Frequently Asked Questions - Bahçeci

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Frequently Asked Questions

What is infertility?

Infertility is the condition in which a couple cannot conceive within a year despite regular unprotected sexual intercourse. Infertility is a problem encountered in approximately 10-15% of couples.

What are the stages of IVF treatment?

IVF treatment is a process consisting of egg development, egg collection, embryo development and embryo transfer stages.

How long does IVF treatment take?

The treatment starts on the second day of the woman's period. During the egg development, the patient is usually given blood tests and ultrasound examinations every other day and sometimes daily. This process takes an average of 9-12 days. At the end of this period, when the eggs reach a certain maturity, a cracking needle is given and the egg collection process is carried out approximately 36 hours later. On the day the eggs are collected, sperm is taken from the prospective father and the fertilization process is carried out. The developing embryos are evaluated according to their quality and number and transferred after 2-6 days.

When should a decision be made about in vitro fertilization treatment?

If the expectant mother is under 35 years of age and has not become pregnant despite having regular unprotected sexual intercourse for 1 year, or for 6 months if the expectant mother is over 35 years of age, it is necessary to consult a doctor.

Is in vitro fertilization the first treatment to be applied?

Infertility that is usually unexplained or due to physical conditions such as vaginismus, insemination treatment can be tried before IVF. If the woman has a decrease in egg cells and has waited too long for pregnancy, or if there is a problem with the woman's tubes, insemination treatment is not recommended. In insemination treatment, the mother's ovary is stimulated to crack the egg. The father's sperm is washed, the best ones are selected and transferred to the uterus.

Can natural pregnancy occur after IVF treatment?

Couples who conceived through IVF treatment and have been diagnosed with unexplained infertility, PCOS, mild male factor and low ovarian reserve can have babies naturally in the future. Natural pregnancy is not expected in couples who have been treated for tubal factor and severe male infertility.

Will egg reserves run out?

No, egg reserves do not run out.

How should our sexual life be during IVF treatment?

There is no restriction on sexual intercourse during the first days of the injection application during the stimulation period of the ovaries. However, sexual intercourse should not be performed after a certain growth in the eggs has been achieved. Sexual intercourse is not recommended until the embryo transfer and the pregnancy test result.

What preparations should be made when coming from out of town or abroad for IVF treatment?

You can have your preliminary tests done in your own city and share the results with our IVF doctor. In this way, it is determined whether you have any obstacles for the IVF program or pregnancy before the treatment. IVF treatments start on the 2nd day of the woman's menstrual bleeding and continue for approximately 15-18 days. You will be checked at your center 6-7 times in total during this period. Our patients who have irregular menstrual periods can use menstrual regulating medications according to their doctors' preference. Please bring the necessary official documents and all your medical records with you due to legal procedures.

Which infections cause blockage in the tubes?

The fallopian tubes are structures that connect the uterus to the ovaries. Infections in the tubes can cause blockage and cause female infertility. The most common agents that affect the tubes and cause infection are streptococcus, staphylococcus and mycoplasma bacteria and sexually transmitted infections such as chlamydia and gonococcus. Tuberculosis infection can also rarely affect the tubes and cause blockage. Infections can settle in the tubes through conditions such as intrauterine device application, sexual intercourse, miscarriage, curettage and postpartum, sexual transmission and appendicitis. Blockages in the tubes can prevent normal pregnancy.

Do cancer treatments and chemotherapy impair sperm production?

Chemotherapy is a treatment method that works on the principle of destroying rapidly dividing cells. The target cell is cancer cells, but it also destroys rapidly dividing hair-root, gastrointestinal and reproductive cells in the body, such as sperm and egg cells. Similarly, radiation therapies damage sperm and the germ cells that form sperm cells. Depending on the type, number and total dose of chemotherapy and radiotherapy treatment, it can cause irreversible azoospermia in men, meaning the inability to produce any sperm, and therefore infertility. Freezing and storing sperm prior to cancer treatments is the only proven treatment method used to preserve fertility.

Do pregnancy rates decrease after frozen embryo transfers?

No, the pregnancy rate does not decrease. Frozen embryo transfers performed in a center with an advanced embryology laboratory and where freezing and thawing procedures are well implemented will result in a higher pregnancy rate compared to fresh transfers. Hormonal medications used during treatment may negatively affect the uterus in some patients. Thanks to the frozen transfer process, the uterus is rested and freed from the effects of the medications. For this reason, frozen embryo transfer can be applied as a success-enhancing treatment strategy in patients with repeated unsuccessful IVF attempts.

Is there an increased risk of disease in pregnancies resulting from frozen embryo transfer?

As a result of scientific studies, no increased risk of congenital anomalies or genetic diseases has been found in fetuses obtained with frozen embryo transfer compared to fresh embryo pregnancies. Today, embryo freezing is a standard part of in vitro fertilization treatments and is used as a method that increases the chance of pregnancy.

What is the definition of success in IVF treatments?

IVF centers determine their success by pregnancy rate and live birth rate. The success rates of the centers increase with the correct application of all stages of IVF treatments. A couple will receive a high pregnancy rate with a well-implemented ovulation induction, eggs collected at the right time, well-selected sperm and the correct microinjection, and finally a good technique to transfer the embryo. When choosing an IVF center, attention should be paid to the center's experience, technical equipment in the laboratory and healthy pregnancy rates.

Are genetic diseases the cause of infertility?

There are normally 46 chromosomes in humans. Two of these are the sex chromosomes, the X and Y chromosomes. Women carry two X chromosomes (46XX), while men carry one X and one Y chromosome (46XY). Disorders in sex chromosomes are a cause of infertility. In men, the loss of genetic material in some regions of the Y chromosome causes azoospermia or severe sperm count deficiency and shape-movement disorders, causing infertility. Similarly, in women, the loss of the X chromosome causes the ovaries to not function and therefore infertility. Genetic defects in autosomal chromosomes other than the sex chromosomes also lead to recurrent miscarriages in couples, infertility and genetic disorders in the fetus.

Do the sperm and eggs used belong to the spouses?

Yes.

Is it necessary to stay in hospital during IVF treatment?

There is no need for hospitalization at any stage of the procedure.

Can I inject my IVF injection myself?

Yes, you can apply the needles yourself. You will see the ease of applying the needles after your first try.

Where are IVF needles applied?

We recommend that IVF injections be administered from the navel. If you do not prefer to inject from the navel, you can also inject from the upper arm and side leg areas.

Does the IVF needle hurt?

Since the tip of the IVF needles is very thin and short, they are not very painful. At the moment of needle entry, a slight pain similar to a mosquito bite is felt, and sometimes a slight redness may be seen. Since its effect is fast, this redness disappears within a few seconds. If you observe any abnormal bruising or redness after your injection, do not forget to contact your doctor.

How many days are IVF needles used?

The duration of needle use may vary depending on the treatment protocol and the growth rate of the patient's egg. In the short treatment protocol, the average needle use is 9-12 days. This period may vary in long protocols. Since each woman's egg reserve is different, medication is used in the doses and periods determined by your doctor after the examination.

Where and how should IVF needles be stored?

You should not place your needles in a place where they will be exposed to direct sunlight. It is appropriate to store them at an average of 22 degrees. Some needles, such as cracking needles, require a cold chain. In order to preserve these needles, it is important to store them in a cold environment at an average of 4 degrees.

Do IVF needles cause weight gain?

IVF needles do not cause weight gain. Some women may experience some water retention. Some patients may feel like they are gaining weight due to the increased amount of water in the body.

Do the drugs used in in vitro fertilization treatments cause cancer?

Studies to date have shown that the drugs used in IVF treatments do not increase the risk of cancer in women. There is no increased risk for breast or uterine cancer.

How long does the egg collection process take?

The egg collection process takes about 5-15 minutes. The follicle fluids in your ovaries are collected with the help of ultrasound and the eggs in these follicles are separated under a microscope by embryologists.

Is anesthesia used during egg collection?

Yes, the egg collection procedure is performed under anesthesia. For this, you must not eat or drink anything, including water, for at least 6 hours. This includes smoking.

Is there any pain after the egg collection procedure?

You may experience mild to moderate pain after egg collection. This pain can be easily controlled with painkillers.

Will there be bleeding after egg collection?

Although not always, there may be bleeding in the form of spotting for the first day. This is a temporary condition.

Is rest necessary after egg collection?

Yes. It is recommended that you rest at home after the procedure. You can return to your daily life the next day.

Is there any pain during embryo transfer?

The transfer process is a painless procedure. After the transfer, detailed information is given about the conditions to be considered and the medications to be used.

Is anesthesia used during embryo transfer?

Embryo transfer is a procedure that does not require anesthesia.

What should I pay attention to before embryo transfer?

You need to urinate 1 hour before the embryo transfer procedure. Having a full bladder makes it easier for us to visualize the uterus with ultrasonography during the embryo transfer and to perform the procedure.

How much rest is required after the transfer procedure?

A 30-minute rest after the transfer is sufficient. Clinical studies show that longer rests do not have any effect on success.

Is it harmful to take a bath after the transfer?

There is no harm in taking a warm shower starting 1 day after the transfer procedure.

How should sexual life be after embryo transfer?

Sexual intercourse is not recommended until the pregnancy test.

Are there any risks to dyeing hair after embryo transfer?

There is no harm in dyeing your hair.

If I have a headache after embryo transfer, can I use painkillers?

You can use paracetamol group drugs.

Can I do sports after embryo transfer?

Light walks and exercises can be done, heavy exercises are not recommended.

Can I go shopping after embryo transfer?

After the transfer, you can continue your daily social activities. Eating, shopping, daily walks, going to the hairdresser, getting your hair dyed, and swimming do not affect the treatment process.

What happens to the remaining embryos after transfer?

The remaining high-quality embryos after transfer can be frozen and stored.

What is the egg freezing process?

Egg freezing is a method that women who want to become mothers in the future but do not want to give birth right now can use. Eggs collected from the ovaries are frozen and stored for future use and can be thawed and used at any time.

Who can benefit from egg freezing?

Those who need to start treatments that damage egg cells, such as chemotherapy and radiotherapy. Patients who will undergo surgery that will result in the loss of reproductive functions (such as removal of the ovaries). Women with a family history of early menopause or women with low ovarian reserve who have not yet become pregnant. Women who are career-oriented and postpone motherhood until after their 30s.

How many days does the egg freezing process take and how is it applied?

Egg freezing requires ovaries to be stimulated with hormones in women. The treatment begins on the 2nd-3rd day of menstruation and lasts approximately 12-15 days. The collected eggs are frozen in the laboratory using a special method called vitrification and stored for use at a later date.

Are hormone medications used during the egg freezing process?

Yes, hormone injections are used in IVF treatment. The doctor determines the dose of the injections according to the patient and informs them about their use.

Can I inject my hormones myself?

Yes, you can administer your own needles. You can see how easy it is to administer the needles after your first try. We recommend that IVF needles be administered from the navel. If you do not prefer to administer the needle from the navel, you can also administer it to the upper arms and side legs.

Does hormone injection hurt?

Since the needles are very thin and short, they are not very painful. When the needle is inserted, a slight pain similar to a mosquito bite is felt, and sometimes a slight redness may be seen. Since its effect is fast, this redness disappears within a few seconds. If you observe any abnormal bruising or redness after your injection, do not forget to contact your doctor.

Where and how should needles be stored?

Is hospitalization necessary during the egg freezing process?

No, there is no need for hospitalization at any stage of the process.

How long does the egg collection process take?

Is anesthesia used during egg collection?

Yes, the egg collection procedure is performed under anesthesia. For this, you must not eat or drink anything, including water, for at least 6 hours. This includes smoking.

Is there any pain after the egg collection procedure?

You may experience mild to moderate pain after egg collection. This pain can be easily controlled with painkillers.

Will there be bleeding after egg collection?

Although not always, there may be bleeding in the form of spotting for the first day. This is a temporary condition.

Is rest necessary after egg collection?

Yes. It is recommended that you rest at home after the procedure. You can return to your daily life the next day.

How to store collected eggs?

Two hours after collection, the cells around the eggs are cleaned and their quality and maturity are assessed. Only high quality and mature eggs are frozen using the vitrification (fast freezing) technique and stored in liquid nitrogen at -196 C.

Does SSI cover in vitro fertilization treatment?

SGK covers in vitro fertilization treatments at institutions with which it has agreements, but it is necessary to obtain an SGK committee report for this.

Is SGK valid in Bahçeci?

We provide services within the scope of SGK in our centers located in Ankara and Bursa. Our patient candidates who are considering starting IVF treatment can benefit from state support by obtaining a SGK committee report.

What documents do patients with an SSI report need to have?

Original IVF committee report, certified copy of population registration, SSI premium payroll, copy of spouses' IDs, copy of marriage certificate.

Is There an Age Limit for State Assistance for IVF?

Yes, there is an age limit to benefit from SSI support. The woman must be 23 years of age or older and not older than 40 years of age.

How many years of marriage is required to benefit from state support?

In order to receive a SGK board report, couples must have been officially married for at least 3 years. They must also not have children in their current marriage. If the sperm count is below 5 million, the 3-year marriage requirement is not required, and a report can be issued to couples who have been married for a shorter period of time.

How many days of premium should be paid to benefit from state support?

One of the couples must have been insured for 5 years and must have completed 900 premium days. You can get detailed information about the discount rates you can benefit from and the criteria required to get a report from our patient relations officer friends thanks to the SGK committee report.

Is it possible to have a free initial consultation with doctors in Bahçeci?

You can make an appointment to meet with our doctors for free by filling out the contact form or by calling +905498219204. During the free meeting, our doctor will listen to your medical history, review any previous tests and analyses you have had, and inform you about the treatment process. There is no examination during the preliminary meeting.

Free initial consultation

You can make an appointment to meet with our doctors free of charge by filling out the contact form or by calling +905498219204. During the free meeting, our doctor will listen to your medical history, review any previous tests and analyses you have had, and inform you about the treatment process. There is no examination during the preliminary meeting.

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