What is Infertility?

The inability to conceive or inability to carry pregnancy to full term can define Infertility.
Around 10% of women ages 15-44 in the Western population have difficulties getting pregnant or carrying to full term.

Each couple will need to undergo infertility investigation and this could vary depending on a few factors including : how long you have been trying to conceive, your previous history of fertility treatments, age, medication protocols used in previous treatment as well as the history of miscarriage or failed treatments.

It is our goal to ensure that each fertility treatment is unique and customized which is why we ask for all possible information before beginning your treatment.

For further information please visit : http://www.lowcostivf.net/infertility.htm

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

Where to have your Pre-testing

Below is a list of places where you can have your initial tests and scans before planning your treatment with North Cyprus IVF Centre:

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

Which tests will you require for treatment?

We require a series of tests for fertility assessment / fitness for pregnancy as well as infectious disease screening. Each and every test that we order serves a different purpose and each one of these tests will have an implication for your treatment.

For assessment of fertility, we ask each female patient to have the following testing done on day 2 or day 3 of their menstrual cycle: FSH, LH, Estradiol, Prolactin, TSH and AMH hormone tests. The AMH test is independent from your menstrual cycle and can be done at any time, but our patients find it easier to have all the tests done on the same day during their visit to their doctor. It will also be important to have a base line pelvic ultrasound scan during this visit for antral follicle count in the ovaries and to check that there are no major visible problems in the uterus that can interfere with a successful pregnancy.

The male patient is required to have a semen analysis done. Especially if he has not had a child in the near past, it will be important to observe sperm parameters such as count/volume/motility/morphology/pH level and round cell count. In some cases, a small infection in sperm can compromise the whole process, therefore, it is important to be prepared for possible precautions that we may need to take.

All patients undergoing treatment at our practice are required to undergo infectious disease screening. This includes patients undergoing donor treatments as well. There are three main reasons for infectious disease screening:

1- To protect the spread of infectious diseases at our lab and to avoid exposing other patients to these diseases.

2- To avoid exposing embryos to infectious diseases that might come from their parents.

3- To protect lab personnel from exposure to infectious diseases when handling egg and sperm cells.

The validity of infectious disease testing is six (6) months. As long as patients have their testing done within the 6 month period prior to their treatment time, we do not require a repeat test. However,if patients do not have current test results, then we will administer these tests here at our practice prior to handling any samples.

Only the test results from reputable clinics and hospitals will be accepted, and original test results will need to be presented at the time of your first visit.  Photocopies and scanned email attachments are only accepted as temporary proof of testing until we see the originals.

The infectious disease tests required by our practice are as follows:

For female patient: Anti-HIV, Anti-HCV, HbsAg, VDRL, Rubella IgG, CMV IgG, and Toxoplasmosis IgG

For male patient: Anti-HIV, Anti-HCV, HbsAg, VDRL.

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

Egg Freezing in North Cyprus

An egg freezing cycle is very much like an IVF cycle where your ovaries are stimulated through the use of medication in order to obtain multiple good quality eggs. In an IVF cycle, the process does not stop here and continues until successful transfer of embryos into the uterus, where an egg freezing cycle does not aim that. The aim in an egg freezing cycle is to obtain as many good quality eggs as we possibly can, and freeze those eggs at our facilities for use at a future point in time. Given that we will be aiming for an optimal count and quality of eggs during this procedure, we will need plan your treatment very carefully so that the outcome pleases us all.

The first step in planning your treatment is to determine what type of a medication regimen will be in order so that we can optimize our results. To do so, we will need you to undergo a number of hormone tests so that we can make an assessment of your ovarian reserves and egg quality and proceed accordingly. The tests are administered on day 2 or day 3 of your menstrual period and are as follows:

- A base line pelvic scan (This is a simple ultrasound scan)

Blood tests:
- FSH
- LH
- Estradiol
- Prolactine
- TSH
- AMH (Anti-Mullerian Hormone) test.

Based on these results, we will be able to identify the right medication protocol and prepare you for the procedure. 


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

Hormone Testing Before Traveling to Cyprus

The first step in the IVF process would be to have the following hormone tests done on days 2-4 of the menstrual cycle, 1-2 months before you wish to proceed : 

FSH
LH
E2
Prolactin

Once the treatment begins, we will ask that you have 2 follicles tracking scans on cycle day 7 and cycle day 9.

Where can you have these done?

Spain

Marbella:  international@fivmarbella.com

Seville:  international@ginemed.es

Madrid:  info@fivcenter.com

France

Paris : Dr. Celine Davy +33 1 43 80 28 05

Germany 

Berlin : Fertility Center Berlin. Dr. Anette Siemann info@fertilitycenterberlin.de

Netherlands

Amsterdam :  info@geslachtskeuze.nl 

United Kingdom

London : The Birth Company (http://www.thebirthcompany.co.uk/) Dr. Amin Gorgy (http://www.fertility-academy.co.uk/about-us/dr-a-gorgy/)

Midlands : Cherish UK http://cherish-uk.com/

Sweden

Stockholm : Fertilitetslaboratoriet Dr. Gabor Sebestyen +46 08 585 87 504

Please do not hesitate to contact us for further information : northcyprusivfcenter@gmail.com


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

Fertility Drugs

An IVF Medication cycle consists of different medications or fertility drugs that stimulate the body to promote pregnancy using IVF. The particulars of the cycle are decided by a specialist physician, below are some of the most widely used medications.

GnRH Agonists - Allow for improved control of ovarian stimulation during the administration of exogenous FSH. Exogenous FSH is given to stimulate ovarian follicle, followed by human chorionic gonadotropins (hCG) to trigger ovulation. Some GnRH agonists are: Buserelin, Leuprorelin, Nafarelin, Lupron (Prostap), Triptorelin, Decapeptyl and Synarel. Some are injected just under the skin others are applied as a nasal spray. They allow the body to produce a higher number of improved quality eggs during the treatment cycle. Midcycle hormonal surge caused by a cancellation of a cycle can also be minimised using these.

Antagonists - Cetrotide, Ganirelix and Antagon are IVF medications that are given by injection usually for three or four days they are antagonists of gonadotropin releasing hormones (GnRH) and are used to prevent premature ovulation.

Gonadotropin preparations - are medications that simulate the physiological effects of gonadotropins. They are taken as subcutaneous injections that provide stimulation to the follicles that contain the eggs during the stimulation phase. Gonal F, Menopur, Merional, Fostimon, Puregon, Bravelle, Follistim, Pergonal and Repronex are the most commonly used gonadotropins.

Human Chorionic Gonadotrophin (hCG) - The administration of hCG in the presence of one or more mature ovarian follicles can trigger ovulation to aid egg retrievel and it can also be used to stimulate the production of progesterone. The most commonly used hCGs are Pregnyl, Ovitrelle, Profasi and Novarel.

Prednisolone / Medrol - Generic name is Methylprednisolone and is a cortisteroid based hormone. It is normally given for a period of four days during the IVF cycle, to assist pre-embryo implantation.

Doxycycline - an antibiotic also know by the brand names Vibramycin, Monodox, Microdox, Periostat, Vibra-Tabs, Oracea, Doryx, Vibrox, Adoxa, Doxyhexal, Doxylin, Doxoral and Atridox. It is administered in pill form and is given to the male partner during the wife's stimulation IVF cycle to reduce the minute levels of bacteria found in the semen. This bacteria can compromise the performance and quality of the sperm during an IVF cycle. It is also sometimes given to the female to reduce the risk of infection following aspiration of the follicles during the egg retrieval period.

Progesterone - Natural Progesterone can be taken as a daily intramuscular injection called Gestone, starting two days after egg retrieval and continuing until the placenta is making adequate amounts of Progesterone. It can be given in the form of a pessary or suppository called Cyclogest. It is given in the dose of 400 mg twice daily rectally until embryo transfer and rectally or vaginally after embryo transfer. Progesterone can also be given in the form of a vaginal gel Crinone or Capsules called Utrogestan. It is essential to prepare the endometrium for implantation of an embryo, ovulation induction or sometimes to induce a period in a woman who hasn't ovulated.

Source - http://goo.gl/ICugOW

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

Resources for Treatment

North Cyprus IVF works with Fertility2u in the U.K. The pharmacy delivers all over the world. You should know that U.K. pharmacies can only accept U.K. prescriptions, therefore, our prescriptions are transcribed into UK prescriptions prior to processing of your order at a minimal cost.

North Cyprus IVF patients can take advantage of low cost scans at one of the baby-bond locations in the U.K. throughout their preliminary medication use prior to the actual physical treatment to be taken place in Cyprus. Choose a location nearest you and book your scan!

Cherish-UK is a private scan and testing center owned and operated by registered nurses. The company offers fertility testing, ultrasound scans and early pregnancy scans. The company also offers package deals at very reasonable costs during your fertility treatment.

Fertility Plus is another pharmacy that services to your door. Fertility plus is an international pharmacy, therefore, it does not need to transcribe our prescriptions into U.K. prescriptions.

Fill Their Arms is a non-profit organization that intends to eliminate the financial hardship that infertile couples experience by empowering family, friends, and community to contribute and provide support.

E-prescribing

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

Las pruebas requeridas - FIV

Algunas pruebas son necesarias antes de que podamos proceder con el tratamiento de FIV. Algunas de estas pruebas son comunes a todos los pacientes de FIV sin importar la opción de tratamiento que elija. Estas son las pruebas de enfermedades infecciosas contagiosas, incluyendo:

HbsAg, pruebas anti-VHC y anti-VIH, tanto para el hombre y la pareja femenina.

También requerimos forVDRL más pruebas y Rubéola IgG de la pareja femenina.

El objetivo de las pruebas de enfermedades infecciosas es asegurarse de que estas enfermedades no se transmiten en el recién nacido (o el sustituto en el caso de subrogación gestacional). Estas pruebas se pueden realizar antes de su llegada a nuestra clínica en Chipre o una vez que llegan a nuestra clínica. Es, sin embargo, requiere que vemos estos resultados de la prueba antes de la etapa de la transferencia de embriones.

También requerimos ciertas pruebas para pacientes sometidas a FIV convencional, la FIV o IVF donación de esperma Selección de Género. Estas son las pruebas hormonales para ser realizadas en el 3 º día del ciclo menstrual de la paciente. El objetivo de las pruebas de la hormona es la identificación de la calidad del huevo y la cantidad producida por la paciente femenina. Estos resultados nos hablará de la posibilidad de utilizar los óvulos de la paciente femenino en el procedimiento de FIV. Usted debe tener en cuenta que la edad es también un factor muy importante. Una mujer por encima de la edad de 40 años con resultados aceptables todavía puede tener una probabilidad muy baja de la FIV debido a la edad avanzada. Las pruebas hormonales que necesitamos son:

FSH: hormona folículo estimulante (FSH) es una de las hormonas más importantes que intervienen en el ciclo menstrual natural, así como en farmacológica (inducida por fármacos) la estimulación de los ovarios. Es la principal hormona involucrada en la producción de óvulos maduros en los ovarios. Consideramos que el nivel normal de FSH ser nada menos que 9. Como los niveles de ir por encima de 9 a menudo vemos una reducción en la respuesta a los fármacos estimulantes ováricos

LH: la hormona Luitenizing (LH) se utiliza para una variedad de razones. Se suele utilizar para detectar cuando una mujer está ovulando, por lo que los huevos se pueden recuperar para un procedimiento de FIV. En el día 3, los valores normales de LH son entre 3 y 10 mUI / ml. Los niveles de LH también puede ser elevado artificialmente por las drogas que inducen la ovulación como el citrato de clomifeno (Clomid).

E2: Se realiza el día 3 de su ciclo menstrual, el análisis de estradiol es uno de los procedimientos más comunes de pruebas de fertilidad. La mayoría de las mujeres que se someten a tratamientos de fertilidad recibirá la prueba de estradiol. Las mujeres tienen determinados niveles de estradiol durante las diferentes etapas de su ciclo menstrual. Mediante el análisis de estos niveles en el Día 3, su endocrinólogo reproductivo puede determinar su reserva ovárica. Normales Día 3 niveles de estradiol tienden a ser alrededor de 80 pg / ml o menos. Si sus niveles de estradiol son más altos que esto, que esto podría indicar un problema con la ovulación

PRL: La prolactina es la "hormona productora de leche", secretada por la glándula pituitaria. Los niveles elevados de prolactina debe reducirse para la concepción tenga éxito.

Los pacientes que se someten a FIV convencional, la FIV o IVF Selección Sexo donación de óvulos también se le pedirá que proporcione un informe de análisis de semen incluye el recuento de espermatozoides, motilidad y morfología. Esto es para asegurarse de que la pareja masculina es capaz de producir espermatozoides sanos y se puede utilizar en el procedimiento de FIV.

Las pruebas adicionales pueden ser necesarias en un caso concreto manera. Para obtener más información sobre su tratamiento de fertilidad específica y pruebas, por favor póngase en contacto con nosotros a través del formulario de contacto web.


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

Required Tests - IVF

Certain tests are required before we can proceed with IVF treatment. Some of these tests are common to every IVF patient regardless of the treatment option they choose. These are the infectious contagious disease tests including:

HbsAg, Anti-HCV and Anti-HIV tests both for the male and the female partner.

We also require further testing forVDRL and Rubella IgG of the female partner.

The aim of infectious disease testing is to make sure that these diseases are not passed onto the newborn (or the surrogate in the case of gestational surrogacy). These tests can be done prior to your arrival at our clinic in Cyprus or once you arrive at our clinic. It is, however, required that we see these test results before the embryo transfer stage.

We also require certain tests for patients undergoing conventional IVF, Sperm Donation IVF or Gender Selection IVF. These are the hormone tests to be done on the 3rd day of the menstrual cycle of the female patient. The aim of the hormone tests is to identify egg quality and quantity produced by the female patient. These test results will tell us about the usability of the female patient's eggs in the IVF procedure. You should keep in mind that age is also a very important factor. A female above the age of 40 with acceptable test results may still have a very low chance of IVF due to older age. The hormone tests we require include:

FSH: Follicle stimulating hormone (FSH) is one of the most important hormones involved in the natural menstrual cycle as well as in pharmacological (drug-induced) stimulation of the ovaries. It is the main hormone involved in producing mature eggs in the ovaries. We consider normal FSH level to be anything less than 9. As levels go above 9 we often see a reduction in response to ovarian stimulating drugs

LH: The Luitenizing Hormone (LH) test is used for a variety of reasons. It is typically used to detect when a woman is ovulating, so that eggs can be retrieved for an IVF procedure. On Day 3, normal LH values are between 3 and 10 mIU/mL. LH levels can also be artificially raised by ovulation inducing drugs such as clomiphene citrate ( clomid).

E2: Performed on Day 3 of your menstrual cycle, the estradiol test is one of the most common fertility testing procedures. Most women undergoing fertility treatments will receive the estradiol test. Women have particular levels of estradiol during different stages of their menstrual cycle. By analyzing these levels on Day 3, your reproductive endocrinologist can determine your ovarian reserve. Normal Day 3 estradiol levels tend to be around 80 pg/mL or lower. If your estradiol levels are higher than this, than this could indicate a problem with your ovulation

PRL: Prolactin is the “milk producing hormone” secreted by the pituitary gland. Elevated prolactin levels must be reduced for successful conception to occur.

Patients undergoing conventional IVF, Gender Selection IVF or Egg Donation IVF are also asked to provide a semen analysis report including sperm count, motility and morphology. This is to make sure that the male partner is able to produce healthy sperm and can be used in the IVF procedure.

Additional testing might be required in a case specific manner. For more information on your specific fertility treatment and testing, please contact us using the web contact form.


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