.org) is the national fertility awareness and natural family planning service for the United Kingdom. Run by Jane Knight (Specialist Fertility Nurse Counsellor, Fertility UK) and Dr Cecilia Pyper (Primary Care Consultant and Associate Public Health Action Support Team (PHAST)) they are at the very top of their relative professions when it comes to all things related to female reproductive health.
The new qualification means being able to teach the sympto-thermal method of fertility awareness as well as the Billings Ovulation Method and in Scotland there are only three of us practitioners being able to provide this service so I feel in exalted company!
Difficulty conceiving, pregnancy loss, secondary infertility, the list goes on, can be devastating, and it's time we openly acknowledged that. So why do we all find it so hard to openly talk about our problems?
Talking About Trying
I am going to make a plug here for INUK (Infertility Network UK) ‘Talking about Trying’ campaign.
This particular campaign, that INUK is running, aims to bring infertility out of the closet and get lots of people talking more openly about it. And it’s very empowering. By speaking out, telling others your story and sharing your experiences, you will empower others to do the same and help to raise much more awareness of the pain of infertility or any other conception problem.
In America there is a similar campaign that apparently is working brilliantly! Find out what they are doing and let’s do the same over here. Get behind the INUK campaign or start one in your own country and spread the word and help us get more people Talking about Trying!
So, you may want to know, what are you doing about it Juliet? Well if you Google my name you will see I have been interviewed many times for various newspapers, spoken on the Radio and appeared on television talking mostly about egg donation but also other forms of assisted conception as well. And I know how difficult this is to do as I am not comfortable being in front of the camera so to speak. But I do believe that I have a duty to our two children to prove that there is a good reason to be open and honest about the problems we had conceiving otherwise what sort of example am I setting them and, for that matter, all of you out there!
So let’s end the isolation and secrecy of infertility or any of the problems you have had conceiving/keeping hold of a pregnancy and get talking about them.
And two events coming up in Scotland where you could try out your newly found ‘voice’:
Fertility Information Day, Saturday 5th April 2014, Macdonald Holyrood Hotel, Edinburgh 9.30am – 4pm Contact firstname.lastname@example.org
We are also hosting a FREE event with Barcelona IVF on Saturday 6th September 2014 at the Sheraton Hotel, Edinburgh. A gift, courtesy of Barcelona IVF, of one free IVF treatment will be drawn at the event for one lucky recipient.
For this event please email email@example.com or call 07760
196 321 / 07505 976 208 as a ticket will be required.
Do please feel free to contact me at www.fertilityconcerns.co.uk, www.fertilityfocus.org.uk or text me on 07505 976 208.
What are your feelings? Do you find it easy to talk openly about infertility? Leave your comments below.
You may also like to read on our blog : Communication is Key for IVF Clinics Abroad
You can also find out loads of information about IVF clinics online either from websites like this one or through reading reviews on forums. But after you have done all this research, the next step is to actually communicate with your preferred clinics. And communication is the key between you choosing one clinic over another.
Ideally the steps to choose a clinic may run like this:
· You research online about IVF clinics and read about other’s experiences
· You contact your preferred clinics by email or phone
· You receive information back from ALL of them detailing costs, waiting times, options etc.
· Based on the information received, you set up a phone call or Skype consultation with 1 or 2 to discuss your treatment further
· You make a decision to undergo treatment with one clinic
· You visit the clinic for the first consultation
Following on from here, frequent and responsive communication between yourself and the clinic will ensure that you are fully informed of all decisions being taken. This is especially so with regard to egg donation where you will have questions regarding the process and also the eventual egg donor chosen for you. Sometimes, finding a suitable donor may take a few weeks and it can be during this time that you may feel anxious. If communication is not forthcoming, you may feel forgotten and worry that nothing is being done. An email from your clinic updating you on progress can put your mind at ease, but this doesn’t always happen.
Speaking to a doctor is not always possible, so IVF clinics abroad usually employ staff who to be the main point of contact between you and the clinic. These IVF coordinators are usually fluent in many languages and are trained to provide all the information you require. They will be mainly who you will communicate with. Often patients build a good rapport with them and know that they are on hand for support.
With today’s technology available to us, communication is easier and cheaper than ever before, and this should in theory make your IVF journey both less stressful and less expensive.
Find out more about Choosing an IVF Clinic Abroad
People travelling abroad for IVF donor egg treatment usually do so because the law does not allow it in their own country (e.g. Germany), or the waiting list is too long at home, or they would prefer an anonymous donor. Another reason is that the cost of treatment at home is just too expensive for some couples. Their wish for a family means that they have to take a leap of faith and travel abroad for treatment. IVF clinics in some European countries offer much lower prices for IVF treatment and even with travel, the cost can often be much less than treatment at home. Egg sharing is by far the cheaper option and prices can be up to half that of the full price of egg donation treatment.
I have visited a few of the clinics on my website whilst in Spain and the Czech Republic and I noticed that only some offer IVF donor egg sharing. In terms of logistics, it must be difficult to coordinate with people who are travelling from abroad, although there is always the option of freezing surplus eggs from a donor. But many people wish fresh egg cycles with the option of freezing surplus good quality embryos.
Donor Egg Sharing Checklist
I have had a few emails in the past from people who have undertaken donor egg sharing abroad, and based on their information, people considering this should check with the clinic:
· How many recipients will receive eggs from the one donor who is stimulated? It may not just be one other recipient. This information may impact your decision to proceed.
· If there are more than two recipients, you may want to ask about guarantees for the number of eggs you may receive. Remember that not all the eggs will fertilise, and fewer still will make it to blastocyst and freezing stage.
· You may want to find out the pregnancy success rate for people who undergo egg sharing as a treatment.
Throughout the website, I have tried to detail which IVF clinics offer egg sharing as a possibility, but further questions should be asked if this is an option which interests you. Egg sharing can be very successful but as with anything, ensure that you have the full facts before committing.
Browsing the internet you get a sense that there are lots more countries which offer donor egg treatment than ever before. In the past, Spain was usually the destination of choice in Europe because of its liberal fertility laws and familiarity. However, clinics from many countries in Europe, once considered inaccessible, are now reaching out to people beyond their borders.
IVF clinics in the Czech Republic, Poland, Russia and Bulgaria are cropping up and their prices are very competitive. I have talked extensively in other posts about egg donation in Spain, the Czech Republic and Greece, but what about other lesser known fertility destinations? Bulgaria is one country where there are many new IVF clinics looking abroad for potential patients. In Bulgaria the laws are pretty similar to the rest of Europe. Egg donation is anonymous, and there is an age restriction. But one notable difference is that close relatives (sisters and cousins) are allowed to donate to each other. In addition, egg donors are obliged to record their details with a government central authority. This means that clinics know how many times each woman has donated. This is not the case in many other countries in Europe where there is no central register and in theory egg donors can donate many times (in practise this probably doesn’t happen). Egg donors in Bulgaria are only allowed to have 5 children by law including their own. This register helps to enforce this law.
If you are considering fertility treatment abroad, the choice may be overwhelming and as more and more clinics open up the decision gets harder and harder. Finding unbiased reviews of clinics can be tricky and of course new IVF clinics may not have undertaken many treatment cycles to be able to publish full statistics. Lots of research is needed to ensure that you are comfortable with your decision. We have lots of information on clinics in Spain, Greece and the Czech Republic and we hope to provide you with information from other countries soon.
Thanks to the staff from Newlife IVF clinic in Greece for agreeing to our interview.
IVF in Greece is very popular with people from overseas, why do you think that is?
When choosing to have IVF treatment (own or donor eggs) there are certain issues to consider: location, cost, experience, success rate, safety, and of course legal issues.
Greece offers a great deal in all of these aspects. To begin with Greece is an excellent holiday destination, well known for its hospitality, beautiful beaches and relaxed lifestyle. Cost wise Greece works out to be much cheaper in comparison to other countries, not only as regards to treatment but also as regards to accommodation and travel expenses. As IVF Units in Greece are private they strive to have the best success rates and to ensure maximum safety. This is achieved by having cutting edge equipment, highly qualified and experienced personnel, in most cases having trained and worked in western European countries. Finally, the legal framework is not as strict as in many other countries, enabling us to focus on patient care and not cost effectiveness of a national health service without long waiting lists.
Can you tell us a bit about Newlife IVF clinic. What makes it different from other IVF clinics?
We have been characterized by our clients as a ‘Boutique clinic’. We aim to know each and every client well, we limit the number of patients that we see and offer extra services such as longer office visits and e-mail, skype and mobile phone availability. The treatments are all selected on an individualized basis that in combination with the latest technological equipment and the knowledge and experience of the staff lead to high success rates. What we aim for is that each and every person receives the necessary attention to have the best treatment possible and to also to feel that Newlife is a home away from home.
Newlife IVF clinic undertakes a lot of IVF cycles compared to egg donation. Is there a reason for this?
Egg donation is only part of what our unit offers. A large number of our patients can achieve a pregnancy with their own eggs / gametes. As each case receives individualized therapy we will always consult with a couple first to see if they wish to pursue treatment with their own gametes or if they wish to undertake treatment with donor eggs. During our consultation we always make it clear to each couple what they should expect from each type of treatment but also we point out what are the realistic options for them.
Will you always agree to IVF using own eggs if a women desires this regardless of age or how do you manage expectations?
Legally in Greece all types of infertility treatments are allowed up to the age of 50. We do strongly believe that each case should be looked upon on an individual basis and all medical decisions should be tailored according to the needs but also the wants of each individual. Some women want to pursue the chance of an own egg baby even when the success rates are very low. As long as someone is fully informed of all options available to them, along with the expected results of these options we are happy to pursue everyone’s dream.
People travelling from abroad often worry about standards and care in clinics they travel to. How can you reassure them at Newlife?
The medical and laboratory facilities have been designed according to the strictest guidelines of the European Society of Human Reproduction and Embryology (ESHRE) and the American Society of Reproductive Medicine (ASRM). Our surgical theatres have been especially designed and equipped to ensure patient safety.
All medical procedures are conducted by highly qualified and experienced doctors. Both our embryologists are ESHRE Senior Clinical Embryologist accredited.
We are also proud to say that for the past 3 years we have been an Ovarian Hyperstimulation Syndrome (OHSS) free clinic, ensuring the safety of our stimulated cycle patients.
Our Goal is to be in the frontline of scientific developments in the field of fertility treatments and operate for our patient’s safety according to the European guidelines of Bioethics. In order to ensure that the quality of our services is kept at the upmost level we have also been ISO certified (ISO 9001:2008) by TUV.
All staff that deal with our international patients are if not native speakers, fluent in English. As we do deal with couples of various nationalities we will take every effort to have an interpreter on site if needed, as we believe that part of feeling safe means that you are in a position to understand every step clearly.
What do you think has been the biggest breakthrough in IVF treatment in recent years?
The biggest breakthroughs in IVF treatment can be separated in two categories those that have to do with the medical treatment and those that have to do with the laboratory. Medically ‘patient care individualization’ is probably the most important step that infertility doctors have made as this optimizes the patients results. More patient friendly drug regimes have been developed allowing for less drugs or fewer days of treatment without any drop in success rates. However, all of this would not be possible if there had not been significant improvements in embryo culture media. The modern IVF lab nowadays needs a smaller number of embryos to achieve very good results. Furthermore, many new techniques (embryoscope, timelapse, PGD/PGS) are being implemented as we speak regarding embryo selection. We truly believe that if one of these techniques proves to be as good as initial studies have shown, we might be in a position to say that this would be the most important breakthrough in IVF treatment, giving new hope to many couples.
Is your clinic involved in research? How do you keep up to date with what's happening in the field of IVF?
As Newlife is a private IVF unit we only offer treatments that have been medically proven and are evidence based. We do not practice research techniques that may offer higher success rates but may also prove to be unsafe for a couple or the potential offspring. However, all staff is kept up to date by participating in international medical conferences and is trained in any new techniques as soon as they are made available.
Finally, what does Thessaloniki offer to patients coming for IVF treatment. Are there many tourist attractions to visit?
Thessaloniki is an ideal tourist destination, enchanting visitors with its beauty and rich cultural heritage. It has the best nightlife, shopping, fine dining and cultural events outside of Athens, but with a friendlier, less hectic vibe (lonely planet). There is a variety of accommodation, from five star resorts to low cost budget accommodation to suit everyone’s needs. Halikidiki with its 550 kilometres of coastline, golden beaches and blue sea is only a 40 minute drive away. Many of our clients choose to stay there during the summer period, as the time needed to be at the IVF unit is not very demanding and therefore they can rest and enjoy their holiday. Although the flights to Thessaloniki may be less frequent than to the capital Athens, the total cost of treatment, including travel, cost of living and accommodation may well work out to be much less if looked upon in detail. Furthermore, Thessaloniki is not affected by riots and demonstrations like the capital Athens, and therefore is a more quiet and safe place to travel to.
Want to find out more about what the clinic offers? We have lots more information on Newlife IVF clinic in Greece.
Can you tell us a little more about Arleta IVF fertility clinic? For example, what does it specialize in? Who would it be most suitable for?
Arleta IVF is a private fertility clinic specialising in IVF treatment with donated or own oocytes. We focus on the treatment of Recurrent Pregnancy Loss and family planning among couples with a problematic genetic history. Unlike other clinics of assisted reproduction, we take care of women with high-risk pregnancy until birth. During the pregnancy we are able to provide prenatal screening.
What kind of support is available for people who are travelling from abroad for treatment at Arleta IVF?
We offer 3 different packages to meet different client's needs and wishes. Every package includes complete medical treatment with all necessary tests and procedures.
Most comprehensive is the Ultra All Inclusive Package, which includes apart the complete medical treatment also accommodation, transportation and air tickets for 2 visits, so clients don't have to arrange literally anything.
Most popular is All Inclusive Package where just air tickets are excluded while all other services are the same, ie. completely arranged treatment so foreign clients enjoy personal assistance, care and support.
For clients who prefer to arrange visits on their own Medical Package is offered.
I see that Arleta IVF undertakes a lot of IVF cycles compared to donor egg cycles. Do you have much success with older women being treated using their own eggs?
Rarely do we stimulate women over 43 years. Personally I think that countries where there are restrictions on donor oocytes have more experience with stimulation in this age group.
Recently, however, we have been successful in that women's group, using special treatments starting three months before an actual stimulation. Our success rates show we are heading the right way.
What expertise does Arleta IVF offer compared to other IVF clinics in the Czech Republic?
We provide comprehensive diagnostics for men and women such as DNA fragmentation of sperm or mini-hysteroscopy. We consider mini-hysteroscopy an important examination in infertility diagnostics - mainly for an explanation of previous failures.
This method we enrich with selective transcervical tubal catheterization, so that during one visit we get all necessary information about cervical canal, uterine cavity, oviducts and abdominal cavity as well. Performing mini-hysteroscopy with biopsy and selective tubal flushing of Fallopian tubes increases the future success in an IVF cycle.
What is the procedure for people who want to attend Arleta IVF from abroad? How many trips do they have to make if they want to undergo IVF using their own eggs?
It is very easy, clients just fill in a questionnaire and, after a suitable date is agreed, we take care of the rest, according to the chosen package. Two visits to the Czech Republic are usually needed.
On the first trip clients usually arrive to visit the clinic and speak to the specialists. Medical history is taken, all necessary examinations and test are performed and we provide clients with medication. In most cases partner's sperm is collected, too. Even though IVF treatment can't be performed in a rush, to minimize client's days off we usually plan client's arrival on Sunday evening and on Monday evening clients can leave, so we could talk about 1 day visit.
After hormonal stimulation at home clients arrive for the second visit – for the embryo transfer. If it is the Egg Donation Program the second visit usually lasts the same as first visit, ie.1-2 days. If it is the IVF with own oocytes 2nd visit is a bit longer, due to necessity of embryo cultivation and it usually takes 6-7 days.
Do you have a waiting list for treatment? If someone wanted to start with donor egg treatment, how long would they have to wait to start?
We don´t have any waiting list - we have got a unique on-line database of immediately available donors so clients can choose a potential donor.
Therefore, clients can start immediately. All we need is some basic information (questionnaire) and to find some suitable dates for the 1st visit which suits the clients.
Finally Arleta IVF clinic is outside of Prague, what advantages do you think this brings? For example is the cost of treatment cheaper?
Definitely our individual approach. We belong among smaller clinics based on excellent reputation.
We can't afford to treat clients as numbers as big fertility centers often do. We guarantee treatment by the same doctor. The distance of 80 miles from Prague is not a serious obstacle, especially when the whole treatment is completely arranged.
Although our prices are very reasonable I wouldn't say we are the cheapest. It would be a sign that we are not good. Our prices are primary fair and clear as we never hide any extras while price/quality rate is outstanding.
Find further information on Arleta IVF clinic here.
IVF treatment abroad is the choice for a substantial number of people. For some it is because they can see that the cost of treatment is much lower abroad compared to home. For others it is because the waiting time to start treatment is shorter. There are many reasons that people give for going abroad and studies have been undertaken to understand the reasons for travelling. The European Society of Human Reproduction and Embryology (ESHRE) undertook research in 2010 to understand the reasons for travelling abroad. They found that access to treatment was a factor in a lot of cases, particularly the UK. In other countries, people had legal reasons for going abroad. For example, in Germany, egg donation is not permitted.
Choosing where to go for treatment is not easy. Here are some of the most popular destinations for IVF treatment and what they offer.
· The cost of treatment is much lower than the UK – can be up to 50% cheaper
· All the latest techniques are available at some clinics e.g. PGD, embryo monitoring, IMSI
· Egg and sperm donation is anonymous
· Waiting lists are short or non-existent
· Well trained staff
· Well regulated clinics with inspections
· No law on limit of number of embryos allowed to be transferred
· New clinics opening regularly as more people find out about what the Czech Republic offers
· The cost of treatment is lower than the UK
· All the latest techniques are available at most clinics
· Egg and sperm donation is anonymous
· Waiting lists are short or non-existent
· Well trained staff
· Well regulated clinics with inspections
· Maximum of three embryos allowed to be transferred
· Well-trodden path - thousands have travelled for treatment to Spain
· The cost of treatment is lower than the UK
· All the latest techniques are available at some clinics
· Egg and sperm donation is anonymous
· Waiting list are short or non-existent
· Well trained staff
· Well regulated clinics with inspections
· 3-4 embryos are allowed to be transferred
· More and more people are going abroad to Greece from recommendations
As you can see there isn’t much to separate them. So how can you decide where to go? Most people rely on recommendations from friends or from participating in fertility forums. Everyone has an opinion on where to go and particularly if they were unsuccessful or successful at a certain clinic. You can usually get a good indication from communicating with the clinic whether they are suitable for you. So my advice would be to do your research. Listen to what others say online. Then email a few of the clinics and ask certain questions. Find out how well they respond to your questions and whether you feel happy with the answers. If you can go out and visit to see for yourself then that is great, but most people can’t afford the time or money to do that.
If going abroad for treatment is the right choice for you then there are good options throughout Europe which can offer you exactly what you need.
If you want to take a look at the options then use these links:
The HFEA (the body responsible for fertility regulation in the UK) have just recently announced that they are standing by the commitment to reduce the multiple birth rate to 10%; however, this will not be part of the licence requirement for a clinic. There had been a legal challenge by two clinics about this condition for a licence. The HFEA has been very successful at bringing down the multiple birth rate from 24% in 2009 to 15%. They launched a campaign called One at a Time to educate people about the risk of multiple pregnancy. But now, it would appear that the clinics will be free to make a decision for their patients on how many embryos to transfer without any restriction. I would assume that most clinics will not drastically change what they have been doing since pregnancy rates have remained stable with the policy in place.
In Europe, IVF clinics abroad usually have to abide by a law stipulating the maximum number of embryos allowed to be transferred. These laws vary from country to country:
· In Greece, up until the age of 40, three embryos can be transferred. After the age of 40, up to four embryos can be transferred.
· In Bulgaria, the law is more complicated and it depends on the age of the women, the number of unsuccessful attempts and on the stage of the embryo itself.
· In Spain a maximum of three embryos are allowed to be transferred.
· In the Czech Republic there is no law on the maximum number of embryos allowed to be transferred but most clinics will offer 1- 2 embryos at transfer.
With the advent of better techniques for selecting embryos prior to transfer (for example, time-lapse imaging), it may be that the number of embryos being transferred can be reduced further. Furthermore, because the cost associated with these techniques is lower abroad, they may be accessible to many more people. This will hopefully mean that at embryo transfer, you will have much more information on which to base your decision on how many to transfer.
Find out more information on:
Zdenek Dvorak, Managing Director at www.PragaMedica.com kindly gave a short interview about Gest IVF in Prague and also their about service to people travelling to Gest IVF clinic for IVF treatment.
1) Prague is a very popular place for IVF treatment for people from abroad. Why do you think that is?
Prague is a safe modern Central European city with a beautiful old town and rich history. Czech medical care is of the highest standards, making it a good place for the medical tourism in general. The Czech republic is well known in the world for quality IVF treatment and particularly for high success rates with anonymous egg and embryo donation.
There are IVF clinics all over the world, some cheaper than Prague clinics. However, Prague has many benefits that beat any other location: be it an ideal location in the heart of Europe, good public transport, modern facilities, high quality IVF treatment and UNESCO enlisted cultural heritage. Our clinic is just 20 min. drive from Prague International Airport and many UK patients say it is actually faster to get from their home to our clinic than to a clinic in central London.
2) Gest is a very established IVF clinic. Can you tell me a bit about what Gest offers people seeking IVF and egg donation? What makes it different from other IVF clinics?
Most of our patients (especially those from UK) appraise the friendly atmosphere and personal approach. The clinic is relatively small, but very efficiently run, so there are not the usual barriers between patients and doctors. Apart from the helpful doctors every international patient of PRAGA MEDICA has a personal assistant, adding a VIP feeling to his/her stay. As one of our patients said: “You always have enough information, you can always call someone and ask if necessary”. You are simply not treated as a number, but as a human being.
And, of course, we have reasonable prices, very good results and very short waiting times for egg and embryo donation.
3) What kind of support if offered to patients who travel from abroad?
GEST has an exclusive cooperation with a medical tourism facilitator PRAGA MEDICA. International patients can therefore enjoy extraordinary personal assistance, ranging from arranging their stay to psychological support during their treatment. We offer accommodation in our time-tested apartment houses and hotels, always close to the clinic and within walking distance from the beautiful city center. We are able to arrange your transportation in Prague as well as a wide range of tourist activities. Our drivers will pick you up at the airport day and night.
4) Would you always respect a couple's wishes for a particular treatment, or would you suggest another treatment if it was more suitable in your opinion. For example a couple may want IVF using their own eggs but you may consider that egg quality may be too poor and that egg donation is best. How do you deal with this situation?
We respect patient’s wishes thus we usually agree with the treatment even in situations where the chances are lower. On the other hand patients are always explained what consequences their wishes may carry. We refuse patients who want illegal procedures such as PGD for gender selection or wishes that may result hazardous for the patient.
Your example with donor eggs is one of the more common cases. Some older patients simply do not want to hear that their chances can be as low as 1% using own eggs while they could have over 50% chance with donor eggs.
5) Which particular aspect of treatment do you consider to be the most important in order to have a successful outcome?
Patients should arrive relaxed as much as possible. We believe stress is a killer of success. For that reason we always spend a lot of time in advance preparing the patient for the arrival to our clinic. We advise patients to come over for 1 day personal consultation to meet the doctor, their personal assistant and to get familiar with the clinic and the city. Patients rest for 1 hour after the embryo transfer in our rest room and they are advised to relax in the hotel for 1 night before they fly back home. Although patients tend to shorten their stay as much as possible they should understand IVF cannot be done in a rush.
6) Are there any preparations that a couple should do before travelling abroad for IVF?
A crucial part of any preparations is to choose the right clinic. Patients should check references of the clinic and their doctors. They should make their decision after they have been answered all their questions and they have spoken to the representative of the clinic. This will give them a good picture of who they are dealing with.
Another important detail is to have all the recommended tests and examinations, such as hormonal profile, STD tests etc. However, if patients split their treatment in 2 shorter visits, these tests can be done abroad on the 1st visit, usually at much lower cost than at home.
7) Finally, Prague is beautiful, Is there somewhere you would recommend visiting in Prague not to be missed?
There are probably 1000 things to see. You could spend 2 weeks in Prague and still be entertained. I would definitely recommend a night walk from the 14th century St Vitus catedral to the Old town square. The views over 100 towers of the old town are spectacular. You will see the baroque buildings of Lesser Town, walk over the famous Charles bridge with its 30 statues, enjoy a breath-taking view of impressively lit Prague Castle before entering narrow lanes of the Prague Old town. It is especially poetic at night.
Thank you Zdenek.
Zdenek Dvorak is a director of PRAGA MEDICA and has been working as an international coordinator for fertility treatment at GEST clinic since 2010. He has been in daily touch with the GEST clinic, doctors and patients since then, making sure that every patient has a smooth and pleasant stay in Prague. He combines his excellent knowledge of fertility treatment with great customer care which is sometimes missing when you deal with a clinic directly.
Further information on Gest IVF clinic is available on our website