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In vitro fertilization (IVF) long protocol (551193) | Gaziosmanpasa Hospital of Yeniyuzyil University - BookingHealth
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Our service starts at the airport. Our employee meets you at the airport and holds a sign with your name. In the individual folder you will find detailed information about the program.<\/p>\n\n<p style=\"text-align: justify;\">The <strong>reproductologist <\/strong>will start from the general examination, you will undergo a number of laboratory and instrumental tests. After that, the doctor will elaborate an individual treatment plan, determine the drug dosages. You will receive a detailed explanation of all the procedures and will be able to contact your doctor for advice at any time.<\/p>\n\n<p style=\"text-align: justify;\">For your convenience, we offer <strong>hotels or apartments<\/strong> within walking distance of the hospital. After the first appointment, you will have free time to rest. You can take the prescribed medications on your own or in the hospital. Also, several times, on the appointed days, it will be necessary to have an ultrasound examination (up to 3 times).<\/p>\n\n<p style=\"text-align: justify;\"><u><strong>Stages of treatment<\/strong><\/u><\/p>\n\n<p style=\"text-align: justify;\"><strong>Blockage<\/strong>. On days 20-21 of the menstrual cycle, the pituitary gland is blocked with GnRH agonists. The purpose of the drug administration is to suppress ovarian function and stimulate maturation of more oocytes.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Ovarian stimulation<\/strong>. On the 2-4th day of the menstrual cycle, active stimulation of the ovaries with gonadotropins under constant ultrasound monitoring begins. It takes 10-14 days on average. An ultrasound examination is required to assess follicular growth. When the follicle is mature enough, a trigger injection is given.<\/p>\n\n<p style=\"text-align: justify;\">The doctor will appoint the day of visiting the clinic. The time of oocyte collection (puncture) is determined. 36 hours before the puncture, a woman makes a stimulating (trigger) injection of hCG (human chorionic gonadotropin).<\/p>\n\n<p style=\"text-align: justify;\"><strong>Egg collection<\/strong>.&nbsp;In the hospital, the follicles are punctured with the collection of mature eggs (on the 12-15 day of the menstrual cycle). The husband of the patient, on his turn, collects the ejaculate. The ejaculate can be collected naturally, or by a puncture of the testicle (in azoospermia, obstruction of the vas deferens in men &ndash; the ICSI procedure).<\/p>\n\n<p style=\"text-align: justify;\"><strong>Fertilization<\/strong>. 2-6 hours after egg collection, eggs are fertilized with the husband&rsquo;s sperm. This is a laboratory procedure and no patient involvement is required.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Embryo culture<\/strong>. Fertilized eggs will be cultured for 1-5 days. According to patients&rsquo; needs and embryo status, best 1-3 embryos can be transferred to the womb.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Preimplantation genetic diagnosis<\/strong>. PGD is usually performed on day 3. It takes 1 day to receive the results. One or two cells from the embryo can be taken without harming it, and some genetic tests can be done in one or two days.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Embryo transfer<\/strong>.&nbsp;This procedure is painless and no anesthesia is required, although some patients need sedation. One hour after the procedure, patients can leave the clinic and can return home on the same day.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Pregnancy test<\/strong>. This test can be done 14 days after the embryo transfer.<\/p>\n\n<p style=\"text-align: justify;\"><u><strong>Service support<\/strong><\/u><\/p>\n\n<p style=\"text-align: justify;\">We fully support your trip, regardless of the chosen program. 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Our service starts at the airport. Our employee meets you at the airport and holds a sign with your name. In the individual folder you will find detailed information about the program.<\/p>\n\n<p style=\"text-align: justify;\">The <strong>reproductologist <\/strong>will start from the general examination, you will undergo a number of laboratory and instrumental tests. After that, the doctor will elaborate an individual treatment plan, determine the drug dosages. You will receive a detailed explanation of all the procedures and will be able to contact your doctor for advice at any time.<\/p>\n\n<p style=\"text-align: justify;\">For your convenience, we offer <strong>hotels or apartments<\/strong> within walking distance of the hospital. After the first appointment, you will have free time to rest. You can take the prescribed medications on your own or in the hospital. Also, several times, on the appointed days, it will be necessary to have an ultrasound examination (up to 3 times).<\/p>\n\n<p style=\"text-align: justify;\"><u><strong>Stages of treatment<\/strong><\/u><\/p>\n\n<p style=\"text-align: justify;\"><strong>Blockage<\/strong>. On days 20-21 of the menstrual cycle, the pituitary gland is blocked with GnRH agonists. The purpose of the drug administration is to suppress ovarian function and stimulate maturation of more oocytes.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Ovarian stimulation<\/strong>. On the 2-4th day of the menstrual cycle, active stimulation of the ovaries with gonadotropins under constant ultrasound monitoring begins. It takes 10-14 days on average. An ultrasound examination is required to assess follicular growth. When the follicle is mature enough, a trigger injection is given.<\/p>\n\n<p style=\"text-align: justify;\">The doctor will appoint the day of visiting the clinic. The time of oocyte collection (puncture) is determined. 36 hours before the puncture, a woman makes a stimulating (trigger) injection of hCG (human chorionic gonadotropin).<\/p>\n\n<p style=\"text-align: justify;\"><strong>Egg collection<\/strong>.&nbsp;In the hospital, the follicles are punctured with the collection of mature eggs (on the 12-15 day of the menstrual cycle). The husband of the patient, on his turn, collects the ejaculate. The ejaculate can be collected naturally, or by a puncture of the testicle (in azoospermia, obstruction of the vas deferens in men &ndash; the ICSI procedure).<\/p>\n\n<p style=\"text-align: justify;\"><strong>Fertilization<\/strong>. 2-6 hours after egg collection, eggs are fertilized with the husband&rsquo;s sperm. This is a laboratory procedure and no patient involvement is required.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Embryo culture<\/strong>. Fertilized eggs will be cultured for 1-5 days. According to patients&rsquo; needs and embryo status, best 1-3 embryos can be transferred to the womb.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Preimplantation genetic diagnosis<\/strong>. PGD is usually performed on day 3. It takes 1 day to receive the results. One or two cells from the embryo can be taken without harming it, and some genetic tests can be done in one or two days.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Embryo transfer<\/strong>.&nbsp;This procedure is painless and no anesthesia is required, although some patients need sedation. One hour after the procedure, patients can leave the clinic and can return home on the same day.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Pregnancy test<\/strong>. This test can be done 14 days after the embryo transfer.<\/p>\n\n<p style=\"text-align: justify;\"><u><strong>Service support<\/strong><\/u><\/p>\n\n<p style=\"text-align: justify;\">We fully support your trip, regardless of the chosen program. 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In vitro fertilization (IVF) long protocol

Gaziosmanpasa Hospital of Yeniyuzyil University

Istanbul, Turkey
Program id # 551193
Doctor photo
Prof. Dr. med. Kutluk Oktay
In Vitro Fertilization Center
Specialized in: in vitro fertilization

The program includes:

  • Initial presentation in the clinic
  • Case history taking
  • Review of medical records
  • General physical examination
  • Laboratory tests: 
    • Complete blood count 
    • General urine test
    • Biochemical blood test
    • Inflammation markers
    • Blood coagulation test 
    • Immune status
    • Analysis for infections
    • Hormone levels:
      • FSH
      • LH
      • Androgens
      • Progesterone
      • Prolactin
      • TSH-basal, fT3, fT4 
  • Ultrasound examination of abdomen and small pelvic organs 
  • Transvaginal ultrasound examination
  • Gynecological examination
  • Examination of the men:
    • Spermogram
    • Urethral smear analysis
    • Tests for infections
  • Hormonal stimulation 
  • In vitro fertilization (IVF)
  • Nursing services
  • Consultation of related specialists
  • Treatment by head doctor and all leading experts
  • Explanation of the individual treatment plan

All aspects of the program can be discussed with a medical advisor.

How program is carried out

You arrive in the hospital on the 19th day of the menstrual cycle. Our service starts at the airport. Our employee meets you at the airport and holds a sign with your name. In the individual folder you will find detailed information about the program.

The reproductologist will start from the general examination, you will undergo a number of laboratory and instrumental tests. After that, the doctor will elaborate an individual treatment plan, determine the drug dosages. You will receive a detailed explanation of all the procedures and will be able to contact your doctor for advice at any time.

For your convenience, we offer hotels or apartments within walking distance of the hospital. After the first appointment, you will have free time to rest. You can take the prescribed medications on your own or in the hospital. Also, several times, on the appointed days, it will be necessary to have an ultrasound examination (up to 3 times).

Stages of treatment

Blockage. On days 20-21 of the menstrual cycle, the pituitary gland is blocked with GnRH agonists. The purpose of the drug administration is to suppress ovarian function and stimulate maturation of more oocytes.

Ovarian stimulation. On the 2-4th day of the menstrual cycle, active stimulation of the ovaries with gonadotropins under constant ultrasound monitoring begins. It takes 10-14 days on average. An ultrasound examination is required to assess follicular growth. When the follicle is mature enough, a trigger injection is given.

The doctor will appoint the day of visiting the clinic. The time of oocyte collection (puncture) is determined. 36 hours before the puncture, a woman makes a stimulating (trigger) injection of hCG (human chorionic gonadotropin).

Egg collection. In the hospital, the follicles are punctured with the collection of mature eggs (on the 12-15 day of the menstrual cycle). The husband of the patient, on his turn, collects the ejaculate. The ejaculate can be collected naturally, or by a puncture of the testicle (in azoospermia, obstruction of the vas deferens in men – the ICSI procedure).

Fertilization. 2-6 hours after egg collection, eggs are fertilized with the husband’s sperm. This is a laboratory procedure and no patient involvement is required.

Embryo culture. Fertilized eggs will be cultured for 1-5 days. According to patients’ needs and embryo status, best 1-3 embryos can be transferred to the womb.

Preimplantation genetic diagnosis. PGD is usually performed on day 3. It takes 1 day to receive the results. One or two cells from the embryo can be taken without harming it, and some genetic tests can be done in one or two days.

Embryo transfer. This procedure is painless and no anesthesia is required, although some patients need sedation. One hour after the procedure, patients can leave the clinic and can return home on the same day.

Pregnancy test. This test can be done 14 days after the embryo transfer.

Service support

We fully support your trip, regardless of the chosen program. We provide an individual medical coordinator and interpreter, help with choosing and booking a hotel, booking tickets, preparing medical reports.

Required documents

  • Medical records
  • Results of hormone blood tests (if available)
  • Pelvic ultrasoud (if available)

Service

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About the department

The In Vitro Fertilization Center at the Gaziosmanpasa Hospital of Yeniyuzyil University specializes in fertility treatment. To this end, it uses one of the most modern and effective methods – in vitro fertilization (IVF) procedure. A competent medical team of the experienced obstetricians, urologists, gynecologists, specialists in reproductive medicine and specially trained nursing staff works here. The department is proud of the results of its work and annually helps many women to attain the joy of motherhood. The department is headed by Prof. Dr. med. Kutluk Oktay. The doctor has a tremendous experience in the field of his specialization, he has completed many internships in America and he is a member of numerous professional American and Turkish societies.

In vitro fertilization occurs outside the woman's body, in artificial conditions. A healthy egg and a healthy sperm cell are connected in vitro. The process results in an embryo, which is transferred to the uterine cavity, where its further natural development takes place, which ends with the birth of a healthy baby. The IVF procedure consists of the following steps:

  • Ovarian stimulation. The doctor administers a drug into the woman’s body, which serves to prepare the body for the subsequent hormonal stimulation. After a short period of time, the follicles are stimulated with a drug, which increases their growth. All the manipulations are performed under ultrasound guidance.
  • Follicular puncture. This is the next step towards a long-awaited pregnancy. Once the follicles reach the required size, the doctor pulls out the follicular fluid with the egg using a puncture needle. The procedure is performed with anesthesia.
  • Embryo culture. For the next step, the ovules are extracted from the follicular fluid and the sperm is processed using the necessary methods. The eggs and sperm cells are placed on a nutrient medium, in an incubator, where the fertilization takes place. At this stage, the embryo growth lasts from 3 to 6 days.
  • Embryo transfer to the uterine cavity. The embryos are transferred into the uterine cavity with the help of a special flexible catheter under ultrasound guidance. This procedure does not cause painful or unpleasant sensations.
  • Diagnostics of pregnancy. Two weeks after the embryo transfer into the uterine cavity, a woman undergoes a hCG blood test. This is the earliest and the most reliable pregnancy test.

The in vitro fertilization is an excellent option for the following pathological conditions:

  • Fallopian tube obstruction
  • Impaired sperm quantity and quality 
  • Some hormonal disorders
  • Infertility without identified causes
  • Abdominal adhesions caused by endometriosis and the inability to become pregnant after treatment
  • Infertility due to immunological incompatibility
  • Inability to get pregnant after using other methods of artificial insemination
  • Necessity for the early diagnostics of hereditary diseases in the fetus (at the embryonic stage)
  • Other problems that may cause infertility

Curriculum vitae

Education and Professional Experience

  • Since 2009 up to now, Consulting of students on doctoral thesis.
  • Graduate Program, Department of Cell Biology and Anatomy, NYMC.
  • Since 2008, Lecturer at University, Medical Endocrinology Fellowship Program.
  • Faculty of Medicine, Department of Medical Endocrinology, NYMC.
  • Since 2008 up to now, Reproductive Endocrinology and Infertility, Assistant Curriculum Conference.
  • Department of Obstetrics and Gynecology, New York Medical College.
  • 2005 - 2007 Coordinator, Reproductive Medicine Seminar Series.
  • Work at the Cornell University Medical College.
  • 2002 - 2005 Auditor, Obstetrics and Gynecology, MSII's.
  • 2000 - 2002 University Professor of Obstetrics and Gynecology (MSII's).
  • 2000 - 2001 Reproductive Endocrinology and Infertility, Assistant Curriculum Conference.
  • Physician of the Department of Obstetrics and Gynecology, Brooklyn Hospital.
  • 1997 - 2000 Instructor, First Stage Training, MSII's.
  • 1997 - 2000 Consultant, SUNY Alumni Association MS II-IV's.
  • 1996 - 1997 Lecturer, Obstetrics and Gynecology (MS II, III and IV's).
  • 1994 - 1995 Lecturer, Obstetrics and Gynecology, Introduction Course.
  • Work at the San Antonio University of Texas.
  • 1994 - 1995 Co-ordinator, Reproductive Research Discussion Group.

Medical Activities Abroad

  • 01.01.2008 Westchester Medical Center, Valhalla, NY.
  • 06.18.2008 - 06.31.2010 Memorial Sloan-Kettering Hospital, New York.
  • 09.01.2000 - 12.01.2007 New York Hospital Cornell, NY.
  • 09.15.1997 - 10.01.2000 New York Methodist Hospital, Brooklyn, NY.

Memberships

  • Society for Reproductive Research (SRR).
  • American Society of Clinical Oncology (ASCO).
  • Society for Assisted Reproductive Technology (SART).
  • Society for Reproductive Endocrinology and Infertility (SREI).
  • American Society for Reproductive Medicine (ASRM).
  • American College of Obstetrics and Gynecology (ACOG).
  • European Society of Human Reproduction and Embryology (ESHRE).
  • Since 2012 up to now, Intellectual Property and Patent Committee, NYMC.
  • Since 2010 up to now, Academic Integrity Committee, Institute of Basic Medical Sciences, NYMC.
  • 2012 - 2013, 2015 Grant, Belgium.
  • 2012 Grant, Israel Science Foundation.
  • 2010 Grant Review Committee, Ministry of Health, Italy.
  • 2005 Committee Member of the Gynecologic Research Scientific Program.
  • 2005 Co-Chair, Committee on ASCO Guideline Fertility Preservation.
  • 2005 - 2009 Chairman of the American Society for Reproductive Medicine.
  • 2003 - 2010 European Society of Human Reproduction Endocrinology, Scientific Abstract Review Committee.
  • 2003 Grant Review Committee, Israel Science Foundation.
  • 2003 Grant Review Committee, Cancer Research, United Kingdom.
  • 2002 - 2004 Chairman of the Steering Committee for the Protection of Fertility, Special Interest Group.
  • American Society for Reproductive Medicine.
  • 2002 University of Lyon, France, PhD Thesis Review Board.
  • 2000 - 2002 Gynecologic Research Association, Scientific Program Committee.

Photo of the doctor: (c) Private Gaziosmanpasa Hospital 


About hospital

The Gaziosmanpasa Hospital of Yeniyuzyil University is a private maximum care medical facility with the high standards of patient care. The hospital began its activities in 1992 and during this time has gained an excellent reputation in Turkey and in many other countries of the world.

The hospital building covers an area of ​​60,000 square meters and is designed to accept 350 inpatients. The construction of the hospital was designed using modern earthquake-resistant technology and carried out in accordance with the international requirements. The facility has 12 high-tech operating rooms with the advanced surgical and navigation systems, for example, DaVinci surgical system, Gamma Knife, etc. During the long years of productive work, the hospital has performed more than 60,000 successful operations and delivered more than 22,000 babies. It should be noted that the medical facility is especially focused on transplantology, surgery, cardiology, oncology, and reproductive medicine. Also, plastic surgery and hair transplantation are very popular.

In 2007, the hospital standardized the quality of medical services and received the prestigious ISO 9001: 2008 certificate. In addition, in 2009, the hospital was awarded Class A status, which means the highest level of medical care, and it maintains this title every year. Since March 2013, the medical facility has initiated a process for obtaining an internationally recognized and world-famous accreditation assessment model from Joint Commission International (JCI).

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patients of the Gaziosmanpasa Hospital of Yeniyuzyil University live in comfortable rooms of a five-star hotel level. The rooms are designed in beige and brown colors and they are equipped with all the necessary facilities, such as an automatically adjustable bed, a wardrobe and a bedside table for personal belongings, a small couch and armchairs for visitors, a TV and a telephone. Also, each room has an ensuite bathroom with shower and toilet.

Meals and Menus

The patients of the hospital are offered tasty and balanced three meals a day: buffet breakfast, lunch and dinner. Also, with appropriate clinical indications or if desired, a diet menu is provided.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV