What are assisted reproductive techniques?

The aim of this study is to evaluate couples who do not have babies even if they are not protected for 12 months under the age of 35 and 6 months over the age of 35 by using high technology opportunities in laboratory environments. Here, methods can be listed as vaccination, classic IVF and ICSI (intracytoplasmic sperm injection).

 

What tests are done for couples who cannot have children?

Routine female hormone tests and ovarian reserve test (AMH)

Spermiogram demonstrating male sperm characteristics

Medicated uterus graphy (HSG) showing the condition of the woman’s intrauterine structure and tubes

In the gynecological examination, anatomical features of the vagina and cervix, presence of infection, nodularity and tenderness behind the vagina and cervix, two-dimensional and better three-dimensional evaluation of the intrauterine tissue, features of the uterine muscle structure, ovarian reserve should be evaluated. Numerous data are obtained by ultrasonography, such as complete or incomplete compartments in the intrauterine tissue (uterine septum), fluid accumulation in the tubes (hydrosalpenx), the presence of polyp or fibroids in the uterus, the presence of cysts in the ovaries, and the evaluation of the number of eggs in the ovaries.

Then, hormone tests, sperm evaluation, and medicated uterus film are also seen and evaluated whether the couple has a fundamental problem or not, then, if possible, with the simplest, easiest, inexpensive treatment methods (egg follow-up, timed association, simple ovulation treatments and vaccination …) more advanced methods are directed. However, some couples directly require advanced treatment methods (IVF) after evaluation.

 

Whom Do We Treat with IVF?

Decreased egg reserve and decreased egg quality (especially in older age, egg quality decreases)

Findings about sperm count, quality or deformity, oligoazoospermia, azoospermia

Tubular obstruction and inadequacy

Endometriosis and endometrioma

Unexplained infertility

Which Treatment Is Applied in IVF?

When choosing the form of treatment: we consider the main issues of the woman’s age, the duration of the couple’s infertility, the presence and results of previous treatment practices, the ovarian reserve, the evaluation of the uterus and tubes, and the evaluation of the sperm factor. If the test tube obtained in the tests does not point to a problem that will immediately deserve the baby and the couple; Inoculation can be tried twice, especially if the woman is under 35 years old.

If the IVF requirement decision has been made;

1) Classic IVF: It is the collection of suitable quality eggs collected from women and quality sperms obtained from men in a laboratory environment and fertilization is expected in this environment.

2) ICSI: It is the microinjection of the good sperm obtained from the man by the good quality egg obtained from the woman.

3) IMSI: The best sperm selection is using 800 times magnification in sperm selection and the use of these sperm in classic IVF (microinjection) procedures.

What are the stages of IVF Treatment?

Treatment is started on the 21st day of your duty number on the selected protocol, after the preparation or directly on the 2nd day.

The first stage is ovulation induction, which is aimed at stimulating and synchronizing the eggs. In this treatment, which lasts for a total of 10-12 days, all the duties you have are told to you in detail and stay in constant communication. During this process, your egg is followed every 2-3 days by ultrasonography.

When the eggs reach a certain size, the eggs are collected with a short sedation application at the 36th hour of the injection, which allows the egg to mature around the 14th day. On the same day, microinjection is applied to your mature and good quality eggs.

The next day, the egg is expected to fertilize and in the following days, the embryo will divide into cells and develop. Embryo transfer is made on the 3rd or 5th day of the embryo. Whenever possible, the best quality embryos that reach the blast stage with more than 120 cells are tried to be selected.

Anaesthesia is not required for embryo transfer. The embryo is placed in the intrauterine tissue, accompanied by a full bladder and ultrasonography.

A pregnancy test is performed 12 days after embryo transfer.

 

What are the methods that increase the success of IVF treatment?

The success of treatment in the clinic is determined directly by how accurate the couple is evaluated and the details are fully understood.

The protocol chosen in the implementation of this stage, this protocol should be explained to the couple correctly, and each stage should be taught correctly, the follow-up should be done by one doctor carefully and by allocating enough time, and if necessary, by examining the file over and over again.

The success of treatment in the laboratory;

* Selecting the best sperm by growing the sperm 6000 times with IMSI

* Good quality microinjection application by experienced embryology doctors

* 24 hours follow-up of embryos using Time Laps technique with embryo-scope

* Follow-up of the development of intrauterine tissue very well, and meticulous hormone tests and transfer, making sure that the intrauterine tissue is suitable.

* Using very good quality vitrification (rapid freezing) techniques for frozen embryo transfers and maintaining the vitality and quality of the embryo in the same way

* If necessary, finding and transferring genetically normal embryos with aCGH and NGS applications in preimplantation genetic diagnosis.

 

What Should You Pay Attention to While Choosing Your Doctor in IVF Treatment?

It is very natural to see one or more doctors once you realize that you are having trouble having a baby. Knowing that the relationship between you and your physician will be long-term, you should pay attention to what kind of a trust relationship is formed in these interviews. If you are going to receive services from IVF centers, you should take into account that you have to take care of patients in crowded centers at short intervals and that you may have difficulty in answering some questions and share this with your doctor.

You should ask your doctor about his education, whether he has a test tube certificate, his experience, the success of getting a IVF and getting home alive.

You should ask and research the competence of the laboratory used by your physician for their procedures. You should learn the technological investment in embryology laboratories, the experience of the embryologist, the success rate of the laboratory, and the rigorous identification rules.

You should make sure that the nurse, embryologist, anaesthesiologist and even assistant staff serving you together with your doctor will love and support you.

You should keep in mind that the systems that give you cheap prices will have to reduce the quality of service and materials, in this case, affordable prices may not always be good.

Who are we?

I am a 1993 graduate of Istanbul Medical School of Istanbul University.

I got my expertise in 1998 of Medicine Obstetrics and Gynecology from the Istanbul University Istanbul Medical School.

My great experience in the field of IVF in Turkey for 10 years and I’ve trained my teacher and head to work.

In 2014, I completed my certification program at Vehbi Koç Foundation American Hospital IVF Center and received my IVF Specialist certificate.

I spend a long time with each of my patients, complete the examinations and prepare a detailed file containing the special details. After the treatment selection, I take a long time to follow-up by following my patients and the details carefully.

I receive service from the IVF laboratory located in the Medical Center of the American Hospital on the Anatolian Side. We are following closely and closely for the treatment of each patient with my friends and embryology physicians.

My IVF nurse Sevda Baydaroğlu, who has been working with me for 15 years in my team, takes care of all the needs and details of my patients and meticulously.

During your treatment, we constantly refresh your information so that you do not make mistakes, and as a team, we quickly find solutions to correct them in case of errors.

The entire team of 4 people in my clinic know my IVF patients and respond to their needs immediately.

 

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