IVF TURKEY COSTS • ISTANBUL – ANTALYA PRICES AND REVIEWS

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Revised April, 2025 – Resource: Turkey Medicals, International Patient Center
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BEST 5 PRICES ▷ IVF IN ISTANBUL AND ANTALYA ▷ FERTILITY CLINIC COST AND REVIEW

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IVF TREATMENT IS FERTILITY TREATMENT PERFORMED BY COMBINING THE SPERM AND EGGS IN TURKEY SPECIAL LABORATORY. ONCE COMBINATION IS MADE THE RESULTING EMBRYO OR EMBRYOS ARE THEN PLACED INTO THE WOMEN’S UTERUS AND GROWS HEALTHILY INTO A BABY. INFERTILITY IS A FAILURE OF COUPLE AFTER TRYING TO HAVE A BABY FOR TWO YEARS, HAVING SEXUAL INTERCOURSE AT LEAST TWICE A WEEK USING NO PROTECTION. CHANGE OF PREGNANCY CAN BE RELATED TO THE INCREASED TIME OF INTERCOURSE, FREQUENCY AND AGE OF THE COUPLE.
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Serving 6 million domestic and foreigner patients yearly, we maintain leader position in the Turkish health sector as the top 5-star medical group in Turkey, and in Europe as the most favored centers.

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VIDEO REVIEW OF BEFORE AND AFTER TREATMENT FOR BEST TURKEY EXPERIENCE



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WHY CHOOSE TURKEY FOR FERTILITY TREATMENTS?

IVF (In Vitro Fertilization) is a highly sought-after fertility treatment, and Turkey has become a very popular destination for best IVF tourism due to its high-quality healthcare services, experienced fertility specialists, advanced medical technologies, and relatively lower treatment costs compared to many Western countries.

  • Istanbul is the primary medical tourism destination for IVF treatments in Turkey. It has a large number of internationally accredited clinics and fertility specialists who offer a wide range of fertility services, including IVF, egg freezing, sperm donation, and embryo transfer.
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  • Estimated Number: It’s estimated that Istanbul sees around 25,000 to 35,000 patients annually for IVF treatments. This number includes both local patients and a significant portion of international medical tourists coming from Europe, the Middle East, and even as far as the U.S. or Australia.
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  • Istanbul’s position as a medical hub, along with its excellent fertility clinics, contributes to its status as the top destination for IVF in Turkey.

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Both Istanbul and Antalya are key cities in Turkey for IVF treatments, with Istanbul being the dominant hub due to its larger number of specialized clinics and medical infrastructure. However, Antalya is also gaining traction as a destination for fertility treatments, especially for international patients who wish to combine medical care with leisure.

  • Antalya, though smaller than Istanbul in terms of medical tourism, is becoming increasingly popular for fertility treatments, including IVF, due to its appealing combination of medical services and its status as a major tourist destination.
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  • Patients often choose Antalya not only for its high-quality IVF treatment but also for the opportunity to recover in a beautiful, relaxing and seaside environment. IVF treatment in Antalya is also significantly more affordable than in many other European or Western countries, which makes it an attractive option for many couples.
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  • Estimated Number: Antalya likely sees 5,000 to 8,000 IVF patients annually, though this number is growing as the city’s reputation for fertility treatments continues to expand.
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  • As a popular tourist destination, Antalya is becoming more attractive to international couples seeking IVF, especially those from countries where IVF treatment costs are high.
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IVF treatment in Turkey is significantly cheaper than in countries like the U.S., the UK, making it a cost effective option for patients seeking quality treatment at a fraction of the price. Both Istanbul and Antalya host numerous internationally recognized fertility specialists and clinics, with many offering advanced techniques such as genetic screening, egg/sperm donation, embryo freezing, and more. Turkey fertility clinics have some of the highest success rate for IVF in the world which attracts patients seeking reliable and effective treatment.

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Turkey is one of the top destinations for IVF treatment, with Istanbul being the leader, followed by Antalya as a growing competitor. Both cities attract thousands of patients annually due to their affordable, high-quality IVF services and the appeal of combining medical treatments with tourism.
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TOP IVF TREATMENTS AND TEST TUBE BABY IN TURKEY MEDICAL CENTERS

IVF (In Vitro Fertilization) in Istanbul and Antalya medical clinics is a fertility treatment that involves the combining eggs and sperm in a laboratory to create embryos, which are then transferred into the woman’s uterus to grow and develop into a baby. Infertility is defined as the inability of a couple to conceive after one year of regular, unprotected sex (or two years for women over 35).

The likelihood of pregnancy varies depending on factors such as age, the frequency of intercourse, and the duration of attempts. Approximately 20-25% of couples conceive in the first month of trying, 60% within six months, and 80-85% within a year. For the remaining 15-20%, infertility may be a factor, and IVF can help overcome certain fertility challenges for choice.
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The entire IVF process typically takes about 4-6 weeks to complete, with key milestones along the way: For best In Vitro Fertility treatment at Turkey hospital clinics apart from improving the IVF patient birth rate at 100%, IVF process typically will involve below several stages:

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  1. Ovarian Stimulation: For 7-14 days, the patient is given fertility drugs to stimulate the ovaries to produce multiple mature eggs (oocytes). rather than the single egg that typically develops each month.
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    This is done through hormone injections of gonadotropins (FSH, LH). Synthetic hormones, such as leuprolide or cetrorelix, may be used to prevent premature egg release.
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    Blood tests and ultrasounds are performed regularly to track the response to the hormones and ensure the eggs are developing well.
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  2. Follicle Monitoring: The patient undergoes regular visits to monitor follicle development through blood tests and ultrasounds, typically every 2-3 days. This allows the doctor to track the growth of the eggs.
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  3. Trigger Shot: A final injection, called the “trigger shot,” is administered to help the eggs mature fully. About 36 hours later, the eggs are ready for retrieval.
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  4. Egg Retrieval (Aspiration): Once the eggs are ready (usually about 10-20 mature eggs), a minor surgical procedure is performed under sedation. A thin needle is inserted through the vaginal wall to collect the eggs from the ovaries. Typically, 8-15 eggs are retrieved..
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  5. Fertilization: The eggs are examined, and sperm is introduced to fertilize them. If necessary, a procedure called ICSI (Intracytoplasmic Sperm Injection) is used, where a single sperm is directly injected into each egg.
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  6. Embryo Development: The fertilized eggs are cultured for 3-5 days. By day 3, embryos usually have 6-10 cells. By day 5, some embryos may develop into blastocysts, which are more advanced and have a better chance of implantation.
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  7. Embryo Selection: After fertilization, the embryos are cultured for several days (usually 3 to 5 days) to develop and divide. Embryologists monitor their progress to select the best quality embryos.
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    The embryologist selects the healthiest embryo(s) for transfer into the uterus. Any extra viable embryos may be frozen for future cycles.
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  8. Egg Freezing (Optional): The retrieved eggs are then frozen and stored in a cryogenic facility. They can be kept for several years, and can later be thawed, fertilized, and implanted when the woman is ready to try for a pregnancy.
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    Egg freezing in Turkey, also known as oocyte cryopreservation, is a fertility preservation method in which a woman’s eggs are retrieved from her ovaries, frozen, and stored for future use. This process allows women under age 35 to preserve their fertility for a variety of reasons, such as delaying pregnancy for personal or professional reasons, undergoing medical treatments (e.g., chemotherapy) that may affect fertility, or if they are not yet ready to conceive but wish to maintain option of having children later in life. Women considering egg freezing should consult with a qualified MedicalPark fertility specialist to discuss their individual situation and understand the process in more detail.
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  9. Embryo Transfer: One to five embryos (depending on the patient’s age and specific circumstances) are carefully placed into the uterus using a thin catheter. This is a relatively simple procedure that doesn’t require anesthesia. 3-5 days after fertilization. Patients usually do not need to stay in the hospital during the treatment.
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  10. Pregnancy Test: About 10-14 days after the embryo transfer, a blood test (beta hCG) is conducted to determine if implantation has occurred and if pregnancy is successful.
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    If successful, ultrasounds are done to confirm the heartbeat and monitor the development of the pregnancy. The pregnancy will continue to develop, and the patient will be monitored with additional tests.

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Success Rates of IVF:

The success rates of IVF vary based on several factors, such as the woman’s age, the quality of the eggs, the cause of infertility, and the fertility clinic’s expertise.

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Factors influencing success rates:

  • Age: Younger women, particularly those under 35, tend to have higher success rates. The success rate decreases significantly after age 40, and eggs from women over 43 often have low viability.
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  • Egg quality: Older women may have eggs that are more likely to have chromosomal abnormalities, which affects implantation.
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  • Embryo quality: The better the quality of embryos, the higher the chance of successful implantation.
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  • Health factors: Weight, lifestyle habits (like smoking and alcohol consumption), and underlying health conditions (such as polycystic ovary syndrome or endometriosis) can influence success rates.
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  • Clinic and technology: The experience of the fertility clinic and the technologies they use (genetic testing or advanced culture systems) can impact outcomes.

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General success rates (as of recent data):

  • For women under 35: IVF success rates are typically around 40-45% per cycle.
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  • For women aged 35-37: Success rates drop to about 30-35%.
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  • For women aged 38-40: Success rates decrease to 20-25%.
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  • For women over 40: Success rates drop further, around 10-15%, with those over 43 having lower success with their own eggs.

Keep in mind that multiple IVF cycles may be needed for success. It’s important to consult with a fertility specialist to understand your specific chances.

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IVF TREATMENT PRICE RANGES AVAILABLE IN TURKEY MEDICAL CENTERS

IVF patients at Istanbul and Antalya hospital clinics will undergo several blood tests, ultrasounds, and other procedures. The male partner may also need a semen analysis to assess sperm quality. It’s crucial to avoid smoking, alcohol, and heavy lifting during the IVF cycle and throughout pregnancy. Sexual intercourse is generally advised against until a negative pregnancy test is confirmed.

It is important to contact our hospital clinics directly to get the exact prices and inquire about full packages or promotional offers, as our fertility centers may offer discounts for multiple cycles or comprehensive care packages.
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In Istanbul, expect to pay €2,500 to €8,000 or more for IVF, with the possibility of higher costs for more advanced treatments. In Antalya, IVF is generally more affordable, ranging from €2,000 to €7,500 depending on specific services and treatment required. The price range for IVF treatments in Istanbul and Antalya varies depending on the factors like the type of treatment, and whether additional services are required. Below is an overview of IVF pricing in two top cities:

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  1. Istanbul IVF Basic Cycle: Prices range from €2,500 to €5,000 for a standard IVF treatment.
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    IVF with ICSI (Intracytoplasmic Sperm Injection): If ICSI is needed (for male infertility issues), prices typically range from €3,500 to €6,000.

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    IVF with Genetic Testing (PGD or PGS): For more advanced procedures like genetic testing, the price can go from €5,000 to €8,000 or higher.

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    Egg Donation IVF: Prices for egg donation IVF can be around €7,000 to €12,000.

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    Additional Costs: Medications: €500 to €1,500. Embryo freezing/storage: €500 to €1,000 per year.
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  2. Antalya IVF Basic Cycle: IVF prices in Antalya are slightly lower between €2,000 and €4,500.
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    IVF with ICSI: ICSI treatment typically ranges from €3,000 to €5,500.

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    IVF with Genetic Testing: The price for genetic testing can range from €4,500 to €7,500.

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    Egg Donation IVF: If you need egg donation, the cost is typically €6,000 to €10,000.

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    Additional Costs: Medication €400 to €1,000. Embryo freezing/storage: €500 to €1,000 per year.

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Extra Treatments: For additional procedures like egg freezing, the sperm donation, or genetic screening will increase the overall cost.

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President of Organ Transplant Center, MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist Demirbaş who has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.

Awards:

Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.

Certificates:

Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.

Disclaimer:

Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş

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VIDEO REVIEW OF BEFORE AND AFTER TREATMENT FOR BEST TURKEY EXPERIENCE



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BENEFITS OF IVF TREATMENT

  • Increased Success Rates: IVF offers higher chances of pregnancy, especially for those with infertility issues.
  • Personalized Treatment: Tailored to the patient’s needs, addressing various fertility problems.
  • Genetic Screening: Allows screening for genetic disorders, improving the chances of a healthy pregnancy.
  • Overcomes Blockages/Issues: Helps overcome fallopian tube blockages, male infertility, unexplained infertility.
  • Controlled Environment: Provides a controlled setting to optimize embryo development before the implantation.
  • Assisted Reproductive Technology: A viable option for couples facing infertility challenges.

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SUITABLE PATIENTS FOR IVF TREATMENT

  • Infertility Issues: Ideal for couples with issues such as blocked fallopian tubes, male infertility, or unexplained infertility.
  • Failed Previous Attempts: Beneficial for those who have had unsuccessful pregnancies with other treatments.
  • Age-Related Infertility: Suitable for older women facing age-related fertility decline.
  • Good Health: Both partners should be in overall good health for optimal results.
  • Realistic Expectations: IVF may require multiple cycles for success, and outcomes can vary.

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BEFORE IVF TREATMENT

  • Consultation: Meet with a fertility specialist to discuss medical history and treatment options.
  • Medical Evaluation: Both partners undergo tests to assess fertility and overall health.
  • Ovarian Stimulation Plan: The woman will receive hormonal treatment to stimulate egg production.
  • Stop Birth Control: If on birth control, it may need to be stopped to prepare for IVF.
  • Informed Consent: Sign a consent form explaining the procedure, risks, and potential outcomes.

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AFTER IVF TREATMENT

  • Rest: Some rest is recommended immediately after embryo transfer.
  • Monitor for Side Effects: Mild cramping or bloating is normal, but report severe pain or bleeding to your doctor.
  • Follow-up Visits: Ultrasounds and blood tests to monitor the progress of the pregnancy.
  • Avoid Stress: Maintaining a calm and positive environment is encouraged.
  • Medication: Hormonal medications may be prescribed to support pregnancy until the placenta takes over.
  • Patience: Pregnancy test results typically come 10-14 days after embryo transfer.

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RISKS OF IVF TREATMENT

  • Ovarian Hyperstimulation Syndrome (OHSS): Rare but may cause discomfort and swelling.
  • Multiple Pregnancies: IVF can increase the risk of twins or multiples.
  • Ectopic Pregnancy: A rare risk where the embryo implants outside the uterus.
  • Emotional Stress: IVF can be emotionally taxing, and not all cycles result in pregnancy.
  • Complications from Medications: Hormonal treatments can cause side effects like mood swings or bloating.
  • No Immediate Success: IVF may require several cycles to achieve a successful pregnancy.

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FIRST DAY

The IVF process starts with an initial consultation, during which the patient and their partner will undergo various tests and ultrasounds. These tests usually take one day to complete, and the results will be provided to the patient shortly afterward.

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THIRD, SIXTH, NINTH, TWELFTH AND FIFTEENTH DAY

Fertility medications are prescribed for 7 to 14 days, timed around the patient’s menstrual cycle, to stimulate the ovaries and promote the development of multiple mature eggs. A synthetic hormone, such as leuprolide or cetrorelix, is also given to prevent the premature release of eggs.

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EIGHTEENTH DAY

During the treatment, patients will have follow-up appointments every 3 days. These visits include blood tests to check hormone levels and ultrasounds to monitor follicle growth.

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TWENTY-FIRST DAY

When the eggs are nearly ready for retrieval, the patient will receive a “trigger shot” to ensure the eggs fully mature. The egg retrieval procedure follows, with the patient receiving anesthesia. An ultrasound probe is inserted through the vagina to locate the follicles, and a thin needle is used to collect the eggs from the ovaries. Usually, 8 to 15 eggs are retrieved.

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THIRTIETH DAY

After retrieval, the embryologist will select the most viable embryo(s) for transfer into the uterus. Any more remaining healthy embryos may be frozen for use in future IVF cycles.

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FORTIETH DAY

After the embryo transfer at the IVF clinics in Istanbul and Antalya, the patient will undergo a pregnancy test. Additional tests may follow, and if the results are positive, the treatment is considered successful, confirming the pregnancy. The patient can then either return to their home country or enjoy their time in Turkey, knowing the IVF process has been successfully completed.
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VIDEO REVIEW OF BEFORE AND AFTER TREATMENT FOR BEST TURKEY EXPERIENCE



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FERTILITY TREATMENT FAQ (ISTANBUL AND ANTALYA)

1. What is IVF (In Vitro Fertilization)?

In Vitro Fertilization (IVF) is medical procedure that helps individuals or couples conceive a child. It involves combining eggs and sperm in a laboratory dish to create embryos, which are then transferred to the uterus to establish a pregnancy.

2. Who can benefit from IVF?

IVF is recommended for individuals or couples dealing with fertility issues such as blocked fallopian tubes, low sperm count, endometriosis, unexplained infertility, or age-related fertility decline. It can also be an option for single parents or same-sex couples using donor eggs or sperm.

3. What is the process of IVF?

The IVF process involves several steps:

  1. Ovarian Stimulation – Hormonal medications stimulate the ovaries to produce multiple eggs.
  2. Egg Retrieval – Mature eggs are collected from the ovaries using a minimally invasive procedure.
  3. Fertilization – Eggs and sperm are combined in a laboratory to create embryos.
  4. Embryo Transfer – One or more embryos are placed into the uterus.
  5. Pregnancy Test – A blood test is conducted about two weeks after the embryo transfer to confirm pregnancy.

4. How long does IVF take?

A single IVF cycle typically takes about 4 to 6 weeks, including the time for ovarian stimulation, egg retrieval, fertilization, and embryo transfer.

5. What is the success rate of IVF?

The success rate of IVF varies based on factors such as the age of the woman, fertility issues, and embryo quality. Women under 35 typically have a success rate of around 40-50% per cycle, while rates decline with age.

6. Does IVF guarantee pregnancy?

No, while IVF significantly increases the chances of conception, it does not guarantee pregnancy. Multiple cycles may be required for a successful outcome.

7. Are there risks associated with IVF?

IVF is generally safe, but there are some risks, including:

  • Ovarian Hyperstimulation Syndrome (OHSS): A reaction to fertility medications causing bloating and discomfort.
  • Multiple Pregnancies: Increased chance of twins or triplets when transferring multiple embryos.
  • Ectopic Pregnancy: Rarely, the embryo may implant outside the uterus.

8. Is IVF painful?

The IVF process involves some discomfort, particularly during egg retrieval and hormonal injections. However, the procedures are typically well-tolerated, and anesthesia is used during egg retrieval to minimize pain.

9. How much does IVF cost?

The cost of IVF varies depending on the clinic, location, and specific treatments required. On average, an IVF cycle can cost between €2,500 to €8,000. Additional costs may apply for medications, ICSI, or embryo freezing.

10. Can IVF be done in Istanbul or Antalya?

Yes, Istanbul and Antalya are popular destinations for IVF treatments. Turkey offers state-of-the-art clinics, experienced specialists, and cost-effective packages, making it an attractive option for medical tourism.

11. Can donor eggs or sperm be used in IVF?

Yes, donor eggs or sperm can be used in IVF for individuals who cannot produce viable eggs or sperm. These options are often used by older patients, single parents, or same-sex couples.

12. What is ICSI, and how is it related to IVF?

Intracytoplasmic Sperm Injection (ICSI) is a technique often used during IVF where a single sperm is directly injected into an egg. It is beneficial for individuals with severe male factor infertility.

13. Can embryos be frozen during IVF?

Yes, unused embryos from an IVF cycle can be frozen for future use. This allows couples to attempt pregnancy at a later time without repeating the entire IVF process.

14. Is IVF covered by insurance?

In some cases, insurance may cover part of the IVF costs. Coverage varies depending on the policy and location. Patients should check with their provider to understand their benefits.

15. What is the recovery time after an IVF cycle?

Most individuals can resume normal activities within a day or two after egg retrieval and embryo transfer. However, strenuous activities should be avoided during this time to support implantation.

16. Can lifestyle changes improve IVF success?

Yes, maintaining a healthy lifestyle can improve the chances of IVF success. Factors such as a balanced diet, regular exercise, adequate sleep, and avoiding smoking and excessive alcohol consumption are important.

17. What happens if IVF fails?

If an IVF cycle fails, the doctor will evaluate possible causes and suggest adjustments for the next cycle. These may include changes in medications, embryo quality, or the number of embryos transferred.

18. Can IVF be used for gender selection?

Yes, IVF combined with Preimplantation Genetic Testing (PGT) can determine the sex of embryos, allowing for gender selection if permitted by local regulations.

19. Can IVF help with genetic disorders?

Yes, PGT can be used during IVF to screen embryos for certain genetic disorders, ensuring only healthy embryos are transferred to the uterus.

20. How soon can you try IVF after a failed cycle?

It is generally recommended to wait one to two months after a failed IVF cycle to allow the body to recover before attempting another cycle.

21. Can IVF be done after a vasectomy or tubal ligation?

Yes, IVF is a viable option for couples where the male partner has had a vasectomy or the female partner has had a tubal ligation, as it bypasses the fallopian tubes entirely.

22. Can older women undergo IVF?

Yes, older women can undergo IVF, but the success rate decreases with age. Women over 40 may require donor eggs to achieve a successful pregnancy.

23. Can IVF be used for single parents?

Yes, IVF is a common option for single parents, using donor sperm or eggs to achieve pregnancy.

24. Can IVF be performed for same-sex couples?

Yes, IVF is an option for same-sex couples. Lesbian couples may use donor sperm, while gay couples often combine IVF with surrogacy.

25. Are there alternatives to IVF?

Alternatives to IVF include treatments like intrauterine insemination (IUI), fertility medications, or surgery to address specific reproductive issues. The choice depends on the underlying cause of infertility.

26. How do you prepare for IVF?

Preparation for IVF may involve fertility evaluations, blood tests, ultrasounds, and lifestyle adjustments. Both partners may need to follow specific guidelines to improve the success rate.

27. Can IVF prevent miscarriage?

IVF can reduce the risk of miscarriage in some cases by using PGT to select embryos without chromosomal abnormalities.

28. Does IVF affect future fertility?

IVF does not negatively impact future fertility and may improve the chances of conceiving naturally if the underlying issue is resolved.

29. Can IVF be done abroad?

Yes, many people choose to undergo IVF abroad in locations like Istanbul and Antalya, where high-quality care and affordable prices attract international patients.

30. What are the emotional aspects of IVF?

IVF can be an emotional journey, involving stress, hope, and uncertainty. Support from family, friends, or counseling services can help individuals cope with the emotional challenges associated with the process.

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, BEFORE WE ASK THEM TO SEND A MEDICAL REPORT OR TEST FOR OUR DOCTOR AT NO CHARGE TO PERFORM GENERAL EVALUATION BASED ON THESE. WE DO NOT INVITE PATIENTS WHOM WE BELIEVE THAT THE PROCEDURE WILL NOT YIELD GOOD RESULTS. THEREFORE MOST PATIENTS WHO ARRIVE IN TURKEY KNOWS CONDITIONS AND LIMITS OF THE TREATMENT, WHICH ENSURES OF EXPECTATIONS TO BE MET.

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