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Frequently asked Questions

FREQUENTLY ASKED QUESTIONS 

  • I can’t be late. When should I apply to an IVF center?

If your age is 1 year if you are under 35 years old, if you are over 35 years old, if you have not been able to conceive despite regular and unprotected sexual intercourse for 6 months, I recommend that you consult a physician who deals with reproduction. However, if you have menstrual irregularity or amenorrhoea without medication, if there is a previously known tube obstruction or if there is an abnormality in sperm count and motility, this period should be applied without waiting. Evaluation of Infertile Couple for details on this subject. You can read my article.

  • I can’t be late. Is IVF the only treatment?

No. After evaluating you in detail as a couple, if your conditions are suitable, we can also consider doing ovulation treatment or insemination treatment, which are non-in vitro fertilization treatments.

  • When I make an appointment for the first evaluation, should I come to the examination on a regular basis?

It is not necessary to have your period when you come for the first evaluation. We can do your examination on any day of your menstrual cycle. When you come for the examination, I recommend that you bring all the results of your examination and, if you have been treated before, the notes you have about this treatment.

  • What should I pay attention to before having a sperm analysis?

On the day of sperm analysis, we would like you to observe from sexual abstinence for 2-6 days.

  • We would like to come to you to start IVF treatment. Should we come directly while menstruating?

I prefer to see you for initial evaluation and planning before the month you are considering treatment. Thus, we will evaluate you in detail as a couple and we can plan the treatment method we will use in IVF and the type of treatment we will use according to your individual characteristics. Choosing the way of using personalized medicine in IVF treatment will increase your chances of success in your treatment.

  • How is insemination treatment done and how many days does it take?

We start the insemination treatment on the 2nd or 3rd day of menstruation and it is completed in about 2 weeks. However, you do not need to come to our clinic every day during this 2-week period. It will be sufficient to come for blood and ultrasonography examinations 3 or 4 times intermittently and for vaccination for one day. If you live in a city close to Ankara, you can come and return for these checks daily. There will be no harm in traveling to return to your city on the day of vaccination. You can find detailed information in my Intrauterine Insemination Treatment article. If you want to get price information, you can contact us from the contact section.

  • What type of drugs do you use in insemination or IVF treatment?

In order to ensure your egg development in insemination and IVF treatments, we use daily, subcutaneous, injectable drugs that you can easily apply by yourself. However, these drugs do not have any cumulative effects or significant side effects in the body and can be used easily.

  • How is the insemination process done and what should I pay attention to afterwards?

Insemination is performed with full bladder and accompanied by abdominal ultrasonography in order to correct the axis of the uterus. After speculum application, it is completed by gently wiping the cervix with saline, then passing the inoculation catheter loaded with washed, concentrated motile sperm through the cervix and injecting the sperm into the uterus. The procedure takes 2-3 minutes and you will not feel pain during this time. After insemination, you can continue your daily life. After the insemination, it will be enough for you to rest in our clinic for 30 minutes. There is no harm in traveling.

  • How is IVF treatment done and how many days does it take?

Your IVF treatment, depending on the type of drug use we have chosen for you and explained beforehand, will start after preparation with an injection or pill that you will start to use 1 month or 1 week before the period you will see in some patients. 2. or 3rd day, sometimes directly to your period 2. or It starts on the 3rd day. If classical in vitro fertilization will be performed and embryo transfer will be performed that month, your treatment will last 2.3-3 weeks from the beginning. However, if we are not planning a fresh transfer that month, if we are going to perform preimplantation genetic screening (PGT-A) or diagnosis (PGT-M), we will need approximately 2 weeks from your period. However, you do not need to come to our clinic every day during this whole process. It will be enough for you to come for blood and ultrasonography examinations 4 or 5 times intermittently, one day for egg collection and one day for embryo transfer.

  • Can I work during my treatment and do I need to restrict my daily life?

There is no harm in working during your treatment. You can do light exercise and continue with your daily life. However, if you need to avoid cigarettes and alcohol, and if you need to take medication due to another ailment, it will be correct to take it if we inform and give consent. There is no need for any special restrictions in your diet.

  • How is egg collection done?

We do your egg collection by putting you to sleep under a mild anesthetic so that you don’t feel any pain during the procedure. Egg collection is a process that takes approximately 10-15 minutes, and then you can leave after resting in our clinic for 1 hour. Since you have received anesthesia, it will be beneficial not to be alone and not to drive that day. After egg collection, you may have vaginal bleeding in the form of light spotting from the needle entry site for a few days, and you may feel mild groin and lower back pain. If you have pain, you can use paracetamol derivative pain relievers 3 or 4 times a day.

  • How is embryo transfer done?

Embryo transfer is performed with full bladder and accompanied by abdominal ultrasonography in order to correct the axis of the uterus. After speculum application, the cervix is gently wiped with physiological saline and washed with a special solution. After entering the uterus with the trial catheter, the catheter on which your embryo is loaded is passed through the cervix, and then the embryos are transferred into the uterus. The transfer process takes 2-3 minutes and you will not feel pain.

  • What should I pay attention to after embryo transfer?

After the embryo transfer, it will be enough for you to rest in our clinic for 45 minutes-1 hour. If you are coming from a city close to Ankara, there will be no harm in traveling on the same day. If you are coming from afar, you can return home after resting for 1 or 2 days.

9 days after the embryo transfer application on the fifth day, 3. We can understand whether pregnancy has occurred as a result of your treatment, with a blood pregnancy test performed 11 days after the embryo transfer application of . We recommend that you rest until the day of the pregnancy test and avoid tiring work as much as possible. You will not need to make any special changes in terms of your diet. I recommend that you eat vegetables and fruits that are seasonal normal.

  • In which cases do you prefer not to transfer embryos and freeze the embryos in the month of egg collection?

In order to avoid the risk of ovarian hyper stimulation syndrome, if we collect more than 15 eggs in the month we stimulated, if we are going to do preimplantation genetic diagnosis (PGT-M) or screening (PGT-A), if we have an abnormal finding related to the uterus during stimulation (uterine If there is an image of a tube with a clogged end and filled with liquid, which we call the hydrosalpenx related to the tubes, we do not transfer embryos in the stimulation month and freeze all the embryos we will obtain.

In addition, we do not transfer embryos during the stimulation month in couples where we freeze embryos within the scope of reproductive protection approaches or we plan to collect embryos due to low reserve.

  • On which day and with which technique do you freeze the embryo and what is the survival rate after thawing?

In our clinic, it is almost always in the blastocyst stage, that is 5. or We freeze and store embryos of appropriate quality that have reached the 6th day. But rarely, in some special cases 3. We can also plan to freeze embryos on the same day. In all our patients, we perform embryo freezing with the latest technology vitrification method.

After thawing the embryos frozen by the vitrification technique, the survival rate is around 98%.

  • Are pregnancies obtained after frozen embryo transfer safe?

After frozen embryo transfers, we achieve a pregnancy rate that is at least close to fresh application, or even slightly higher, and the risk of major or minor abnormality that can be seen in babies born in this way is similar to spontaneous pregnancies.

  • What is preimplantation genetic screening (PGT-A) and to whom is it applied?

Preimplantation genetic screening (PGT-A) is the process of screening for chromosomes, which are our building blocks, in the cell sample obtained from the appropriate quality embryos obtained by in vitro fertilization method and reached the blastocyst stage (5th or 6th day).

Especially in women after 38 and 40 years of age, since the risk of chromosomally unhealthy egg produced increases, it becomes difficult to get pregnant, the risk of miscarriage increases and the probability of having an unhealthy baby increases. For this reason, we recommend the PGT-A method for couples who will undergo IVF, especially if the woman’s age is 38 and above 40. For detailed information, you can read my Preimplantation genetic screening (PGT-A) article.

  • What is preimplantation genetic diagnosis (PGT-M) and to whom is it applied?

Preimplantation genetic diagnosis (PGT-m) is performed in the presence of chromosomal anomaly (translocation or inversion, etc.) in a woman or a man, or in the presence of a known genetic disease in the family.

In the cell sample obtained from the appropriate quality embryos obtained by the in vitro fertilization method and reached the blastocyst stage (5th or 6th day), it is determined whether the embryo has the existing disease and the healthy embryo is detected and its transplantation is planned. With this method, evaluation can be made in terms of thalassemia, various muscle diseases, metabolic diseases, cystic fibrosis, spinal muscular atrophy (SMA) and many genetic diseases. For detailed information, you can read my Preimplantation genetic diagnosis (PGT-M) article.

  • What types of treatment can be applied in polycystic ovary syndrome (PCOS)?

Polycystic ovary syndrome (PCOS) is the most common hormonal disorder in women of reproductive age. It can cause menstrual irregularity, increase in male pattern hair growth, tendency to gain weight, trouble conceiving and some metabolic problems.

In the presence of PCOS, if there is no other reason for not being able to conceive and the age is young, the first-line treatment is to stimulate ovulation with ovulation drugs . In those who cannot get pregnant with this method In the 2nd step treatment, providing egg development with daily needle and additionally performing the insemination process, The third-line treatment is in vitro fertilization. You can find more detailed information in my article on Polycystic Ovary Syndrome (PCOS) .

Contact information :

Author : Prof. Dr. Mehtap Polat
Telephone : +90 530 011 41 33
E-mail : [email protected]

Prof. Dr. Mehtap Polat

18 yılı aşkın meslek hayatım boyunca mesaimin neredeyse tama yakını bebek sahibi olmak isteyen çiftlere yönelik tedavilerle geçti. Çocuk isteği olan ve tedavi gereği olan çiftlerin bu süreçte ne kadar kırılgan, naif ve hassas olduklarının farkındayım. Bu nedenle hastalarımla yaptığım ilk görüşme anından itibaren, kendilerine olabilecek en yüksek başarı oranını sunmak için bilimsel veriler ışığında güncel, kaliteli, özenli ve çifte özel bireyselleştirilmiş tedavi uygulamanın gayreti içindeyim..

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