What are the In-Vitro Fertilization procedure?

Ovulation stimulation, egg retrieval, sperm retrieval, fertilizing the eggs, embryo transfer into the uterus, after transfer.

IVF Program

In-Vitro Fertilization

One egg + Thousands of Sperms = IVF

What is IVF?

The procedure involves combining an egg with sperms in a laboratory dish containing a culture solution that provides nutrients to support the fertilization and development of the embryos. The fertilization process is monitored microscopically over a 3 to 5-day period. Then, our team of embryologists will carefully examine the quality of the embryos to determine which ones are selected for embryo transfer and cryopreservation

The IVF Procedure

Stimulate Ovulation

During the stimulation phase of an IVF cycle, patients are administered daily hormone injections to develop the ovarian follicles. It will take around 10 days for ovarian stimulation. During this time our specialists will perform several ultrasound scans and blood tests to track the follicular development.

Egg Collection

The female partner will be put under mild sedation and the eggs are collected by our specialists. After egg retrieval, the female partner will use the medication that prepares the lining of the womb for embryo transfer. Eggs can also sometimes be frozen if the female partner wants to delay the process of becoming pregnant.

Sperms Collection

The male partner is asked to produce a semen sample. The specimen is washed thoroughly, and the optimal sperms are selected. Such sperms can be used for fertilizing the egg or frozen for future use.

In-vitro Fertilization

Retrieved eggs are fertilized either by placing the eggs and sperms in a culture-containing dish (IVF) or by intracytoplasmic sperm injection (ICSI). The eggs are regularly monitored by our embryologists to confirm fertilization

Embryo Transfer

Embryo transfer can be done on the 3rd or 5th day after egg retrieval. Our Embryologists will grade embryos based on their growth and quality. Depending on this grading our team will decide to do either a 3rd day or 5th day transfer

Pregnancy Test

Two weeks after the embryo transfer, our nursing team will perform a blood pregnancy test on the female partner that measures the pregnancy hormone (b- HCG). The result will be available within 4 hours.

Indications For IVF

IVF is usually recommended for couples who have fertility problems or with medical conditions such as:

Father's Sperm Factor

Conditions in which the father’s sperm cannot be corrected with medication or surgery

Bilateral Tubal Occlusion

Uncorrectable fallopian tube
blockage

Repeated IUI Failure

Conditions where the mother does not get pregnant after 3-4 times IntraUterine Insemination (IUI) procedure.

Not Pregnant After Fallopian Tube Correction

If there is a condition where 6 months after the correction of the fallopian tube, the mother does not produce a pregnancy

Moderate-Severe Endometriosis

Endometriosis is a condition where the tissue that lines the uterus (endometrium) grows outside the uterus. This tissue can build up, causing blocked fallopian tubes, which can lead to fertility problems.

Idiopathic Infertility

Idiopathic infertility is an unexplained form of infertility. A condition in which the mother and father have done a complete examination and are declared normal but have not been pregnant for 3 years.

Ovulation Disorders

Ovulation disorders are problems with the process of releasing eggs from the ovaries. If ovulation is interrupted, it will be difficult for the mother to release an egg to be fertilized.

Ovarian Reserve Disorders

Ovarian reserve refers to the quality and number of your eggs. If the ovarian reserve is low then it can reduce the chances of pregnancy.

Repeated Idiopathic Miscarriage

Unexplained miscarriages occur repeatedly.

Hereditary Medical Conditions

Medical conditions of genetic origin that can be detected with Preimplantation Genetic Testing (PGT).

What Things Must Be Prepared?

Before undergoing the IVF procedure, the patient will do some preparations. This is done to prepare the body for pregnancy.

Initial Check Up

Mother: USG, HSG, and Hysteroscopy
Father: Sperm Analysis

Mental Preparation

Excessive stress should be avoided
before undergoing IVF Procedure.

Does IVF Procedure Always Work?

Despite having a fairly good chance of success, there are several factors that can cause the IVF program to fail.

Your Body's Response

Your body’s response is not in line with the treatment during the program. Therefore, the condition of the body must be optimal.

Embryo Quality

A condition in which an embryo cannot be implanted after being transferred to the uterus due to a defect.

Chromosomal Abnormalities in the Embryo

Chromosomal abnormalities usually occur in women over the age of 30. Usually, chromosomal abnormalities in their eggs.

Lifestyle

An unhealthy lifestyle, such as smoking, consuming alcohol, and being overweight can cause IVF programs to fail

Implantation Dysfunction

Implantation dysfunction is also known as the failure of the embryo to attach to the uterine wall.

Egg Cell Age

The age of the egg cell depends on the age of the mother and is a factor of quality and quantity.

IVF Success Rate by Age

Couples < 35 Year Old

43%

Couples 35 -37 Year Old

36%

Couples 38 - 40 Year Old

27%

Couples > 40 Year Old

18%

Bocah Indonesia Fertility Center
IVF Success Rate

Bocah Indonesia Fertility Center has performed IVF procedures on 350 patients, of whom 101 babies have been born through this procedure. The success rate of IVF in Bocah Indonesia reached 31.71%.

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Fertilization

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Embryo Development

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Biopsy Embryos

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Embryo Freezing

IVF Program Success Support Procedure

LAH

Laser Assisted Hatching

Laser Assisted Hatching (LAH) is a technique used to increase the success rate of IVF/ICSI cycles after ICSI and before embryo transfer.

ICSI

Intracytoplasmic Sperm Injection

ICSI helps many couples with male fertility issues whereby sperms are of poor motility or a lot of sperms are damaged.

IMSI

Intracytoplasmic Morphologically Selected Sperm Injection

With the IMSI procedure, our embryologists are better able to assess the structure of the sperms and exclude the ones with suspected abnormalities from being injected into the available eggs.

Schedule an Appointment

If you have been trying to conceive for twelve months or more without success (or six months if mom’s age is over 35) we recommend a fertility assessment with our fertility specialists.

To make an appointment please call us at (021) 50200800

or fill this Appointment Form

FAQ

Frequently Asked Question

If previous IVF was not successful on the first try, what should be evaluated before doing the next IVF?

If it has not been successful in the first IVF, the cause of the previous failure should be looked at. From the mother’s side, you can see the condition of the egg cells, and the quality of the sperm cells from the father’s side.Prepare well 2-3 months in advance. You can also check for polyps.The most important thing is a thorough evaluation to avoid repeated failures in the next IVF cycle.

Do I have to lose weight first for IVF to work?

Strive to undergo IVF program after optimal weight loss.

If you take part in the IVF program with an overweight or Body Mass Index (BMI) above 23, the dose of stimulant drugs used will be larger and more numerous.

What factors cause the failure of the embryo to attach to the uterine wall?

Failure of the embryo to attach to the uterine wall can still occur due to the quality of the embryo itself.Morphologically, the embryo may be at an excellent stage, but it needs to be proven by prenatal genetic screening (PGS).

What are the preparations for Frozen Embryo Transfer (FET)?

For the preparation of FET, acupuncture can be done which is believed to help improve blood flow, especially to the uterus and also prepare the uterine wall optimally.

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IVF Program

What is IVF?

The IVF Procedure

Indications For IVF