Indeed, a vast spectrum of gynecological conditions causes people to be candidates for in vitro fertilization among those conditions. The most common ones are polycystic ovaries, remote Rios's and pelvic infections. Also, some rare congenital anomalies like a congenital absence of fallopian tubes, structural abnormalities of the womb are indications for IVF treatments as I said. Among them, the most common one is polycystic ovaries and endometriosis as is known Balika stick ovaries. That is a condition in which ovulation is very few and with long durations. Indeed, it is not appropriate to call it a disease, better a syndrome. In that case, the normal pregnancy is not possible. IVF can be considered as a method again.
Endometriosis, especially nowadays, due to the increase of environmental toxins, raises up as a reason for many patients to prefer IVF treatment as an option. Indeed, there are two widely accepted types of IVF: One of them is microinjection of intricate plasmic sperm injections. The second is a microinjection method called insemination in which very powerful microscopes are being used this fertility center. We use this second method of insemination in conventional microinjection. A microscope that can enlarge 400 times is being used in insemination method. We use one that can magnify eight to twelve thousand times. Certainly, men should be examined by urologists and women by gynecology doctors who are specialized in this area.
For women, some hormones that are given at the third day of menstruation tests regarding thyroid functions and infection parameters which may be the cause of a possible miscarriage at an early stage. Graham is necessary to stop son bleeding which may occur during aspiration of the eggs injuries on intestines. May come up some complications due to anesthesia. May happen and allergic reaction. May develop due to the medications used during the process. Nevertheless, in safe hands, these complications are so rare if any. Yes for that reason the number of embryos is limited. We do not transfer more than two. Because it is something that we are most scared of, to have multiple pregnancies.
We do not wish such a situation. Multiple pregnancies mean high risk. We do one embryo transfer. The eggs collected and mature enough with high quality under the age of 35. And two embryos for above 35-year-old women. We never do three embryo transfer although there is no age limitation. The pregnancy chances are very low after the age of 44. This should be explained to the patient very sincerely, of course, it is not possible to apply this procedure to patients with no sperm again during early stages. The patients with very low ovulation and patients with no uterus cannot go through this procedure if the eggs are not retrieved. It can be done after one month but if egg aspiration is done three times a year for patients under the age of 35 and four times above 35. The treatment starts at the secondary menstruation if there are no cysts etc. existing in the ovaries and hormonal levels are appropriate.
We directly start hormone injections and medication within eight to ten days on medicine and with ultrasound checks. The eggs reach a certain size when we are convinced that they are mature enough. We collect them through vagina way under mild anesthesia. The same day with ins method we fertilize them with a partner sperms and after three to five days following the fertilization with insemination. We transfer them into the uterus of the mother. We observe it the pregnancy is successful by looking at HCG in blood at the 12th day following the procedure.