Stages of IVF Treatment

When a couple wants to undergo IVF treatment, their medical history, including past treatments and experiences such as pregnancies, births, and miscarriages, is taken into account. If available, previous test and examination results are evaluated, including:

• Any surgical reports or notes
• Semen analysis
• Blood tests for both the female and male partners
• Reports of previous treatments
• Uterine imaging (such as a uterine film)
• Reports on other diseases

According to all this data, an IVF treatment is planned, and the day of the treatment is determined.

To create multiple eggs in the ovaries, egg-stimulating medications (injection therapy) are administered. The dosage of the medication and the treatment duration vary depending on the patient’s age and egg reserve. On average, it takes 8-14 days to complete the treatment.

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The developing eggs are preferably collected under anesthesia and stored under laboratory conditions for the fertilization process. During this time, the male provides sperm. Just like in a sperm analysis, sperm is collected through masturbation. For men who cannot provide sperm, the micro TESE method is used to retrieve sperm. On average, this procedure takes about half an hour. On the day of egg retrieval, the man should observe a sexual abstinence period of 2-4 days before providing the sperm sample.

Classical IVF (In Vitro Fertilization): In the early years of IVF, before the microinjection procedure existed, this was a more commonly used technique. In recent years, due to lower fertilization rates compared to ICSI, it has become a less preferred IVF technique.

*Microinjection (ICSI): Microinjection is the direct injection of sperm into the egg under a microscope using a pipette. The microinjection (ICSI) method is widely used in IVF treatments nowadays. The purpose of microinjection is to increase the fertilization rate by individually injecting each egg with a sperm. Microinjection is particularly used extensively in cases of severe male infertility.

Once the sperm collected from the male is combined with the egg obtained from the female under the microscope, the development is monitored in incubators resembling the body’s environment until the 7th day.

The embryos, which are stored in the laboratory for a period of two to six days, are gently placed into the uterus through a special catheter without any pain. This procedure takes about 5-10 minutes and is painless and comfortable.

12 days after the transfer procedure, a pregnancy test is taken to determine whether the pregnancy has occurred. This test is a blood test called BHCG, which does not require fasting.

Around 1 week to 10 days after pregnancy is detected, the patient is called in for an ultrasound check. Patients living outside the city or abroad can get their check-ups done in the city that they live in and share the results with us. Even though it is a normal pregnancy after conceiving, we keep on providing medical support, especially during the first three months.