After a detailed infertility evaluation, couples are directed to the most appropriate treatment option based on their specific condition. Depending on medical findings, treatment generally proceeds with one of two main approaches: IUI (Intrauterine Insemination) or IVF (In Vitro Fertilization) / ICSI (Microinjection).
IUI is a simpler fertility treatment performed under certain medical conditions.
The woman’s fallopian tubes must be open
The man’s sperm count and motility must be within acceptable limits
No severe male factor infertility
On the 2nd or 3rd day of menstruation, ultrasound evaluation is performed.
If no large cysts are detected, ovarian stimulation begins using oral medication or daily injections.
Around the 5th day of treatment, follicle development is monitored via ultrasound.
The goal is to develop 1–2 mature eggs.
When follicles reach approximately 18–20 mm, a trigger injection (commonly called the “cracking shot”) is administered.
36 hours later, insemination is performed.
During insemination, the sperm sample is processed in the laboratory to select the healthiest and most motile sperm. These are then placed directly into the uterus.
A pregnancy test is performed approximately 15 days after the procedure.
IVF and ICSI are advanced assisted reproductive techniques used when natural conception or IUI is unlikely to succeed.
In standard IVF:
Eggs and sperm are combined in the laboratory.
Fertilization occurs naturally.
It is generally preferred when no significant male factor is present.
Common female-related causes include:
Blocked fallopian tubes
Ovulation disorders
Endometriosis
Introduced in 1992, ICSI revolutionized fertility treatment, particularly for male infertility. In this method:
A single sperm cell is directly injected into each mature egg.
It is used in cases of:
Very low sperm count
Poor sperm motility
Abnormal sperm morphology
Previous IVF failure
If no sperm is found in the semen sample, surgical sperm retrieval techniques such as TESE, TESA, PESA, or MESA can be performed.
Treatment begins with medications to regulate and suppress the ovaries. Depending on the patient’s age and hormonal profile, this may start on the 2nd or 21st day of the menstrual cycle.
After suppression:
Hormone injections stimulate the ovaries.
Unlike IUI, the goal here is to develop multiple high-quality eggs.
Ultrasound and blood tests are performed every 2–5 days to monitor progress.
When follicles reach the desired size:
A trigger injection is administered.
36 hours later, eggs are collected under vaginal ultrasound guidance.
On the same day, a sperm sample is obtained.
If needed, surgical sperm retrieval is performed on the same day.
In the laboratory:
Eggs and sperm are prepared in special culture media.
Fertilization is assessed the following day.
Embryos are cultured for 3–5 days in controlled incubators.
Selected embryos are transferred into the uterus under ultrasound guidance. The procedure is short and typically painless.
After transfer:
Hormonal medications are given to support implantation.
Blood tests are performed on days 8, 10, and 12.
A definitive pregnancy test is usually done 12 days after embryo transfer.
Every stage of IVF treatment is carefully planned and monitored. From ovarian stimulation to embryo transfer, each step plays a crucial role in achieving a successful pregnancy.
With proper patient selection, advanced laboratory techniques, and individualized treatment protocols, IVF offers a highly effective path to parenthood.
Contact us today to learn more about our services and take the first step toward a healthier, brighter future.