In the past, IVF clinics have been pressurized from the patients and their competitors to increase the number of embryos transferred into the uterus. However, this has been associated with an alarming increase in multiple pregnancy rates. Regulatory bodies in most European countries and Australia issued imposing restrictions on the number of embryos that can be transferred to a patient.
The most recent legislation in Turkey passed in 2010 allows only one embryo to be transferred for the first two treatment cycles in women35 years of age. American Hospital Assisted Reproduction Unit has been first in the country to incorporate into routine practice procedures such as embryo freezing, blastocyst transfer, PGD, assisted hatching, embryo glue, and vitrification. We have broad experience in dealing with couples with poor prognosis (age>39, less than optimal quality embryos, poor ovarian reserve and previous multiple failed treatments).
Third party reproduction that entails the use of donated gametes is not allowed in Turkey
HOW MUCH MEDICATION AM I GOING USE?
The amount of medication used to stimulate the ovaries depends on the age of the woman and her ovarian reserve. While younger women with normal ovarian reserve use lesser amounts, older women and women with diminished ovarian reserve need higher doses to stimulate the ovaries. Variation in drug dosage may be up to two-fold.
CAN MY TREATMENT BE CANCELLED?
If there is inadequate response from the ovaries (poor response) meaning that the ovaries did not produce enough eggs to be successful, then the treatment may be cancelled and reinitiated with another protocol. Sometimes only one egg gains dominance and prevents other eggs from growing (asynchronous growth). This is another reason for canceling the treatment. When too many eggs are stimulated (hyper response), it may result in ovarian hyper stimulation syndrome if the treatment is continued. There are several options that may be exercised in this case.