Baby 2 · IVF

★ IVF Cube — Coordinator Pre-Consultation Notes

Pre-consultation call with Katerina Kvasnickova ahead of Friday's doctor appointment.
April 14, 2026, ~9:00 AM CEST (7:00 AM PT)
Coordinator: Katerina Kvasnickova. Participants: Andrea Antal, Adam Antal. Note: This was with a coordinator, not a doctor. Doctor consultation scheduled for April 17.
📝 CONTEXT

Andrea and Adam already completed one IVF cycle in Canada. Katerina acknowledged their experience and offered to focus on their questions rather than explaining the process from scratch. Andrea summarized the previous cycle and asked about protocol differences.

🧪 KATERINA'S RESPONSES

Protocol

  • Cannot discuss specific protocol — that's for the doctor consultation
  • Generally, IVF Cube doesn't do alternating dosage ("switches") — protocol would likely be different
  • Always creates individual plans based on medical results and previous therapy
  • Needs an ultrasound scan (with AFC) before the doctor consultation can happen
  • Priming: depends on doctor. Since Andrea just finished a cycle, priming may not be recommended. Typically only done before the first cycle, not between consecutive cycles.

Doctor consultation — confirmed Apr 17

  • Katerina confirmed Friday April 17, 9:00 AM CEST (midnight PT)
  • Ultrasound scan needed before the doctor consult — if scan arrives early, they'll try to find an earlier cancellation slot
💰 PRICING & PACKAGES

IVF/ICSI Cycle: 3,300 EUR per cycle

Includes:

  • Online consultation + doctor evaluation
  • Protocol planning
  • 2 ultrasound scans + blood work (if done at the clinic in Prague; not covered if done externally)
  • Egg collection under general anesthesia
  • Sperm collection
  • MFSS (microfluidic sperm separation) — included
  • ICSI — standard for all therapies, included
  • Embryo cultivation to blastocyst stage
  • Cryopreservation + storage of all embryos for the first year

PGT-A: 3,300 EUR — flat rate, one-time

Key advantage: Regardless of number of embryos — can accumulate embryos across multiple cycles and send as one batch. Must be paid at the time of the first egg collection.
  • Results in 4 weeks (sent to external genetic lab)
  • If no embryos reach blastocyst / no biopsy performed → full PGT-A refund
  • If biopsy performed but patient declines testing → charged 700 EUR, rest refunded
  • Sex of embryo: unclear — Katerina said "we will know the sex" but didn't explicitly confirm whether they disclose it. Worth clarifying with the doctor.

Other pricing

Frozen embryo transfer1 included with PGT-A, then 1,250 EUR each
Embryo storage200 EUR/year after first year (regardless of number)
Multi-cycle discountNone on IVF itself — but flat-rate PGT-A effectively saves on multiple cycles
⚠️ LOW PROGNOSIS DISCLAIMER (REFUND POLICY)

For patients with low prognosis (typically 40+, Andrea is on the borderline):

  • Can pay a 1,500 EUR deposit upfront instead of full price
  • If no eggs collected → don't pay the rest
  • If eggs collected but none mature enough for fertilization → partial refund
  • If eggs fertilized but embryos don't reach blastocyst → full charge (fertilization and cultivation process was completed)
  • To be discussed with the doctor
🔄 DUOSTIM
  • Offered, but decided after egg collection, not in advance
  • Depends on health state and response to stimulation
  • If patient doesn't react well or doesn't feel well → not recommended, better to wait for next natural cycle
  • If everything looks good and goal is embryo banking (no fresh transfer planned) → possible
🔬 ADDITIONAL TESTS

Sperm DNA fragmentation

  • Can be useful, not strictly required at this point
  • Can start now and receive results later during the process

Karyotyping

  • Results take weeks
  • "Borderline" recommendation — usually recommended after multiple failed cycles, not after first
  • But if planning PGT-A anyway, it's reasonable: if karyotype reveals a translocation, they can switch from PGT-A to PGT-SR (structural rearrangement testing)
  • Katerina's advice: do it now if considering it, results can arrive during the process
🧬 ADDITIONAL OPTIONS (DISCUSS LATER)
  • Embryo glue — special liquid to help implantation, relevant at FET stage
  • Embryoscope — special time-lapse cultivation incubator, tracks embryo development; doctor will advise
🗓️ LOGISTICS

Location

  • Clinic is in Prague
  • Monitoring scans can be done with any gynecologist in Hungary — clinic will provide a letter specifying what's needed
  • They have treated patients from Hungary before without issues
  • Come to Prague for egg collection only: ~2 days recommended (day before + collection day, stay overnight after anesthesia)

Medication

  • May be cheaper to buy in Europe (Czech Republic or Hungary) vs. Canada
  • Katerina can provide medication cost breakdown after doctor consultation

Embryo storage limits

  • Czech legislation: embryo transfer must happen before the woman's 49th birthday
  • Practical quality consideration: after 10 years, embryo quality can degrade
  • Can store 10-15 years
  • After 49, would need to transport embryos to a jurisdiction that allows transfer

Timeline

  • No waiting list — can start as soon as medically cleared
  • Consent forms sent after consultation; once signed and returned, protocol and medication instructions follow
📋 NEXT STEPS
  1. Katerina — confirmed Friday 9 AM CEST doctor appointment
  2. Andrea — get ultrasound scan (with AFC) and send to Katerina before doctor consultation
  3. Adam — consider starting sperm DNA fragmentation test and karyotyping now
  4. After doctor consultation — Katerina will send cost estimation, protocol, consent forms
↑ Back to top