Below you will find answers to the most frequently asked questions to Cyprus Famagusta IVF Center. We constantly add the most frequently asked question to this page, so if you have a question and can’t see your answer, feel free to email us to firstname.lastname@example.org.
Infertility is the term used when a couple fails to conceive after one year of regular intercourse. Infertility is seen among 10-15% of couples throughout the world.
In addition to poor quality eggs or blocked tubes, endometriosis is also attributed to causing infertility in females. Poor sperm quality or count is usually the cause of male infertility.
Women are evaluated for infertility on the second day of menstruation, and semen analysis is done after 3-5 days of sexual abstinence. Various tests like hormone levels, pelvic exams, ultrasonography, semen analysis, and infectious diseases can be done during this period. If required, the inside of the uterus is best examined after menstruation. Doctors can decide the best form of treatment after consulting the results of these tests.
The average fertilisation rate is 65%; while some couples have a higher fertilisation rate, total fertilisation failure occurs.
For example, intrauterine insemination (IUI) is a low-tech treatment that produces results similar to natural Fertility. The success rate of IVF varies with age as well. If a woman is under 35, IUI has a success rate of 10% to 20%. IUI has a success rate of fewer than 10% for women between 35 and 40. When a woman has a normal embryo and goes through IVF with Preimplantation Genetic Testing for Aneuploidy (PGT-A), she has a more than 50% chance of getting pregnant.
A big part of it is your lifestyle choices. Reduce your alcohol consumption, quit smoking, eat a healthy diet, exercise regularly, attempt to reduce stress, and get a good night’s sleep. To prepare their bodies, women should take 400mcg of Folic Acid supplements, while men should ensure their scrotum is not constrained by tight underwear or overheated. Interestingly, the chances of conceiving twins or triplets increase significantly when numerous embryos are transferred rather than a single embryo.
The start of a woman’s monthly period marks the beginning of a fertility treatment cycle, and the length of the cycle varies depending on the treatment. The intrauterine insemination (IUI) treatment, for example, takes place about two weeks following your period. In Vitro Fertilization (IVF), on the other hand, has a different timeline. The egg retrieval procedure usually takes place two weeks following the start of your period. However, the embryo transfer can take place on one of two schedules. If you opt for a fresh embryo transfer, it will take 5 or 6 days after your egg retrieval. If you choose a frozen embryo transfer, the procedure can take up to 4 weeks following the egg retrieval, but it may take longer depending on what you and your doctor decide. After obtaining the embryos’ genetic screening findings, a frozen embryo transfer is performed to enable preimplantation genetic testing for aneuploidy (PGT-A).
One or two cells (blastomeres) are taken out, and special genetic tests are performed. Embryos that are shown to be genetically normal are selected and transferred back to the uterus.
Twelve days after the embryo transfer, a pregnancy test will be conducted.
Yes, it is possible, donor eggs can be inseminated with her partner’s sperm as is done in a regular IVF procedure.
A menopausal woman can get pregnant regardless of her age. A donor’s eggs can be fertilised with her husband’s sperm. Although there are no legal age limits, our cyprus IVF hospital doctors will decide based on the patient conditions. If we determine that the couple is incapable of educating and caring for the child, we can refuse treatment.
Please wait four days before having your sperm analysis. After IUI, there are no restrictions on intercourse.
Your husband will be asked to provide a semen sample on the day of egg collection. You will have to come to the clinic together on the day of the procedure. Please tell your doctor if your husband will have trouble providing the sample in a clinic atmosphere. He can collect the sample at home and bring it to the clinic. There are special condoms that are non-toxic for sperm, or if necessary, sperm can be frozen in advance for use on the egg collection day.
There are procedures available to men who do not have sperm in their semen. These procedures involve taking tissue samples directly from the testes in various ways, depending on the situation. If sperm are found in those tissue samples, then microinjection (ICSI) can inseminate the eggs.
After trying the various procedures available for azoospermic men, sperm is still not found, and then sperm donation should be considered the next available option.
The procedure is the same as regular IVF, and the success rates are the same as standard IVF procedures. Donor sperm samples are taken from donors that have been tested and matched before the procedure.
Intrauterine Insemination (IUI), more commonly known as Artificial Insemination, is used when semen is washed to increase the concentration of progressively motile sperm and injected into the uterus on ovulation day. This is done to improve the couple’s chances of getting pregnant.
There are no limits to the number of attempts of Artificial Insemination. However, it is recommended that patients consider more advanced ART methods after 2-3 failed attempts.
Your doctor will explain the best time to start treatment after the initial consultation, exam and blood tests. Your clinician may start your treatment on the 2nd day of your period, concurrent with your initial work-up.
Yes, you can provide your tests results to us from your country; it is feasible.
The first day of your period is considered the first day of “full flow” (i.e. not just spotting that precedes your period).
To avoid a high-risk multiple gestation pregnancy from a contemporary natural conception during an IVF/embryo transfer cycle (including frozen embryo transfers), we recommend abstaining from intercourse or using condoms until a pregnancy test is conducted. You can have unprotected intercourse on the day of your IUI and afterwards.
Following IUI/ frozen embryo transfer, you should be able to continue exercising as usual. Since IVF stimulation causes your ovaries to grow, there are some restrictions and egg retrieval after an IVF stimulation cycle. Because this raises the risk of ovarian torsion (when your ovary twists on its blood supply, causing significant discomfort and ovarian tissue damage), It is recommended to avoid high-impact activities like running, aerobics, and heavy lifting. Walking is okay and recommended during therapy if you feel up to it!
While you wait for your pregnancy test, you are not restricted from flying. After a positive pregnancy test, however, we do not advise travelling.
Pregnancy (even early pregnancy) increases the risk of blood clots, while rare, can be dangerous. This risk is increased by prolonged travel and extended periods of sitting/inactivity, so be active during pregnancy and travel to reduce your risk.
Several things influence the answer. The number of embryos inserted into your uterus will be decided between you and your doctor. It would be less probable to have multiple pregnancies if only a single embryo were transferred. Many women, especially those who may not be able to afford subsequent IVF rounds, choose to transfer multiple embryos into the womb because of the unpredictability of the embryo successfully implanting into the uterine lining.
If your IUI treatment fails, you can normally start with your next menstrual cycle as long as you have a negative pregnancy test. If your IVF treatment fails, your doctor may recommend waiting for one or two complete menstrual cycles to allow your body to return to normal or to allow your hormones to normalise. These judgments, however, are made in the context of the IVF hospital and the patient. Additional tests may be required, causing future IVF treatments to be delayed.
A couple can try as many times as they wish, provided they can handle the costs.
During an IVF cycle, PGT-A (Pre-Implantation Genetic Testing for Aneuploidy) is offered. Biopsies of viable embryos (fertilised eggs) are taken during this procedure. An embryologist removes the shedding “trophectoderm” cells that would have formed the placenta at your clinic. The embryos are frozen, and the cells are processed and sent to a genetics lab for analysis. An embryologist will assess whether the embryo has normal or aberrant chromosomes. The majority of people have 23 pairs of chromosomes from their parents. Duplications (trisomies) or deletions (monosomies) of chromosomes can occur during embryo development, resulting in pregnancy loss. PGT-A helps your doctor choose the embryo with the best likelihood of resulting in a pregnancy and the lowest risk of miscarriage.
This method requires a highly trained staff and the latest technology in equipment. The equipment and materials used in an IVF lab are all imported and costly. Also, most of the materials used are disposable and in single-use format.
An ultrasound probe and a long needle with a suction device are used to retrieve your eggs transvaginally. You will be sedated and given pain medication throughout the egg retrieval procedure. This treatment takes about 30 minutes on average. It would help if you assumed that the preparations, process and recovery time would take roughly 2 hours total.
Yes, Vaginal ultrasounds for egg retrieval necessitate an empty bladder.
The procedure is not painful but can cause mild discomfort. At our clinic, we use mild anaesthesia administered through an IV line which relieves the pain. A patient rarely will need a heavy dose of anaesthetic drugs.
Drowsiness is the most commonly seen side effect of anaesthesia. Patients report aches in the groin area near the bladder. Because the ovaries are enlarged, patients usually feel this ache before the egg collection procedure.
During treatment, always follow your health provider’s activity limits. As a general guideline, you should limit your physical activity during the stimulation phase of your egg retrieval cycle to walking, swimming, or other low-impact exercises. Yoga and any other exercise that requires jumping and twisting at the waist, as well as other jarring motions, should be avoided. During this stage of treatment, your ovaries may swell and feel heavy, and there is a slight possibility of ovarian twisting or “torsion.” Torsion patients experience extreme pain and nausea and may require surgical intervention.
Yes. We use ultrasound to view your uterus and check embryo placement throughout this procedure. A full bladder allows for a more precise scan and makes embryo delivery easier in the uterus.
The embryo transfer occurs in our procedure room and consists of a simple procedure (similar to a smear test) to return the embryo to your uterus. It will take about 15 to 20 minutes to complete the operation. In most cases, there is no discomfort or pain associated with this operation.
Yes, you can because the uterus is a strong muscle that protects the embryo or fetus during pregnancy. Furthermore, a thick gel maintains the implanting embryo inside the uterus, where the embryo/fetus connects. As a result, you won’t be able to urinate or poop out the embryo.
Resting fifteen or twenty minutes after the transfer is usually sufficient. We do not recommend heavy exercise and walking for long distances. Women who work at a desk can perform the next day resume daily activities. Sexual intercourse is allowed two days after the transfer. Although there is no scientific proof in this area, we recommend that women refrain from challenging exercise or beginning a new sport.
You can bathe a few hours after the procedure. We do not recommend extreme heat as is found in Turkish baths, saunas or solariums. Also, we recommend that you refrain from physical therapy using ultrasound for a few days after the procedure. There is no scientific proof backing this restriction.
You can have sexual intercourse two days after the embryo transfer. Some people recommend more extended periods of sexual abstinence, but studies show that intercourse on the transfer day does not affect the pregnancy rate.
Embryo and Donation
Some couples who have had IVF done wish to donate their embryos to other childless couples. Embryo donation is legal in North Cyprus and is performed in our clinic.
Embryos can be frozen on any day starting from the day after it is fertilised until the 6th day of culture. We at our clinic prefer to fertilise on days 1, 3 and 5 (blastocyst stage).
The use of frozen embryos is easier psychologically and less costly. But the pregnancy rates for fresh embryos are better than frozen.
A good quality embryo has a higher potential to be genetically normal, but the perceived quality is not the absolute criteria. Other unknown factors are influencing the pregnancy rate, such as endometrial receptivity.
Recipients will not know who you are if you are a generous donor. You will fill out a demographic form to help the recipients choose a donor, but no personal information will be shared.
No, the recipient couple is the legal and financial parents of any child born due to your donation; you have no financial responsibility or legal obligations.
Yes, every woman is born with more eggs than she would ever use. Your natural cycle should return after a few months of completing a donor cycle.
Yes, you can do it. Your fallopian tubes are clipped or removed when you are sterilised, but your ovaries continue to function correctly, and the eggs produced can be retrieved.
The duration of your injections will be determined by the in-vitro fertilisation (IVF) regimen chosen for you at our Cyprus IVF clinic. Injections are usually given for 8 to 12 days; however, some patients may need them for a little longer.
NO! The only drug that is time-sensitive is the “trigger” shot given before egg retrieval. Setting a reminder for yourself to take at the exact time you are told is recommended. Please inform your coordinator or your nurse if you take your trigger shot at a different time than recommended, as your egg retrieval time may need to be changed.
Yes, however, it’s better if you take your medications at the same time every day.
Cetrotide can irritate the skin, and you may see redness at the injection site; this is normal and does not indicate an allergic reaction. Ice can be applied to the injection site to ease the pain and redness. Within 24 hours, it should be gone. If you experience breathing problems or other serious signs or symptoms of a severe allergic response (which is extremely rare), get to the nearest emergency hospital right away.
When the ovaries are overstimulated by fertility medicine used in IVF or other fertility therapies, ovarian hyper-stimulation syndrome, or OHSS, can occur. OHSS symptoms are often mild to moderate, with mild to moderate pain, loss of appetite, nausea, diarrhoea, bloating, breast tenderness, and a mild emotional response. If you experience any of the symptoms listed above after receiving a hormone injection, you should contact our Cyprus IVF hospital for assistance and monitoring.