Treatment Methods
In vitro fertilization treatment includes a variety of treatment methods used to help couples with various reproductive health problems. These methods include techniques such as in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), frozen embryo transfer (DET), preimplantation genetic diagnosis (PGT) and egg freezing. Experts apply these methods with a personalized approach to determine the most effective treatment plan for couples based on their specific situation and help them achieve a healthy pregnancy.
Liv Hospital In Vitro Fertilization Treatment Methods
Liv Hospital offers a wide range of treatment options to couples during the in vitro fertilization treatment process. Modern techniques such as in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), frozen embryo transfer (DET) and preimplantation genetic diagnosis (PGT) are applied by the expert team within the framework of personalized treatment plans to support the reproductive health of couples.
Vaccination (Insemination)
It is the process of preparing the woman to produce 1-2 eggs with drugs in the form of pills or injections, and then placing the sperms selected and prepared with special methods directly into the uterus just before the egg hatches. In order for the couple to be vaccinated, the woman must be under 38 years of age and have normal ovarian reserve, both tubes must be open, the uterus must be normal, and the man must have at least a certain number and motility rates in the sperm test.
IVF (Classical In Vitro Fertilization)
It is the process of fertilization of eggs collected from women by bringing them together with sperm taken from men under special laboratory conditions. For IVF, the man's presence of a certain amount of live sperm is required. In this method, a certain number of sperm are placed in the same environment as each egg and fertilization is expected to occur on their own without any intervention. It is now a method used less and less in modern IVF clinics and its success rates are lower than microinjection.
ICSI (Microinjection)
In this process, embryos are created by injecting sperm one by one into each mature egg collected. Therefore, even men with very low sperm count can have children thanks to this method. Another advantage of the microinjection method is that the collected mature eggs are more fertilized than the IVF method.
Operation TESE
The situation where no sperm cells are found in the semen analysis is called "azoospermia". Simple aspiration methods can also be used to obtain sperm when there is azoospermia due to blockage in the ducts. In azoospermia, where the ducts are open, the process of searching for sperm from inside the testicle using a microsurgical method under a microscope is called TESE. This procedure, performed under anesthesia, is more sensitive than the multiple biopsy method performed without the use of a microscope. The success rate is higher since the channels where sperm may be found are detected by viewing them with a microscope. In addition, the rate of complications that may occur in men with microTESE surgery is minimal.
There are two possible causes of azoospermia:
- Due to obstruction: In this case, although there is no significant problem in the man's sperm production, there may be an obstruction in the reproductive tract between the testicles and the penis due to reasons such as surgery or infection, or the sperm cannot pass from the testicle to the semen due to the congenital absence of these reproductive tracts.
- Not due to obstruction: This is the more common group. Although there is usually no defect in the reproductive tract in such men, the problem is insufficient sperm production. Here too, the cause may be hormonal, genetic or a previous infection. In most cases, no specific reason can be found to explain the situation.
In Vitro Fertilization Treatment Steps
- Evaluation of the infertile couple, gynecological and urological examinations
- Choosing and planning the treatment method
- Development of eggs by stimulating them with medication (Ovulation induction)
- Egg collection under anesthesia (OPU procedure)
- Fertilization of the egg with sperm (ICSI)
- Embryo transfer