Saturday, March 31, 2012

Gender Selection (PGD/MicroSort) 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 difference between Microsort and PGD?
Microsort is a pre-fertilization gender selection method which is used to sort sperm into male and female producing cells. It is about 80% accurate for selection of a boy and 90% accurate for selection of a girl. This way, we can make sure majority of your embryos to be fertilized will be of desired sex.
PGD, on the other hand, is a post-fertilization gender selection method where the embryos that are fertilized are subjected to a genetic analysis for sex selection. Even though PGD provides 99.9% accuracy for gender selection, and it also tests for majority of possible genetic disorders, making sure your child does not have them, it cannot guarantee that majority of your embryos will turn out to be of desired sex.
The best gender selection method is to combine microsort with PGD so that you can be sure that you will have a number of embryos which are of desired sex, anda re free of most genetic conditions.

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.

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. This is in fact one of the reasons this test is prescribed prior to starting treatment even if the patient has no infertility issues and has conceived children successfully before.

What does Menopur do?
Menopur is also used for follicle growth and development and contains follicle stimulating hormone as well as luteinising hormone (LH). This is a combination we prefer for women older than 35 years of age as quite a large number of studies, and our experience, suggest that LH can be a good supplement for optimizing egg quality for women over 35 years of age.

Can I travel with the injections?
The injections will need to be checked in with your luggage but there should be no problems traveling with them.

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.

Why do I need to have scans during medication use?
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 Selection/PGD) is to ensure the follicles are developing 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 intake if necessary.

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 transferred?
We usually prefer to transfer embryos on day 18 of menstrual period, which is the best implantation window. However, days 17-20 are acceptable embryo transfer dates. If patients are undergoing PGD analysis, then the transfer is delayed by 2 days until the embryos reach the blastocyst stage and are transferred 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 patients will ask for the remaining embryos to be destroyed or used during our clinical studies so we can keep offering you the highest quality service through our own research and clinical studies.

When do I do the pregnancy test?
The pregnancy blood test is suggested 12 days after the embryo transfer.

What happens after a positive pregnancy result?
After a positive result you will continue to take medication for 11 weeks after the embryo transfer. Normally this will be Crinone Gel (Progesterone) and Aspirin. Prenatal vitamin supplements can be used for the entire pregnancy term.


www.donasyon.net
www.lowcostivf.net
www.northcyprusivf.com
www.gender-selection-ivf.co.uk
www.egg-donor-ivf.co.uk

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