Kosten
/in kosten/by econsorEs ist uns ein wichtiges Anliegen, dass Ihr Wunsch nach einem eigenen Kind nicht an finanziellen oder bürokratischen Hürden scheitert. Wir beraten Sie gerne und
helfen Ihnen bei Problemen mit den Krankenkassen. Es besteht auch die Möglichkeit einer Ratenzahlung.
Gesetzliche Krankenversicherung
Beratungsgespräche, die Diagnostik vor der Behandlung und Hormontherapien werden komplett übernommen. Hormontherapien sind keine Leistungen nach § 27a SGB V und sind daher nicht mit 50% zuzahlungspflichtig.
Leistungen 50% Kostenübernahme bei Insemination im Spontanzyklus und hormonell stimuliert, mit Hormonuntersuchungen IVF- und ICSI-Therapie mit serologischen Untersuchungen auf Anti-HIV-1,2, HBsAg, Anti-HBc, Anti-HCV-Ak.
Anzahl Versuche
- 8 Inseminationen ohne Stimulation, gegebenenfalls aber mit Clomifen
- 3 Inseminationszyklen mit hormoneller Stimulation, z. B. Gonal F, Puregon, Menogon
- 3 IVF-Behandlungen oder alternativ 3 ICSI-Behandlungen
Zusätzliche Leistungen Einige gesetzliche Krankenkassen bieten Kinderwunschpaaren weitere, über die 50%‐Regelung hinausgehende finanzielle Unterstützungen an. Sie müssen dann die Rechnungen (Therapie und Medikamente) zur Kostenerstattung bei Ihrer Krankenkasse einreichen. Fragen Sie bei Ihrer Krankenkasse nach. Hier finden Sie weitere Informationen: www.wunschkinder.net/aktuell/gesellschaft/krankenkassen/kunstliche-befruchtung-welche-krankenkassen-zahlen-mehr-5265/
Voraussetzungen für die 50%-ige Kostenübernahme
- Das Paar muss miteinander verheiratet sein.
- Die Frau muss mindestens 25 und darf maximal 39 Jahre alt sein.
- Der Ehemann muss mindestens 25 und darf maximal 49 Jahre alt sein.
Weitere Details
- Vor Beginn der Behandlung muss der Krankenkasse ein Behandlungsplan vorgelegt werden.
- Bei klinischer Schwangerschaft besteht ein erneuter Anspruch auf eine weitere Therapie.
- Nach Geburt eines Kindes besteht erneut Anspruch auf Leistungen zur künstlichen Befruchtung.
- Nach einer Sterilisation besteht kein Anspruch auf Leistungen zur künstlichen Befruchtung.
| Kosten (50%-Anteil, ca. Angaben in €) | Medikamente | Ärztliche Leistungen | Labor | Anästhesie | Gesamt |
| Insemination spontan | 50 | 60 | 20 | – | 130 |
| Insemination hormonell | 375 | 85 | 30 | – | 490 |
| IVF (In-Vitro-Fertilisation) | ca. 800 | 670 | 35 | 77 | 1.582 |
| ICSI | ca. 800 | 890 | 35 | 77 | 1.802 |
| Spermaaufarbeitung | 45-105 | 35 | 80-140 |
Private Krankenversicherung
Die vertraglichen Regelungen der privaten Krankenversicherung sind sehr unterschiedlich. Es muss individuell geklärt werden, welche Kosten übernommen werden.
Grundvoraussetzung der Erstattungsfähigkeit der Kosten ist die Erkrankung des Versicherten. In jedem Fall sollte vor einer Behandlung geklärt werden, ob und welche Maßnahmen bezahlt werden. Bei gemischt versicherten Paaren, also wenn ein Partner gesetzlich und der andere privat versichert ist, besteht besonderer Klärungsbedarf zwischen den betroffenen Kassen. Wir helfen Ihnen bei Problemen und Fragen sehr gerne weiter.
Link unseres Bundesverbandes der reproduktionsmedizinischen Zentren – BRZ zum Thema Privatkassen und Kinderwunsch: www.pkv-contra-kinderwunsch.de
- Grundvoraussetzung der Erstattungsfähigkeit der Kosten ist die Erkrankung des Versicherten („Verursacherprinzip“). Wer erkrankt ist, erhält die sich aus der Krankheit ergebenden Behandlungskosten erstattet. Unabhängig davon, ob die Partnerin/der Partner ebenfalls erkrankt ist.
- Es gibt keine pauschale Begrenzung auf eine bestimmte Anzahl von Versuchen.
- Für die Behandlung muss eine hinreichende Aussicht auf Erfolg gegeben sein.
- Die PKV hat ein Anrecht auf Übermittlung der wesentlichen medizinischen Daten, auch der Partnerin/des Partners, um die Notwendigkeit der Behandlung und die Erfolgsaussicht überprüfen zu können.
- Es gibt bei der PKV keinen ausdrücklichen Leistungsausschluss für unverheiratete Paare. Die entsprechende Rechtsfrage ist allerdings zurzeit noch nicht abschließend geklärt, da der Bundesgerichtshof (BGH) bisher diese Frage noch nicht entschieden hat. Die überwiegende Anzahl der Zivilgerichte gestehen jedoch unverheirateten Paaren ohne Einschränkung Leistungsansprüche gegenüber der PKV zu.
- Es besteht gegenüber der eigenen PKV keine Verpflichtung, zusätzlich die Krankenversicherung der Partnerin/des Partners in Anspruch zu nehmen.
- Die Leistungspflichten der PKV regeln sich ausschließlich unter zivilrechtlichen Gesichtspunkten. Die zuständigen Gerichte sind hier ausschließlich Zivilgerichte mit dem BGH als oberste Instanz. Das Bundessozialgericht (BSG) und andere Sozialgerichte sind ausschließlich die gesetzliche Krankenversicherung zuständig.
Downloads
/in downloads-en/by econsorFor Patients
For Patients
Links
/in links-en/by econsorLinks
Federal association of reproductive medical centres – BRZ
www.repromed.de
Research group on heterologous insemination, treatment with donor sperm in Germany
www.donogene-insemination.de
German federal agency for public health education
www.familienplanung.de
www.sexualaufklaerung.de/kinderwunsch/
Pharmacentical Company Serono
www.fertinet.de
Pharmacentical Company Organon
www.kinderwunsch.de
Portal of the german IVF Registry
www.deutsches-ivf-register.de
Forums
Of Affected – for Affected
www.klein-putz.de
The page for people who wish for a child with lots of information, chats and forums
www.wunschkinder.de
The association of self-help groups for questions on unwanted childlessness
www.wunschkind.de
Service for Physicians
/in service-for-physicians/by econsorCooperation
Consultation and conjoint treatment in case of hormone dysfunction as well as fertility therapy
In cooperation with you the treatment of the patient will take place. Once the couple had been in our clinic for their first consultation you will receive a letter promptly about our recommendation on therapy. Also, we will send you a copy of the therapy schedule allowing you and us to look after the patient intermittently for example for ultrasound or hormone checkups.
In order to involve you, the treating physician, the best we can it requires an active information exchange. You will be constantly informed about the infertility treatment. If you wish to guide your patients through cycle monitoring on your own you will obtain an ultrasound form to pass the ultrasound results on to us (endometrium, number of follicles and their size).
We will inform you about further management by fax or also by phone. If further medication is required we also offer that we will write prescription so you do not put too much strain on your budget.
Interpretation of hormone results and a therapy suggestion
Your can send us the hormone results by eMail, fax or phone and we support you in their interpretation. On request you will also obtain a therapy suggestion.
After consultation hours we offer a contstant availability to you by mobile phone: +49 (0)172-7762167
Billing support
Billing support, refund of ultrasound for assisted reproductive techniques
Naturally we are going to refund the ultrasounds that you performed. The respective billing form will be sent to you together with the therapy schedule.
This is regarding the following therapies:
- Insemination
- Donor / heterologons Insemnation
- IVF/ICSI-Therapy
- Cryotransfer
Unfortunately all other stimulation therapies can not be refunded as therefore the patients health insurance needs to be charged. For further inquiries just contact us.
Further information will also be available before noon on +49 (0)7071 – 94 663-0 or by eMail: info@kinderwunschpraxis.com
Further Training
Further Training
Several times during the year we offer further training on current issues, which we will register for certification with the medical association. Also, we regularly offer further training for non-medical staff.
Current quality circles:
- Tübingen
- Donaueschingen
Are you interested in establishing a quality circle?
Please contact Dr. Ulrich Göhring: info@kinderwunschpraxis.com
Partners of Cooperation
/in partner-of-cooperation/by econsorAnaesthetist
Dr. med. Jutta Hohenadel
Clara-Zetkin-Str. 15, 72074 Tübingen
Tel.: 0178 8980571
Andrology
Andrologicum München Prof. Dr. med. Frank-Michael Köhn
Facharzt für Haut- und Geschlechtskrankheiten, Allergologie und Andrologie
Burgstr. 7, 80331 München
Tel.: 089 29160655, Fax: 089 29160677
info@andrologicum.com, www.adrologicum.com
Human genetics
Institut für Medizinische Genetik und angewandte Genomik Tübingen, Prof. Dr. Olaf Rieß
Calwerstr. 7, 72076 Tübingen
Tel.: 07071 29-72288, Fax: 07071 29-5171
www.medgen-tuebingen.de
Acupuncture / Chinese Medicine
Dr. med. Wolfgang Banzhaf
Hagellocher Weg 63, 72070 Tübingen
Tel.: 0160 94918305
dr.banzhaf@banzhaf-tuebingen.de; www.banzhaf-tuebingen.de
Immunology
Laborärzte Sindelfingen
Nüßstraße 5, 71065 Sindelfingen
info@laboraerzte-sifi.de, www.laboraerzte-sifi.de
Psychotherapy
Deutsche Gesellschaft für Kinderwunschberatung – BKiD
Tel.: 06221 346 2221
info@bkid.de, www.bkid.de
gimaro*, Praxis für systemische Beratung und Therapie
Kelternstraße 20, 72070 Tübingen
Tel.: 07071 5 666 466
info@praxis-gimaro.de, www.praxis-gimaro.de
Monika Helber, Psychologische Beratung für Einzelne und Paare
Lilly-Zapf-Str. 2, 72072 Tübingen Tel.: 07071 9773092
oder Landhausstr. 78 in Stuttgart Tel.: 0711 2847240
monika.helber@freenet.de,www.kinderwunschberatung.com
Franziska Ferber, Kindersehnsucht
Schlörstrasse 1 (Kitchen2Soul), 80634 München (Neuhausen)
Tel.: 089380 788 16 oder 0179 53 00 933
franziska.ferber@kindersehnsucht.de, www.kindersehnsucht.de
Cryobanks
AIR LIQUIDE Medical GmbH
Hans-Günther-Sohl-Straße 5, 40235 Düsseldorf
www.kryobank.de
KinderwunschBank KBG GmbH & Co. KG
Hagellocher Weg 63, 72070 Tübingen
Tel. 07071 94 663 40
info@kinderwunschbank.com, www.kinderwunschbank.com
Prenataldiagnostics
Dr. med. Bernhard Müller
Kaiserstr. 24, 72764 Reutlingen
Tel.: 07121 329076, Fax: 07121 329292
Prof. Dr. Gunther Mielke Privatarzt
Jahnstraße 6, 70597 Stuttgart-Degerloch
Tel.: 0711 7827993, Fax: 0711 7827994
info@mielke-praxis.de, www.mielke-praxis.de
Feindiagnostik Nürtingen Dres. med. Annette Philippi, Isabel Wallrafen, Sibylle Haase
Ludwigstr. 11, 72622 Nürtingen
Tel.: 07022/218397-0
Fax: 07022/218397-22
info@feindiagnostik-nuertingen.de, www.feindiagnostik-nuertingen.de
Prof. Dr. Gunther Mielke Privatarzt
Richard-Wagner-Str. 11, 70184 Stuttgart
Tel.: 0711 7827993, Fax: 0711 7827994
info@mielke-praxis.de, www.mielke-praxis.de
Sperm banks
Erlanger Samenbank Dr. Andreas Hammel
Nägelsbachstrasse 12, 91052 Erlangen
Tel.: 09131 898411, Fax: 09131 205410
info@erlanger-samenbank.de, www.erlanger-samenbank.de
Cryostore* Deutschland GmbH Prof. Dr. med. Thomas Katzorke
Akazienalle 8 -12, 45127 Essen
Tel.: 0201 2942934, Fax: 0201 2942968
info@cryostore.de, www.cryostore.de
TESE
Dr. med Benjamin Gläser, Facharzt für Urologie
Urologie an der Achalm
In Laisen 11, 72766 Reutlingen
Tel.: 07121 1450850
info@urologie-achalm.de
In-Vitro-Fertilisation IVF
/in in-vitro-en/by econsorIVF (in-vitro-fertilisation) stands for fertilisation outside of the body. This therapy helps patients where the woman has, for example, a fallopian tube blockage, or couples that have been unsuccessful with other therapies. Before commencing therapy an application needs to be submitted to your health insurance concerning the costs. The application form is available in our clinic once the costs and the insurance situation have been explained to you during consultation.
- Stimulation
- Ovum Retrieval
- IVF-Laboratory
- Embryo transfer
- Pregnancy test
- More information about medical, legal and technical possibilities for reproductive medicine
Video about IVF
1. Stimulation
Some women will obtain an injection to suppress the bodies own hormones (Downregulation) and will start 14 days later with hormone stimulation (agonist protocol). Other wonen will start hormone stimulation on the 2nd day of the menstrual cycle. These women will also have to inject a second medication beginning on the 7th day of the menstrual cycle to suppress ovulation (antagonist protocol). There are also other methods of stimulation which will only be used in individual cases.
The medication for the hormone stimulation contains FSH (follicle stimulating hormone) or HMG (human menopausal gonadotropin), which will stimulate the
ovaries to produce several follicles. Once a day, always at the same time, FSH/HMG is injected under the skin- mostly by the women themselves.
An ultrasound is performed on the 8th day of menstrual cycle to determine the number of follicles on the left as well as the right ovary and to determine the thickness of the endometrium. If it is not possible to perform an ultrasound on this day the ultrasound can be moved to day 7 or 9. To do so, you can come to our clinic or see your gynaecologist, who will inform us about the results.
Once the follicles have reached a certain size hormone levels (estradiol and LH) are determined from a blood sample which will provide additional information on stimulation results. Depending on the size of the follicles we will decide on further medicine doses as well as the day for the next ultrasound. If you have been at our clinic for ultrasound you will obtain this information the same day by telephone after 2pm. The hormone stimulation is continued until the follicles have reached a size of about 20mm, then the oocytes are expected to be mature. Usually this will take 10 to 12 days but can also take 8 or 16 days. Afterwards ovulation is triggered by injecting hcg. Two days later before ovulation occurs the ovum retrieval and sperm donation take place in our clinic.
2. Ovum Retrieval
The ovum retrieval is performed through the vagina under ultrasound guidance. A needle attached to an ultrasound head is used to penetrate through the vaginal wall into the follicles located directly behind. The entire liquid contained in the follicles is extracted. For this procedure you are required to have fasted (no food, drink or smoke as of 6 pm the previous night). The procedure will take about 10 to 15 minutes during which you will get a short anaesthesia. Then you will rest in our clinic and are free to drink and eat. If required we will administer painkillers. Parallel to the ovum retrieval the sperm donation takes place. Once everything is fine you are both ready to leave. However, due to the anaesthesia the woman is not allowed to drive herself.
From the day of the ovum retrieval onwards the women should administer 2 pills of Utrogest (progesterone) 3 times daily into her vagina.
- retrieval needle during aspiration of an oocyte out of a follicle (after hormonal stimulation)
- (vaginal) ultrasound head
- rinsing solution
- tube leading to aspiration pump
3. IVF Laboratory
The liquid that is obtained during the ovum retrieval is brought directly into the laboratory where the oocytes are extracted, counted and stored in the incubator.
Parallel to the ovum retrieval the sperm donation takes place. The sperm of the partner are prepared and are added to the woman´s oocytes in the afternoon. Then the fertilisation will take place- practically on its own.
After about 15 to 18 hours the oocytes are examined under the microscope to determine how many are fertilised. On average 50 to 70% are expected to have been fertilised. The fertilised oocytes are recognised by 2 pronuclei present in the oocytes (pronucleus stage), which will fuse later (embryo). Our laboratory staff will
inform you about the fertilisation rate by phone as well as make an appointment for the embryo transfer (1 to 2 days later).
The fertilised oocytes chosen for transfer are cultivated further in the incubator. During the same day the first cell division is expected. The rest of the fertilised oocytes can be cryopreserved if you desire. If you do not want cryopreservation the other oocytes have to be discarded.
On the day of transfer an embryo usually consists of 4 to 8 cells. On the morning of the transfer the embryos are checked and photographed. These photos are shown and explained to you immediately before transfer.
The fertilised oocytes develop through cell division into an embryo (ideal scenario):
- Day of Ovum retrieval + 1= Pronucleus stage
- Day of Ovum retrieval + 2= Four-Cell-Stage
- Day of Ovum retrieval + 3= Eight-Cell-Stage
- Day of Ovum retrieval + 4= Sixteen-Cell-Stage (Morula)
- Day of Ovum retrieval + 5= Blastocyst (expanded or hatched)
4. Embryo transfer
On the morning of the transfer omit the Utrogest. Two to three days after the ovum retrieval the embryos are transferred into the uterus using a soft plastic catheter. The procedure will only take a few minutes. You will hardly notice it. A slightly filled bladder will make the transfer easier. Afterwards you may directly leave and also go to the toilet. After transfer you will just continue taking 2 pills Utrogest 3 times daily.
We recommend the transfer of two embryos.
In this case the statistical pregnancy rate is 25 to 30%. However, the pregnancy rate will drop once the women have reached the age of 40. About 15% of pregnant women are expecting twins. The maximum number of embryos that is allowed to be transferred in Germany is 3 by law. Increasing the number of embryos from 2 to 3 does not increase the prospect of a pregnancy significantly but you would risk a pregnancy with triplets.
5. Pregnancy test
The following 2 weeks the embryos are supposed to continue development and implant into the endometrium. We would ask you to continue administering the Utrogest during this time. Additionally, taking one tablet of ASS 100 daily will increase the blood circulation. It is not necessary to change your way of life, abandon sports or even get sick-leave. Most women find these two weeks especially straining as ‘nothing seems to be happening’.
14 days post transfer the pregnancy test is evaluated from a blood sample taken in our clinic or at your gynaecologist. Even if menstruation has already started a pregnancy test is required as bleeding can even occur during early pregnancy.
Clinic Management
/in clinic-management/by econsor
Vanessa Haberer
Head of Finance and Accounting
Grit Herre
Controlling and IT
Kristina Shcherbinina
Controlling
Consultation
/in consultation/by econsor
Eileen Clement
Head of consultation
Sonja Langer
Beate Schaal
qualitiy management
Sabrina Schmidt
Mona Youssef
Sabrina Kern
Denise Friedrichson
Lene Brunnenmiller
Sarah Mooshagen
Camilla Canovas Lorca
Tatjana Krause
Leyla Schneider
Melina Rauser
Verena Wimmer
Dilay Türk
Trainee
Alice Monroe
currently on parental leave.
Laboratory
/in laboratory/by econsor
Maren Witzemann
M. Sc. Clinical Embryology
Laboratory manager
Anna Heusel
M. Sc. Clinical Embryology, representative laboratory manager
Jordanka Homolova
M. Sc. Biologin
Marie Schupfer
M. Sc. Biologin
Lena Wagner
B.Sc. Biologie
Stefanie Schnell
MTA
Caroline Kitzmann
MTA
Delia Müller
MTA
Sophie Stippich
MTA
Jessica Hof
M. Sc. Biologin
currently on parental leave
Agnessa Bichler
B. Sc.Biologist
currently on parental leave
