At Dogus IVF Centre, we do not have an upper age limit for treatment and we have successfully treated women in their early sixties.
Yes you can use a sister, relative or friend as a donor. In some European countries such as Spain, it is forbidden to know the donor’s identity and so family or friends are excluded from becoming donors. In North Cyprus, it is legal for you to select a friend or relative as a donor.
We recommend that all of our patients take an oral contraceptive pill to regulate the cycle. This means that you can book flights and treatment many months in advance. If you are using a donor then it also helps us to sync your cycles. If there is a religious or personal reason why you don’t want to take the contraceptive pill, then we recommend that you wait until your period arrives before booking your flight for 10 days later.
Yes. Spotting is very common when a woman begins her first cycle of birth control pills or if pills are either missed or taken late. The spotting normally stops by the end of the third cycle of contraceptive pills. “Breakthrough bleeding”, bleeding that is quite a bit heavier than spotting, may indicate that your pill does not contain enough hormones for your particular system. In this case, please see your doctor or contact us and we will prescribe a different oral contraceptive for you to take.
Dogus IVF Centre is located in the centre of Nicosia and is easily accessible from either Larnaca International Airport in the south or Ercan (Lefkosa) International Airport in the north. We provide free transfers from either airport to your hotel.
Yes, you can fly the day after embryo transfer. There is no evidence that flying has any adverse affects on success rates.
No. All egg recoveries at Dogus are carried out under “conscious sedation”. Sedation generally has fewer side effects than general anaesthesia while still providing relaxation and minimising discomfort. During light sedation patients feel relaxed and can understand and answer questions and will be able to follow instructions. When sedation becomes deeper they feel drowsy and may even sleep through much of the procedure, but will be easily awakened when spoken to or touched.
If your procedure is scheduled for the morning then you should have nothing to eat from midnight beforehand, but if you wish you may have a glass of water before 6am. After the procedure you will be monitored by our anaesthetist until the effects of the sedative wear off and typically you will be fully awake within fifteen minutes. You will have an IV drip containing fluids to prevent dehydration and once the drip is finished you will be taken back to your hotel.
Embryo transfer is very straightforward and usually takes less than 15 minutes. You will not be sedated and may only feel mild discomfort from the speculum insertion.
Yes you can eat and drink before embryo transfer. You must drink at least 1 litre of water prior to your transfer and arrive at the hospital with a full bladder. Air interferes with sound waves, so if your bladder is distended, the air-filled bowel is pushed out of the way by the bladder and a clearer image of the uterus and embryos is obtained.
The doctor will angle the ultrasound machine so that you can watch the entire process. You will be able to see the three embryos being released into your uterus through the plastic catheter. It is truly an amazing sight and many women find it very emotional.
While planning your IVF treatment, swimming is a good way to keep fit. However, after embryo transfer we would advise you not to go swimming for at least a week to prevent the chance of infection occurring. Please see our list of Do’s and Don’ts.
Patients who have had failed IVF cycles even though apparently perfect embryos were transferred, are understandably upset, frustrated and distressed. They are looking for answers as to why they are not getting pregnant, and a plausible reason is that their body is “rejecting” their embryos. This is why immune testing for patients with reproductive failure has become very fashionable recently. There is a long list of expensive tests which many labs now perform – and these include: DQ Alpha, Leukocyte Antibody Detection, Reproductive Immunophenotype, ANA (Antinuclear Antibody), Anti-DNA/Histone Antibodies, APA (Antiphospholipid Antibodies), Natural Killer Cell Assay and TJ6 Protein.
This mind–boggling range of catchy acronyms conceals the fact that no one knows whether the immune system is really responsible for the failure of the embryos to implant in these women. Many labs use different protocols to carry out these tests, which are still poorly standardized. This means that results for the same test from different labs vary widely, making interpretation very difficult. Unfortunately, most infertility specialists do not really understand much about the immune system, or what these test results mean, and are so happy to be able to offer any treatment at all to these desperate patients, that they often do so mindlessly.
While these patients (and their doctors) are happy to credit the immune therapy with their success, the fact remains that there is no evidence to suggest that it was in fact the immune therapy which resulted in the successful pregnancy. This fallacy is based upon the mistaken notion that simply because one thing happens after another, the first event was a cause of the second event. All IVF clinics have had many patients who have finally conceived after multiple IVF attempts, even though there was no change in the treatment protocol whatsoever. Sometimes, it just needs a bit of luck, patience and perseverance!
Many patients wonder about what they can and can’t do after embryo transfer so here is a brief list of points to note.
- Maintain a positive mental attitude and try and keep stress levels to a minimum. The more relaxed you are, the more receptive an environment you will create within your uterus.
- Eat plenty of fruit, vegetables and proteins. Foods that are simple and easily digested are best.
- Drink lots of water. You should be aiming to drink at least 8 glasses of water every day.
- Try and stay well rested. You may find it difficult to sleep during your two week wait but it is essential to try and get as much sleep every night as possible. You may want to use aromatherapy oils and candles to help you relax before bedtime. You could also ask your other half to indulge you with a relaxing massage.
- You should continue to take progesterone pessaries, folic acid tablets and any other medication that you have been prescribed by Dr. Firdevs or Dr. Sevket.
- Have regular light exercise. Gentle walks in fresh air are invigorating and help to get oxygen and blood flowing round your body.
- Try not to exert yourself until your pregnancy test, 12 days post transfer.
- Do not smoke, take drugs or drink alcohol and try and limit the amount of coffee and tea.
- It is important that your core temperature does not increase so definitely no sunbathing, spas, saunas, hot baths, jogging or aerobics.
- No sexual intercourse for 2 weeks and then you can resume normal relations when you feel ready.
- Don’t take any additional medication before checking with the doctor.
- Don’t eat too much fish. The high mercury levels can lead to a miscarriage.
Women are born with all the eggs that they will ever have and so a woman’s fertility peaks in her early twenties, declining gradually by about 30, and steeply after 35. Modern women are often surprised and frustrated to learn these statistics as women in their mid 30s are still quite young, by most standards. Women who are in their mid to late thirties and wanting to have children are likely to have more trouble than women who are having children during their mid to late twenties. The need for fertility assistance is even more common among women who have reached their forties. Because men continue to produce sperm throughout their reproductive lives, age is not as significant a factor in male fertility problems, although it may still play a role.
In about one third of cases, male factor infertility is the only source of reproductive problems. In the second third, the problem is a result solely of female infertility. The rest of the time, both the male and female contribute to infertility. So, basically male and female factors are more or less equal in their frequency. Male factor infertility, however, is easier to identify and to treat. For this reason, if you are using a male partner’s sperm then it is a good idea for him to have a semen analysis as the first testing procedure when beginning fertility treatment.