Wednesday, January 16, 2008

Our Czech Republic Experience

I have received numerous emails asking for details of how we chose the Czech Republic and about our experience with the Clinic. I’ve been hesitant to give my feedback prior to understanding our outcome. That’s not because it changes my feedback but I didn’t want to focus on those issues in the early part of a pregnancy – I just wanted to remain positive and stress-free. I thought it was important for me to be in a peaceful frame of mind and sharing my experience would definitely have moved me to a different place.

We used IVFVacation (owned and operated by Craig and Marcella Fite) and The Clinic of Reproductive Medicine and Gynecology in Zlin. In order to book with this clinic, unfortunately, you have to go through IVFVacation as they do not allow US patients to book directly. We researched many different countries and clinics and ultimately chose this one for the following: (1) the donor would have similar physical features (2) the medical practices in general in Czech Republic were much more advanced than some of the other countries we considered (3) cost (4) first-hand feedback from others that had used this clinic.

Rather than going into our full experience in this post since it would take way too much room I will be happy to send via e-mail - just shoot me an e-mail if you want the full story. There were a lot of things that happened that have caused us great concern.

The positives - (1) The clinic is just as clean as any clinic in the US (2) There are two nurses that speak English quite well which is not always the case at clinics abroad (3) Dr. Anna's English is very good, as well. He was able to clearly discuss issues and the treatment with us (4) I really loved the resting period allowed for most patients post-transfer. Rather than 10 minutes of rest I've gotten in the US they have you rest for a minimum of an hour with your legs elevated - this didn't happen for us but I believe I was the exception (5) Communication and service prior to our trip by Marcella was fantastic (6) Marcella called to check on us when we got to Zlin and did a great job of making sure we felt comfortable in Zlin.

I believe that when Craig and Marcella started IVFVacation things ran very smoothly. Their business has increased significantly and I don't think they have been able to manage this growth. The clinic is severely understaffed and IVFVacation seems to be in a little over their head. Schedules were communicated incorrectly, medication instructions were given incorrectly and worst of all - the treatment was 'One Size Fits All' for both donor and patient - which simply does not work effectively with infertility treatment.

We froze the boys while we were there but going back will be a very difficult call. I don't think that we will go back until we see things have changed with IVFVacation and with the clinic to ensure the mistakes that were made with us are not made again. Further, I would need to know that our treatment and schedule is dictated by our Donor's progress not the doctor's appointment book.

Here are my major concerns:

1) Treatment schedules should be dictated by the donor – not the doctor’s schedule. It is very clear that Dr. Anna is simply far too busy to handle the volume of patients they have right now. I truly believe the extra day of stim pushed my donor too far and in turn gave us poor quality eggs. It is absolutely critical in IVF that the eggs be retrieved at the ideal time. There were 6 of us there at the same time on the exact same schedule. All 6 of our donors needed an extra day of stim, all of our retrievals were on the same day and all of our transfers were on the same day. Almost all of us even had the same results - 2 grade 1 and 1 grade 2. We knew my donor had 10 follicles one full week out. that she would have needed an extra day of stim made no sense. Of course - we were all charged $500 for the extra day of stim, as well.
2) Medication and instructions should only be given by medical professionals at the clinic. There should have been a written treatment plan to avoid any confusion.
3) It is illegal to give medical advice and manage or dispense prescriptions in the US if you are not a medical professional. All medication instructions and medical questions should be answered by an English-speaking nurse with the clinic. This type of information should not be mediated - things can get lost in translation. It is so important to think of IVFVacation as more of a Travel Coordinator - they are definitely not IVF experts, counselors or medical professionals. This is how we used IVFVacation but I've seen many women with different expectations.
(4) Medical Records should be sent directly to the clinic - not to someone in the US that is not bound by Healthcare Information Privacy Laws.

I really hope that Craig and Marcella and The Clinic can address these issues. The service the Clinic provides opens up a door to so many women that can no longer pursue the treatments in the US. - and that is very important. However, I can not refer anyone or have confidence in this service or the Clinic until these things are addressed. I would love to go back to Zlin for treatment and I hope to see many other women from the US go to Zlin for successful treatment but for sustained success growth must be managed wisely.

57 comments:

ChelleBez said...

Wow. I didn't know you weren't receiving treatments in the US. Perhaps I should read back blogs. That just makes everything you just went through seem that much harder. To go to all that trouble for nothing. That's what always gets me in the end.

I really admire your strength through all of this, and even more so because you post about it on your blog to help educate others. It is extremely admireable. Most women wouldn't be able to post about these kinds of experiences so soon after them happening, if it all. Women like you really help educate the rest of us and help us know what to expect if we end up in your shoes. You also give us the opportunity to be sad with you and sympathize with you, which in its weird way, helps me through tough times.

You really are a very strong woman, and you sound like you are very educated with the infertility process, which I feel is so important when embarking on this journey.

Thank you for sharing your experiences.

Loads of hugs,
Michelle

jlc178 said...

Blythe,
Thank you SO much for sharing this blog. My husband and I are in the very beginning stages of researching IVF Vacations, and definitely want to go in this with as much research and knowledge as we can. We too have been trying for 5 years to get pregnant, and we also live near Atlanta...actually, 1 1/2 hours northeast of Atl. We have been to Emory- not happy at all- and ACRM- I like them a lot but I am just not prepared to spend that much money. We found the IVF vacation website and started researching the Czech Republic as well as several other places. I am very glad to have read your blog, as those are some questions I know now to ask when I talk with the owners. Thank you again, as this is such as huge decision and I want to be able to be well informed and know what red flags to look for.
Jessica

jlc178 said...

Blythe,
Thank you SO much for posting your experience. My husband and I have also been trying for over 5 years to have a baby, and have just now started the research into an IVF vacation. I have been desperately looking for any/all info. (positive and negative) so we can be well informed. We too live near Atl. (1 1/2 hours northeast of Atlanta). I have been to Emory for 5 IUI's- which I was not happy with Emory at all- and ACRM- I like a lot but just not really prepared to pay the absurd price that our hearlthcare puts on having a baby. So, we started researching this past weekend and didn't really know what to look for, what questions to ask, etc., as we have been looking at the same exact IVF vacation. So, thank you again for posting, as I now can be armed with some questions. Please feel free to write back, and I will be praying for you as you go through this tough journey. Thank you again for sharing.
Jessica

Nancy said...

I am just coming upon this now as I was looking up information on IVF vacations. I wonder if things have changed or if it is slowly getting worse as time goes on. Thanks for your perspective!

Anaie said...

Hi, my name is Anaie and I would like to receive the whole story as I had referred IVF vacation to my cousin.
I appreciate your help.

Anaie Amorim
amorimanaie@hotmail.com

Anonymous said...

Thank you so much for sharing this information. I was on the verge of signing up with them. I would like to hear the full story too. Dr. Anna has now left Zlin and gone to another location. They are now offering two cities. I can't thank you enough. Angela Saxon apsaxon@comcast.net

Anonymous said...

Thank you for a compassionate and focused posting. It's so easy for people to "vent" rather than provide constructive criticism. May I have your full story? I'm at thillcva@gmail.com. T. Hill

Anonymous said...

We are deciding between location in CR for IVF and are considering ivfvacations - I would love the full story before we make our decision.

Thank you!
MrsB2007 at gmail dot com

Anonymous said...

I am sorry about your experience, I hope you have a baby one day.

One comment: As I understand you can book the clinic in Zlin directly you do not need IVF vacations, it is optional, there is no need to pay do much money for coordination.

Shandra Wellborn said...

Hi...not sure if you're still checking here, but I would like to hear about your whole experience with IVFvacation.com. My husband and I are considering them.

Thanks,

Shandraw@aol.com

Anonymous said...

I would like to hear about your experience as my husband and I are researching IVF in the Czech Republic. Both IVF vacation and IVF alternative look like good programs, but we want to make the best decision.
Thank you
Tasha
ttfoley724@yahoo.com

Anonymous said...

I, too, would love to hear your whole story - we are between two czech clinics and this is one of them. I'd appreciate it.

leah_lyn@hotmail.com

Nicole said...

I don't mean to sound so similiar to the previous posters but my husband and I are also looking into having IVF treatments through IVF Vacations. I would love to hear your full story.

Thanks!
Nicole
mrsscrofani@yahoo.com

dnikkitash said...

Hi, I would like to hear your whole story. I am considering CRM and it seems we can book directly with them now. Thank you for sharing!! And congratulations, it looks like it worked, as you posted that you were pregnant.


donnadesq@yahoo.com

dnikkitash said...

OMG, I'm so sorry, I'm new to this blogging and upon first sight, I only saw your Czech Experience blog. I just read the others and my heart goes out to you, I'm so sorry! My prayers are with you and thank you for sharing! You are not alone!

kim.kelly@cox.net said...

Would you please e-mail me your entire experience? Thank you so much.

Anonymous said...

Hello, I am in the beginning of researching fertility Clinics in the Czech Republic...can you email me your entire experience down there? Thank-you
eliparr@gmail.com

amy said...

Blythe,
So sorry to read about your continued struggle and I wish you lots of luck. I too would like to read your full story. A friend of mine recommended IVFvacation because she had a very positive experience and is now pregnant. If there is a downside I would like to know all about it before we commit.

Anonymous said...

Would it be possible to get the whole story as like the many people that have commented before us... my husband and I are looking into an IVF vacation. Thanks so much
cdn610girl@yahoo.com

Anonymous said...

Hello, I am so sorry about your experience. I went to the Czech Republic in Brno and was a patient of Dr. Machac. I got pregnant but sadly miscarried. I was considering Zlin and would like your whole story. I have spoke with Craig and Marcella numerous times but never felt a connection with them. Thank you,
otispuffyspook@comcast.net

bath mateus said...

Wow it’s nice posting, I like it.
Bathmate

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I to would love to hear your whole story. I did use IVFvacations. I did not get pregnant, but like you had some issues with how things are run over there. Please send me your story.
estella7@tds.net

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Anonymous said...

Hello. Thank you for sharing your difficult story. If you don't mind, please send me your full story on ivf vacations as we ae considering ivf in CR. thank you so much! Tfrickle@yahoo.com

Anonymous said...

MY EXPERIENCE WITH THE CLINIC OF REPRODUCTIVE MEDICINE AND GYNECOLOGY IN ZLIN
Hello to all ,
I am from Australia and I have recently returned from Zlin where I did a donor cycle.
I have read your posts and I have to say they are kind of old and I would like to share my experience with you because I think a lot of things have changed since than.
First of all, if you want to have a treatment at CRMG in Zlin you do not have to go through IVF vacation anymore. You can contact the clinic directly at ivf@crmzlin.cz. Their coordinator Ivona can send you comprehensive information about the whole treatment and offer you treatment within 8 weeks.
Everybody at the clinic was great. Ivona was really good at replying to e-mails & answering my questions in the weeks leading to the trip and at the clinic as well. The Drs. were great, the embryologist very nice.
We stayed at the new hotel at the clinic Hotel Tomasov. I have to say it was lovely, very modern and sleek. You also have the added bonus of being wheeled straight back to your bed after embryotransfer.

I would recomend the clinic in Zlin to everybody!

Anonymous said...

MY EXPERIENCE WITH THE CLINIC OF REPRODUCTIVE MEDICINE AND GYNECOLOGY IN ZLIN
Hello to all ,
I am from Australia and I have recently returned from Zlin where I did a donor cycle.
I have read your posts and I have to say they are kind of old and I would like to share my experience with you because I think a lot of things have changed since than.
First of all, if you want to have a treatment at CRMG in Zlin you do not have to go through IVF vacation anymore. You can contact the clinic directly at ivf@crmzlin.cz. Their coordinator Ivona can send you comprehensive information about the whole treatment and offer you treatment within 8 weeks.
Everybody at the clinic was great. Ivona was really good at replying to e-mails & answering my questions in the weeks leading to the trip and at the clinic as well. The Drs. were great, the embryologist very nice.
We stayed at the new hotel at the clinic Hotel Tomasov. I have to say it was lovely, very modern and sleek. You also have the added bonus of being wheeled straight back to your bed after embryotransfer.

I would recomend the clinic in Zlin to everybody!

Anonymous said...

Hello above, from Australia who did a cycle in 2012 in Czech republic, I am interested in donor egg cycle in south africa or in czech republic and would love to her your experience and how you organised the whole thing. ra_stev@yahoo.com.au if you see this, thanks

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