People Who'll try IVF treatment for the First Time
Our main purpose is you to get pregnant in the first cycle of the IVF Treatment and give birth to
a healthy baby. Unfortunately, the success rate of IVF in the world and also in our country isn’t
100%. The chances of getting pregnant in the first cycle is around 35-40% even if everything
goes very well. And to achieve a successful IVF treatment, the negative factors should be
With which factors is the success of IVF treatment connected?
It depends on a number of factors concerning both the male partner and the female
partner. The most important of these factors is the age of the female partner. Because
the quality of the eggs obtained depends on the age and the quality of the embryo
is the most important factor. When the female is older than 42-43 the success chance
scales down to under 5%. Another important factor is the status of male’s semen cells.
Other than these, the ongoing illnesses such as goiter, diabetes, obesity, illnesses in the
ovary, weakness of the ovarian reserve, or the past intrauterine operations or illnesses
could affect the success rate negatively.
As a sum,
- Age of the female
- Ovarian reserve
- Condition of the semen cells
- Condition of the uterine tube
- Ongoing illnesses
are the main factors that affect the success rate on IVF.
So what should be expected in this spiritually and materially challenging process?
First of all, it is really important to know why the IVF treatment is chosen. Since that it is
not always the rightest option for everyone, it is really important to be clear about the
decision. After deciding to that, the first things to do are to avoid stress and negative
thoughts. In this process, you should stay away from alcohol and cigarettes, and take
heart for it.
Which tests are performed in the beginning?
* Anti Mullerian Hormone (AMH) to detect the number of eggs in the ovarian reserve,
* TSH for thyroid
* Diabetes test (when hungry)
* Milk hormone test (Prolactin)
* Blood cell count
* Tests to detect STD and other infectious diseases (Hepatitis-B, Hepatitis-C, HIV)
* Intrauterine radiography (HSG) (If was not made before)
* Examining the intrauterine with a medical camera to cure any problems if necessary
* Analysis of spermatozoon following the 2-7 days of sexual abstinence
* Other specific tests than mentioned above are only asked to be performed only if
necessary (such as: coagulation test, chromosome analysis, sperm DNA test etc.)
When the treatment is started? How many days does it take? What to be expected
during this process?
The treatment is started following the 2nd or 3rd day of menstruation. But it could be
also started at the 21st day following the menstruation regarding to the chosen method.
The first option is generally chosen, and the treatment starts with the daily injections on
the belly. After the daily injections of 10-15 days, the “triggering injection” is performed
when the follicles inside the ovarian are big enough. After 36 hours to this last injection,
the eggs are collected under anesthesia. At the same time, the spermatozoons are
collected from the male, and they are injected into the eggs. This insemination process
is kept track of for 4-5 days and in the end of this process, the best embryos are
transferred into uterus.
1. Upsizing of the eggs with daily injections
2. Collection of the eggs
3. Fertilisation of the collected eggs with collected sperm cells.
4. Obtaining an embryo with fertilised eggs
5. Transfer of the embryos into uterus
* Which embryos are transferred into uterus? How are the best ones detected?
The eggs that were fertilised with collected sperm cells are kept in a special device
called “incubator” at the laboratory environment. During the tracking of the fertilised
eggs, the ones that are segmented the best are noted at the first-time. Afterwards,
embryos that are detected with the scoring system to be of the best quality are
separated to be transferred. In our center, we use 5th day embryos which are also