Specific steps of an in vitro fertilization (IVF) cycle carry risks, including:

• Multiple births. IVF increases the risk of multiple births if more than one embryo is implanted in your uterus. A pregnancy with multiple fetuses carries a higher risk of early labor and low birth weight than pregnancy with a single fetus does.
• Premature delivery and low birth weight. Research suggests that the use of IVF slightly increases the risk that a baby will be born early or with low birth weight.
• Ovarian hyperstimulation syndrome. Use of injectable fertility drugs, such as human chorionic gonadotropin (HCG), to induce ovulation can cause ovarian hyperstimulation syndrome, in which your ovaries become swollen and painful. Signs and symptoms typically last a week and include mild abdominal pain, bloating, nausea, vomiting, and diarrhea. If you become pregnant, however, your symptoms might last several weeks. Rarely, it’s possible to develop a more severe form of ovarian hyperstimulation syndrome that can also cause rapid weight gain and shortness of breath.
• Miscarriage. The rate of miscarriage for women who conceive using IVF with fresh embryos is similar to that of women who conceive naturally — about 15 to 25 percent — but the rate increases with maternal age. Use of frozen embryos during IVF, however, may slightly increase the risk of miscarriage.
• Egg-retrieval procedure complications. Use of an aspirating needle to collect eggs could possibly cause bleeding, infection or damage to the bowel, bladder or a blood vessel. Risks are also associated with general anesthesia is used.
• Ectopic pregnancy. About 2 to 5 percent of women who use IVF will have an ectopic pregnancy — when the fertilized egg implants outside the uterus, usually in a fallopian tube. The fertilized egg can’t survive outside the uterus, and there’s no way to continue the pregnancy.
• Birth defects. The age of the mother is the primary risk factor in the development of birth defects, no matter how the child is conceived. More research is needed to determine whether babies conceived using IVF might be at increased risk of certain birth defects. Some experts believe that the use of IVF does not increase the risk of having a baby with birth defects.
• Ovarian cancer. Although some early studies suggested there may be a link between certain medications used to stimulate egg growth and the development of a specific type of ovarian tumor, more recent studies do not support these findings.
• Stress. Use of IVF can be financial, physically and emotionally draining. Support from counselors, family, and friends can help you and your partner through the ups and downs of infertility treatment.

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ivf in iran 

Ovulation induction ( IVF)

If you’re using your own eggs during IVF , at the start of a cycle you’ll begin treatment with synthetic hormones to stimulate your ovaries to produce multiple eggs — rather than the single egg that normally develops each month. Multiple eggs are needed because some eggs won’t fertilize or develop normally after fertilization.

You may need several different medications, such as:

Medications for ovarian stimulation. To stimulate your ovaries, you might receive an injectable medication containing a follicle-stimulating hormone (FSH), a luteinizing hormone (LH) or a combination of both. These medications stimulate more than one egg to develop at a time.

Medications for oocyte maturation. When the follicles are ready for egg retrieval — generally after eight to 14 days — you will take human chorionic gonadotropin (HCG) or other medications to help the eggs mature.

Medications to prevent premature ovulation. These medications prevent your body from releasing the developing eggs too soon.

Medications to prepare the lining of your uterus. On the day of egg retrieval or at the time of embryo transfer, your doctor might recommend that you begin taking progesterone supplements to make the lining of your uterus more receptive to implantation.

Your doctor will work with you to determine which medications to use and when to use them.

Typically, you’ll need one to two weeks of ovarian stimulation before your eggs are ready for retrieval. To determine when the eggs are ready for collection, your doctor will likely perform:

A vaginal ultrasound, an imaging exam of your ovaries to monitor the development of follicles — fluid-filled ovarian sacs where eggs mature

Blood tests, to measure your response to ovarian stimulation medications — estrogen levels typically increase as follicles develop and progesterone levels remain low until after ovulation

Sometimes IVF cycles need to be canceled before egg retrieval for one of these reasons:

Inadequate number of follicles developing

Premature ovulation

Too many follicles developing, creating a risk of ovarian hyperstimulation syndrome

Other medical issues

IVF in Iran

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Specific steps of an in vitro fertilization (IVF) cycle carry risks, including

Multiple births. IVF increases the risk of multiple births if more than one embryo is implanted in your uterus. A pregnancy with multiple fetuses carries a higher risk of early labor and low birth weight than pregnancy with a single fetus does.

Premature delivery and low birth weight. Research suggests that the use of IVF slightly increases the risk that a baby will be born early or with low birth weight.

Ovarian hyperstimulation syndrome. Use of injectable fertility drugs, such as human chorionic gonadotropin (HCG), to induce ovulation can cause ovarian hyperstimulation syndrome, in which your ovaries become swollen and painful. Signs and symptoms typically last a week and include mild abdominal pain, bloating, nausea, vomiting, and diarrhea. If you become pregnant, however, your symptoms might last several weeks. Rarely, it’s possible to develop a more severe form of ovarian hyperstimulation syndrome that can also cause rapid weight gain and shortness of breath.

Miscarriage. The rate of miscarriage for women who conceive using IVF with fresh embryos is similar to that of women who conceive naturally — about 15 to 25 percent — but the rate increases with maternal age. Use of frozen embryos during IVF, however, may slightly increase the risk of miscarriage.

Egg-retrieval procedure complications. Use of an aspirating needle to collect eggs could possibly cause bleeding, infection or damage to the bowel, bladder or a blood vessel. Risks are also associated with general anesthesia is used.

Ectopic pregnancy. About 2 to 5 percent of women who use IVF will have an ectopic pregnancy — when the fertilized egg implants outside the uterus, usually in a fallopian tube. The fertilized egg can’t survive outside the uterus, and there’s no way to continue the pregnancy.

Birth defects. The age of the mother is the primary risk factor in the development of birth defects, no matter how the child is conceived. More research is needed to determine whether babies conceived using IVF might be at increased risk of certain birth defects. Some experts believe that the use of IVF does not increase the risk of having a baby with birth defects.

Ovarian cancer. Although some early studies suggested there may be a link between certain medications used to stimulate egg growth and the development of a specific type of ovarian tumor, more recent studies do not support these findings.

Stress. Use of IVF can be financial, physically and emotionally draining. Support from counselors, family, and friends can help you and 

your partner through the ups and downs of infertility treatment.

ivf in iran

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In vitro fertilization, the most popular infertility treatment

In vitro fertilization (IVF) is now the most widely used infertility treatment in the world and has produced hundreds of thousands of new human beings, born to couples who would otherwise have been childless.

Standard in vitro fertilization involves stimulating the production of several eggs, collecting those eggs and mixing them with the partner’s sperm in the laboratory. A high proportion of the eggs are fertilized and embryos are then transferred back into the female partner’s uterus either after 2–3 days or after 5–6 days.

Different countries have different rules on the number of embryos that can be transferred; many are reducing this number to avoid the complication of multiple births.

Infertility treatment for known fertility issues

This first category of treatments is the only one that is not classified as assisted reproduction. These infertility treatments aim to treat an underlying problem so that pregnancy can occur naturally:

Surgery to clear a woman’s blocked fallopian tubes: this is done by laparoscopy, and involves only small incisions in the abdomen. Once the tubes are clear, the eggs produced by the ovaries can travel more easily towards the uterus, and a natural pregnancy may be possible.

Hormone treatment to redress an imbalance: this treatment can work well in either partner. Thyroid problems and an imbalance of sex hormones can be corrected by taking artificial hormones.

Correction of an anatomical abnormality: this can include treating a large varicose vein in the testicle that may be blocking sperm release, or correcting retrograde ejaculation (in which the semen goes into the bladder during an orgasm, instead of through the penis).

Surgical sperm retrieval: various surgical methods can be used to extract sperm directly from the testes in men who produce no sperm in their semen. This is generally regarded as being part of assisted reproduction, as the sperm is then used in a cycle of in vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI).

infertility in iran

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IVF in Iran

What is IVF or In Vitro Fertilization?

In vitro fertilization (IVF) is a process of fertilization where an egg is combined with sperm outside the body, in vitro (“in glass”). The process involves monitoring and stimulating a woman’s ovulatory process, removing an ovum or ova (egg or eggs) from the woman’s ovaries and letting sperm fertilize them in a liquid in a laboratory. After the fertilized egg (zygote) undergoes embryo culture for 2–6 days, it is implanted in the same or another woman’s uterus, with the intention of establishing a successful pregnancy.

 

Overview

IVF is the most effective form of assisted reproductive technology. The procedure can be done using your own eggs and your partner’s sperm. Or IVF may involve eggs, sperm or embryos from a known or anonymous donor. In some cases, a gestational carrier — a woman who has an embryo implanted in her uterus — might be used.

Your chances of having a healthy baby using IVF depend on many factors, such as your age and the cause of infertility. In addition, IVF can be time-consuming, expensive and invasive. If more than one embryo is implanted in your uterus, IVF can result in a pregnancy with more than one fetus (multiple pregnancies).

Infertility is a deeply personal issue affecting all areas of a couple’s life. Our physicians, specialized staff and scientists, who are dedicated to increasing your chances of bearing a child. We work to make your dreams a reality.
We believe that our combined years of experience and collective knowledge is the resource you need to start your own family. We appreciate your trust and confidence in Tebmedtourism company. For a consultation about the different methods of treatment, please contact us.

Infertility Treatment in Iran

Infertility treatment options

A couple planning a family expects things to take their natural course and for the woman to become pregnant within a few months of saying goodbye to contraception. For many couples, this is the case but one in six couples experiences difficulty conceiving a baby. After trying for several more months without success, fertility testing may or may not reveal an underlying problem that can be tackled. Infertility treatment is then worth careful consideration.

In this overview article, we look at the full range of infertility treatments available throughout the world; you can follow the links to more detailed articles elsewhere in the guide.

Infertility treatment in Iran:

According to the World Health Organization (WHO), infertility is a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months of trying.

Infertility affects an estimated 20.4 % of couples globally.

The figure will drop to 12.4 percent after two years of trying, adding it shows that many infertile couples can have a baby if they keep trying.

The couples aged 35 years and above are not recommended to use the method because any delay in childbearing would aggravate their infertility problems.

Iranian couples no longer need to travel abroad for consultation or treatment for infertility as advanced methods of treatment for couples who have problems to conceive, are available in the country.

There are 3 million infertile couples in the country.  Around 3-4% of young Iranian women suffer from recurrent miscarriages. Infertility rate is about 2.5% and secondary infertility is more prevalent than primary infertility. When a woman is not able to conceive at all, (due to infertility in either spouse), it is referred to as primary fertility. Secondary infertility is when a woman is unable to conceive again after the first successful pregnancy and childbirth. While causes of secondary infertility vary, the most important risk factors are advanced reproductive age, weight gain, abdominal surgeries, sperm quality and quantity, and smoking.

Microsurgical reconstruction for male infertility, new methods of male infertility treatment (medication, surgery, and Intracytoplasmic Sperm Injection (ICSI), the role of complementary therapies and medicines to improve fertility, and new imaging techniques for assessment of infertility problems in both genders, are among the main important topics that will be discussed.

At present, there are 80 infertility centers across the country and 20 more will be launched by the end of the current year.

Additionally, 35 state-run universities of medical sciences have equipped with new laboratory equipment and devices for identification and treatment of infertility problems.

IVF is never the first step in the treatment of infertility. Instead, it’s reserved for cases in which other methods such as fertility drugs, surgery, and artificial insemination haven’t worked.

On average, an IVF cycle costs $2,300-$2,900 in the country, while the majority of women have per-cycle success rates of 20-35%, which means they may need multiple tries to get pregnant.

IVF may be an option if one of the spouses or both has been diagnosed with problems like endometriosis, low sperm count, problems with ovulation, antibody problems that harm sperms or eggs, and unexplained fertility problems.

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