Sunday, February 26, 2012

Our Egg Donation Program

Who are our donors?
Our donors are predominantly between the ages of 19-24, who are international students studying at Cyprus universities. As we have a large donor base, donor matching is a relatively fast process, hence the waiting times are not long. For donor matching, we need information like your blood types, your physical features, and possibly a picture so that we can provide you with a list of profiles who are best matches.
You will be provided information like, age, physical features, educational background, hobbies and interests as well as previous donation information. All of our donors undergo a very strict screening process where we do not only screen for infectious diseases, but also run a family medical background as well as HPV genotyping (which is only available at our clinic in the entire Northern Cyprus)

Where to begin?
The first step in treatment is to see your local gynecologist for an ultrasound scan (sonogram). This is to make sure that the female partner has no major fibroids, polyps in the uterus, or cysts in the ovaries, or nothing in general that can potentially interfere with a successful pregnancy.      
The initial treatment is carried out very easily with a chart of treatment we will provide you based on your credentials. This chart of treatment will contain daily medication use, as well as a schedule for your doctor appointments. It will all be made clear once we know what type of a protocol to follow. Once we are able to provide you with a chart, then we can carry out the preliminary work through email and phone communication both with you and your gynecologist. Once the preliminary work is done, you will need to come to Cyprus for about 6 days. You will be expected to arrive in Cyprus around the 14th day of menstrual period.
We will need infectious disease test results before we can perform the embryo transfer here. You can either have them done over there or here once you arrive at our clinic. This is just to make sure we do not pass any infectious diseases onto the newborn.

Obtaining Medication and the Initial Treatment
We will be able to send you a scanned copy of your prescription once we see some test results and identify the right mode of treatment. You can use this prescription at the international pharmacy that we work with. The pharmacy is able to deliver worldwide, and does have reasonable prices.
With the medication you purchase, you will be able to have your preliminary work locally under our supervision and with guidance of your local gynecologist. By the end of this process, you will be required to travel to Cyprus for 6 days.

Traveling to Cyprus                    
Our clinic is located in Nicosia, North Cyprus. The nearest airport to our clinic is the Ercan Airport. All flights into Ercan Airport do go through one of the cities in Turkey, so there are no direct flights. The most straightforward route into Ercan would be to fly through Istanbul.

Another alternative is Larnaca Airport in the South. It is located approximately 60 km South of our clinic, and takes about one hour to travel. Sometimes, flights into Larnaca can be much cheaper depending on the season, so checking out both airports will make sense before booking your flights.
Transportation from both airports is complimentary.


Accommodation
We offer three alternatives:
1- Egg Donor IVF Treatment + Accommodation at the Clinic’s guest house. The guest house is a newly finished luxurious 4-bedroom villa. Each bedroom is has its own TV, own minibar and own heating/cooling system. Two of the bedrooms have their own bathrooms, while the other two bedrooms have a shared bathroom. It includes free airport transfers from the Ercan and Larnaca Airports and all ground transfers back and forth. All of your consults and sonograms are offered free of charge for the duration of your stay in Cyprus.

2- Egg Donor IVF Treatment + Accommodation at the 3-star City Royal Hotel in Nicosia (http://www.city-royal.com). This package includes your treatment fees, airport pick-ups from either Ercan or Larnaca Airports, ground transfers between the clinic and the hotel, 6-day hotel accommodation at the City Royal, including open buffet breakfast. Again, all of your consults and sonograms are offered free of charge for the duration of your stay in Cyprus. 

3- Egg Donor IVF Treatment + Accommodation at the 5-star Luxurious Golden Tulip Hotel in Nicosia (http://www.goldentulipnicosia.com). This package includes your treatment fees, airport pick-ups from either Ercan or Larnaca Airports, ground transfers between the clinic and the hotel, 6-day hotel accommodation at the Golden Tulip, including open buffet breakfast. Again, all of your consults and sonograms are offered free of charge for the duration of your stay in Cyprus.

** Availability and pricing of hotels are subject to change during national and religious holidays.

Wednesday, February 22, 2012

Infertility Medications

It is necessary to take certain medications during the IVF cycle in order to prepare the body for the treatment. The instructions for each medication vary from patient to patient. Our Specialists at North Cyprus IVF will analyze your case closely to determine which medications to use, what dosage to take, when to administer the medications and how long to take them.

GnRH Agonists - Lucrin, taken as an injection just below the skin and Synarel, a nasal spray, allow the body to produce a greater number of high quality eggs during the treatment cycle. They also prevent the midcycle hormonal surge that can result in the cancellation of a cycle.

Antagonists - Antagon and Cetrotide are antagonists of gonadotropin releasing hormone (GnRH) and are used to prevent premature ovulation. These medications are given by injection and the duration of treatment is usually three or four days.

Gonadotropins - Gonadotropins are taken as subcutaneous injections that provide stimulation to the follicles that contain the eggs during the stimulation phase. Gonal F, Bravelle, Follistim, Pergonal and Repronex are the most commonly used gonadotropins.

hCG - hCGs are taken as an intramuscular injection and are used to induce the final maturational changes in the eggs and prepare them for retrieval. The most commonly prescribed hCGs are Pregnyl, Ovitrelle and Choriomon.

Doxycycline - Doxycycline, an antibiotic administered in pill form, is given to the male partner during the wife's stimulation cycle to reduce the low levels of bacteria that may be found in the semen and which may compromise the performance of the sperm during an IVF cycle. It is also given to the female partner to reduce the risk of infection following aspiration of the follicles at the time of egg retrieval.

Progesterone - Natural Progesterone may be taken as a daily intramuscular injection beginning two days after egg retrieval and continuing until the placenta is making adequate amounts of Progesterone. Progesterone can also be given in the form of a vaginal gel or vaginal suppositories or pills (Prometrium).

Sunday, February 19, 2012

IVF Failures

IVF failures are one of the most depressing experiences a couple can go through in their IVF journey. Having experienced several failed attempts can be very depressing and frustrating, especially when there is no explanation provided for them. At North Cyprus IVF, we make sure our patients are thoroughly analyzed before attempting another IVF cycle so that sone known possibilities can be ruled out. Some of the possibilities which need to be taken into consideration are as follows:

Uterine infection
The inside of the uterine cavity is normally considered to be a sterile environment. It has been strongly suspected that infection of the uterine cavity with bacteria may cause an inhospitable environment that would lead to failure of embryos to implant. In cases where there is a reason to suspect a uterine infection, an endometrial biopsy procedure may be called for in order to make an effective assessment. Normally, infections can be treated with antibiotic use. There are also other infectious diseases that can be considered during this investigation such as CMV IgG, Chlamydia and more.

Immune factors as a cause for IVF implantation failure
The immune system is designed to protect individuals from infection with microorganisms and to fight off abnormal processes in the body like cancer.  In the areas of IVF, infertility and recurrent pregnancy loss, there has been an extensive amount of investigation as to the role of immune factors in the implantation process of the embryos. In some cases, the immune system is believed to see the embryo as a foreign object and reject its implantation.

Thrombophilias
Thrombophilias are conditions that result in an increased chance for blood clotting. There have been many studies showing an association between the presence of thrombophilias in women and the risk for miscarriage. Some studies also indicate that thrombophilias can also be associated with implantation failures. Certain genetic tests help identify the existence of thrombophilias in the female partner.