Reproductive Medicine Worldwide

IVF treatment in couples who cannot have children with natural methods has been successfully applied for many years. IVF treatment, an auxiliary reproductive technique; infertility, advanced age, infections in women and blockages in tubes, low sperm count and poor quality in men, obesity, such as metabolic disorders due to couples who cannot have children opportunity to be able to.

IVF treatment, which is the most common infertility treatment today, is the artificial fertilization technique applied by combining male and female reproductive cells in laboratory conditions and placing the fertilized egg in the womb. This process is performed by collecting the eggs with the female reproductive cell and the sperm that are male reproductive cells under certain conditions. After fertilization is completed in a healthy way, the egg is expected to begin the division process and become an embryo-called structure, then the embryo is placed in the womb and successfully clinging as a result of pregnancy. After this stage, pregnancy is no different from pregnancies formed by natural methods.

In IVF treatment, two different methods are used to implant fertilized eggs in the uterus in a laboratory environment. The first of these is the classical IVF treatment, egg cells and sperm cells are expected to be fertilized on their own by being side-by-side in a particular environment. In the microinjection application, which is another method, sperm cells are injected directly into the egg cell using special pipettes. Which of these two techniques according to the individual characteristics of couples should be preferred by specialist physicians. The aim of the treatment process is to provide the most suitable environment for fertilization and a healthy pregnancy to occur.

What is IVF?

In IVF treatment, the egg cell taken from the mother and the sperm cells of the father are brought together in a laboratory environment outside the female reproductive system and an embryo is obtained by fertilizing the egg of a sperm from them. To create pregnancy in people who are not conceived by normal methods as a result of placing the embryo obtained in the womb in this way becomes possible.

When should couples who can’t have children turn to IVF treatment?

If a woman under 35 years of age and has no disease that can prevent her from conceiving, if she cannot conceive despite having 1 year of unprotected and regular sexual intercourse, she must be examined and treated if necessary Reference. Women who are over 35 years of age or have any problems affecting preceding before should try for 6 months. If the pregnancy does not occur at the end of this period, the age does not progress any longer and no time is lost the necessary treatment procedure should be started as soon as possible.

How many times can IVF be tried?

Ivf trial is generally recommended 3 times. There is also the possibility of pregnancy occurrence in the trials after this number, but the chances are very low.

In How many years old women IVF can be applied?

IVF treatment can be applied in women up to the age of 45. However, it should be noted that the chances of getting pregnant in women over 40 years of age have decreased significantly. For this reason, the success rate in IVF treatment in older women is lower than in younger women and the number of trials may need to be increased.

What are the chances of success in IVF?

Factors such as the age of the mother and embryo quality are of great importance in IVF success. Therefore, the chances of success vary depending on these factors. In women under 30, the success of IVF is 55-60% but in woman over the age of 40,IVF success is 15-20%.

Intrauterine Insemination (IUI)

Procedure:

Intrauterine insemination involves careful coordination before the actual procedure:

• Preparing the semen sample. Your partner provides a semen sample at the doctor's office, or a vial of frozen sperm can be thawed and prepared. Because non sperm elements in semen can cause reactions in the woman's body that interfere with fertilization, the sample will be washed in a way that separates the highly active, normal sperm from lower quality sperm and other elements. The likelihood of achieving pregnancy increases by using a small, highly concentrated sample of healthy sperm.

• Monitoring for ovulation. Because the timing of IUI is crucial, monitoring for signs of impending ovulation is critical. To do this, you might use an at-home urine ovulation predictor kit that detects when your body produces a surge or release of luteinizing hormone (LH). Or, an imaging method that lets your doctor visualize your ovaries and egg growth (transvaginal ultrasound) can be done. You also may be given an injection of human chorionic gonadotropin (HCG) or medications to make you ovulate one or more eggs at the right time.

• Determining optimal timing. Most IUIs are done a day or two after detecting ovulation. Your doctor or another care provider will have a plan spelled out for the timing of your procedure and what to expect.

What you can expect

The visit for intrauterine insemination takes about 15 to 20 minutes and is usually done in a doctor's office or clinic. The IUI procedure itself takes just a minute or two and requires no medications or pain relievers. Your doctor or a specially trained nurse performs the procedure.

During the procedure

While lying on an exam table, you'll put your legs into stirrups and a speculum will be inserted into your vagina — similar to what you experience during a Pap test. During the procedure, the doctor or nurse:

• Attaches a vial containing a sample of healthy sperm to the end of a long, thin, flexible tube (catheter)

• Inserts the catheter into your vagina, through your cervical opening, and into your uterus

• Pushes the sperm sample through the tube into your uterus

• Removes the catheter, followed by the speculum

After the procedure

After insemination, you'll be asked to lie on your back for a brief period. Once the procedure is over, you can get dressed and go about your normal daily activities. You may experience some light spotting for a day or two after the procedure.

Nowadays, Iran is one of the popular destinations for couples who want to have IVF treatments. Each year hundreds or thousands of couples travel from all over the world to have IVF in Iran.

The IVF treatments in Iran are so advanced since Iran has some of the best hospitals with novel medical equipment and many experienced doctors. On top of that, Iran offers better prices that make the treatment available to everyone.