Saturday, August 6, 2011

Frequently Asked Question


Frequently Asked Questions

Why do I need to get hormone tests done if I already have children?

The hormone tests are requested in order for the Dr. to better understand the quality and quantity of eggs and provide a personalized and detailed treatment for each individual patient.

Why do I need to have an ultrasound before I begin treatment?

The ultrasound is requested in order to make sure there are no ovarian cysts, polyps or anything else that might stand in the way of a successful IVF cycle.

What is the  HCG trigger injection for?


This shot is for women who are using their own eggs and it helps release the  mature eggs from the follicles and is usually done 35 hours before egg collection. It is the final step in assisting the maturation process and ensure the eggs are released from the follicles.

This is generally done in Cyprus but can be done before traveling in order to shortent the stay.


When do I start using the Cetrotide?

Cetrotide is generally used to block any premature LH surge in women and is generally started when the dominant follicle reaches 14mm.


What does Estradiol Valerate do?

It is a female estrogen hormone and is used for patients undergoing Egg Donation and is used to thicken and prepare the womb before the embryo transfer.

What does Gonal F do?

This is a follicle stimulating hormone (FSH) to help increase the number of growing follicles and their development.
The dosage will be prescribed based on the inital hormone test results and varies from individual to individual.




What does Menopur do?

Menopur is also used for follicle growth and development and contains follicle stimulating hormone as well as luteinising hormone (LH).

Can I travel with the injections?

The injections will need to be checked in your luggage but there should be no problems traveling with them.

Why do I need to have scans?

The scans for Egg Donation patients are requested in order to make sure that the lining of the womb is ready for the embryo transfer.

The scans for women using their own eggs (IVF with ICSI and Gender Seletion/PGD) is to ensure the follicles are developping well before egg collection.

It is important to let us know the results of the scans so that we can adjust your treatment schedule and medication in take if necessary.

What tests can I do if I have recurrig miscarriages?

Here are a list of tests that can be done:

MTHFR C677T
MTHFR A1298C
Factor V Leiden
Factor II
PAI 1

How are the injections done?

The Gonal F injections should be done subcutaneously either in the abdomen/stomach area, naval area or upper thigh where there is excess skin and fatty tissues. It is recommended to vary the injection site.

Please watch the videos below for preparing and administering the medication.

http://www.youtube.com/watch?v=OMklbInsQGk
http://www.youtube.com/watch?v=AHEyyB0IKNY

When are the eggs collected?

The eggs are generally collected on day 15 of the cycle after an ultrasound and the trigger injection.


When is the embryo transfered?

With regular IVF the embryos are generally transfered on day 18 and with PGD on day 20.
This of course might vary from patient to patient.
We can transfer up to 3 embryos at our clinic.

What chromosomes are examined with PGD?

During the PGD biopsy we test chromosomes X, Y, 13, 18 and 21 which are causes of close to 90% of abnormalities.

What happens if we have left over embryos?

Many patients will choose to freeze the embryos in case they need it in the future, other patient will ask for the remaining embryos to be destroyed or used for donation.

When do I do the pregnancy test?

The pregnancy blood test is suggested 12 days after the embryo transfer.

What happens after a postive pregnancy result?

After a postitive result you will continue to take medication for 11 weeks after the embryo transfer. Normally this will be Crinone Gel (Progesterone) and Aspirin.

Do we have to use the accommodation offered in your packages?

Some patients decide they would prefer to select their own accommodation which is no problem for us.
If you would like to still take advantage of the free ground transfers however, it is preferable that your hotel be in Nicosia (Lefkosa) North Cyprus.






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