The primary goal is to get pregnant at the first time and deliver your baby safely.
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What Depends on the Results of In Vitro Fertilization Treatment?
It depends on a number of factors for both men and women. The most important of these is WOMEN'S AGE. Because the quality of the egg obtained depends on age and is the most important factor affecting the quality of the embryo that will be formed. In cases where the female age exceeds 42-43, our chances are below approximately 5%. Another important factor is the man's sperm status. Apart from these, accompanying diseases (goiter, diabetes, obesity, etc.), disease in the tubes, weak ovarian reserve, operations or diseases performed inside the uterus may have a negative impact on success. In summary;
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Female age
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Ovarian reserve
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Sperm status
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The condition of the tubes
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Whether there is an accompanying disease is one of the leading factors affecting success!!!
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So what awaits you during this difficult process?
First of all, it is very important why in vitro fertilization treatment is sought. Since it is not right to apply in vitro fertilization to everyone all the time, it is necessary to make a clear treatment decision. After the decision is made, the first thing to do is to avoid stress and not think negatively. In this process, let's stay away from our smoking and alcohol habits. Let's keep our morale high.
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Which tests are performed at the beginning?
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Anti Mullerian Hormone for ovarian reserve in women (AMH), TSH for thyroid, fasting glucose for sugar, milk hormone (Prolactin), complete blood count and Hepatitis-b, Hepatitis-c and HIV tests for infectious diseases are checked.
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If it has not been done before, the uterine film is examined (HSG)
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Only when necessary, the inside of the uterus is examined with a camera and treatment is performed if necessary
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Sperm analysis is performed for men following 2-7 days of sexual abstinence
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Apart from the tests listed above, other qualified tests are requested only in special cases (e.g. coagulation tests, chromosome analysis, sperm analysis). DNA test etc...)
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When does treatment start? How much Day Lasts? What awaits you in this process?
In vitro fertilization treatment usually starts on the 2nd or 3rd day of menstruation. However, depending on the protocol to be chosen, it can also start on the 21st day of the previous menstrual period. Generally, starting with menstruation is preferred and daily abdominal injections are started. After an injection is given once a day for approximately 10-15 days, when the follicles growing in the ovaries mature, a cracking injection is made and the eggs are collected under anesthesia after 36 hours. Meanwhile, sperm samples are taken from the spouses and sperm are injected into the collected eggs with a needle. The fertilization process is followed in special environments for approximately 4-5 days, and at the end of this period, the best embryo(s) are transferred into the uterus.
Egg enlargement with daily injections
Collection of eggs
Fertilization of collected eggs with sperm in the laboratory
Embryos are obtained from fertilized eggs
Transferring the obtained embryos into the uterus
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Which embryos are transferred? How is the selection process done?
The eggs collected and fertilized with sperm are stored in special laboratory environments called incubators. The embryos that are monitored with special systems during storage are noted, especially those that are prioritized and well divided. Then, embryos determined to be of the highest quality using special scoring systems are separated for transfer. In our center, especially day 5 embryos called blastocysts are used.
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What awaits us after the embryo transfer?
After the transfer process, we need to rest for 1-2 days and avoid heavy sports and work. It is important to avoid caffeinated drinks, avoid alcohol or cigarettes, and avoid sexual intercourse. We check the blood for a pregnancy test approximately 12 days after the transfer. It is very important to use the recommended medications completely during this period.
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