FREQUENTLY ASKED QUESTIONS

For the purpose of reviewing previous fertility treatments at the first appointment and evaluating the most appropriate treatment and test options to make you achieve your dreams;
- You will receive 4-dimensional Ultrasound examination for a comprehensive evaluation of the ovaries, hormone profile, general health status, screening for a health problem that may pose a risk to the mother and baby during pregnancy, genetic counseling and psychological support if necessary.
- Planning for the evaluation of the uterine wall with ultrasound at the appropriate time in the middle of the menstrual period
- Examination of the old uterine film HSG (uterine film), if any
- You should apply with a sexual abstinence of at least 2 and at most 5 days from the day of your appointment for the evaluation of the male factor. When the general health status of the man, his life habits, hormonal status and semen analysis are evaluated, if a problem is observed, you will be contacted by a urologist.

There are relatively simple ways to assess Egg Quality.
-Age. Ovarian reserve and egg quality decline as part of the aging process, leading to more problematic pregnancies and lower pregnancy rates. A woman's age is the most important factor in assessing egg quality and is the most important factor in predicting pregnancy chances.
-Estradiol and progesterone test. These values, measured on the 2nd or 3rd day of the period, are the easiest test to show if things are going well. An increase in these hormones indicates that the ovary is having trouble making eggs for the body. These figures have been shared to give you an idea, and please do not interpret your values ​​without sharing them with your doctor. You can ask your doctor for an explanation in your phone, e-mail or face-to-face meetings without any hesitation.
-AMH (Anti Müllerian Hormone) . It is a newer test and has the advantage that it can be viewed at any time of the menstrual cycle. Values ​​above 1.5 are considered more positive. It gives information about the developing egg reserve in the person. We do not decide the chance of pregnancy by looking at this test alone.
-Short menstrual cycle. It is a sign of an imbalance in the production of the hormone that provides ovulation in women and is a sign of decreased fertility.
-Response to IVF Treatment. The incomplete response of the body to the injections during the treatment process may be an indication of the low egg reserve and quality of the patient.

It will be much easier than you think to benefit from the Istanbul IVF center. Being a patient of our center is as simple as setting up a first appointment or long distance counseling.
- You can call us +90 212 292 4919
- You can contact us via e-mail info@istanbultupbebek.com.tr
- You can fill out the patient contact form. (You can fill out this form from the contact section.)
- You can use the Long Distance Consulting options.

My center does not have a general agreement with SSI, but patients who receive an in vitro fertilization report can benefit from SSI for IVF treatment and drugs used.

For detailed information and prices, you can call us or send a message from our contact page.

Decreased egg reserve is actually a numerical expression for us. In other words, it indicates that the number of eggs has decreased. Fortunately, it does not always mean that there is a decrease in quality. Existing eggs can be perfectly healthy. If the declining reserve is severe, then the quality may also be affected. The result of this is lower quality embryos, lower retention rate and unfortunately higher first trimester miscarriages. Even so, the younger the woman, the higher the chance of pregnancy.

In the process of IVF treatment, the report of incapacity for work can be given through SSI for 3 days after egg collection until the day of transfer and 3 days after the transfer.
After the transfer, the 3-day incapacity report can be extended with the decision of the physician, depending on the patient's condition.

Patients who are eligible for an IVF report and can receive a report have the right to try IVF with 3 reports. People with a medical report can also buy drugs under SSI by paying a certain difference to the pharmacy.

All stages of IVF treatment take an average of 15-18 days.

As it is known, the tubes are a passageway used by the egg and sperm to unite and then for the fertilized egg to migrate to the uterus. In some cases, it is possible to open the tubes by surgical intervention. If not, pregnancy can be achieved with IVF treatment.

Yes, this is possible. Many of our patients who have applied to us have had their tubes tied in the past with the hope of having a baby again. We have two options for now. The first option is surgery for relatively young women to correct this situation laparoscopically. Surgery may not always provide the desired result. The second option is to get in vitro fertilization treatment without waiting in cases that do not want surgery or have additional factors (such as female age, male factor) that relatively reduce the chance of pregnancy.

There is no need for daily control throughout the treatment. The first step of IVF treatment is the period of stimulating the ovaries by giving medication. This period lasts an average of 8-10 days. During this period, ultrasonography examinations are performed approximately 3 or 4 times. If necessary, hormone analyzes are performed. When the diameter of the follicle containing the egg cells reaches a sufficient size, the egg cracking needle is given and the egg collection process is performed 2 days later. The fertilization process of the eggs collected with the sperm sample taken from the male on the day of the egg collection process is performed. The embryo transfer is performed 2-5 days after the fertilization process, depending on the number of fertilized eggs. .

We understand the importance of privacy and are committed to protecting the confidentiality of your medical information. We share the records we receive with the units affiliated to the Ministry of Health for which we are responsible.

No. Your partner may only come on the day of egg collection to give a sperm sample. However, your spouse's sperm analysis should be seen and evaluated by our specialists. We can ask for consultation from our urology specialist when necessary. For this reason, it is necessary to make a detailed evaluation that the mother and father-to-be attend the first interview together. In this evaluation, after it is determined that the sperm analysis of the father-to-be is sufficient in in vitro fertilization, it is sufficient for the father-to-be to come only on the day of egg collection.

There is no restriction on sexual intercourse during the stimulation period of the ovaries. However, there should be no sexual intercourse after the injection of the egg cracking injection. We do not recommend sexual intercourse until the embryo transfer and the result of the pregnancy test afterwards.

Yes, ideally a 2-4 day fast is ideal. This period should not be longer than 7 days.

On the day of egg collection, sperm is taken by masturbation, just like in the sperm analysis. If you have a sperm delivery problem, you should share this situation with your doctor beforehand.

Egg collection takes about 15-20 minutes on average.

Egg collection is carried out by putting you to sleep with drugs that cause a light sleepy state, which we call local anesthesia or sedation. In our center, egg collection is performed by anesthetized for the comfort of the procedure. For this, you should not eat or drink anything, including water, for at least 6 hours. This includes cigarettes.

You may have mild to moderate pain after egg retrieval. These pains can be easily controlled with painkillers.

Although not always, there may be bleeding in the form of spotting in the first 1 day. This is a temporary situation.

2 hours on average. If there is no medical obstacle afterward, you can be discharged. However, you have to stay in Istanbul on the day of egg collection.

Yes. We recommend you to rest at home after the procedure. You can return to your daily life the next day.

Embryo transfer is a procedure that does not require anesthesia. It is necessary to urinate 1 hour before the embryo transfer process. It is convenient for us to have a full bladder during the embryo transfer, in the imaging of the uterus with ultrasonography and in the application of the procedure.

Sex determination of embryos is prohibited in Turkey, except for medical necessity, namely sex-related diseases. Gender determination cannot be made in embryos unless genetic diagnosis is made. Sex determination is prohibited both legally and ethically except for medical necessity.

A 30-minute rest after the transfer is sufficient. Studies have shown that longer rest in the clinic does not increase success.

No. Continuous bed rest after embryo transfer does not increase the chance of success. On the contrary, it increases your stress. Constant bed rest is not necessary at home either. You can return to your daily life after 1-2 days of rest. Scientific studies support these findings.

You can start taking a bath in the form of a warm shower 1 day after the transfer.

We do not recommend sexual intercourse until the pregnancy test.

There is no special diet after the transfer. However, progesterone injections and the progesterone gel and tablets used can reduce bowel movements and cause constipation. Therefore, consuming 1,5 liters of water a day and choosing fibrous foods may be beneficial in terms of constipation.

There is no harm in dyeing your hair.

You can have your cure. If you have a medicine to use, please share it with your doctor.

You can use paracetamol group drugs.

On the same day as the plane, you can travel on the highway after 1 day of rest.

No. You can sleep on your back, on your back, or on your side.

No, it does not affect it. However, especially the situations where the body temperature is 38 degrees and above should be carefully monitored. In this case, it is right to consult a doctor.

We do not recommend heavy exercises. Light walking and swimming are recommended exercises.

You can continue your daily social activities during your treatment. Eating, shopping, daily walks, going to the hairdresser, getting hair dyed, swimming in the sea will not affect your treatment process.

Yes, your spouse's wet signed consent is absolutely required in order for the embryo to be transferred to you legally. Your spouse must arrive on the day of the transfer.

1- Swim-up (Floating method) ; It is a method used in cases where sperm count and motility are sufficient. It is based on the floating of forward motile sperm (+4, +3) to the upper phase.
2- Gradient(Density difference is used) ; It is the method of filtering good sperm from solutions containing colloidal silica particles, which is preferred in patients with limited sperm count. The best moving and smooth morphology sperms are obtained.
This method is the method we prefer in surgical methods (micro-pesa, tesa, tese, mesa) in patients who have a limited number of sperm obtained from the testicles.
In both methods, it is used in our center to separate sperms with the highest motility (+4, +3) and normal morphology from the seminal fluid and to prepare them for micro-injection (ICSI).

• Hygiene is the most important issue in giving a sperm sample.
• The sample container must be an identified and sterile container.
• Care should be taken to ensure that no foreign substance is mixed into the semen sample, as it will affect sperm motility and vitality.
• The entire ejaculate sample must be taken into the vessel without sample loss.
• In case of sample loss, the laboratory must be informed.
• The sample delivered to the laboratory is evaluated after 30 minutes of liquefaction and taken to the necessary preparation processes.