INFERTILITY TREATMENTS

Yes. There is no evidence that any of these activities can be harmful. You should live your life as normally as possible during your treatment. It is important that you are relaxed and comfortable with yourself at this time and during any resulting pregnancy.

Abnormalities are found in around three percent of the children, this corresponds with the general population of children born following natural fertilization. In infertility treatments with pre-implantation genetic diagnosis (PGN) you may learn about these abnormalities at the embryo stage.

Bed rest makes no difference to the chances of becoming pregnant. However, it is advisable not to do strenuous activity. Bed rest after embryo transfer does not increase the chance of pregnancy. You may resume daily activities. However, we recommend avoiding high impact physical activity in the first 24 hours. Also avoiding sports, demanding physical tasks, and the lifting of heavy objects until the day of the pregnancy test is recommended.

Currently, we are able to offer fertility treatment to patients up to the age of 45.

A woman who becomes pregnant naturally has a one percent chance of an ectopic pregnancy. The chances are no higher in an infertility treatment pregnancy unless the woman already has a damaged tube or tubes.

Under some circumstances, infertility treatment can increase the chances of multiple pregnancies. For example, a woman under the age of thirty-seven having infertility treatment has a twenty-five to thirty percent chance of having twins if two embryos are transferred. Because multiple pregnancies increase the risk of miscarriage, premature births, and other medical problems, a limit is placed on the number of embryos transferred in infertility treatment. Under most countries’ laws, the maximum number of embryos that can be transferred is dependent on the age of the woman and the number of previous treatments.

No. Follicles are encouraged to mature during stimulation, but this happens during a normal cycle too. The only difference is that, during a normal cycle, most of the follicles die. Ovarian stimulation helps many eggs, which would otherwise be lost, develop.

Although there is no objection to car and air travel, we recommend that you do not fly on the day of the transfer, but wait until the next day.

Embryo transfer does not require anesthesia. It is performed using a speculum that allows the doctor to see the cervix, (like a Pap smear) and is very similar in technique to intrauterine insemination (IUI).

Infertility treatment is not the only way to achieve pregnancy. Treatment depends on the cause of infertility.

• If the infertility is unexplained or of short duration (approximately one to three years), treatment starts with the simplest procedure: timed intercourse and ovulation induction using oral medications (clomiphene citrate, aromatase inhibitors) or injections (rFSH, hMG).
• If this fails, the next step is intrauterine insemination (IUI). This is a procedure in which motile sperms are placed directly into the uterine cavity, via a thin catheter. Before the sperms are placed, the ovaries are stimulated by hormonal pills or injections. This is a painless procedure and anesthesia is not needed. It is also less costly than infertility treatment.
• If IUI fails despite two or three attempts, the next step is infertility treatment.
• In cases of severe male infertility, tubal pathology or ovarian insufficiency, treatment starts directly with infertility treatment.

Vaginal bleeding is not common after egg retrieval. If it does occur, it is usually from the needle puncture sites in the vaginal wall. It is usually minor and similar to, or less heavy than, a period.

They are not different than other births. However, in severe male infertility cases, some minor congenital abnormalities may be seen more frequently.

It has not been proven that avoiding coitus during the two weeks after embryo transfer makes any difference to the chance of pregnancy. However, you will be required not to have any sexual intercourse until the result of the pregnancy test is obtained.

• The most important factor is women’s age. After 43y, the success rate decreases dramatically.
• Having more than three previous failed infertility treatment cycles despite good quality embryos in a successful clinic is also a negative prognostic factor.
• Sperm samples dominantly containing sperms with severe morphological defects can cause lower fertilization and pregnancy rates.
• Endometrium, the inner layer of the uterus that accepts the embryos, plays an important role in implantation. A thinner endometrium decreases the chance of being pregnant.
• Hydrosalpinx can negatively affect implantation. These are swollen fallopian tubes filled with fluid. This fluid flows back into the uterus and be toxic to embryos, increasing the risk of implantation failure, abortion and also ectopic pregnancy rate. These pathological tubes must be removed or blocked before an infertility treatment attempt.

The clinic is open 7 days a week for the active treatment of infertility treatment patients.

Most colds or upper respiratory infections will not be a problem. Most over the counter medications and antibiotics are safe to use with fertility drugs.

In order to wait for the healing period generally waiting at least two months before starting a new treatment is preferred.

No. Many women have undergone egg retrieval several times.