IVF

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IVF

WHAT IS IVF?

In our IVF clinic, which consists of specialist physicians and state-of-the-art equipment under the roof of Retimed, IVF treatment is successfully applied to couples who cannot have children with natural methods. In vitro fertilization treatment; it offers the opportunity to have children for couples who cannot have children due to infertility, advanced age, infections and tube obstructions in women, low sperm count and low quality in men, and metabolic disorders such as obesity. In vitro fertilization is an artificial fertilization technique that is applied by bringing the female and male reproductive cells together under laboratory conditions and placing the fertilized egg in the mother's womb. This process is performed by collecting eggs, which are female reproductive cells, and sperms, which are male reproductive cells, under certain conditions.

After the fertilization is completed in a healthy manner under the control of our physicians, the division phase of the egg and its transformation into a structure called embryo begins. Afterwards, the embryo is placed in the uterus by our physicians and the pregnancy process begins as a result of its successful attachment. After this stage, our 9-month mother-baby routine controls begin, just like in natural pregnancies.

HOW IS THE EGG PLACED IN IVF?

Two different methods are used to place fertilized eggs in the uterus in a laboratory environment. The first of these is classical IVF treatment. Egg cell and sperm cells are left side by side in a certain environment and are expected to self-fertilize.

Another method is the microinjection method. In this application, sperm cells are injected directly into the egg cell using special pipettes. Which of these two techniques should be preferred is decided by our physicians according to the individual characteristics of the couples by interviewing the families and performing the necessary workups. The aim of the treatment process is to provide the most suitable environment for fertilization and a healthy pregnancy to occur.

What are the Differences between Vaccination and IVF Treatment?

Vaccination Treatment is preferred before IVF treatment in cases of male-related infertility and the cause of which cannot be fully diagnosed.

In this method, just like in the IVF treatment, the ovaries of the woman are stimulated, and after the eggs are cracked, the sperm taken from the man is transferred into the uterus with a cannula.

In order to be able to apply the vaccination, the expectant mother is first examined and inspected by our physicians. Because in the vaccination method, at least one of the women's tubes must be open. The male's sperm analysis results should also be normal or close to normal.

When Should Couples Apply for IVF Treatment?

If you are under the age of 35, if you do not have any disease that can prevent you from getting pregnant, and if you still cannot conceive after 1 year of unprotected and regular sexual intercourse, Retimed is with you to expand your family. All you need to do to crown your happy family picture with your baby is to make an appointment and contact our physicians.

How Many Times Can IVF Be Tried?

It is recommended by our physicians that the IVF trial be performed 3 times in general. There is a possibility of pregnancy in the trials after this number, but the chance decreases with each trial, but in some cases, the conditions may be very different, and you should make the right decision together with your doctor.

What is the Age Limit in IVF?

As a result of the tests and inspections, your doctor will make the right decision. The process may develop differently in each woman. However, in vitro fertilization can be applied until age of 45, on average. However, it should be noted that the chance of getting pregnant is significantly reduced in women over 40 years of age. For this reason, the success rate of IVF treatment in older women is lower than in younger women, and the number of trials may need to be increased.

Step by Step IVF Treatment

Initial Stage: Training

When you come to our clinic, the first step of IVF treatment is the training provided by your physician. At this stage, information is provided regarding the procedures, the treatment plan, and how it will be performed.

First Stage: Stimulation of the Ovaries and Follow-Up of Egg Development

The basis of IVF treatment is taking complete control of the female ovaries. For this purpose, certain medication treatments are applied.

While these medications prevent you from ovulating before the desired time; they are in the form of nasal spray or injection applied subcutaneously. The necessary training for you to use it by yourself will be provided by our expert team.

In order for egg production to be at the desired level, the ovaries, which are kept under control with the previously mentioned medications, are stimulated with drugs that stimulate egg development. These drugs are injections administered subcutaneously or into the muscle.

It takes about 10 days to stimulate the ovaries with these medications. During this process, it is necessary for our expectant mother to visit our clinic several times and for tests to be performed in order to follow up egg development.

In these controls, your ultrasonography is performed and when necessary, the dose of your medications is adjusted by our physicians by reviewing the hormone levels in your blood.

Second Stage: Collecting the Eggs

During the follow-up of egg development as a result of your clinical visits, an injection is administered on the day when a sufficient number of eggs are detected to mature, so that the eggs complete their final development.

Egg retrieval is 36 days after this final medication injection. It is planned by your doctor within the hour.

Depending on the wishes of the expectant mother, sedative and sleep-inducing medications can be used during egg collection, or the procedure can be performed completely under anesthesia.

The procedure is similar to the vaginal ultrasonography applied in egg development follow-ups. The only difference is that a needle connected to a vaginal ultrasonography device is passed through the vagina and collects the eggs in the ovaries of the expectant mother.

The duration of the procedure is, on average, 30 minutes. Fertilization with sperm cells is performed on the day the eggs are collected. After 2-3 hours of rest following the collection of the eggs, our couple is discharged from our clinic.

Third Stage: Laboratory Procedures

One day after the eggs are collected, our doctors provide the couple with the information regarding how many of the eggs are fertilized normally.

Normally fertilized eggs are monitored by our expert teams in the laboratory for 2 to 5 days. At the appropriate time, the best quality ones are selected in a certain number and placed in the mother's womb. Our teams will inform the couple when this placement procedure will be performed.

Fourth Stage: Embryo Transfer

At this stage, our physician informs the couple regarding the number and quality of embryos to be transferred before the embryo transfer process.

Our expectant mothers may relax now. Embryo transfer is no different from a simple examination procedure. No anesthesia is required. Before the transfer, the only thing required is for our expectant mothers to drink plenty of water and fill the urine bag a little. Because the transfer process is performed under ultrasonographic observation and for this, the urine bag must be somewhat full.

During the transfer process, a catheter loaded with embryos is passed through the vagina and cervix and placed into the uterus, and the embryos are left in the uterus.

If there are good quality embryos or embryos left after the placement process, our teams freeze the embryos with the consent of the couple and store them for future use.

The expectant mother is discharged after resting for 3-4 hours after the transfer.

Progesterone, estrogen, or other additional supplements to support the development of the pregnancy can be started after egg collecting or embryo transfer.

It is possible for couples to learn the result of IVF treatment with a pregnancy test performed 14 days after the transfer. If your test is positive, we will wait for you in our clinic to listen to your baby's heartbeat after 3 weeks.

What is the Success Rate in IVF?

Factors such as the mother's age and embryo quality are of great importance in the success of IVF. The chances of success also vary according to these factors. While the success of IVF is 55-60% in women under 30 years of age, this rate drops to 15-20% in women over 40 years old.