IVF in Cyprus has underwent a lot of changes during the last twenty years as technology advanced our understanding of the benefits of in vitro fertilization. At one time IVF in Cyprus was primarily thought of as a last resort procedure for desperate women who could not conceive due to damages to their fallopian tubes, or sever infections.
IVF in North Cyprus is now considered to be the number one treatment for infertility caused by conditions like:
- Blocked or damaged fallopian tubes
- Low sperm count
- Reduced ovarian reserves
- Advanced age of female attempting to get pregnant
- Infertility issues due to male factors like low motility
- Unexplained fertility issues
What are the Success Rates of IVF in North Cyprus ?
It is very hard to set a specific success rate for the IVF procedures that are performed because IVF success is determined by multiple factors. The quality of the egg and the sperm that are used will play a role in the success of the procedure. The structure of the uterine wall, the overall health of the mother, and many other factors affect the successful outcome of the North Cyprus fertility treatments.
During your initial consultation with the North Cyprus fertility treatment staff your odds of having a successful IVF will be evaluated according to your unique set of circumstances, and the staff will help you to understand your chances.
Your IVF in Cyprus Journey
Your journey begins with the initial contact you make with us. You can email us at firstname.lastname@example.org. Our trained patient coordinator will respond to your email. She will be able to answer any questions you have about the facility, the procedure, and cost. No question is irrelevant, so feel free to ask her about anything and she will help you to understand everything.
Initial Testing for Patients Using their Own Eggs
The IVF cannot begin until certain tests are performed. You have the option of having these initial tests performed by your family doctor or you can have the testing done at Clinic if you want to come for your entire IVF cycle. When you come to Cyprus IVF Clinic for the entire IVF cycle you will have to arrive on the first day of your menstrual cycle and remain with us for around 20 days.
If you choose to have your family physician perform the tests you need to have the following:
- Follicle Stimulating Hormone (FSH)
- Anti-Mullerian Hormone (AMH)
- Thyroid Stimulating Hormone (TSH) prolactin
- Estradiol (E2)
- Antral Follicle Count performed by Trans-vaginal ultrasound scan
If you have your tests performed outside of our clinic then when you get the results you will email them to our patient coordinator, and she will consult with Dr. Firdevs. Then we will review the test results and give you the okay to proceed with treatment.
Medical Information Forms
After you have received the go ahead from Dr. Firdevs you will need to complete a medical information form. This is a standard form that tells the doctors about your medical history, family medical history, and any pertinent information the doctor will need to know about you. This form will be emailed back to your patient coordinator.
You will be asked to make a deposit of 200 Euros to secure your treatment plans. Your deposit will be good for the following 6 months, but if you change your mind about treatment your deposit will not be refunded to you.
Before you come for your IVF treatment in Cyprus there will be some medications that you need to take. One medication that we recommend is an oral contraceptive. The oral contraceptive will help to regulate your menstrual cycles so that you can pinpoint the exact date that you will be coming to Cyprus.
Gonadotropins is a medication used to stimulate the follicles that have your eggs in them. This medication is taken in the form of an injection. Your IVF schedule will be determined and you will begin taking the injection on day two and will continue to take it until day 11. The injection will be taken once each day. The dosage will be determined by the results of your tests and the information on your medical information form. You will more than likely be prescribed Gonal F, Puregon, Menopur or Menogon.
You will get a prescription for Cetrotide. Cetrotide stops the ovarian hormone production, and the pituitary gland hormone production so that you do not ovulate prematurely. This medication is given by injection and will be taken starting on day 6 of your IVF cycle, and will be stopped on day 11 of your IVF schedule.
You may need other medications to increase your chances of becoming pregnant through IVF. Dr. Firdevs will assess your test results and medical information and determine what other medications might be beneficial in your case. Some of the common medications that are prescribed are:
- Monodox (doxycycline) antibiotics
- Prednol (prednisolone) tablets
- Progestan (progesterone) pessaries
- Clexane (enoxaparin) injections
- Proluton Depot (hydroxyprogesterone caproate USP) injections
You will be sent a prescription for the medications that you need to take prior to the IVF procedure so that you can get the medicine from your local pharmacist. If you do not have insurance to help you cover the cost of the IVF medications you can get your prescription filled by our distributor. Our distributor will provide you the medication at the prices that Cyprus pays which is a lot less than what some private pharmacies charge.
You will be sent a treatment protocol sheet. This sheet will tell you what medication to take, when to take the medicine, and how to take the medicine until you come to the clinic for treatment. Follow these instructions to the letter.
If you have any questions contact your patient coordinator. If they cannot answer your question immediately they will find the answer for you and contact you. You can also call your patient coordinator at any time that you get nervous, or start to have doubts about your decision. Your patient coordinator is there to help you through the process.
Arrival at Cyprus
If you are staying in Cyprus for the full treatment cycle then you will arrive on the first day of your menstrual cycle. Otherwise you will arrive on the 10th day of treatment.
The day after you arrive you will go to the Cyprus IVF Clinic for your first face to face meeting with Dr. Firdevs and your patient coordinator.
A trans-vaginal ultrasound will be done to check the status of your follicle development. At this time the doctor will determine whether you need additional stimulation or if you are ready to receive an injection of Pregnyl. Pregnyl is an HCG hormone that will help to complete the follicle maturing process. This final maturation process takes 36 hours. The injection will be delivered to your hotel room around 11 pm. The nurse that brings the injection will administer it for you.
Collecting your Eggs
On the day that is set aside to collect your eggs you will leave your hotel about 9 am and go to the Cyprus IVF Clinic. You will be instructed to not eat or drink anything after midnight on the day before the procedure.
Upon arrival at Cyprus IVF Clinic a nurse will take you to a bedroom. Each bedroom is equipped with an electric hospital bed, a private toilet, an LCD television, and a sofa or armchair.
You will be instructed to change into the provided disposable gown, hairnet, and shoe covers that you are to place over your socks, or bare feet.
When it is time for your procedure the nurse will bring you from your room to the operating room. The anesthesiologist will provide you with a sedative that will relax you and cause you to fall asleep. You will be asleep throughout the procedure.
Eggs are collected through a puncture. An ultrasound will be used to guide the equipment to the eggs.
Sperm Collection and Fertilization
If you are using a fresh sperm donation the male providing the sperm will be asked to abstain from sexual release for up to three days prior to specimen collection. This is to insure a higher than normal amount of sperm.
During the time that the eggs are being collected the male that is providing the semen for the IVF procedure will be asked for a sample. If donor sperm is going to be used for the fertilization the donor sperm will be brought out to thaw and be prepared.
The sperm sample will be analyzed and then washed using nutrients that will help to separate the most motile sperm in the sample.
In the early days of IVF procedures the sperm and the egg would have been placed in a dish and nature would have been allowed to take its course. Today Cyprus IVF Clinic uses an ICSI procedure that insures a higher success rate of fertilization.
Developing the Embryo
Once the ICSI procedure on the eggs has been performed there is a twenty four hour incubation period. The eggs are allowed to incubate and then the embryologist will be able to tell if they were successfully fertilized or not. A patient coordinator will come to inform you of how many viable embryos the procedure produced.
The embryologist will leave the embryos in their incubation chamber for a few days. This incubation chamber has controlled temperature and climate so the embryos have the greatest chance of developing properly.
During these few days you will be allowed to have a little holiday fun. You can shop, soak up the sun, or enjoy the scenery while we take excellent care of your “babies.”
The eggs transfer will not happen for three to five days, depending on the way the eggs are doing in the incubator. By day three the eggs will have divided into about 8 cells, but Dr. Firdevs will make the decision as to when the eggs are ready to be transferred from the incubator to your uterus. Trust that she will weigh the pros and cons carefully and will do the egg transfer at the best time for your embryos.
On the day that is chosen for your egg transfer you will come to Cyprus IVF Clinic and decide how many of the embryos you plan to have transferred. You can have as few as 1 embryo transferred, or as many as 4. We suggest that you allow the three healthies embryos to be transferred. This will give you the optimum chances for impregnation.
(If you have more than 4 high quality embryos you can have the excess embryos frozen for use on a later date.)
The embryo transfer is a vaginal process. A spectrum is used to open the cervix. The cervix is cleaned and then a catheter is loaded with the embryos and the doctor will insert the catheter into your uterus by way of your vagina. Ultrasound will be used to help guide the catheter through your vagina, past your cervix, and into your uterus. The doctor will want the catheter to stop 2cm from the top of your uterus for optimum placement.
After the embryos have been implanted you will need to rest as much as possible. You will be allowed to return home later that evening or the next morning. You will be instructed to avoid strenuous exercise, and heavy lifting. Follow your discharge instructions to the letter.
Most people continue with their normal routines, and return to work, and social engagements immediately. You will be given a list of dos and don’ts, and top on this list will be no sunbathing for a few weeks. Sunbathing can raise your core temperature and can damage the embryo. You will also be advised to not take hot baths or soak in hot tubs of water for the same reason.
You need to wait 12 days to have a HCG blood test confirmation of pregnancy performed. If you use a urine test then you need to wait at least 14 days after the embryo transfer occurs.
If your pregnancy test is positive you need to continue with any medications you were prescribed in order to maintain your hormone levels until the placenta develops strong enough to care for the baby.
Your family doctor will help you to follow the appropriate pregnancy checkups and programs in your country.
When you are 7 weeks pregnant an ultrasound can be performed to confirm the number of embryos that successfully implanted.
If your pregnancy test is negative
If the HCG blood test is negative stop taking any hormone medications and wait two weeks. You should have blood flow within a two week period. The hormones have to get out of your system before your menstrual cycle will begin.
If your urine test is negative it is recommended that you continue on your medication, then after two days take another urine test using only the first morning urine? If the second test is negative then you can stop taking your hormone medication and wait two weeks for a menstrual cycle.
Please remember that your patient coordinator is there to answer any questions, even after you have had the egg transfer.
You can call your patient coordinator, or email them for support, encouragement, or answers. We are there for you.