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Executive Plan for Couples
coming from abroad to Istanbul
for Assisted Conception Needs
Why would you prefer us?
• Better IVF therapy
with lower cost
@ Istanbul
2200$ without med.s
• Offer fertility care
for EU citizens
• Offer fertility care
for Turkish
community living in
EU
• Our mission:
Treatments which
are
–
–
–
–
–
Effective,
With high quality,
Patient friendly,
Simple
Safe
How do you communicate with us
from abroad?
• Via my e-mail
– [email protected]
• Via Skype
– dr_yoldemir
How can you afford your trip and
make reservations ?
How do we host our guests ?
Via our certified Travels Agent
– www.fhs.com.tr
– E-mail : [email protected]
– Skype : hakan1122
– msn messenger :
[email protected]
Communications
YOU
Dr Tevfik
Yoldemir
Travels
Agent
Coordinator
Nurse
Embryolog
Scientist
ONE IVF CYCLE COST $ 2200
Medication cost is extra
Following medications are used
•
•
•
•
Recombinant FSH Group
Human Menopausal Gonodotropins
Highly purified Human Urinary FSH
Antagonist and agonist medications
WHY TRAVEL TO TURKEY FOR IVF ?
• Dr Yoldemir practices assisted reproductive
technologies for over 10 years.
• You will be treated by internationally experienced Dr
Yoldemir who had practiced assisted conception
techniques in the United States and Australia.
• You will save on enormous financial expenses
compared with Western Europe and North America.
• You will receive high quality medical service in a very
modern clinic
• In Turkey, we are allowed to transfer max 2
embryos.
• You will allow the stress associated with
IVF to be melted by a vacation-like
environment, in a beautiful city.
HOW DO WE APROACH
THE INFERTILE COUPLE ?
MALE
• Two or three sperm counts
one month apart are ordered
and evaluated.
WHO (World Health
Organization) and Krugers`
criteria is used to analyze
the sperm parameters.
• If the sperm count is
abnormal, hormonal tests
and ultrasound of the testes
is performed. This way,
hormonal and vascular
problems may be detected.
•
In male infertility however,
medical and surgical
therapies are getting less
and less popular due to high
failure rates.
• Therefore for male infertility,
currently artificial
insemination or IVF/ICSI is
recommended,
depending on
sperm count results.
HOW DO WE APROACH
THE INFERTILE COUPLE ?
WOMEN
• We order FSH, LH, E2,
PRL, and TSH hormon
levels on the third day of
the period.
• If these are normal,
ovulations are monitored
with ultrasound.
• If there is an ovulation
problem it is treated by oral
medications or hormonal
injections, monitored by
ultrasound.
• If the ovulation is normal,
then
Hysterosalpingography
• ( X-ray of the uterus and
tubes) is performed to rule
out the tubal blockage.
• If there is a problem with
the tubes, laparoscopic
correction is tried in certain
cases. However, in recent
years due to highly
successful IVF/ICSI
results, tubal
surgery is performed
less often
Summary of IVF –1
1. Stimulation of the eggs
with drugs: Fertility
medications are used to
stimulate ovarian
production and there is
an attempt to obtain
multiple eggs to increase
the patient's chance of
getting pregnant by
fertilizing numerous eggs
for embryo development.
At this stage, the eggs
developing in the ovaries
are monitored with
ultrasound and hormone
testing and retrieved
before they are released.
2. Retrieval of the eggs:
The eggs are retrieved
by inserting a special
aspiration needle guided
by ultrasound into the
vagina. The patient is
given light anesthesia.
Once retrieved the eggs
are placed in special
receptacles in a
laboratory environment.
Special methods are
used to fertilize the eggs
with sperm taken
that same day
from the from the
woman's husband.
Summary of IVF -2
3. Fertilization of the eggs
and embryo
development: The eggs
are fertilized in the
laboratory with sperm
using the microinjection
method. Then the
embryo is allowed to
develop for a period of
time, after which the
highest grade embryos
are chosen for placement
in the mother's womb.
4. Transfer of the embryo
to the mother's womb:
The chosen embryos are
transferred to the
mother's womb with a
special catheter, after
which one must wait and
see if they attach to the
womb and pregnancy
develops.
Summary of IVF -3
5. Luteal follow-up: In order
to assist pregnancy
development, the patient
will be given medications
containing progesterone
after the embryo
transfer. Ultrasound and
hormone tests will be
administered once a
week. Whether or not
pregnancy has occurred
will be determined by
testing for the bHCG
hormone in the blood on
the 12th day after the
embryo transfer.
How do you communicate with the patients
and how does pre IVF treatment start ?
• We believe that the most important part of an infertility
treatment is the communication between the patient and the
doctor
• For this reason, we will call you or reply you via
[email protected] as fast as we can. We also offer patients
interviews with Dr Yoldemir at Skype.
• First, we receive the application of the patient. If there is
anything missing, we advise the patient
• We will work closely with patient`s local gynecologist in order to
understand the medical situation more clearly
• If we decide to accept you as a patient, your medication shhet
will be e-mailed to your doctor
• The flight will be scheduled according to the treatment
• plan and the patient will be in Istanbul as planned.
How long will You stay in Istanbul ?
• The stay is approximately 7-10 nights.
• Treatment starts in accordance with your primary care physician
• Ovarias will be stimulated for the first 4-5 days at your
homeland and then you will followed by Dr Yoldemir
• Egg retrieval scheduled at the appropiate time for mature egg
harvesting and will be under IV anesthesia.
• At the time of the egg retrieval process, sperm will be taken
from the partner and ICSI will be performed
• After 3 days of embryo development, Embryo Transfer ET will
be done with ultrasonographic guidance
• The next day or the day after, couple may return back to home
country
What will happen after the treatment ?
• We will continue our contact when you return back to
your country (via e-mail or msn messenger)
• After 12 days of Embryo Transfer , pregnancy test
will be performed. If the result is positive, we will be
in contact with both you and your gynecologist on a
regular basis and advise if needed.
• If the result is negative, we will discuss the possible
reasons and try to determine what we can do more
for you.