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PHOENIX IVF CENTER

Frequently Asked Question

What changes should we make in our lives during in vitro fertilization treatment?

We should not smoke or drink alcohol. Especially after the transfer, we should not exercise, we should rest. We must use our medicines regularly. We must pay attention to our sleep and nutrition.

Can I swim after egg retrieval or embryo transfer?

Yes, you can swim in water that you are sure is clean 48 hours after the procedure.

Can I travel by car or plane after the transfer?

Yes, you can drive less than 4 hours and fly the next day.

Are there any limits on sexual intercourse after the procedures (egg collection or transfer)?

It would be best not to have sexual intercourse after egg collection.

What should you do about returning to work?

If your work is not heavy, you can return to work 1 day after the transfer.

When is pregnancy determined?

The result is determined by a blood pregnancy test 12 days after the embryo transfer. It is not known beforehand.

What happens to the excess embryos?

The excess embryos remaining after embryo transfer can be frozen and used in later experiments if you wish.

How many times can IVF be tried?

When patients show patience, a total pregnancy rate of 90% is achieved after 4 attempts. The chances of success are less after the 8th attempt.

Do I need to lie down after the transfer?

No, it is enough to rest at home, lying down does not increase your chances of pregnancy.

What are the chances of success?

Pregnancy rates per embryo transfer are around 50% on average. While this rate increases to 70% in young patients, it decreases to 20% in patients over 40 years of age.

What are the factors affecting success?

One of the most important factors affecting success is the woman’s age. The chance of success decreases in trials over the age of 35. The cause of infertility, long duration of infertility, problems in both men and women, and the quality of the embryo formed affect success.

When is the right time to seek infertility treatment?

According to the definition of the World Health Organization, if you cannot get pregnant for 1 year despite regular unprotected sexual intercourse, you should start infertility treatment.

Is there an age limit for in vitro fertilization treatment?

In vitro fertilization treatment can be performed as long as menopause is not reached. However, after the age of 35, the chance of pregnancy with in vitro fertilization decreases with each passing year. It drops below 5% after the age of 44-45.

Does blocked tubes prevent pregnancy?

If one of the tubes is blocked, it does not prevent pregnancy unless it is accompanied by another reason. However, if both tubes are blocked, there is no chance of pregnancy through normal means and insemination treatment, as the sperm and egg cannot meet and be fertilized. In vitro fertilization treatment should be planned. In patients with blocked tubes, if there is fluid accumulation in the tubes, transfer should be planned after removing or tying the tubes to prevent the fluid from flowing into the uterus.

What is the risk of miscarriage in pregnancies resulting from in vitro fertilization?

Approximately 20% of pregnancies that occur spontaneously or through in vitro fertilization treatment may end in miscarriage. However, there is no difference between the two in terms of miscarriage risk.

Does smoking prevent you from having children?

Smoking is harmful to both women and men. Egg and sperm quality decreases. The chance of pregnancy decreases, the possibility of miscarriage increases. Passive smoking has the same effect. One of the important points of in vitro fertilization treatment is quitting smoking.

Does stress cause infertility?

The stress level in infertility is the same as cancer. IVF treatment should not be preferred after severe stress. Depression and anxiety reduce the chance of pregnancy. The aim is to reduce stress from the first phone call to the pregnancy follow-up. The importance of IVF treatment in the lives of patients should be taken into consideration and it should not be forgotten that stress plays an important role in success.

What is PGT (Preimplantation Genetic Diagnosis) and what are its benefits? Does it cause any harm to the embryos?

Thanks to the newly introduced pre-transfer genetic diagnosis (PGT) in today’s IVF treatment, patients or carrier couples can now have healthy babies. Embryos obtained by fertilizing eggs with sperm during IVF treatment can be checked for many familial and chromosomal diseases before being placed in the mother’s uterus, thanks to 1 or 2 tissue (blastomere) samples. The results of the PGT method, which is applied without damaging the embryos, can be obtained within 2 weeks.

Are there any side effects of the medications used in IVF treatment?

When the drugs used in IVF treatment are used by injection, small bruises and discomfort may occur at the injection site. The drugs used to enlarge the ovaries in IVF treatment can, in rare cases, cause overstimulation of the ovaries.

What is the difference between microinjection and in vitro fertilization?

In the classical IVF system, sperm and egg cells are brought face to face and the sperm cell is expected to fertilize the egg cell. However, if the number of sperm cells, their mobility, and the number of sperm cells with normal structure (morphology) are not sufficient to fertilize the egg, a single sperm cell taken into a thin glass needle with a special device is directly given to the egg cell under a microscope and fertilization is achieved. This is called microinjection, that is, it is an IVF method with a different application method. The follow-up and monitoring of the patient is the same as in the classical IVF method.

What is EmbryoGlue (embryo glue)?

EmbryoGlue is a fluid that is similar to the natural environment in the womb and is enriched with the substances needed to better support the embryo during implantation. EmbryoGlue contains hyaluronan, a natural molecule found in all tissues of the body and plays an important role in embryo development and implantation.

Putting the embryo in EmbryoGlue before the transfer process and performing the transfer process with EmbryoGlue provides a higher chance of implantation and pregnancy.

What is Polycystic Ovary Syndrome? Can patients with polycystic ovary syndrome have children through in vitro fertilization?

Polycystic ovary syndrome is the most common endocrine disease in women. It is reported to be seen between 4-7%. The causes are not fully known. It is thought to be genetic.
In addition to menstrual irregularity, increased hair growth, and ovulation disorders, women with polycystic ovaries also carry metabolic risks such as obesity, insulin resistance, blood sugar irregularity, and blood lipid deterioration.
In polycystic ovaries, there are many small cysts in the ovary. Normally, one of the precursor eggs in a woman reaches a sufficient size and cracks, and ovulation occurs. In women with polycystic ovaries, all of the numerous precursor eggs try to grow, but none of them reach a sufficient size and ovulation does not occur.
Polycystic ovary patients are the most advantageous patient group for in vitro fertilization; a large number of eggs can be developed using fewer medications. However, this is a group that should be closely monitored due to the risk of OHSS. The chance of pregnancy is high.

Does obesity affect fertility?

In obesity, egg and embryo quality decreases, progesterone production decreases, implantation rate decreases, miscarriage risk increases. In men, sperm quality decreases, erection problems increase, libido decreases due to decrease in testosterone.

Is it better to have a frozen embryo transfer or a fresh embryo transfer?

If there is a risk of OHSS, hormone levels are not at the desired level, the uterine lining is not at the desired thickness, formations such as fluid, polyps, myomas are detected in the uterus, or if there is an increase in quality embryos after the appropriate embryo is selected and transferred, it is recommended to freeze the embryos. Eggs are not grown or collected for frozen embryo transfer. The uterine lining is prepared. There is no difference in terms of pregnancy chance.

Is treatment more successful with day 3 or day 5 embryos?

With a good prognosis, a higher egg count and fertilization rate, the live birth rate is higher with day 5 embryo transfer compared to day 3 embryos. The risk of multiple pregnancy decreases with single embryo transfer. However, waiting for embryos that have entered day 5 may result in fewer frozen embryos. With blastocyst transfer, the risk of identical twins and problems that may occur during pregnancy increases slightly. Therefore, we decide whether to transfer on day 3 or day 5 depending on the patient and the cycle. Each patient and each cycle (treatment) is different. It is important to personalize the treatment and determine the most appropriate transfer day for the patient.

How long can I store my frozen embryos? Will my embryos get damaged over the years?

You can store your frozen embryos for as long as you want. The freezing period does not have a negative effect on embryo quality.

I have entered menopause, can I have a child with in vitro fertilization?

Since the ovulation period ends with menopause, you can only have children with in vitro fertilization treatment using egg donation.

I will come from abroad for treatment, how long should I stay in Cyprus?

The length of your stay will vary depending on the treatment model you will receive.
The average duration of classical IVF treatment is 15-20 days. IVF treatment is a personalized treatment, the treatment duration varies from person to person.
In donation, the treatment duration varies between 5-7 days.

If the first IVF treatment is not successful, how soon can we try again?

After a rest period of approximately 2 months, IVF treatment can be started again.

How are eggs collected? Is it a painful procedure?

It is a painless procedure performed under general anesthesia with the help of ultrasound, lasting 15-20 minutes.

How does the IVF treatment process with a donor proceed?

For egg donation, the uterus of the prospective mother is prepared, the sperm taken from the prospective father is fertilized with eggs taken from an egg bank that are compatible with the recipient mother’s physical characteristics and blood type. The development of the fertilized eggs is monitored and the best 1-2 are transferred. In sperm donation, the prospective mother’s eggs are developed and collected, and fertilized with bank sperm whose characteristics are similar to the prospective father’s. The development of the fertilized eggs is monitored and the best 1-2 are transferred.