IVF Guide For Our Patients

IVF Guide For Our Patients

We welcome you to realization of your dream family. Here are answers to some frequent asked questions.

Before You Come

1) Please stop or reduce smoking
2) Please Start using folic acid pills 0,4 mg / day, and Vitamin D drops 1X 10 drops daily if not specified otherwise.
3) Please obtain the results of following tests*
For Women: HepBsAg, HCV, HIV, prolactin, TSH
For Men: HepBsAg, HCV, HIV, Spermiogram
*We may ask you for further examinations, based on the information of the results above.
4) Please obtain the following documents: Marriage certificate, 1 pass photo each
5) Visit your gynecologist / our us between days 2 and 3 of your period and report us whether you have cysts in your ovaries.

In case of persisting cysts in your ovaries, you will be instructed how to proceed.

Stimulation Of The Ovaries

The purpose of the treatment is to stimulate the ovaries to produce more than a single egg. The medications (gonadotropins) are self administered subcutaneously.

Start with injections on the day us instructed by us and make an appointment for the 5th day of therapy.

This is the usual plan for short ovarian stimulation protocol. The details will be sent separately if we plan a different stimulation protocol.

We will provide you with the links, demonstrating the administration of the medications.

Based on individual agreement, we could provide you with the medications within European Union.

How Long Does The Treatment Last?

The treatment lasts 10 to 12 days. You need 2 to 4 visits in gynecological Office. The number and the interval of the visits are planned individually. We ask you kindly to provide us with the ultrasound results (follicle number and diameter), so that we can adjust the doses of your medication.

In general, we would ask you to come to our center on day 7or day 8 of the therapy.

Can My Treatment Be Cancelled?

If there is an inadequate response from the ovaries (poor response), meaning that the ovaries did not produce enough eggs to be successful, or if there is a very strong response (the risk of n overreaction; namely ovarian hyper stimulation syndrome), then the treatment may be cancelled.

We will then plan the following interventions and prepare you for the ext therapy.

Egg Collection (Oocyte Pick Up)

At the end of the stimulation period, the egg collection can be performed under general anesthesia. This procedure is performed through vagina and under the guidance of ultrasound. A thin needle is introduced into the vagina and into the ovaries, and the follicles that harbor the eggs are aspirated. This fluid is brought to laboratory to pick up the eggs.

Is Egg Collection A Painful Procedure?

No. This is performed under anesthesia or sedation.

Are There Any Complications Associated With Egg Collection?

There may be some pain after the procedure, but this resolves with simple analgesics. You will be treated and guided by our IVF specialists (doctors and nurses) through the whole procedure and the recovery period.

How Are My Eggs Going To Be Fertilized?

The classical in vitro fertilization (IVF) is performed by adding medium containing sperms into the micro chamber, where the eggs are stored. Sperms fertilize the eggs in a natural way. We use mostly ICSI procedure, where a single sperm is chosen and injected into the egg using an instrument called micromanipulator.

Where Are My Embryos Going To Be Stored Until The Day Of Transfer?

We keep the embryos inside incubator. The incubators mimic the inner environment of the uterus concerning temperature, carbon dioxide and other known parameters. Each couples’ embryos are allocated a special compartment in the incubator.

Embryo Transfer

Embryos are transferred into the uterus usually between day 3 and 5 after egg collection after they are kept in culture medium as shown above.

Embryo transfer is asimple and painless procedure that is performed without anesthesia or sedation. The embryos are loaded into a thin plastic catheter, that is then introduced into the uterus via cervical canal. The number of embryos transferred depends on age of the woman, the previous attempts and the embryo quality.

Embryo Freezing

After the transfer there are usually excess embryos that can be frozen for later use. The embryos, sperms, eggs of ovarian tissue can be frozen and kept in our center up to 5 years. Freezing procedure does not harm the cells or tissues. We use vitrification technique (fast freezing) for embryos. We observe embryo survival rates of 98% in our frozen thawed embryo transfer cycles. The success rates are also higher than in the fresh embryo transfer cycles.

Frozen-thawed embryo transfer is a relatively simple procedure that entails stimulation of the inner lining of the uterus with orally used medications.

Sperm Retrieval In Azoospermic Patients

In men who have no spermatozoa in their ejaculate, sperm can be retrieved from epididymis (MESA) or the testicules (TESE or micro TESE). Micro TESE is a procedure performed under anesthesia and microscopic guidance by our expert urologists.

Preimplantaion Genetic Screening And Diagnosis (PGD)

PGD is a procedure whereby some cells are removed from the embryo on day 3 (single cell) or on day 5 (4 to 5 cells) after egg retrieval, to perform genetic testing to exclude known or unknown abnormalities in your embryos (trisomies, monosomies, translocations, single gene diseases; such as thalassemia, fragile X syndrome,metabolic diseases, etc.) . A HLA typing can also be performed by PGD to select tissue compatible siblings.

We offer fullscope of PGD services in our center by all highest standards (a CGH, next generation sequencing).

The selection and transfer of healthy embryos increase the success rates of IVF therapies up to 80%.

Services Provided By Our Center

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