IVF AND JINEMED
When the first “test tube baby” was born in London in 1978, even the doctors couldn't have known how this development would open a new era in treating infertility. Louise Brown was born after years of hard work and several failed attempts. Since that first success, in vitro fertilization (IVF) has provided the key to treating infertility not only in England, but worldwide.
Through IVF, gynecologists learned more about hormonal treatments, and patients gained new hope. Great successes led to the opening of many centers around the world. Jinemed opened the first private IVF center in Turkey, and today has three units serving both domestic and foreign patients. Our patients come from both Europe and the United States.
Currently, we offer the following techniques directly at Jinemed Hospital:
What Every Fertility Patient Should Know
IVF is a wonderful solution to infertility; however, it is not the only solution. We begin with each patient by asking about prior treatments, such as ovulation induction and artificial insemination. We explore with them whether or not IVF treatment will be the best for their needs. At this stage, if male-factor infertility is a possibility, the urologist checks the patient. Necessary hormonal and ultrasound tests are done. We try to resolve male infertility via medication and/or surgery. In women, ovulation problems will be solved first. If blocked tubes are present, laparoscopic surgery will be needed. If taking these first steps does not result in pregnancy, intrauterine insemination (IUI) or IVF should be tried.
I caution patients against believing blanket statements such as the solution for all infertility has been found, or that all couples will have children. Despite great developments, there will be couples who won't have any children. For example, azoospermic males and males from whom no sperm can be found with testicular biopsy procedure (Micro-TESE) have currently no chance of having their own biological child. The same situation exists for women. Women who entered menopause at an early age or who cannot produce eggs have currently no chance of having a biological child. In the future, we expect both males and females may have the option of freezing their sperm and eggs at an early age and use them in the future to solve their infertility. Also, stem cell research looks promising, it may be everyday therapy 5-10 years from now. At present, all women should know about their mother`s menopausal age and if that age is early, they should start considering their “conception plans.”
Women should also know that smoking and being overweight decreases the pregnancy chance. Women with PCOS condition should use medications to decrease their blood sugar level; otherwise, the eggs are not of good quality. Endometriosis, on the other hand, affects the implantation of embryos, and decreases the pregnancy chance. If HSG (hysterosalpingography) shows that tubes are blocked (as in the case of a hydrosalpinx) or if inherited anomalies exist in the uterus, laparoscopic sugery will be needed. Also, the importance of myomas or fibroid tumors, the most frequently-found type of tumors in the uterus, has increased greatly. Currently, myomas that expand towards the interior of the uterus are being removed via Hysteroscopy surgery. Myomas on the wall of the uterus or that expand to the exterior of the uterus should be taken out if they are larger than 4 to 5 cm in size.
Why Our Patients Choose Jinemed
Several factors attract a great variety of patients from all parts of the world.
Jinemed's success rates are above the world standards. For women under age 38 and using healthy sperm, the success rates are at 60 percent. Over age 40, this number decreases.
Since becoming the first Turkish clinic to utilize intracytoplasmic sperm injection (ICSI) beginning in 1995, Jinemed now uses the procedure for all IVF cycles. The reason is that ICSI increases the chance of fertilization greatly and has a positive affect on the chances for pregnancy.
All standard and developing techniques regarding gynecology and obstetrics are being performed by consultants and doctors at Jinemed. Continous research is ongoing for women over age 38 regarding age as a serious factor affecting IVF treatment. The decreased chances are trying to be increased with re-examining of medical protocols. In working against the maternal age factor, Jinemed uses antagonist, letrozol, microflare-up and modified natural and natural cycles, and in vitro maturation (IVM) procedures.
ICSI, blastocyst transfers, and assisted hatching are being done routinely for no extra charge. The reason is that the staff of Jinemed wants to increase the pregnancy chances of couples.
Problems encountered during treatment:
Some problems may occur during the in vitro fertilization or microinjection procedure which would cause the treatment to be discontinued.
These are as follows: