Ligation or Removal of Tubes
Some patients undergoing IVF treatment experience a problem of obstruction in their tubes. In cases where this obstruction occurs at the ends of the uterus, secretions accumulate in the tubes and these affect the embryos in a toxic way. As a result, the probability of conceiving is reduced by 50%. This problem experienced by the patients in question can be understood with the HSG method.
When the same problem is seen in the ultrasound evaluation, one of the options to remove or connect the tubes is applied. In cases where the removal of the tubes is on the agenda, the procedure is performed by entering the abdomen from the umbilicus using a laparoscopy camera; In cases where the procedure cannot be performed, tubes are tied in order to disconnect it from the uterus.
PGD (Preimplantation Genetic Diagnosis)
The PGD Method is a diagnostic method that serves the goal of IVF treatments, “To ensure that healthy babies are born into the world, not too many”. Thanks to this method, many couples at risk of having a diseased child can be analyzed before the transfer.
With the PGD Method, a diagnosis can be made by revealing the problems of women who have miscarriage due to a chromosomal disorder problem or who have unsuccessfully tried IVF treatments, who have chromosomal anomalies in their eggs at an advanced age, and who carry genetic risk.
In simple terms, one cell is taken from the embryos obtained in method applications and these are examined in terms of genetics. Thus, the possibility of transferring unhealthy embryos is prevented from the very beginning.
Embryo Freezing Method
The embryo freezing method, which enables the embryos obtained in IVF treatments to be preserved for later use, increases the probability of success in the treatments, while at the same time brings economic and mental advantages to the patients. Especially for embryos that have been thawed for reuse, it is a serious comfort that the patient is not taken into a new process.
In the first years of its implementation, it was observed that the embryos preserved by freezing were lost in terms of viability and quality when thawed for later transfer, and this problem was prevented with the developed vitrification method.
For the embryo freezing method, the consent of the patients is obtained and after that, the embryos are kept in special environments for a certain period of time. The method has a special value for these patients, as patients younger than 35 years of age are allowed to transfer one embryo in the first two trials, within the framework of the law enacted in Turkey. The embryos of the patients who approve the embryo freezing process can be kept for a period of 5 years, provided that the contract is renewed every year. Embryos of patients who do not give consent are destroyed by adhering to the protocols determined by law.
Single Selected Blastocyst Transfer
In some countries, including Turkey, restrictions are imposed on the number of embryo transfers. Accordingly, legal regulations on the subject have been brought in Turkey and 1 embryo transfer has been made mandatory in the first two IVF trials of patients younger than 35 years of age. The only chosen method of blastocyst transfer has been a great advantage for patients living in countries where this requirement has been imposed.
The most important feature of single-selected blastocyst transfer is that it has the most similarity to pregnancy obtained by normal means. It is possible to select embryos with high development potential that can be kept in the laboratory for five to six days in application processes. This feature increases the possibility of positive results and eliminates the possibility of facing multiple pregnancy.
After the discovery and implementation of this method, treatment became possible for many men who were considered impossible to have children due to the absence of sperm in the semen. With the introduction of the Micro-TESE Method among the treatment methods, the hope of these patients becoming a father is becoming a reality today.
In Micro-TESE applications, testicular tissue is examined with the help of a special microscope and the samples taken from here are taken to the laboratory for examination. When the desired result is obtained, that is, when sperm can be obtained, the process of injecting the eggs is applied. In some cases, freezing is done if necessary.
While sperm is obtained in all patients with obstruction in the sperm carrier channels, the same success can be achieved in half of the patients with production disorders due to the discomfort.
Thinning of the Embryo Membrane
One of the problems frequently encountered in patients who apply to IVF clinics is the inability to reach a pregnancy result despite the embryo development being achieved. In general, the reason for this problem is that the embryo cannot tear the membrane surrounding it and cannot settle on the uterine wall (endometrium). The method of thinning the embryo membrane is used to solve this problem and thus a significant increase in the pregnancy rate achieved by the patients is seen.