Can I drink alcohol during IVF?

Alcohol consumption during in vitro fertilization (IVF) is generally not recommended. Alcohol is known to have negative effects on general health and can reduce the chances of pregnancy during this process. Alcohol can affect both sperm and egg quality and make it difficult for a healthy pregnancy to proceed.

Who can undergo IVF treatment?

The most common problems related to men and women detected in today’s technology and which are mostly solved with IVF treatment are as follows.

Woman

• Immunological factors
• Unsuccessful vaccination attempts
• Those with problems in the uterus (myoma, polyp, adhesion, septum, etc.)
• Those with hormone disorders (prolactin, thyroid, fsh, amh etc.)
• Those with obstruction or damage to the tubes (hydrosalpenx, etc.)
• Those with endometriosis (chocolate cyst)
• Unexplained infertility (unexplained infertility)
• Those with premature ovarian failure (premenopausal state)
• Polycystic ovary syndrome (ovary with multiple eggs)
• Vaginusmus (inability to have intercourse)

Male

• Low sperm count.
• Low sperm movement,
• Those who have problems with erectile potency
• Cystic fibrosis disease
• Absence of sperm in semen (Azoospermia)
• Poor sperm morphology (misshapen sperm)
• Testicular Damage or Infection

In women, age (being over 35 years old), smoking, alcohol and drug use, stress, overweight or underweight can also have a negative impact on conception.

What are the tests requested in IVF treatment?

1. Tests Requested from the Expectant Mother:
   
   1. FSH, LH, E2, Progesterone (to be done on the 2nd or 3rd day of menstruation)
   2. AMH (In expectant mothers with a value below 0.5, an insufficient number of eggs may not develop, which prevents successful completion of the treatment. If pregnancy occurs, there is a risk of miscarriage)
   3. TSH, T3, T4, prolactin (morning on an empty stomach)
   4. Complete Blood Count, blood type
   5. Fasting Blood Glucose (morning on an empty stomach)
   6. Urea, SGOT, SGPT
   7. PTT, INR, APTT
   8. Vit B12 and Vit D
   9. HBsAg, Anti-HCV, HIV, VDRL (Infectious diseases test)
   10. Karyotype (according to condition)
   11. USG (Vaginal Ultrasonography) is preferred between the 14th and 20th days of the menstrual period. The appearance of the intrauterine lining, fluid accumulation, adenomyosis (a structure that looks like a black hole in the endometrium), fibroids, polyps are detected more accurately by ultrasound. The thickness of the intrauterine lining (endometrium) is particularly important and is preferably 8 mm or more. Fluid accumulation in the endometrium is usually due to intrauterine operations such as cesarean section and suggests adhesions. In addition, fluid accumulation may also develop due to enlargement of the tubes called hydrosalpenx. The ovaries (ovaries) are also evaluated with USG. It is checked whether the egg reserve is suitable for this procedure. In order to have a high chance of success, a target of 10-15 mature eggs is desired. In cases where the egg reserve is low, the pool method is applied. In the pool method, egg collection is usually performed 2-3 times. This method can be time-consuming as well as a bit costly and tedious. In such cases, egg donation may sometimes be preferred.
   12. HSG (Hysterosalpingography) is the most important and indispensable test in investigating the causes of infertility. It is a kind of x-ray that allows the uterus and tubes to be visualized, a special device is inserted into the entrance of the uterus and a contrast fluid is given and taken. It is also known as a uterine film. We recommend that it is performed under anesthesia as there may be pain due to the pressure. Although it is performed with X-rays, the radiation dose is very low. With this X-ray, conditions such as swelling in the tubes (fallopian tubes), polyps, fibroids, adhesions in the uterus, which are known to adversely affect pregnancy and cause ectopic pregnancy, especially due to the contact of the fluid inside the embryo, are detected. In principle, HSG is performed within 2-3 days following the end of menstruation. In cases where it is certain that there is no pregnancy, there may be flexibility on the day of the filming.
       In the presence of infection, the filming is postponed.

The uterine film is valid for 2 years and if surgical intervention has been performed, it is recommended to repeat the film in terms of adhesions etc.

1. Tests Requested from the Expectant Mother:

If there are any diseases and medications that may adversely affect the treatment or pose a risk to health, they must be reported to us in order for us to take the necessary precautions. In particular, blood thinners, diabetes medications, blood pressure and heart medications, as well as the use of harmful substances such as smoking and alcohol are also important information for us.

1. Tests Requested from the Prospective Father:

• Spermiogram (3-5 days of sexual abstinence)
• HBsAg, Anti-HCV, HIV, VDRL (Infectious diseases test)
• FSH, LH, Testosterone hormone analyzes (on a case-by-case basis)
• Karyotype (according to condition)

1. Information Requested from the Prospective Father:

We should be informed if he has a disease that prevents him from giving sperm (such as diabetes) or if he is unable to give sperm due to stress. In such cases, supportive medication may be given or it may be necessary to remove the sperm from the testicles with a small operation. The presence of heart disease may pose a risk due to complications of the medication. Blood thinners may also pose a risk for the operation.
Again, the information about whether the sperm has undergone treatment or operation (Tese, Tesa, varicocele, etc.) and whether harmful substances such as smoking and alcohol are used should be made to us fully as it will shed light on the course of treatment.

What are the stages of IVF treatment?

Our most important priority in IVF treatment is to understand the expectations of the couples who consult our center and to advance our processes with open and transparent communication, accepting that each couple has their own special and unique processes.

Treatment processes consist of the following stages:

1. Preliminary Assessment and Counseling

Objective: To provide an overview of couples’ medical and reproductive health.

Process: Information about medical history, previous reproductive experiences, lifestyle and general health is collected. Necessary medical tests (blood tests, ultrasound, semen analysis, etc.) are performed.

1. Stimulation Therapy (Ovulation Induction)

Objective: To allow more than one egg to mature.

Process: The woman receives hormone therapy to stimulate the ovaries to produce more than one egg. During this process, egg development is monitored with regular ultrasound follow-ups and blood tests.

1. Ovum Pick-Up

Objective: To collect mature eggs from the ovaries.

Process: The eggs are collected under ultrasound guidance using a fine needle, usually under short-term anesthesia.

1. Preparation of the sperm sample

Objective: To select suitable sperm for fertilization.

Process: The sperm sample from the man is processed in the laboratory and the healthiest sperm are selected.

1. Fertilization and Embryo Culture

Objective: To fertilize eggs with sperm and monitor the development of embryos.

Process: Eggs and sperm are brought together in the laboratory. If fertilization is successful, the embryos are left to develop in special incubators for several days.

1. Embryo Transfer

Objective: To implant the healthiest embryo (or embryos) in the woman’s uterus.

Process:
The best quality embryo(s) are transferred into the uterus, usually in a painless procedure.

1. Luteal Phase Support

Objective: To support the continuation of pregnancy.

Process: After embryo transfer, support is provided with hormones such as progesterone.

1. Pregnancy test

Objective To determine the outcome of treatment.

Process: Approximately two weeks after the embryo transfer, a pregnancy test is performed with a blood test.

Additional Stages and Special Situations

Genetic Screening (PGD): In some cases, embryos may be genetically screened to detect genetic diseases or for sex selection.

Donation and Surrogacy: Egg and sperm donation or surrogacy services may be available if necessary.

Who Can Receive Sperm Donation?

1. Those with azoospermia (no sperm in semen)
2. Those with undescended testicles whose sperm production has been completely damaged because they were not operated on in time,
3. Those whose testicles have been damaged due to childhood febrile illness (mumps), testicular inflammation
4. Those whose sperm production has been damaged by chemotherapy or radiotherapy
5. Those who have no testicles or have had their testicles removed due to trauma or other causes
6. No sperm production due to genetic disease (Klinefelter Syndrome)
7. When positive results cannot be obtained with applications such as Micro-TESE, TESE, TESA, MESA, PESA
8. Recurrent IVF failure due to poor sperm quality
9. Those who have not been able to conceive normally due to RH incompatibility in the blood
10. In cases where the father-to-be has an infectious disease (HIV, etc.).
11. Those whose children born due to consanguineous marriage are at risk
12. Single women
13. Women who are lesbians
14. Women Who Prefer the Ropa Method

This technique allows a couple of two women to actively share the IVF process, one of them is the genetic mother who provides the egg for the baby and the other is the biological mother who carries the pregnancy.

How to choose a sperm donor?

According to TRNC Law, it is forbidden to perform IVF with sperm donation using an external sperm donor. However, IVF can be performed with sperm obtained from internationally recognized and accredited sperm banks. Our center has an agreement with the world’s best sperm banks (Cryos or European Bank) in Denmark and has established its own sperm bank with sperm cells supplied from these banks. The selection of sperm from our bank, which has a rich stock from many ethnicities and blood groups, is carried out under the leadership of our expert embryologists. If sperm cannot be selected from our bank, they can be selected from our contracted banks abroad and specially imported. For this reason, sperm selection should be done before or during the first days of treatment and the sperm should be reserved until the day of the procedure. Of course, it should be known that this will increase the cost as it is an extra application.

Selection is done in two ways as open/closed profile. In open profiles, you can have more detailed information about the sperm donor and have the chance to reach him/her in case of need in the future. In closed profiles, there is no detailed information other than basic information and you will never have the chance to reach him/her. It is useful to consider this detail when choosing.

Sperm selection is based on these characteristics and the tests performed on the certificate.

1. Country/Ethnicity
2. Age
3. Blood type
4. Height/Weight
5. Eye color
6. Skin color
7. Hair color
8. Education status
9. Profession/Job
10. Hobbies

What are the tests performed on sperm donors?

Sperm samples taken from donors are washed and frozen in small tubes called vials.Six months after this freezing process, all tests related to infectious diseases of sperm donors are repeated.If these results are normal, the donor’s information is added to the bank’s website and the sperm is ordered.

1. Blood type
2. HBsAg
3. HIV 1/2
4. Anti HCV
5. Anti – HBC
6. HBV-NAT
7. HTLV 1/2
8. HIV 1/ 2 -NAT
9. HCV-NAT
10. Syphilis or syphilis
11. Gonorrhea or gonorrhea
12. Chlamidia
13. CMV(Cytomegalovirus)
14. Cystic fibrosis
15. Thalassemia
16. Chromosome (Karyotype) Test
17. Medical history of siblings, parents and family members
18. Psychological profile
19. HIV risk assessment, drug use

Apart from these tests, tests specific to common diseases according to the race or ethnicity of the sperm donor are also performed and the results are detailed in the certificate.

What are the tests required for sperm donation treatment?

TESTS REQUESTED FROM THE EXPECTANT MOTHER:

1. FSH, LH, E2, Progesterone (to be performed on the 2nd or 3rd day of menstruation)
2. AMH (In expectant mothers with a value below 0.5, an insufficient number of eggs may not develop and this may prevent successful completion of the treatment.If pregnancy occurs, there is a risk of miscarriage)
3. TSH, T3, T4, prolactin (morning on an empty stomach)
4. Complete Blood Count, blood type
5. Fasting Blood Glucose (morning on an empty stomach)
6. Urea, SGOT, SGPT
7. PTT, INR, APTT
8. Vit B12 and Vit D
9. HBsAg, Anti-HCV, HIV, VDRL (Infectious diseases test)
10. Karyotype (according to condition)
11. USG (Vaginal Ultrasonography) is preferred between the 14th and 20th days of the menstrual period.The appearance of the intrauterine lining, fluid accumulation, adenomyosis (a structure that looks like a black hole in the endometrium), fibroids, polyps are detected more accurately by ultrasound.The thickness of the intrauterine lining (endometrium) is particularly important and is preferably 8 mm or more.Fluid accumulation in the endometrium is usually due to intrauterine operations such as cesarean section and suggests adhesions.In addition, fluid accumulation may also develop due to enlargement of the tubes called hydrosalpenx.The ovaries (ovaries) are also evaluated with USG.It is checked whether the egg reserve is suitable for this procedure.In order to have a high chance of success, a target of 10-15 mature eggs is desired.In cases where the egg reserve is low, the pool method is applied.In the pool method, egg collection is usually performed 2-3 times. This method can be time-consuming as well as a bit costly and tedious.In such cases, egg donation may sometimes be preferred.
12. HSG (Hysterosalpingography) is the most important and indispensable test in investigating the causes of infertility.It is a kind of x-ray that allows the uterus and tubes to be visualized, a special device is inserted into the entrance of the uterus and a contrast fluid is given and taken.It is also known as a uterine film.We recommend that it is performed under anesthesia as there may be pain due to the pressure.Although it is performed with X-rays, the radiation dose is very low.With this X-ray, conditions such as swelling in the tubes (fallopian tubes), polyps, fibroids, adhesions in the uterus, which are known to adversely affect pregnancy and cause ectopic pregnancy, especially due to the fluid in the fluid touching the embryo, are detected.In principle, HSG is performed within 2-3 days following the end of menstruation.In cases where it is certain that there is no pregnancy, there may be flexibility on the day of the filming.In the presence of infection, the filming is postponed.The uterine film is valid for 2 years and if surgical intervention has been performed, it is recommended to repeat the film in terms of adhesions etc.

INFORMATION REQUESTED FROM THE EXPECTANT MOTHER:

Diseases and medications that may adversely affect the treatment or pose a risk to health must be notified to us in order for us to take the necessary precautions.In particular, blood thinners, diabetes medications, blood pressure and heart medications, as well as the use of harmful substances such as smoking and alcohol are also important information for us.

TESTS REQUESTED FROM THE FATHER-TO-BE:

According to the results of spermiogram (3-5 days of sexual abstinence), the following tests are requested for the last time in Cyprus, and it is sufficient to have only the blood group of the prospective fathers who are not considering tese and who will have direct sperm donation.

1. Blood Group
2. HBsAg, Anti-HCV, HIV, VDRL (Infectious diseases test)
3. FSH, LH, Testosterone hormone analyzes (on a case-by-case basis)
4. Karyotype (according to condition)
5. APTT-PT
6. Blood Count

INFORMATION REQUESTED FROM THE PROSPECTIVE FATHER:

If he has a disease that prevents him from giving sperm (such as diabetes) or if he is unable to give sperm due to stress, we should be informed.In such cases, supportive medication may be given or it may be necessary to remove the sperm from the testicles with a small operation.The presence of heart disease may pose a risk due to complications of the medication.Blood thinners may also pose a risk for the operation.Again, the information about whether the sperm has undergone treatment or operation (Tese, Tesa, varicocele, etc.) and whether harmful substances such as smoking and alcohol are used should be made to us fully as it will shed light on the course of treatment.

To whom is embryo donation applied?

• Those who have repeated unsuccessful IVF attempts due to egg and sperm
• Those with genetic defects in egg and sperm cells
• Those with genetic diseases
• Those with a history of recurrent miscarriage caused by eggs and sperm
• Those who cannot obtain eggs and sperm in any way
• In cases where there is a problem with the egg and the father-to-be has an infectious disease
• Those who do not want to pass on the genetic disease present in the family of both parties to their child
• LGBT+ couples

How to Choose a Sperm Donor for Embryo Donation Treatment?

According to TRNC Laws, it is forbidden to perform IVF with sperm donation using an external sperm donor.However, IVF can be performed with sperm obtained from internationally recognized and accredited sperm banks.Our center has an agreement with the world’s best sperm banks (Cryos or European Bank) in Denmark and has established its own sperm bank with sperm cells supplied from these banks.The selection of sperm from our bank, which has a rich stock from many ethnicities and blood groups, is carried out under the guidance of our expert embryologists.If it is not possible to select from our bank, it can be selected from our contracted banks abroad and specially imported.For this reason, sperm selection should be done before or during the first days of treatment and the sperm should be reserved until the day of the procedure.Of course, it should be known that this will increase the cost as it is an extra application.

Selection is done in two ways as open/closed profile.In open profiles, you can have more detailed information about the sperm donor and have the chance to reach him/her in case of need in the future.In closed profiles, there is no detailed information other than basic information and you will never have the chance to reach him/her.It is useful to consider this detail when choosing.

Sperm selection is based on these characteristics and the tests performed on the certificate.

1. 1. Country/Ethnicity
   2. Age
   3. Blood type
   4. Height/Weight
   5. Eye color
   6. Skin color
   7. Hair color
   8. Education status
   9. Profession/Job
   10. Hobbies

How to choose an egg donor for embryo donation treatment?

In our center, donor selection is based on your blood type, physical characteristics and your wishes.

When you fill in the “donor selection form” that we will deliver to you, the closest candidates are determined with the support of artificial intelligence from a digital platform with special software.Sometimes, depending on the situation, alternative candidates are presented to you so that you can make your own choice.

Donors are anonymous here and their identities are never disclosed.The practice of showing photographs is not carried out at our center in accordance with the law in line with the confidentiality of information.

While partial information about your donor is given to you, information about you is never given to your donor.He/she cannot even have information about your pregnancy result.

Information about your donor that is partially shared with you;

1. Nationality
2. Height/weight
3. Eye color/skin color
4. Hair color/hair type
5. Age
6. Education
7. Hobbies in brief

Egg Donor (Egg Donation) Criteria

The requirements to become an egg donor are set by law.However, IVF centers may also have their own specific criteria.The criteria for being a donor in our center have been meticulously determined and are as follows.

1. Being between 20 and 28 years old.
2. Being in good physical health
3. Not having any chronic disease (diabetes, blood pressure, cardiovascular disease, etc.)
4. Have a normal Body Mass Index (those over 70 kg and under 50 kg are not suitable for donor criteria)
5. Height of 160 and above
6. No physical anomalies (short leg length, short arm length, flat feet, squint eyes, narrow shoulders, 6 fingers)
7. Absence of any dominant features (toothy structure, prominent ears, big nose, slanted eyes, wide eyes, very thin lips, freckled skin, curly hair (curly hair is only available upon special request)
8. After a psychological evaluation, they do not have depressive personality disorder, psychotic and neurotic depression, panic attacks and anxiety and are not under the use of any medication related to these conditions
9. Not having had a serious illness that puts your health at risk in the last 3 months (accident, ovarian torsion, surgery for any reason, abortion)
10. Having problems such as acne on the skin and not taking medication for it
11. Not drinking alcohol, smoking or using any harmful substances
12. At least high school graduation
13. No sensitivity and allergy to hormone injections to be used
14. Egg reserve and egg quality are suitable for this procedure
15. Appropriateness of the anatomical structure that prevents the procedure
16. Absence of genetically inherited diseases, cancer and mental illness in the family
17. To be aware that this process requires a serious sense of responsibility
18. To be able to show a reference to become a donor at our center
19. To declare in writing that he/she donates the eggs voluntarily without any pressure.
20. To provide us with all the information about himself/herself in a transparent manner and to declare its accuracy in writing
21. To be aware of and consent to all agreements to be made with him/her.

What are the tests required for embryo donation treatment?

Tests and Examinations Requested from the Expectant Mother:

1. E2, Progesterone (2nd or 3rd day of bleeding for menstruating women)
2. TSH, T3, T4 and prolactin (Fasting/morning)
3. Complete Blood Count
4. Fasting Blood Glucose, HbA1C (fasting)
5. Urea, SGOT, SGPT
6. Vit B12 and Vit D
7. Blood Type
8. HBsAg, Anti-HCV, HIV, VDRL
9. Vaginal USG (Vaginal Ultrasonography) is preferred to be between 14-20th days of the menstrual period.The appearance of the intrauterine lining, fluid accumulation, adenomyosis (the structure that looks like a black hole in the endometrium), fibroids, polyps are detected more accurately by ultrasound.The thickness of the intrauterine lining (endometrium) is particularly important and is preferably 8 mm or more.Fluid accumulation in the endometrium is usually due to intrauterine operations such as cesarean section and suggests adhesions.Fluid accumulation may also develop due to the enlargement of the tubes called hydrosalpenx.
10. (HSG-depending on the situation) (Hysterosalpingography) is the most important and indispensable test in the investigation of the causes of infertility.It is a kind of x-ray that allows the uterus and tubes to be visualized, a special device is inserted into the uterine entrance and a contrast liquid is given and taken.Another name is uterine film.Since it can be painful due to the pressure, we recommend that it is performed under anesthesia.Although it is performed with X-rays, the radiation dose is very low.With this X-ray, conditions such as swelling in the tubes (fallopian tubes), polyps, fibroids, adhesions in the uterus, which are known to adversely affect pregnancy and cause ectopic pregnancy, especially due to the fluid in the fluid touching the embryo, are detected.

In principle, HSG is performed within 2-3 days following the end of menstruation.In cases where it is certain that there is no pregnancy, there may be flexibility on the day of the filming.In the presence of infection, the filming is postponed.

The uterine film is valid for 2 years and if surgical intervention has been performed, it is recommended to repeat the film in terms of adhesions etc.

Information Requested from the Expectant Mother:

1. Date of last menstrual period (first day)
2. Photographs preferably in your 20s (without glasses, make-up or filters) to identify the donor according to your physical characteristics
3. The time interval for which treatment is planned.
4. Whether there are any drug allergies
5. Providing us with complete information that may affect the treatment process

Tests Requested from the Prospective Father:

According to the results of spermiogram (3-5 days of sexual abstinence), the following tests are requested for the last time tese planning will be made in Cyprus, and it is sufficient to have only the blood group of the prospective fathers who are not considering tese and will have direct sperm donation.

1. Blood Group
2. HBsAg, Anti-HCV, HIV, VDRL (Infectious diseases test)
3. FSH, LH, Testosterone hormone analyzes (on a case-by-case basis)
4. Karyotype (according to condition)
5. APTT-PT
6. Blood Count

Tests Required for Embryo Donation Above 45 Years of Age

1. A certificate of good health from a cardiologist.(echo and ecg can be taken)
2. A certificate of good health from an internist.
3. Urea, creatinine,
4. Uric acid, ALT, AST,.
5. TSH, T3, T4 and prolactin (Fasting/morning)
6. Complete Blood Count
7. Fasting Blood Glucose, HbA1C (on an empty stomach)
8. Urea, SGOT, SGPT
9. Vit B12 and Vit D
10. Blood Type
11. HBsAg, Anti-HCV, HIV, VDRL
12. Vaginal USG
13. Uterine X-ray (HSG – depending on the situation)
14. Smear test (if not done within 2 years)-preferably
15. Mammography -preferably

How is Embryo Donation Treatment for Women Over 55?

Becoming a mother at an advanced age has created controversy in some societies and despite all the resistance, a woman’s desire to become a mother could not be prevented.Because a woman’s desire to become a mother depends on her genes and therefore she tries to achieve her goal and dream with this feeling that cannot be suppressed regardless of her age.

Many scientific committees have taken the view that women’s health is more important and have ignored women’s desire to become mothers.However, it is precisely this desire and dream that binds women to life.

Every woman has the right to become a mother.Here, age has no medical significance in terms of pregnancy and childbirth, but there are a number of risks that will affect her health and even her life.

Many women over the age of 55, who have examples in the world, have given birth to healthy babies without their health deteriorating and have achieved their dreams.

The Turkish Republic of Northern Cyprus ranks first in the world lists with births at the age of 55 and over.

AsCyprus Fertility Center, we support every woman’s right to become a mother and her struggle for this cause.

For this reason, we stand by the expectant mothers in this procedure, which is applied in our country with the condition of entering the ethics committee.

TESTS AND EXAMINATIONS REQUIRED FOR ETHICS COMMITTEE

1. A certificate of good health from a cardiologist.(echo and ecg can be taken) -Cardiography is mandatory.
2. A report from an internist stating that you are healthy.This must be done in Cyprus.
3. Psychiatry Report (In the specialist determined by the Ministry of Health, you go according to the appointment given by the ministry. Usually an appointment is made 2 days before entering the ethics committee)It is mandatory in Cyprus.
4. Urea, creatinine,
5. Uric acid, ALT, AST,.
6. TSH, T3, T4 and prolactin (Fasting/morning)
7. Complete Blood Count
8. Fasting Blood Glucose, HbA1C (on an empty stomach)
9. Urea, SGOT, SGPT
10. Vit B12 and Vit D
11. Blood Type
12. HBsAg, Anti-HCV, HIV, VDRL
13. Vaginal USG and a report from an obstetrician-gynecologist stating that you can give birth (It is mandatory in Cyprus)
14. Uterine film (HSG – depending on the situation)
15. Smear test – to be brought on arrival
16. Mammography – mandatory in Cyprus.
17. Abdominal Usg (It is mandatory in Cyprus)
18. Criminal record for the prospective mother and father
19. Bank account statements
20. Real estate, land deeds registered on them
21. Vehicle licenses registered to them
22. Payslip
23. Breakdown of income generating sources (rent, etc.)
24. Population registration sample
25. Never having had a child before
26. signed in the presence of a notary public that they agree to the procedure.
27. Spermiogram for the father-to-be

In Northern Cyprus, the ethics committee council usually meets every 2 months and the quota is limited and it is absolutely necessary to attend the appointment.

Most of the tests and examinations must be done in Cyprus and are completed within 2 days. The time spent in Cyprus for the preparation of the ethics committee is between 5-7 days and the result of the committee is announced within 2-3 days. The application to be made after the approval of the board is the egg donation procedure.

To whom is gender selection made?

Gender selection through IVF treatment is a controversial issue due to ethical reasons and is prohibited in many countries including Turkey.However, in case of medical necessity, it can be done with the condition of obtaining permission for genetic screening. In this method, which is highly preferred especially for the prevention of gender-related diseases in the family, it is not mandatory to have a child to apply for treatment, but having a child before is also an important factor in achieving success.

Another reason why gender selection is preferred is the desire of prospective parents to create the family plan they desire.

For some prospective parents, the situation is very different and they have a psychological need due to social pressures.

Sometimes expectant parents may want gender preference for their first baby because they feel more ready.

What are the Gender Selection Methods?

1. Gender Selection with PGD Method

2.MicroSort Method for Gender Selection;

3.Shettles method:

4.CVS Method

What are the tests required for gender reassignment treatment?

Tests Requested from the Expectant Mother:

1. FSH, LH, E2, Progesterone (to be done on the 2nd or 3rd day of menstruation)
2. AMH (In expectant mothers with a value below 0.5, an insufficient number of eggs may not develop and this may prevent successful completion of the treatment.If pregnancy occurs, there is a risk of miscarriage)
3. TSH, T3, T4, prolactin (morning on an empty stomach)
4. Complete Blood Count, blood type
5. Fasting Blood Glucose (morning on an empty stomach)
6. Urea, SGOT, SGPT
7. PTT, INR, APTT
8. Vit B12 and Vit D
9. HBsAg, Anti-HCV, HIV, VDRL (Infectious diseases test)
10. Karyotype (according to condition)
11. USG (Vaginal Ultrasonography) is preferred to be between 14-20th days of the menstrual period.The appearance of the intrauterine lining, fluid accumulation, adenomyosis (the structure that looks like a black hole in the endometrium), fibroids, polyps are detected more accurately by ultrasound.The thickness of the intrauterine lining (endometrium) is particularly important and is preferably 8 mm or more.Fluid accumulation in the endometrium is usually due to intrauterine operations such as cesarean section and suggests adhesions.In addition, fluid accumulation may also develop due to enlargement of the tubes called hydrosalpenx.The ovaries (ovaries) are also evaluated with USG.It is checked whether the egg reserve is suitable for this procedure.In order to have a high chance of success, a target of 10-15 mature eggs is desired.In cases where the egg reserve is low, the pool method is applied.In the pool method, egg collection is usually performed 2-3 times. This method can be time-consuming as well as a bit costly and tedious.In such cases, egg donation may sometimes be preferred.
12. HSG (Hysterosalpingography) is the most important and indispensable test in investigating the causes of infertility.It is a kind of x-ray that allows the uterus and tubes to be visualized, a special device is inserted into the uterine entrance and a contrast fluid is given and taken.Another name is uterine film.Since it can be painful due to the pressure, we recommend that it is performed under anesthesia.Although it is performed with X-rays, the radiation dose is very low.With this X-ray, conditions such as swelling in the tubes (fallopian tubes), polyps, fibroids, adhesions in the uterus, which are known to adversely affect pregnancy and cause ectopic pregnancy, especially due to the fluid in the fluid touching the embryo, are detected.In principle, HSG is performed within 2-3 days following the end of menstruation.In cases where it is certain that there is no pregnancy, there may be flexibility on the day of the filming.In the presence of infection, the filming is postponed.The uterine film is valid for 2 years and if surgical intervention has been performed, it is recommended to repeat the film in terms of adhesions etc.

Information Requested from the Expectant Mother:

Any diseases and medications that may adversely affect the treatment or pose a risk to her health must be reported to us in order for us to take the necessary precautions.In particular, blood thinners, diabetes medications, blood pressure and heart medications, as well as the use of harmful substances such as smoking and alcohol are also important information for us.

Tests Requested from the Prospective Father:

1. Spermiogram (3-5 days of sexual abstinence)
2. HBsAg, Anti-HCV, HIV, VDRL (Infectious diseases test)
3. FSH, LH, Testosterone hormone analyzes (on a case-by-case basis)
4. Karyotype (according to condition).

Information Requested from the Prospective Father:

We should be informed if he has a disease that prevents him from giving sperm (such as diabetes) or if he is unable to give sperm due to stress.In such cases, supportive medication may be given or it may be necessary to remove the sperm from the testicles with a small operation.The presence of heart disease may pose a risk due to complications of the medication.Blood thinners may also pose a risk for the operation.Again, the information about whether the sperm has undergone treatment or operation (Tese, Tesa, varicocele, etc.) and whether harmful substances such as smoking and alcohol are used should be made to us fully as it will shed light on the course of treatment.

How is PGD performed?

It starts with combining the egg and sperm cells obtained in IVF treatment in the laboratory environment and turning them into embryos and taking biopsies from these embryos.The biopsy procedure is performed on the 3rd or 5th day of the embryos and these cells are sent to the laboratory for genetic analysis.

This process does not harm the rest of the embryo and does not affect the normal development of the embryo. Structural and numerical chromosome disorders and single gene diseases (such as SMA, Cystic Fibrosis, Mediterranean anemia, Sickle cell anemia) are investigated.In this way, healthy embryos are transferred to the expectant mother and healthy babies are born.

Who is PGD performed?

– Being a carrier of a genetic disease- Having a genetic disease- Having a child with a genetic disease- HLA typing in diseases such as thalassemia, leukemia etc.- Having diseases such as cancer etc.- Being an older expectant mother (37 and over)- Recurrent pregnancy losses- Failed IVF attempts- Severe male infertility- Unexplained infertility (infertility)- In vitro fertilization with sex determination

What are the diseases that can be identified with PGD?

Chromosomal Diseases

1.Numerical chromosomal diseases

• Turner SyndromeMonosomy X syndrome
• Down SyndromeChromosome 21 has 3 copies instead of 2 copies
• Klinefelter’s Syndrome:Individuals with chromosome 47,XXY have 1 extra X chromosome.
• Edwards syndrome (Trisomy 18)
• Patau syndrome (Trisomy 13)

FISH and NGS and PGT-A method are applied

2.Structurally chromosomal diseases

1) Translocations:Structural chromosomal irregularities resulting from the exchange of parts between chromosomes.

• Reciprocal Translocation:It is the exchange of fragments from two different non-homologous chromosomes between chromosomes.
• Robertsonian Translocation : It occurs when one chromosome is completely attached to another chromosome.It is the most common type of translocation.

2) Inversion:Occurs when a chromosome is broken at two different points and the segment between the breaks is rotated 180 degrees.

3) Deletions:Deletion is defined as the loss of any region of a chromosome.

FISH and PGT-SR methods are applied

3.Single Gene Diseases

Identification of single gene disorders at the embryo stage requires more advanced devices and different techniques.Because they are more difficult to identify than chromosomal diseases, the most important condition for the PGD-M procedure is that the DNA alteration causing the disease, i.e. the mutation, has already been detected.

DNA diseases can be examined at the embryo stage with today’s technology and usually require 1-2 months of setup work for preliminary preparation.

During this preliminary preparation, the PGD-M procedure is customized for the mutation in the gene region that causes the disease.In addition, family-specific informative markers are determined during the preliminary preparation phase.This reduces the risk of misdiagnosis due to the tests performed on a single cell at the embryo stage.

What is a Chromosome Analysis (Karyotype) Test?

The karyotype test is a test that examines the number, shape and size of chromosomes.It is tested in peripheral blood.There are 46 chromosomes in the cell of a normal individual.In the human body, sperm and egg cells, which have different numbers of chromosomes, have 23 chromosomes and these cells are fertilized and fuse into an embryo with 46 chromosomes.If the number of chromosomes is more or less than 46, or if there are differences in shape and size, chromosomal diseases develop.

How is a surrogate mother identified?

Even if the surrogate mother candidate is medically evaluated and suitable, there are hesitations mostly in terms of sociological aspects.For this reason, some families may want to make their own acquaintances or a family member a surrogate mother.After the treatment is completed with the surrogate mother candidate determined by the family, pregnancy follow-up and delivery are the responsibility of the family in the country of their choice.We do not recommend this choice, which is thought to be more economical, as social problems may occur in the future.

For prospective parents who benefit from our center’s surrogacy packages, the process is more controlled and safe and the whole process is under the control and responsibility of our center.In this process, which is carried out with the support of our legal consultants, we have also prevented concerns that come to mind and do not reflect the truth.

• Do not use harmful substances such as alcohol, cigarettes and drugs
• Psychologically and socially suitable to be a surrogate mother
• Those of ideal weight (not obese or too thin)
• Those who have already had a healthy live birth and experienced motherhood
• Who had an uneventful previous pregnancy
• Does not have any infectious disease
• between the ages of 21-40
• Those without chronic diseases (diabetes, hypertension, etc.)
• There are no problems in the uterus and tubes that prevent pregnancy

Those who meet all of the above criteria can become surrogate mothers.

Who Can Receive Surrogacy Treatment?

Expectant mothers who have these indications determined by TRNC laws can benefit from this treatment service.For this treatment method, reports on the existing health problem and application petitions are evaluated by the authorized committee in the Ministry of Health and it is decided whether or not to use surrogacy.The process of obtaining permission from the Ministry of Health usually takes 3-6 months, even if the conditions are appropriate.

• • Women without a congenital uterus.
  • Those whose uterus has been removed for any reason (fibroids, tumors, bleeding, etc.)
  • Those with recurrent miscarriages
  • The uterus and its lining (endometrium) have been irreparably damaged by operations or illnesses.
  • Repeated unsuccessful IVF attempts
  • Having health problems where delivery is risky (serious heart disease, coagulation disorder, kidney failure, HELP Syndrome in a previous pregnancy, etc.)
  • Those with uterine problems that prevent conception and birth (uterine deformity, small size of the uterus, adhesions in the uterus, Ashermann’s Syndrome, etc.)
  • Same-sex couples

What are the tests required for surrogacy treatment?

Tests requested from the expectant mother:

1. FSH, LH, E2, Progesterone
2. AMH (In expectant mothers with a value below 0.5, an insufficient number of eggs may not develop, which prevents successful completion of the treatment.If pregnancy occurs, there is a risk of miscarriage)
3. TSH, T3, T4, prolactin (morning on an empty stomach)
4. Complete Blood Count, blood type
5. Fasting Blood Glucose (morning on an empty stomach)
6. Urea, SGOT, SGPT
7. PTT, INR, APTT
8. Vit B12 and Vit D
9. HBsAg, Anti-HCV, HIV, VDRL (Infectious diseases test)

1. Karyotype (according to condition)

Information Requested from the Expectant Mother:

If there are any diseases and medications that may adversely affect the treatment or pose a risk to health, they must be reported to us in order for us to take the necessary precautions.In particular, blood thinners, diabetes medications, blood pressure and heart medications, as well as the use of harmful substances such as smoking and alcohol are also important information for us.

The tests requested from the prospective father:

1. Spermiogram (3-5 days of sexual abstinence)
2. HBsAg, Anti-HCV, HIV, VDRL (Infectious diseases test)
3. FSH, LH, Testosterone hormone analyzes (on a case-by-case basis)
4. Karyotype (according to condition)

Information Requested from the Prospective Father:

We should be informed if he has a disease that prevents him from giving sperm (such as diabetes) or if he is unable to give sperm due to stress.In such cases, supportive medication may be given or it may be necessary to remove the sperm from the testicles with a small operation.The presence of heart disease may pose a risk due to complications of the medication.Blood thinners may also pose a risk for the operation.Again, the information about whether the sperm has undergone treatment or operation (Tese, Tesa, varicocele, etc.) and whether harmful substances such as smoking and alcohol are used should be made to us fully as it will shed light on the course of treatment.

Tests Requested from the Surrogate Mother Candidate:

1. E2, LH, Progesterone (to be done on the 2nd or 3rd day of menstrual bleeding)
2. TSH, T3, T4, prolactin (morning on an empty stomach)
3. Complete Blood Count, blood type
4. Fasting Blood Glucose (morning on an empty stomach)
5. Urea, SGOT, SGPT
6. Vit B12 and Vit D
7. HBsAg, Anti-HCV, HIV, VDRL (Infectious diseases test)
8. USG(Vaginal Ultrasonography)is preferred to be between 14-20th days of the menstrual period.The appearance of the intrauterine lining, fluid accumulation, adenomyosis (the structure that looks like a black hole in the endometrium), fibroids, polyps are detected more accurately by ultrasound.The thickness of the intrauterine lining (endometrium) is particularly important and is preferably 8 mm or more.Fluid accumulation in the endometrium is usually due to intrauterine operations such as cesarean section and suggests adhesions.In addition, fluid accumulation may also develop due to enlargement of the tubes called hydrosalpenx.The ovaries (ovaries) are also evaluated with USG.It is checked whether the egg reserve is suitable for this procedure.In order to have a high chance of success, a target of 10-15 mature eggs is desired.In cases where the egg reserve is low, the pool method is applied.In the pool method, egg collection is usually performed 2-3 times. This method can be time-consuming as well as a bit costly and tedious.In such cases, egg donation may sometimes be preferred.
9. HSG (Hysterosalpingography) is the most important and indispensable test in investigating the causes of infertility.It is a kind of x-ray that allows the uterus and tubes to be visualized, a special device is inserted into the uterine entrance and a contrast fluid is given and taken.Another name is uterine film.Since it can be painful due to the pressure, we recommend that it is performed under anesthesia.Although it is performed with X-rays, the radiation dose is very low.With this X-ray, conditions such as swelling in the tubes (fallopian tubes), polyps, fibroids, adhesions in the uterus, which are known to adversely affect pregnancy and cause ectopic pregnancy, especially due to the contact of the fluid inside the embryo, are detected.In principle, HSG is performed within 2-3 days following the end of menstruation.In cases where it is certain that there is no pregnancy, there may be flexibility on the day of the filming.In the presence of infection, the filming is postponed.

The uterine film is valid for 2 years and if surgical intervention has been performed, it is recommended to repeat the film in terms of adhesions etc.

What are the Documents Required for Surrogacy?

Documents Required for Surrogate Mother Procedure

In order to ensure that these documents, which must be prepared for submission to the Coordination Board of the Ministry of Health, do not create any suspicion and can be audited when necessary, all examinations, except for the surgery report, must be performed in institutions within the TRNC borders.

Expectant Mother :

• Passport
• Serological Tests
• A report showing the health condition of the expectant mother that requires the use of a surrogate mother
• Surgery report if operated on
• Radiology report that there is no uterus
• Gynecologist’s report stating that it is not possible for her to give birth
• A notarized letter of consent signed by a notary public indicating acceptance of the designated surrogate mother candidate
• Consent form signed by a notary public
• Notarization of the mother-to-be’s signature

Father-to-be :

• Passport
• Serological Tests
• A notarized letter of consent signed by a notary public indicating acceptance of the designated surrogate mother candidate
• Consent form signed by a notary public
• Notarization of the father-to-be’s signature

Intended Surrogate Mother :

• Passport
• Serological Tests
• Gynecologist’s report stating that it is possible for her to give birth
• Signed notary letter indicating that she agrees to be a surrogate mother to the identified family requesting her
• Notarization of the signature of the surrogate mother-to-be
• Consent form signed by a notary public

Who can undergo egg freezing?

Those with a family history of early menopause

Those with low egg reserve despite their age and at risk of early menopause

Those who will start chemotherapy or radiotherapy for cancer

Those whose ovaries will be removed for any reason and who want to preserve their fertility by freezing their eggs before surgery

Those who will undergo surgery that will affect reproductive functions

Those who postpone having children for social reasons such as career plans etc.

Those who want to freeze eggs before hormone therapy in transgender individuals

During IVF treatment, the father-to-be cannot come, cannot give sperm, or has undergone a tese operation and no sperm is produced

Tests Required for Egg Freezing Treatment

1. FSH, LH, E2, and AMH (to be done on the 2nd or 3rd day of menstruation)
2. HBsAg, Anti-HCV, HIV, VDRL
3. Blood Type
4. Complete Blood Count
5. Fasting Blood Glucose (on an empty stomach)
6. APTT PTT, INR
7. TSH, T3, T4 (on an empty stomach)
8. Prolactin (morning on an empty stomach)

9. USG (Vaginal Ultrasonography) Ultrasound ovaries (ovaries) are evaluated.It is checked whether the egg reserve is suitable for this procedure.In order to have a high chance of success, it is desired to reach an average of 10-15 mature eggs.In cases where the egg reserve is low, the pool method is applied.In the pool method, egg collection is usually performed 2-3 times. This method can be time-consuming as well as a bit costly and laborious.

Is it objectionable to have sexual intercourse during IVF treatment?

It is generally recommended to refrain from sexual intercourse at certain stages of the treatment, especially on the day the eggs are collected and the day the embryo is transferred.It is thought that sexual intercourse may be inappropriate during these periods due to stress, trauma or hormonal changes in the body.

However, at other stages of the treatment process and on the advice of your doctor, you can resume sexual intercourse.Each couple’s situation is different, so you should discuss your treatment plan and recommendations regarding sexual activity with your doctor.

Does smoking negatively affect the IVF process?

Couples undergoing IVF treatment who smoke are usually advised to quit smoking before starting the treatment process.Smoking cessation can be beneficial for general health and reproductive health.Therefore, if you smoke before starting IVF, it is important to talk to your doctor about your plan to quit smoking.

Who can undergo egg donation?

1. Women who have entered menopause

2. Women whose ovaries are not stimulated or under-stimulated despite medication

3.Women with low egg quality and reserve due to advanced age

4.Women with recurrent IVF failures and miscarriages

5.Women who have received treatments such as chemotherapy and radiotherapy for cancer

6.Women with genetic diseases (hemophilia, Duchenne’s muscular dystrophy, Huntington’s chorea)

7.Women who have had their ovaries surgically removed for any reason (cancer, endometriosis, infection, torsion, etc.),

8.Women with hereditary disorders such as Turner’s syndrome, gonadal dysgenesis

9.Women with genetically inherited diseases linked to the X gene

10.Gay couples

How to choose an Egg Donation Donor?

Our center has a large donor portfolio and there is no waiting list.We have donors from many countries (Turkey, Russia, Moldova, Ukraine, Bulgaria, Greece, Switzerland, England, Germany, Latvia, Belarus, Georgia, Armenia, Cameroon, Brazil, Nigeria, Iran, China, Turkmenistan, Uzbekistan, etc.) and ethnic backgrounds.

We take into account your physical characteristics, blood types and your special wishes (professional similarities, sports and artistic skills, habits, etc.) when selecting donors.If you wish, the closest candidate is determined by matching with the photographs you send us.

Your wishes are our priority in donor selection at our center.

When you fill in the “donor selection form” that we will deliver to you, the closest candidates are determined with the support of artificial intelligence from a specially developed digital platform.Sometimes, depending on the situation, alternative candidates are presented to you and you make the choice yourself.

Donors are anonymous and their identities are never disclosed.The practice of showing photographs is not done in our center in accordance with the laws in line with the confidentiality of information.

While partial information about your donor is given to you, information about you is never given to your donor.He/she cannot even have information about your pregnancy result.

Information about your donor that is partially shared with you

1. Nationality
2. Height/weight
3. Eye color/skin color
4. Hair color/hair type
5. Age
6. Education
7. Hobbies in brief

Egg Donor (Egg Donation) Criteria

The requirements to become an egg donor are set by law, but IVF centers may also have their own specific criteria.The criteria for becoming a donor in our center have been meticulously determined and are as follows.

1. Being between 20 and 28 years old.
2. Being in good physical health
3. Not having any chronic disease (diabetes, blood pressure, cardiovascular disease, etc.)
4. Normal Body Mass Index (over 70 kg and under 50 kg are not suitable for donor criteria)
5. Height of 160 and above
6. No physical anomalies (short leg length, short arm length, flat feet, crossed eyes, narrow shoulders, 6 fingers)
7. Absence of any dominant features (toothy structure, prominent ears, big nose, slanted eyes, wide eyes, very thin lips, freckled skin, curly hair (curly hair is only given according to special request))
8. Not having depressive personality disorder, psychotic and neurotic depression, panic attacks and anxiety after psychological evaluation and not being under the use of any medication related to these conditions
9. Not having had a serious illness that puts your health at risk in the last 3 months (accident, ovarian torsion, surgery for any reason, abortion)
10. Having problems such as acne on the skin and not taking medication for it
11. Not drinking alcohol, smoking or using any harmful substances
12. To be at least a high school graduate
13. No sensitivity and allergy to hormone injections to be used
14. Egg reserve and egg quality are suitable for this procedure
15. The anotomic structure is suitable for the procedure
16. Absence of genetically inherited diseases, cancer and mental illnesses in the family
17. To be aware that this process requires a serious sense of responsibility
18. To be able to show a reference to become a donor at our center
19. To declare in writing that he/she donates the eggs voluntarily without any pressure.
20. To provide us with all the information about himself/herself in a transparent manner and to declare its accuracy in writing
21. To be aware of and consent to all agreements to be made with him/her.

What are the tests requested from an egg donor?

1. HBsAg, HCV, HIV, syphilis, chlamydia, CMV (cytomegalovirus)
2. Karyotype analysis, sickle cell anemia, Thalassemia
3. RECOMBINE TEST (sma, fmf, cystic fibrosis screening.)
4. Aptt, pt, blood count, blood group.
5. FSH LH E2 PROGESTERONE AMH HCG PROLACTIN
6. T3 T4 TSH
7. GLUKOZ HbA1C
8. USG (Assessment of egg reserve by ultrasonography)

Some of these tests are performed in European standards and accredited laboratories in our country and some of them are performed abroad.

What are the tests required for egg donation?

Tests requested from the expectant mother:

1. E2, Progesterone (2nd or 3rd day of bleeding for menstruating women)
2. TSH, T3, T4 and prolactin (Fasting/morning)
3. Complete Blood Count
4. Fasting Blood Glucose, HbA1C (fasting)
5. Urea, SGOT, SGPT
6. Vit B12 and Vit D
7. Blood Type
8. HBsAg, Anti-HCV, HIV, VDRL
9. Vaginal USG

10.Uterine film (HSG – depending on the situation)

Information requested from the expectant mother:

1. Date of last menstrual period (first day)
2. Photographs preferably in your 20s (without glasses, make-up or filters) to identify the donor according to your physical characteristics

3.The time interval for which treatment is planned.

4.Whether there is any drug allergy

5. Providing us with complete information that may affect the treatment process

Tests Requested from the Prospective Father:

1. HBsAg, , Anti-HCV, HIV, VDRL
2. Blood type
3. Blood count
4. FSH, LH (according to condition)
5. Spermiogram (should be done after 3 -5 days of sexual abstinence)
6. Karyotype (according to the situation)

Egg Donation Tests and Investigations Requested in Expectant Mothers Aged 45 and Over

1. A certificate of good health from a cardiologist.(echo and ecg can be taken)
2. A certificate of good health from an internist.
3. Urea, creatinine,
4. Uric acid, ALT, AST,.
5. TSH, T3, T4 and prolactin (Fasting/morning)
6. Complete Blood Count
7. Fasting Blood Glucose, HbA1C (on an empty stomach)
8. Urea, SGOT, SGPT
9. Vit B12 and Vit D
10. Blood Type
11. HBsAg, Anti-HCV, HIV, VDRL
12. Vaginal USG
13. Uterine X-ray (HSG – depending on the situation)
14. Smear test (if not done within 2 years)-preferably
15. Mammography -preferably

Can women who do not menstruate get pregnant?

IVF treatment can be an option to give women who do not menstruate a chance of pregnancy.However, the success of the treatment depends on a number of factors and each case is different.

Is tanning harmful during IVF treatment?

There is no specific and extensive research on the direct effect of using tanning beds during IVF treatment.However, there are some potential factors that may adversely affect the chances of pregnancy.

Increased Body Temperature:Body temperature may increase during tanning sessions.High body temperature can negatively affect sperm and egg quality.Therefore, it may be important to carefully control body temperature in couples undergoing IVF treatment.

Skin Cancer Risk:Solarium use may increase the risk of skin cancer.For couples planning a pregnancy, it is important to have optimal general health for a healthy pregnancy.

Vitamin D Levels:Sunlight and tanning beds can increase vitamin D synthesis in the body.However, excessive sunbathing or tanning bed use can lead to excessively high levels of vitamin D, which can cause potential problems that can affect the pregnancy process.

Lifestyle changes are recommended to improve overall health and the chances of pregnancy, especially during IVF treatment.Therefore, it may be important to avoid a certain risk of tanning bed use and avoid overheating from the sun.However, it is important to discuss this with your doctor to make the most appropriate decision for your course of treatment.

Can donors access our information?

No.There is no contact or information flow between donors and recipients.Information about expectant mothers and fathers undergoing treatment is never shared with the donor.

Is the time of the egg hatching injection important?

Yes, the timing of the egg retrieval injection is important in IVF treatment.The egg retrieval injection is used to release mature eggs from the follicular stage of the woman’s ovaries.This stimulates the ovaries to release mature eggs that grow in small fluid-filled sacs called follicles.

The timing of the egg hatching injection must be coordinated with the other steps in the IVF treatment process.The egg-cracking injection is usually given when follicular growth is at a certain stage.This is important so that mature eggs can be collected and then brought together with sperm for fertilization.

During the IVF treatment process, the correct timing of the egg retrieval injection can increase the chances of success.If the injection is given at a time when the eggs have reached optimal maturity, the collected eggs have an increased ability to fertilize.Therefore, our medical team will carefully plan to determine and monitor the appropriate timing of the egg hatching injection.

Why is it desirable to urinate during embryo transfer?

Being asked to urinate during embryo transfer is a practice to help make the procedure more comfortable and successful.This is usually recommended for the following reasons:

Reducing Indirect Pressure:Being urine-contained allows the abdominal organs and muscles to be more relaxed.This gives the doctor better access to the abdomen when using the ultrasound machine or other equipment.Better visualization can help the doctor act more precisely and effectively during the transfer of the embryo into the uterus.

Relaxing the muscles of the uterus:Being tight in urine can help relax the muscles of the uterus.This can help the uterus (womb) to be in a more stable environment during embryo transfer and contribute to a more successful transfer.

Better Imaging Opportunity:Being urinary tight can reduce air pockets in the abdomen during ultrasound imaging.This can help the doctor get a clearer image during the transfer of the embryo into the uterus.

Do I need a visa to enter the TRNC?

As of 2022, no visa is required when traveling from Turkey to the Turkish Republic of Northern Cyprus (TRNC).Citizens of the Republic of Turkey can generally use their passports when traveling to the Turkish Republic of Northern Cyprus and enter without a visa.However, it is always important to check up-to-date information before traveling as travel rules and policies may change over time.

Before making your travel plans, it is advisable to contact the relevant consulate or official authorities to check the visa policies and requirements that apply to travel from Turkey to TRNC.This will help you get up-to-date and accurate information.

Can I enter the TRNC with a driver’s license?

Yes, Turkish citizens can usually enter the Turkish Republic of Northern Cyprus (TRNC) with their passport and a valid Turkish driver’s license.A visa is generally not required when traveling to TRNC.

However, travel policies may change over time, so it is important to check up-to-date information before traveling.It will also be important to contact the relevant authorities to check if there are any special requirements or customs procedures when entering the TRNC.

How long is the flight time to TRNC?

The flight time from Turkey to the Turkish Republic of Northern Cyprus (TRNC) can vary depending on which city you are flying from.For example, a direct flight from Istanbul to Ercan Airport usually takes between 1.5 to 2 hours.However, flight times may vary depending on weather conditions, flight route and airline companies.Therefore, it is important to check direct flight times and schedules before making your travel plans.

What is a Uterine Film?Is it necessary to have a hysterectomy?

A uterine film is a radiologic examination to evaluate the anatomical structure of the uterus and the permeability of the tubes.This procedure, called “Hysterosalpingography (HSG)” in the medical literature, is a diagnostic method that can be used especially in the evaluation of couples with infertility problems.

In some cases, a uterine film may be recommended before IVF treatment.This procedure allows the internal structure of the uterus, the condition of the tubes and the condition of the cervical canal to be observed.This information can be important for detecting potential problems and making an appropriate assessment for IVF treatment.

When should a uterine film be taken?

A uterine scan is usually done within 7 to 10 days of the start of the menstrual cycle.This is a time when the ovaries are at their youngest.Performing the test at this time allows for a clearer visualization of the structures inside the uterus and the tubes.

This test is usually scheduled within 7-10 days of the start of the menstrual cycle, but may vary depending on individual circumstances.Our doctor will determine the best time, taking into account your specific situation and treatment plan.

Should I go to bed after embryo transfer?

In most cases, it is recommended to return to normal daily activities after embryo transfer.

It is important to avoid excessive physical activity and heavy exercise after the transfer.It is also important to feel relaxed and not stressed.

Can I do sports after embryo transfer?

Excessive physical activity and strenuous sports after embryo transfer can cause stress on the body and this can negatively affect the implantation process.Therefore, low-impact activities such as light walks, yoga or other low-impact exercises approved by your specialist may be preferred for the first few days after the transfer.

How long does the embryo transfer procedure take?

The procedure usually takes between 10 and 20 minutes.However, this can vary depending on the techniques used, clinic policies and doctor’s preferences.

The procedure itself involves transferring the embryo into the uterus through a thin catheter.An ultrasound device is usually used during the transfer, which helps the doctor to see inside the uterus and ensures that the embryo is placed in a suitable position.

Is embryo transfer painful?

Embryo transfer is usually painless and usually takes place in a conscious state without the need for general anesthesia.After the procedure, a period of rest and compliance with certain instructions from the doctor at the clinic may be required.

What is the minimum thickness of the uterus (endometrium)?

The range of intrauterine thickness considered suitable for embryo transfer is usually between 7 and 16 mm.These values are general norms that are widely accepted in most clinics.However, every patient is different and the treating doctor will assess your intrauterine thickness as part of your treatment process.

What is a polyp?

A polyp is a benign tumor on the surface of a tissue or organ, usually with or without a stalk.Polyps are usually caused by abnormal growth and fusion of cells.Polyps can occur in many different parts of the body, but most commonly occur in internal organs such as the intestine, uterus, nose, stomach and colon.Polyps that form on the lining of the uterus can cause bleeding between periods or irregular menstruation.

What is hysteroscopy?Why is it done?

Hysteroscopy is a medical procedure used to examine or treat the inside of the uterus.Hysteroscopy is performed with a thin, lighted tube or camera called a hysteroscope.This procedure can be used to evaluate abnormal conditions inside the uterus or to treat certain problems.It can be done before IVF treatment to assess conditions inside the uterus and, if necessary, corrective treatments.

Do the drugs used in IVF treatments cause cancer?

Most of the drugs used during IVF treatment are hormone-regulating drugs that affect the reproductive system.These drugs are used to control the natural reproductive process, stimulate the ovaries and produce more eggs.Medications commonly used in IVF treatment can include hormones such as gonadotropins, GnRH analogs, estrogen and progesterone.

These drugs can temporarily alter hormonal balances in the body, but they are not usually used long-term and their effects diminish after the treatment has ended.Medicines used in IVF treatment are not known to cause cancer.

However, like any medicine, medicines used in IVF treatment can have side effects.Side effects may vary depending on the medication used, the dose and the individual reaction of the patient.

Is it dangerous to travel after embryo transfer?

After embryo transfer, it is desired that the inner layer of the uterus (endometrium) and the embryo interact harmoniously and that the implantation is successful.Therefore, it is important to avoid excessive physical activity and stress.A long journey can put a strain on the body, and the movements and vibrations during the journey can negatively affect the implantation process.

If you are planning a trip after embryo transfer, you should discuss this with your doctor and get his or her advice.Our doctor will evaluate what is most suitable for you based on your personal health condition and your IVF treatment plan.

Is there an age limit for IVF treatment?

Age limits for IVF treatment usually vary from country to country, clinic to clinic and depending on health policies.Our specialists evaluate the couple’s general health status, medical history and other factors to determine the most appropriate treatment options.

What is a chocolate cyst?Is it possible to get pregnant?

A chocolate cyst is a symptom of a condition called endometriosis.Endometriosis is a condition in which the tissue that normally lines the inside of the uterus (endometrium) grows in areas other than the uterus.A chocolate cyst is a condition in which this growing endometrial tissue forms cysts containing a dark fluid-like material.

Chocolate cysts are usually found in the ovaries and can cause symptoms of endometriosis.These symptoms can include painful periods, pelvic pain, pain during intercourse, pain before and after menstruation, and infertility.

Endometriosis and chocolate cysts can affect the chances of conception.Endometriosis can affect the normal functioning of the ovary and interfere with the normal functioning of the ovaries.However, it is possible to achieve pregnancy even in this situation.

There are many treatment options for dealing with chocolate cysts or endometriosis.Treatment can be aimed at relieving symptoms, shrinking the cysts and increasing the chances of conception.

Can medicines increase sperm count?

Various treatments and medications can be used to increase sperm count or improve sperm quality.However, the effectiveness of these treatments may vary from individual to individual and depending on the underlying problems.

What is the benefit of using birth control pills before IVF treatment?

In some cases, doctors may choose to use birth control pills (oral contraceptives) before IVF treatment.This is done to better manage the treatment process and increase the chances of success.Here are some benefits of using birth control pills before IVF treatment:

Resting the ovaries: Birth control pills have the ability to temporarily rest the ovaries.This can be used to control and regulate egg production prior to IVF treatment.

Synchronizing the ovaries: The stimulation drugs that will be used during the IVF treatment process stimulate the production of more than one egg.Birth control pills can be used to synchronize the ovaries and better plan the treatment process.

Preventing Cyst Formation: Birth control pills can prevent the formation of follicular cysts in the ovaries.This can help make the stimulation drugs used during treatment more effective.

Ease of Planning Treatment:Using birth control pills can help health professionals to better plan and organize the treatment process.This is important to get the ovaries in a certain period and prepare them for treatment.

What can be done if the tubes are closed?

If the tubes are closed, there are several options to increase couples’ chances of having a child:

Tubal Surgery:In some cases, it may be possible to open the blockages surgically.Tubal unblocking surgeries can be performed with techniques such as laparoscopy or microsurgery.However, the success rates and suitability of such operations vary from person to person.

In vitro fertilization (IVF) treatment:When the tubes are blocked, couples often consider in vitro fertilization (IVF) treatment.This involves combining egg and sperm cells in the laboratory and transferring the resulting embryo to the uterus.IVF treatment can increase the chances of pregnancy if the tubes are blocked.

Egg Donation or Surrogacy:In cases where the tubes are blocked, couples can consider egg donation or surrogacy.In this case, another woman’s egg is used or another woman carrying the pregnancy can be chosen.

How to recognize adhesions in the uterus?Is it possible to get pregnant?

Intrauterine adhesions, called adhesions or intrauterine adhesions, are conditions in which the inner walls of the uterus stick together.Intrauterine adhesions can often develop after a surgical procedure, especially after abortion, hysterectomies or inflammatory conditions.

Symptoms of intrauterine adhesions can include

Amenorrhea (absence of menstruation):Intrauterine adhesions can affect the menstrual cycle and prevent menstruation.

Chronic Pelvic Pain:Intrauterine adhesions can cause constant or recurring pain in the pelvic area.

Irregular Menstrual Cycle:Adhesions can make the menstrual cycle irregular.

Infertility:Intrauterine adhesions can cause blockage of the tubes or changes in the structure of the uterus that prevent implantation of the embryo, which can make it difficult to conceive naturally.

The degree to which intrauterine adhesions affect the chances of pregnancy depends on the situation.Mild adhesions can sometimes be treated with minimally invasive surgery and may make it easier to conceive naturally.However, if the condition is more serious, in vitro fertilization (IVF) or other assisted reproductive technologies may be used.

How many days do I need to stay in the TRNC for treatment procedures?

Although the process of each treatment is different, you can get detailed information about your planning process by contacting our coordinators before you arrive, and you can plan the treatment process in the most suitable way for you.

What factors affect the success rate in IVF treatment?

Each couple’s situation is special and unique and this rate may vary for each treatment process.In general, however, the age of the expectant mother, the quality of the sperm of the expectant father, healthy ovulation processes, genetic factors, embryo quality and stress level are factors that can affect the success of the treatment.

What is the maximum age for IVF treatment?

From the age of 40, the chance of success of IVF treatment decreases, but it can be applied until the age of 44.

Do the treatments negatively affect the ovarian reserve?

It is known that ovarian stimulation and follow-up procedures for IVF treatment do not decrease the ovarian reserve.

Is there a difference between babies born from IVF pregnancies and babies born normally?

There is no difference between babies born from natural pregnancies and babies born with IVF, but the possibility of anomalies is present for every birth.You can carry out the healthiest process in this regard by consulting with our experts.

How does the treatment proceed in case of divorce or death?

The procedure cannot be carried out if one of the spouses gives up or in cases of divorce and death.

How should nutrition be during the IVF treatment process?

Nutrition during IVF treatment can positively affect the general health and reproductive health of couples.Healthy eating habits during this period can support hormonal balance and improve overall energy levels.However, since each couple’s needs are different, it is important to consult a specialist about nutrition, especially during IVF treatment.

Is there an annual fee for storage after egg freezing?

Yes, there is an annual fee after egg freezing.

How is microinjection different from IVF?

Microinjection (ICSI – Intracytoplasmic Sperm Injection) is a stage of IVF treatment and differs from conventional IVF.

Fertilization Method:

IVF:In IVF treatment, eggs and sperm are brought together in a laboratory and are expected to fertilize naturally.

Microinjection (ICSI):In microinjection, a sperm is injected directly into a mature egg.This method is used when physical barriers between sperm and egg cannot be overcome.

Sperm Selection:

IVF:The sperm tries to fertilize the egg naturally in the laboratory and sperm selection occurs naturally in this process.

Microinjection (ICSI):During microinjection, a laboratory technician or doctor manually selects the best quality sperm cells and injects them into the egg.

Application Areas:

IVF:In vitro fertilization is usually used to ensure the natural interaction between sperm and egg.

Microinjection (ICSI):Microinjection is preferred when there is a problem with the natural interaction between sperm and egg or in cases of male factor infertility.

In which cases it is used:

IVF:In vitro fertilization can be used in couples with various causes of infertility, but it is especially recommended if there is low sperm motility, low sperm count or other fertilization problems.

Microinjection (ICSI):Microinjection is used in cases of male factor infertility, very low sperm count or poor sperm morphology.

Can ectopic pregnancy occur as a result of IVF treatment?

IVF treatments, especially procedures such as in vitro fertilization (IVF), can increase the risk of ectopic pregnancy, where the pregnancy does not implant in the uterus and develops outside.However, this risk can also be found in other natural pregnancies.

Can we determine gender in IVF treatment?

It is possible to determine gender in IVF treatment for genetic screening purposes.

Is there a difference in the risk of disability between babies born with frozen embryos and those born with normal IVF pregnancies?

Various studies show that pregnancies and babies born with IVF treatments using frozen embryos are generally healthy.Frozen embryo transfers mean that embryos are frozen and used later, and this method allows excess embryos from one cycle to be stored and transferred later.

Some of the advantages associated with the use of frozen embryos include

Flexibility:Frozen embryos can be transferred later than embryos obtained during the treatment cycle.This can help control hormone levels and give the body a rest.

Higher Pregnancy Rates:In some cases, frozen embryo transfers have been associated with higher pregnancy rates compared to fresh transfers.

May Reduce Risks:Fresh embryo transfers can increase the risks associated with preconception complications due to the risk of hyperstimulation and other factors.Frozen embryo transfers may reduce these risks.

However, the risk of any disability associated with frozen embryo transfers may vary depending on the practices of the fertility clinic used, treatment protocols and the couple’s overall health.