IVF in Cyprus | All you need to know about IVF treatment in Cyprus

/IVF in Cyprus | All you need to know about IVF treatment in Cyprus
IVF in Cyprus | All you need to know about IVF treatment in Cyprus 2016-10-13T11:20:30+00:00

At Cyprus IVF Clinic we offer a comprehensive range of treatments. However, no matter which ivf in cyprus treatment you choose, it will still entail IVF with ICSI.

The Miracle

In 1977, the first ever ‘test tube’ baby was born. This first ever IVF baby was created in the UK, representing a huge step forward in fertility treatment as well as providing a platform for other fertility clinics to emulate this treatment worldwide.

Almost 40 years later, Cyprus IVF Clinic has established itself as one of the most globally recognised treatment clinic for IVF in Cyprus.

The History

IVF in Cyprus was originally used as a pioneering treatment purely for those couples suffering from infertility. However the scope of IVF has expanded considerably since then and is now used for a range of reasons, including:

– Endometriosis
– Blocked fallopian tubes
– Low sperm count
– More advanced maternal age
– Low ovarian reserves

And sometimes fertility doesn’t enter the equation at all. IVF in Cyprus can still be used on fertile couples for reasons such gender selection and PGD.

The Treatment – IVF Cyprus

ivf-treatments-in-cyprus/ivf-in-cyprus/Despite the medical advances, this area of medicine remains complex and it takes a mix of skills and abilities to form a top class treatment team. At Cyprus IVF Clinic, Team Miracle are just that. Working closely together over the last six years has enabled the team to become highly competent in IVF treatment.

From the skill of the doctor to the quality of the egg and sperm and right down to the administration processes, many different elements go into creating a successful pregnancy. All of these factors are dealt with carefully and with a meticulous eye for detail by Team Miracle. We are committed to providing excellent standards of patient care and ensuring that your treatment process goes as smoothly as possible.

Your IVF treatment may involve several important decisions, however you have already made the first of these by choosing to have your treatment at  Cyprus IVF Clinic.

How do I get started IVF in Cyprus ?

Once you’ve decided to fly to Cyprus for your IVF in Cyprus treatment, your next move will be to make an initial enquiry through our website.

Stage 1

Your enquiry will go straight through to one of our patient co-ordinators. You will be able to ask any questions that you may have and you will be given full details about our treatment processes, for example, medications, procedures, etc. Our experts are there to make you feel at ease with arranging your IVF treatment in Cyprus.

Stage 2

Before you fly to Cyprus, you will undergo some fertility tests. This is so that we can build up an accurate picture of your fertility before you arrive. You will have a blood test on day 2, 3 or 4 of your period and between one and six months before you arrive at Cyprus IVF Clinic.

Hormone blood tests:
– LH
– E2
– Prolactin

As well as this you will have a trans-vaginal ultrasound to check your antral follicle count. This can be done either through your GP or a private clinic.  Cyprus IVF Clinic has a number of partner clinics in the UK so please don’t hesitate to get in touch should you need details of where to go.

The results of these tests will be sent to Cyprus, to patient co-ordinator Julie, who will then pass them to Dr Firdevs who will confirm that you can proceed with IVF in Cyprus with your own eggs.

Alternatively, you can travel to Cyprus for your full IVF in Cyprus treatment, including all procedures. If you prefer this option then you will need to fly to Cyprus on the first day of your period and stay in the country for around 20 days.

Stage 3

Once you’re entirely happy, you will receive a medical information form to complete and you will pay a deposit of £200/200 Euros to secure your treatment. This is non-refundable and valid for six months.

Stage 4

medication-needed-for-ivf-in-cyprusBy now you will have completed your pre-travel fertility checks, filled out your medical form and paid your deposit. You may even have begun planning the whole treatment process, including which dates you are aiming for. For some patients, taking the combined oral contraceptive is a good idea. This isn’t compulsory but it can regulate your periods, making things easier logistically in terms of booking flights and arranging time off work. From a clinical perspective we can be very flexible about period start dates; we will fit in with what you want.

Team Miracle will also give you a prescription for all the medications you will need. If you don’t want to use your local chemist or they’re too expensive you can order directly from Cyprus IVF Clinic distributor in the UK. Dr Firdevs will also prepare a treatment manifesto specifically for you which outlines what medications you take and when. It comes in a simple calendar format so there is no confusion.

The first medication will be gonadotrophins. This is designed to stimulate any dormant antral follicles. The amount you take is directly related to your overall fertility picture. It’s one injection per day between days 2-11 of your cycle. The second medication will be Cetrotide. Put simply, this prevents ovulation and it’s one injection per day between days 6-11. This one is particularly important because we don’t want you to ovulate before you’ve arrived in Cyprus.

Stage 5

You will arrive in Cyprus on day 10 of your cycle, unless of course you have chosen to have all of your treatment here in which case you will arrive on day 1. We will contact you in the evening of your day of arrival to arrange travel and transport plans for the following day.

The day after you arrive you will be taken to the Cyprus IVF Clinic where Dr Firdevs will undertake additional fertility checks via a trans-vaginal scan to see if extra stimulation of the follicles is needed. At your first appointment you will meet Team Miracle. If no added stimulation is necessary then you will be given an HCG hatching injection.

If your scan shows that the follicles are too small (they should be somewhere between 18-20mm) then you simply add another injection and wait an extra day. The HCG injection will then be provided for you and you will self-administer this around 11pm on the same day.

Stage 6: Egg Collection for IVF in Cyprus

Your egg collection will take place exactly 36 hours after your HCG injection. You will be taken from the hotel to the Centre around 10am. Because you are receiving a sedative for the collection procedure it’s important that you don’t eat or drink anything from midnight.

Our facility has twenty eight private bedrooms in total, all with an LCD TV, an en-suite toilet, a fridge and a sofa or armchair. A nurse will provide you with the sterile garments which you must wear:

– Hairnet
– Disposable gown
– Plastic shoe covers (for bare feet or over socks)

You will then be taken to the operating theatre, sedated and you will be asleep for the entire egg harvesting process. Dr Firdevs will collect the eggs, guided via ultrasound, and then they will be taken to the laboratory where the fertilisation process can begin.

ivf in cyprus - how to get started your treatment

By this stage your partner will have provided a sperm sample. We recommend 2-3 days of no sexual activity in order to get the best quality sample possible. The optimum time to ejaculate is your first morning in Cyprus.

Some clinics still stick to the traditional IVF method of simply putting the egg and sperm together in a petri dish and allowing fertilisation to happen naturally. However, at the Cyprus IVF Clinic we use the latest technology and research to combine the sperm and the egg. The sperm will be washed before use in a special solution which highlights the most motile sperm and then injected straight into the egg. This is called ICSI and is always used in tandem with IVF at our clinic because of the vastly increased number of eggs that will fertilise.

Stage 7

After this, the eggs will be incubated for 24 hours. When this time is up the embryologist will check whether fertilisation has occurred. This is known as the pronuclear stage where there are two pronuclei – from the mother and father.

embryo development for ivf in cyprus

We always take care to have the least contact possible with the embryos while they are developing because any change in temperature or humidity can affect the development process. For those who would prefer 24 hour monitoring for their embryos, we do offer the Embryoscope technology.

Meanwhile, as your embryos are forming into your future children, you should take this time to fully relax and enjoy exploring Cyprus in the sunshine.

Stage 8: Embryo Transfer

Somewhere around 80% of the embryos develop in the Team Miracle lab. By the third day they will consist of eight cells. Dr Firdevs will assess them and decide whether to do a three day transfer or a five day transfer. This decision is made very carefully and where possible we aim for a five day blastocyst transfer.

This is because the genome of the embryo is activated between the six to eight cell stage and any abnormalities may show up at this stage and this helps the embryologist identify healthy embryos. However, this is not a guarantee of a healthy embryo. The only way to do that is to have the PGD treatment alongside IVF in Cyprus.

Transfer Day

You will be collected from your hotel by one of our chauffeurs and taken to the Cyprus IVF Clinic. You will then meet one of our patient co-ordinators who will update you on the quality of any surviving embryos. You are left to make the final decision about how many embryos to put back into your uterus. We normally recommend using the four best ones as this gives the best chance of success from one cycle. However, we can also use just one, two or three embryos if you prefer.

As before, you will be the sterile garments to change into but there is no sedation so you can eat and drink as normal. It’s important that you have a full bladder for the transfer so make sure you drink plenty of water in the hour before the procedure.

Once you are settled and comfortable, Dr Firdevs will use a vaginal speculum to view the cervix, which is then cleaned with a sterile solution. A culture medium containing EmbryoGlue and the embryos is placed into a catheter with a syringe to place the embryos where they need to be. They are put carefully in the best position for implantation, which is 2cm below the top of the uterus. Dr Firdevs will use ultrasound guidance to achieve this. After that, any remaining, good quality, embryos can be frozen for future use.

You must lie down for two hours after the transfer, so you are taken back to your bedroom on a trolley.

Stage 9: Pregnancy Test | IVF Cyprus

In the evening of your transfer day you should relax as much as possible. You can fly home if you wish, but we recommend waiting until the next day. We will always provide you with a full set of guidelines to help you at home.

After 12 days you can do an HCG hormone blood test to test for pregnancy. This is the only way to tell if you are pregnant at this stage. Your GP can do it, or a private clinic.

After 14 days you can do a urine pregnancy test, using first morning urine for the strongest result.

Positive test ?

It is very important to continue the medication exactly as you have been prescribed for the whole first trimester. Your hormones have been raised artificially and so you need to maintain that level until the placenta is strong enough to support the baby without help. Then you should register your pregnancy with your GP, who will then put you in touch with a midwife.

At 7 weeks gestation (if you count 7 weeks from day 1 of your last period) you can have an ultrasound scan to confirm how many embryos have actually implanted and to check for the foetal heart beat(s).

If the HCG blood test is negative;
All medication needs to be stopped immediately and you will have a bleed around one to two weeks after this and once the hormones have left your system.

If the urine test is negative;
You should continue taking the medication for two further days and then repeat the pregnancy test with first morning urine. If the result is still negative then you can stop medication and proceed as above.

No matter what the result, our patient co-ordinators will be on hand for advice, help and support.