What are the factors that affect the success rate of In Vitro Fertilisation?
The most important factor is age. The older the woman, the reduced probability that she will become pregnant. The chance of getting pregnant is practically negligible after the age of 44. Previous sexually transmitted infections which affect the ovaries and the tubes might negatively influence the success rates of pregnancy.
The quality of the sperm, any stickiness, myoma or polyps which would prevent embryos from attaching to the womb, obstruction or water in the tubes would affect the success rate.
How long should we stay in the TRNC for the procedures?
The day that you arrive in Cyprus is determined after the preparations for the procedures are complete; the minimum stay is 2 nights and the maximum is 7. You can call our centre to enquire about this period based on your procedure.
At what age can In Vitro Fertilisation be applied?
In Vitro Fertilisation can be applied to women up to the age of 44. However, it is known that the chances are reduced after the age of 40.
What is Microinjection?
Microinjection is an In Vitro Fertilisation method in which the sperm is injected into the egg, thus achieving insemination.
How is microinjection different than In Vitro Fertilisation?
Microinjection is used for male infertility, while In Vitro Fertilisation is used for female infertility.
Who can benefit from In Vitro Fertilisation or Microinjection? How?
These methods can be applied in cases where classic treatment methods do not work.
What are the stages of In Vitro Fertilisation?
Stimulating the ovaries, collecting the eggs, inseminating the eggs with sperm, and transferring of the inseminated eggs (embryo transfer).
What happens when the sperm count appears to be low or non-existent during a sperm examination?
If the sperm count is low, microinjection is used. If there is no sperm in the semen, then sperm must be looked for via surgery.
How are eggs collected? Is it painful?
The eggs are collected via vaginal ultrasound. It is a relatively short procedure conducted under anaesthesia.
How does a person feel after egg collection?
They can usually go home after a short period or even return to work later on the same day.
Are the egg reserves depleted due to these treatments?
Ovaries being stimulated for the purpose of In Vitro Fertilisation does not deplete egg reserves.
Can all eggs be inseminated?
In order for the eggs to be inseminated, they need to be appropriately developed and structurally normal. Not every egg can be inseminated and not every inseminated egg can turn into a healthy embryo.
How are embryos placed into the womb after insemination?
Embryo transfer is a very simple procedure. The embryo is placed in the womb from the entrance via a plastic catheter with the help of ultrasound.
Are there any remaining embryos after the transfer? What can be done with them?
After the transfer, the remaining embryos are examined by an embryologist to see if they have sufficient quality to be frozen and then the family is asked whether they want to freeze the eggs.
How are the embryos chosen? How are multiple pregnancies prevented?
Healthy embryos are chosen for fresh transfer. From 1-3 embryos can be placed into the womb depending on the woman’s age.
What can be done in case of multiple pregnancies?
Firstly, multiple pregnancies with more than two babies must be prevented. This is achieved by reducing the number of transferable embryos in women who have higher chances of pregnancy (young, who have experienced pregnancy before, and with more than 3 healthy transferable embryos). Usually, nothing is done for twin pregnancies, while reduction is recommended for triple pregnancies.
What is the method of payment and how much does it cost?
- You can find out about the cost and the method of payment by calling our centre and asking about your specific procedure.
- The payment is in euros and must be made in cash on the first day of procedure. The current exchange rates of TRNC can be used to make the payment in TL/USD or GBP if needed as well.
- There are no instalments for the payments.
Is embryo reduction risky? Does it affect the process of pregnancy?
The loss rate for other babies is also 5%. The risks of early birth and stillbirth in twins that have been reduced from triplets compared to normal twins are higher.
Should I rest after the transfer?
There is no evidence to suggest that any rest is beneficial. We recommend that you continue your normal life.
When can the person return to their daily activities after the transfer?
You can return to your daily life immediately except for sex and sports.
When do I get the pregnancy results?
Pregnancy can be detected through a Beta-HCG blood test that is done on the 11th day after the transfer. The nurses will advise the specific data that the test can be conducted after the embryo transfer is complete.
Does it affect the sex life of the person?
We do not recommend having intercourse until the date of the pregnancy test, although this is not proven to have an effect either.
Does medication used in In Vitro Fertilisation increase the risk of cancer? What are the side effects of these medications?
There is no increased risk of cancer. The main risk is over-stimulating the ovaries (hyperstimulation).
Does this treatment cause ectopic pregnancy?
The risk of ectopic pregnancy is around 1-3%. The probability that it will occur both in and outside of the womb is 0.5%. This is called a heterotopic pregnancy.
What are the rates of pregnancy from frozen embryos?
These rates differ from centre to centre. We have a very successful embryo freezing programme that uses the vitrification method in our Kyrenia In Vitro Fertilisation Centre.
Are there any differences in terms of risk of disability between frozen embryos and normal In Vitro Fertilisation babies?
There are none.
What can be done if a couple cannot conceive despite neither having any medical problems?
A thorough investigation must be conducted in cases where the required results are not achieved with In Vitro Fertilisation. Any factor that might affect pregnancy must be prevented. However, in most cases, there are no factors that prevent pregnancy.
What is the duration of In Vitro Fertilisation?
The process from starting until the day of the pregnancy tests takes about 30 days.
Is returning home immediately after the transfer risky?
Since there is no evidence to suggest that travelling after transfer has any adverse effects, we recommend returning the next day or the same day.
Is the risk of miscarriage higher in In Vitro Fertilisation?
The risk is not higher.
How many times can In Vitro Fertilisation be used?
Although this has not been definitively proven, the chance of pregnancy drops after the 3rd attempt. Pregnancy might happen in subsequent attempts, but the probability of success is lower.
Is it possible to decide on the gender of the baby with In Vitro Fertilisation?
It is possible, although most countries do not allow this due to ethical and legal reasons.
Are there any precautions that should be taken to prevent genetic problems before pregnancy?
The embryos can be tested to determine if there are any genetic diseases in the family or diseases prior to the implantation.
Who should get their embryos genetically tested?
Genetic diagnosis is possible for Mediterranean anaemia, sickle cell anaemia and other similar single gene hereditary diseases.
Can genetic problems be diagnosed after becoming pregnant?
Some genetic diseases can be diagnosed via chorionic villus sampling or amniocentesis after becoming pregnant.
What is the success rate of In Vitro Fertilisation?
The success rates are dependent on the age of the woman and the quality of the embryo. The rates are around 50% for women under the age of 30, but these rates drop to around 10-15% for women after 40.
What are the risks during In Vitro Fertilisation?
The most important risks are multiple pregnancies and hyperstimulation.
Is it necessary to stay at the hospital during In Vitro Fertilisation?
A hospital stay is not necessary at any stage of the process.
Are there any differences between In Vitro Fertilisation babies and normal babies?
There are no differences. Some anomalies can occur in cases in which sperm samples are collected from inside the testicles for insemination purposes.