Patient Testimonial

Hi North Cyprus IVF,

Every thing was wonderful. I can't thank you enough for your support leading up to and during the treatment.

I had one boy embryo in the end so huge fingers crossed he is happy in his mummy's tummy.

I had a blood test today for my progesterone level as per my instructions. I will let you know the results as soon as I get them.

Warmest regards,

E.P, United Kingdom


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

How do I begin treatment?

The first step in treatment is to gather all the necessary information, i.e. the test results mentioned above. One we have all the test results, we are able to identify the right treatment protocol as well as the precise dose of medication to be administered. Once you send us your test results, we will be able to provide our feedback and lay down all the options based on your unique fertility assessment.

At this point, we are able to map out your treatment calendar and issue your prescription. We work with an international pharmacy in the UK which delivers worldwide, so you will be able to order your medication online and receive them at your door. There are clear instructions on how to administer the medication as well as daily instructions of what you need to do on your treatment calendar.

Once you begin with the preliminary treatment, you will begin using your medication locally and you will need to visit your local gynecologist in order to observe your response to medication and reassess the dose of medication if necessary. These local scans can be done at your local gynecologist or scanning clinic. We work with a number of places in the United States, United Kingdom, Sweden, Turkey, Germany, France, Holland and Spain for scans. Therefore, should you not have a local doctor, we may be able to recommend a place or two.

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

These make us smile!

Subject: pregnant test
Date: Tue, 3 Jul 2012 14:29:26

Hi Dr  Idil 
 
Just to let you know that myself and H. did ower test by the doctoer yesterday and they both came back positive. This is the best news we both could have had and its all thanks to you and your team at the clinic. I done know how to tell you how happy we are has we never throught this day would have ever happenend. 
 
we want to say a bid thankyou to all of you and will never forget any of you. i know you were ower doctor but i would like to say that from today you are also a friend who will be a friens for life. we are both just so happy and cant wait to have ower scan to find out if baby is ok. 
 
We will keep you updated with all every thing when we get more information. A big big thankyou for all your support and care while we were there you and your team made us so welcome and deal with all the problems we had. 
 
Hope you g et this email and this is the right address for you. i look forwards from hearing from you soon. take care
 
R.T., United Kingdom.

Subject: RE: Pregnancy!!!
Date: Wed, 3 Jul 2013 23:40:32 +0100

Dear Idil

I hope and pray that you, your family and the rest of the staff are well and happy for me and my son S. are good. My baby is know just over 4 months and he is the best thing that has happened to me and that is all thanks to you guys.

Has I spoke to you about my sister in law when I came over to have my treatment she know wants her ivf done so they can try for a baby boy. She did email you guys last week and her name is P.M. Can you please let me know if you had the email and they want to come over next months. Also I would be grateful if you will be able to look after her when they come over has I have told her how good you guys cared and supported me and H.

last thing can you also let me know how much it would cost me if I want to under go another ivf treatment.

I look forwards in hearing from you soon. take care

R.T., United Kingdom.
 

Date: 2014/1/3
Subject: RE: Pregnancy!!!

Hi Idil

i hope and pray that you and your family are well and happy. myself, H and S. will like to wish you and the other staff a happy new year and hope you have a good one.

we had the best christmas and new year with ower son S. and it was so much enjoyable. He is know 10 months and he is the best thing that has ever happended to us. this is all thanks to you guys.

we are having a party for him on the 1st March and i will send a invite card i hope you will be able to come.

take care and all the best

R. T., United Kingdom

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

Gender Selection Options

We do have alternative gender selection treatment options at our clinic, but when it comes to gender selection, a few factors are very important when determining which type of treatment will be more suited to your needs. These are mainly  the age of the female patient, hormone levels to be measured at a certain time during a menstrual cycle, and the husband's semen analysis results.

The hormone profile of the female patient is most important when making an assessment of the ovarian reserve and the remaining egg quality. As age gets older, the ovarian reserves also tend to diminish at a faster pace and this affects the quality of the oocytes accordingly. Therefore, if we know exactly what type of a reserve we are looking at, we can optimize the outcome of a treatment cycle by carefully calculating the dose of medication to be administered.

There are three different types of gender selection methods offered at our clinic:

1- MicroSort IUI – Least invasive of all gender selection treatments. This is mostly offered to couples in their 20s. The male partner’s semen sample is sorted into X and Y bearing cells and the appropriate batch is injected intra-uterine for pregnancy with the child of desired sex. However, there are a few points that you should know about this procedure:

- The sort mechanism only works when the sperm concentration is more than 70 million/ml in the ejaculate. Otherwise, results are less accurate.

- MicroSort provides 90% accurate results for a girl and 80% for a boy. Therefore, it is not a 100% accurate method of gender selection.

- MicroSort is used alongside with IUI, which is the least invasive method of assisted reproduction. Success chances with IUI treatment are always much lower compared to IVF treatments.

2- IVF with PGD: Alternatively, there is a PGD option (Pre-implantation genetic diagnosis) which is a genetic testing procedure done once the embryos are created. It allows us to identify the gender with 99.9% accuracy as well as screening for most common genetic disorders, making sure your baby does not possess a serious genetic condition. If the female patient is younger than 35 years of age and has a hormone profile in line with her age, then this method is usually the ideal method for gender selection.

3. MicroSort IVF with PGD: One other alternative is to combine the two methods. Combination of the two methods is usually recommended for patients older than 35 years of age with diminished ovarian reserves. If the husband's sperm concentration is within acceptable standards, then MicroSorting the sperm makes sure that most of the eggs will be fertilized into embryos of desired sex. Further PGD testing will provide a 99.9% accuracy and will also make sure that the embryos that will be transferred are free of major genetic disorders. If the female patient has only a few eggs to work with, this method will make sure we will be able to find an embryo or two that is of desired sex with the prior MicroSort intervention.

Treatment Plan for IVF with PGD

Below is a typical treatment plan for IVF with PGD.

The dosage and medication is subject to individual hormone results and age.

Please contact us for further information - http://goo.gl/vUjGcY

Date	Use of Medication	Additional Notes
Day 1 of Menstrual Period	Start taking 1 tablet of Pregnacare every day.	Please inform us
Day 2 of Menstrual Period	1) Femara tablets (one in the morning)
Day 3 of Menstrual Period	1) Femara tablets (one in the morning) 2) Gonal-F 300 i.u. in the morning. 3) Menopur 150 i.u. at night.
Day 4 of Menstrual Period	1) Femara tablets (one in the morning) 2) Gonal-F 300 i.u. in the morning. 3) Menopur 150 i.u. at night.
Day 5 of Menstrual Period	1) Femara tablets (one in the morning) 2) Gonal-F 300 i.u. in the morning. 3) Menopur 150 i.u. at night.
Day 6 of Menstrual Period	1) Femara tablets (one in the morning) 2) Gonal-F 300 i.u. in the morning. 3) Menopur 150 i.u. at night.
Day 7 of Menstrual Period	1)Gonal-F 300 i.u. in the morning. 2) Menopur 150i.u. at night.	First sonogram day. You will need to see your gynecologist for follicle tracking. We will need to know how many follicles exist in each ovary and what their sizes are.
Day 8 of Menstrual Period	1) Gonal-F 300 i.u. in the morning. 2) Menopur 150 i.u. at night.
Day 9 of Menstrual Period	1) Gonal-F 300i.u. in the morning. 2) Menopur 150 i.u. at night. 3) Cetrotide 0.25 mg injection (1 hour after Menopur injection)	Second sonogram day. You will need to see your gynecologist for follicle tracking. We will need to know how many follicles exist in each ovary and what their sizes are. You are more than likely to start using cetrotide today, based on the scan results.
Day 10 of Menstrual Period	1) Gonal-F 300 i.u. in the morning. 2) Menopur 150 i.u. at night. 3) Cetrotide 0.25 mg injection (1 hour after Menopur injection)
Day 11 of Menstrual Period	1) Gonal-F 300 i.u. in the morning. 2) Menopur 150 i.u. at night. 3) Cetrotide 0.25 mg injection (1 hour after Menopur injection)	You should refrain from all sexual activity from this point onward.
Day 12 of Menstrual Period	1) Gonal-F 300 i.u. in the morning. 2) Menopur 150 i.u. at night. 3) Cetrotide 0.25 mg injection (1 hour after Menopur injection)	Arrival in Cyprus.
Day 13 of Menstrual Period		Third sonogram. You are likey to have your trigger injection done later on in the day. You will spend about 3 hours at the clinic, until 1 PM.
Day 14 of Menstrual Period		Enjoy Cyprus!
Day 15 of Menstrual Period	1) Crinone gel 8% applied one in the morning and one at night.	Expected day of your egg retrieval. Your husband will provide his sample today. Nurses will explain how the crinone gel will be used. You will spend about 4 hours at the clinic in the morning (9.30 AM – 130 PM)
Day 16 of Menstrual Period	1) Crinone gel 8% applied one in the morning and one at night.
Day 17 of Menstrual Period	1) Crinone gel 8% applied one in the morning and one at night.
Day 18 of Menstrual Period	1) Crinone gel 8% applied one in the morning and one at night.
Day 19 of Menstrual Period	1) Crinone gel 8% applied one in the morning and one at night.
Day 20 of Menstrual Period	1) Crinone gel 8% applied one in the morning and one at night.	This is the expected day of embryo transfer. You will start using aspirin tablets immediately after the embryo transfer. You will spend about 3-4 hours at the clinic in the morning.

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

Frequently Asked Questions

Is it legal to choose baby's sex?

Yes, as North Cyprus IVF clinic, we are able to offer gender selection IVF in line with the North Cyrus legal system. Even though gender selection is not allowed in most parts of Europe, having gender selection IVF treatment in North Cyprus is completely legal.

Is gender selection possible without IVF?

Yes, At North Cyprus IVF we are able to offer microsort with IUI (artificial insemination). Microsorting technologies allow for gender selection through IUI treatment. However, microsort is only about 75% accurate for a male child and about 90% accurate for a female child, therefore, combining microsort with PGD always results in a more accurate gender selection method.

Is there a 100% guarantee for success with gender selection IVF?

Even though there is no such thing as 100% in real-life sciences, we quote a 99% chance for accurate sex selection through PGD.

Can I use PGD for genetic screening?

Absolutely! PGD is not only for gender selection. With PGD testing, we can also screen for major genetic disorders associated with chromosomes X, Y, 13, 18 and 21 which are the causes of about 85% of all major genetic disorders.

Can I select the sex of my first child?

Even though at North Cyprus IVF, we recommend that gender selection is only performed for family balancing for second or third child, selecting the sex of your first child is also possible if you believe this is an appropriate family balancing act.

Do I still use medication for gender selection IVF even if I have no fertility problems?

Even if you have no fertility issues and you are able to conceive naturally, we will still need to put you on stimulation medication on order to obtain multiple eggs in the ovaries. This will allow us to fertilize multiple eggs, and perform the necessary genetic testing on them to identify the healthy embryos that are of appropriate sex for the embryo transfer.

What happens to the embryos that are unused?

You have the choice of freezing any unused embryos for future use. If you wish not to freeze them, the embryos are disposed.

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

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

Typical Treatment Plan

Below is a typical treatment plan for IVF with ICSI and (Microsort). 

Dosages will depend on individuals hormone results and age.  

Treatment Plan

Cycel Day 1 - Let us know and start taking 1 tablet of Pregnacare per day.

Cycel Day 2 - Start taking 1 tablet of Femara at night and 1 in the morning for 5 days.

Cycel Day 3 - Start with 300IU of GonalF (half of a vial) in the morning and 150IU Menopur at night until your first scan.

Cycel Day 7 - First follicle tracking scan. Let us know the results. Dosage might be adjusted.

Cycel Day 9 - Second follicle tracking scan.  If your dominant follicles have reached 14mm you will start with the Cetrotide.

Cycle Day 12 - First appointment at the clinic.

Cycel Day 13 - If dominant follicles have reached 18mm you will have the trigger injection.

Cycel Day 15 - Expected egg collection

Cycel Day 18 - Expected embryo transfer.

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

La gestation pour autrui

Notre programme américain de maternité de substitution travaille dans une double phase. Le travail juridique, le recrutement de substitution, l'accouchement et les procédures judiciaires se déroulent tous aux Etats-Unis tandis que le traitement de FIV proprement dite a lieu à Chypre. Chypre n'a pas de lois definte de la mère porteuse, par conséquent, tout le travail juridique impliqué doit être fait aux États-Unis bascked par le système juridique américain, afin d'éviter des problèmes futurs. Le fait que votre traitement de FIV se déroule à Chypre est quelque chose qui entraîne le coût bas et offre en effet une plus grande chance de succès.

La première étape de la maternité de substitution FIV traitement, une fois que le cadre nécessaire a été mis en place, est de concevoir un contrat qui précise les règles et les étapes nécessaires à la disposition thesurrogacy. Notre avocat aux États-Unis est spécialisé dans les cas de maternité de substitution et a une très bonne réputation pour elle. Nous allons prendre les dispositions juridiques nécessaires, préparer les procédures judiciaires pour que vous soyez les parents légaux de l'enfant. Pour qu'un contrat soit prêt, nous aurons besoin de vous jumeler avec une mère porteuse et ont tout objet de discussions approfondies afin que les deux parties peuvent s'entendre sur des bases communes.



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

Typical Treatment Calendar for Egg Donation

Your Treatment Calendar:

Date	Use of Medication	Additional Notes
Day 1 of Menstrual Period		Please inform us.
Day 2 of Menstrual Period	1) Progynova tablets (one in the morning, one at night)
Day 3 of Menstrual Period	1) Progynova tablets (one in the morning, one at night)
Day 4 of Menstrual Period	1) Progynova tablets (one in the morning, one at night)
Day 5 of Menstrual Period	1) Progynova tablets (one in the morning, one at night)
Day 6 of Menstrual Period	1) Progynova tablets (one in the morning, one in the afternoon, one at night)
Day 7 of Menstrual Period	1) Progynova tablets (one in the morning, one in the afternoon, one at night)
Day 8 of Menstrual Period	1) Progynova tablets (one in the morning, one in the afternoon, one at night)	First sonogram at your local gynecologist / scan place. We will need to find out about the thickness of endometrium.
Day 9 of Menstrual Period	1) Progynova tablets (one in the morning, one in the afternoon, one at night)
Day 10 of Menstrual Period	1) Progynova tablets (one in the morning, one in the afternoon, one at night) 2) Doxycycline 100 mg (one in the morning and one at night)
Day 11 of Menstrual Period	1) Progynova tablets (one in the morning, one in the afternoon, one at night) 2) Doxycycline 100 mg (one in the morning and one at night)	You should refrain from all sexual activity from this point onward.
Day 12 of Menstrual Period	1) Progynova tablets (one in the morning, one in the afternoon, one at night) 2) Doxycycline 100 mg (one in the morning and one at night)
Day 13 of Menstrual Period	1) Progynova tablets (one in the morning, one in the afternoon, one at night) 2) Doxycycline 100 mg (one in the morning and one at night)
Day 14 of Menstrual Period	1) Progynova tablets (one in the morning, one in the afternoon, one at night) 2) Doxycycline 100 mg (one in the morning and one at night)	Arrival in Cyprus
Day 15 of Menstrual Period	1) Progynova tablets (one in the morning, one in the afternoon, one at night) 2) Doxycycline 100 mg (one in the morning and one at night) 3) Progesterone supplements	Expected day of your donor’s egg retrieval. You will have your first consultation with us. Your husband will provide his sample today. Nurses will explain how progesterone supplements will be used.
Day 16 of Menstrual Period	1) Progynova tablets (one in the morning, one in the afternoon, one at night) 2) Doxycycline 100 mg (one in the morning and one at night) 3) Progesterone supplements
Day 17 of Menstrual Period	1) Progynova tablets (one in the morning, one in the afternoon, one at night) 2) Progesterone supplements
Day 18 of Menstrual Period	1) Progynova tablets (one in the morning, one in the afternoon, one at night) 2) Progesterone supplements	Expected day of embryo transfer. You will be notified of your embryo transfer time via phone the day before.

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