IVF
Infertility is the failure to have a baby with unprotected sexual intercourse 2-3 times a week minimum for 1 year. Primarily, the reason for infertility is searched in both the woman and the man. Studies have shown that IVF treatment should start immediately if it is needed.
IVF treatment aims to reproduce high number of eggs in the same menstrual cycle in order to increase the success rate. Therefore, the egg reproduction treatment starts on the 2nd or 3rd day of the menstrual bleeding in the planned month of treatment. The egg reproduction treatment takes about 9-12 days under the supervision of the physician. Once the egg reproduction treatment is completed, cracking needle is done and egg collection (OPU) process is planned. The egg collection is made under anesthesia so that the patient can be stable and does not feel any pain. It takes about 15-20 minutes. Sperm sample is asked from the husband simultaneously with the egg collection. Upon the completion of all these procedures, the egg cells and the best sperm cells selected will be brought together via microinjection (ICSI) method in laboratory conditions. The embryos are left to 3 or 5 days’ development process after the fertilization. On the planned transfer date, the embryos that showed development in the best quality will be transferred to the future mother. The transfer does not require anesthesia. It is quite a simple and easy process.
In some countries, IVF can only be implemented in married couples in accordance with the applicable law. Moreover, there are restrictions imposed in the number of embryos.
IVF treatments do not have marriage requirement in Cyprus. And legally, 3 embryo transfers can be made.
In the recent years, high numbers of patients choose Cyprus for IVF treatment due to the restriction in the number of embryo transfers in other countries. IVF in Cyprus has also become reasonable because IVF cannot be implemented on women older than 45 in some European countries.
Cyprus has gained an important place in the field of medical tourism in the world with the service, treatment prices and success rates in IVF treatment. IVF treatment prices provide significant advantage when compared to Europe.
Likewise, the patients with too many failed attempts legally obtain excellent pregnancy rates in Cyprus through egg donation, sperm donation or embryo donation.
These rates are quite higher than the pregnancy rates obtained from their own eggs and sperms. This is because the donors are not infertile and they produce eggs and sperms which are of better quality when compared to infertile patients. We can expect 60-80% pregnancy rates in the donation treatments.
Unfortunately, IVF treatments do not always give positive results. There is the risk of negative result even if everything is okay during the pretreatment, embryo development process and the transfer.
The reason of the failure of the IVF treatment is among the most frequently asked questions. Nonetheless, unfortunately, it is very difficult to answer this question if there were no adversities observed before the treatment, in the laboratory process and embryo transfer phase. There might be several reasons why the treatment ended in a negative result. Therefore, it is very hard to make a comment on this matter.
Genetic reasons to incur in the egg cells due to the future mother’s age, ovaries’ not sufficiently responding to the medications, egg reserves being insufficient and any morphological disorders to incur in the ovaries, bad sperm morphology in the man, wall of the womb not reaching desired thickness, the patient’s failure to take the medications in the recommended way and dosage, failure to obey the rules after the transfer are major factors which lead to negative results in IVF treatments.
In IVF treatments, the embryos with the best adherence capability are selected and transferred to the future mother. The wall of the womb is an area which is out completely out of control after the embryos’ transfer. The adherence might not occur due to the reasons related to the endometrium and reasons which cannot be medically illuminated.
1- The endometrium thickness should be 8-12 mm on the day of embryo transfer. In some patients, the endometrium could not reach the ideal thickness due to having been damaged by any previous infection or surgical intervention. This is one of the reasons that adversely affects the treatment and has no solution.
2- The insufficiency of the examinations requested before the treatment can lead to skipping the formations in the uterus such as myoma, polyp and intrauterine septum or intrauterine cohesiveness. These formations prevent the sufficient feeding of the embryo and lead to negative results or loss of pregnancy.
As a result, a meticulous evaluation is needed so as to avoid questions like why it did not occur, where a mistake was made, do I have a problem when a negative result is obtained. The best measure is to start the treatment after eliminating the problems that could lead to negative result.
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