Op. Dr. İrina Ergül — Private Practice Consultation
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IVF
When to Start IVF Treatment?
Many couples prefer to try conceiving naturally for a long time before seeking specialized help. However, such delays can negatively affect the success of IVF, as the quantity and quality of a woman’s eggs decrease with age. The fewer eggs retrieved, the fewer embryos can be created — and the fewer options there are for transfer. That’s why it’s important to consult a specialist as early as possible if you’re having difficulty conceiving.
First Steps: Necessary Tests
Before beginning IVF treatment, several important medical tests must be completed. These tests are usually done on the second, third, or fourth day of the menstrual cycle on an empty stomach. They include:
Hormonal tests for FSH, LH, and E2 – to determine the levels of female reproductive hormones.
AMH test (Anti-Müllerian Hormone) – to assess the ovarian reserve
An ultrasound exam is also essential on the second or third day of the cycle to evaluate the condition of the ovaries and count the number of follicles.
The Role of a Healthy Lifestyle
During IVF, not only medical treatment matters but also maintaining a healthy lifestyle, which helps prepare the body and improve the chances of success.
Nutrition: The diet should be balanced and rich in greens and protein.
Physical activity: Regular exercise or walking outdoors improves both physical and mental well-being.
Avoiding bad habits: Tobacco use should be minimized or completely avoided.
Emotional readiness: It’s important to avoid stress and maintain emotional balance.
IVF Is Not a Miracle Pill
It’s important to understand that IVF is not a magical solution. The success of the procedure depends on many factors such as overall health, lifestyle, and following your doctor’s recommendations. Proper preparation and a conscious approach significantly increase the chances of a successful outcome.
Starting IVF treatment on time and under the right conditions has helped many couples fulfill their dream of having a child. Patience, awareness, and readiness for the process are key components of success.
To learn more about the IVF process, its stages, and key preparation steps, we recommend watching an interview with Dr. Op. Dr. İrina Ergül on NTV. In this interview, the doctor shares valuable advice, explains the details of the treatment, and answers the most common questions. Don’t miss the opportunity to learn from an expert!
About the main thing in IVF
In Vitro Fertilization (IVF) is a modern method of treating infertility that helps couples who are unable to conceive naturally. The procedure involves fertilizing a woman’s egg with sperm in a laboratory setting, after which the resulting embryo is transferred into the uterus.
This procedure has revolutionized infertility treatments, giving hope to those who struggle with conception and offering a reliable option for starting or expanding families. IVF also provides a solution for those with unexplained infertility, where no specific cause is found. The success rate has improved significantly over time due to advancements in medical technology, offering a higher chance of success with each attempt.
IVF is recommended when natural conception is not possible or is significantly difficult. The main indications include:
Absence of ovulation or blocked fallopian tubes in the woman
Poor sperm quality or insufficient sperm count in the man
Woman’s age over 35, when egg reserve and quality decline
Genetic disorders requiring preimplantation selection of healthy embryos
Unsuccessful attempts to conceive using other infertility treatments
IVF stages
The process of in vitro fertilization (IVF) involves several stages:
Preparation: Undergoing medical examinations, lab tests, and preparing the body for the procedure.
Ovarian stimulation: The woman takes hormone medications to stimulate the maturation of multiple eggs.
Follicle puncture (egg retrieval): The eggs are collected using a fine needle under ultrasound guidance.
Fertilization: In the lab, the eggs are combined with sperm (or intracytoplasmic sperm injection – ICSI – is performed).
Embryo cultivation:: Over 3 to 5 days, specialists monitor the development of the embryos.
Embryo transfer: The best-quality embryo is transferred into the uterus.
Waiting for results: After 12–14 days, a blood test for hCG is performed to determine if pregnancy has occurred.
What does success depend on
The success of IVF depends on the woman’s age, overall health, embryo quality, and other factors. On average, the chances of pregnancy are as follows:
Under 35 years old – 40–60%
Ages 35–40 – 20–40%
Over 40 – 5–20%
Factors influencing IVF success:
Woman’s age (the younger, the higher the chances of success)
Quality of the eggs and sperm
Overall health and lifestyle
Experience of the doctors and quality of clinic equipment
Some risks
As with any medical procedure, IVF may be associated with certain risks, although the procedure is generally safe. However, it’s important to be aware of the possible complications:
Side effects of hormone therapy – headache, abdominal bloating, mood swings, fatigue, and discomfort can occur as a result of the medications used to stimulate the ovaries.
Ovarian hyperstimulation syndrome (OHSS) – a rare but possible complication where the ovaries overreact to stimulation, leading to swelling and pain in the ovaries.
Failure after the first attempt – sometimes multiple cycles are needed to achieve a successful pregnancy. It’s important to stay positive and work closely with the medical team to improve chances in subsequent attempts.
Multiple pregnancy – if more than one embryo is transferred, there is a higher risk of carrying twins or more, which can increase the risks for both mother and babies, including premature birth.
Risk of miscarriage or ectopic pregnancy – similar to natural conception, IVF pregnancies can result in miscarriage or ectopic pregnancy, which may require medical attention.
Before you start
Before starting the procedure, it is important to prepare the body and reduce potential risks. The following is recommended:
Undergo a full medical examination
Consult with a fertility specialist to review your medical history and assess your reproductive health
Follow a healthy diet (with sufficient vitamins, omega-3, and folic acid)
Maintain a healthy weight and avoid stress
Engage in regular, moderate physical activity
Normalize your sleep pattern (at least 7-8 hours of quality rest)
Limit caffeine and sugar
Consult your doctor about taking supportive medications or vitamins
Stay hydrated and avoid smoking or alcohol consumption
A failed IVF attempt is not the end of the road
A failed IVF attempt is not the end of the road. Many couples achieve success after the second or third cycle. If the first attempt is unsuccessful, it may be worth considering the following options to improve future outcomes and maintain emotional well-being:
A repeated IVF cycle. Often, a woman’s body responds better to repeated stimulation, and doctors can adjust the treatment protocol to increase effectiveness.
Using frozen embryos (if available). This reduces the physical and hormonal load on the body and may improve the chances of successful implantation and pregnancy.
Genetic testing of embryos (if chromosomal abnormalities are suspected). This can help select the healthiest embryos and avoid implantation failures or genetic disorders.
Using donor eggs or sperm (if one’s own are not suitable). Donor materials can significantly increase the chances of a successful pregnancy, especially in cases of low egg or sperm quality.
Exploring alternative options, such as adoption. If IVF does not bring results or there are medical contraindications, some couples consider adopting a child, which can also be a deeply fulfilling and loving path to parenthood.
The IVF process can be emotionally challenging. Waiting for results, possible failures, and pressure from others can cause anxiety and stress.
Important:
Communicate openly with your partner and support each other
Don’t blame yourself if the first attempt was unsuccessfulось.
Seek help from a psychologist if you feel emotionally overwhelmed
Find support among others who are going through a similar experience
In vitro fertilization is a chance for many couples to achieve the long-awaited joy of parenthood. The most important thing is to stay informed, trust your doctor, and never lose hope!
Contact us
Dear Ladies!
Dr. Irina Ergul is now seeing patients at her private practice. Consultations are available by appointment only.
Bahçelievler mah., E-5 Yanyol No 14/B Metroport Busidence /Bahçelievler/İstanbul. Office No 1009, floor 10.
The doctor kindly asks for your understanding regarding possible delays in appointment times due to urgent situations that frequently arise in obstetrics and gynecology.
Consultation Fee
Initial consultation
6 000 TL
We review your symptoms and goals, take a detailed medical history, assess any available test results, and develop a personalized diagnostic and treatment plan. If needed, we also recommend additional tests and ultrasound examinations.
We review laboratory and ultrasound results, assess progress over time, answer your questions, and adjust the treatment plan as needed. This visit is essential for monitoring therapy and ongoing follow-up.
The cost depends on the specific tests required. We’ll help you select only the necessary investigations based on your needs and provide clear instructions on how to prepare.
I provide care for gynecological conditions, preconception planning and pregnancy management, as well as evaluation of infertility and support throughout IVF treatment.
I explain each step clearly and guide patients through the process — from diagnostic testing to results.
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20+ years of clinical experience
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Member of ISUOG
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Private practice
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Consultations available in EN / RU / TR
My academic qualifications
I continuously advance my professional qualifications
• Participation in international congresses in Turkey and abroad
• Involvement in scientific research projects
• Advanced specialized training courses
IVF is a method of assisted reproductive technology in which fertilization of the egg occurs outside the woman’s body in laboratory conditions, followed by transfer of the embryo into the uterine cavity.
How is embryo transfer into the uterus performed?
Transfer is carried out through the cervical canal using a thin catheter under ultrasound guidance and usually does not require anesthesia.
What is the probability of pregnancy after IVF?
Success rates depend on age and clinical situation and average about 30–40% per cycle.
Is hospitalization required for IVF?
Most stages are performed on an outpatient basis; hospitalization may be required only briefly for the egg retrieval procedure.
How many insemination attempts are recommended?
Effectiveness averages 10–20% per cycle and depends on age, cause of infertility, and sperm quality.
What happens to embryos after fertilization?
Embryos are cultured under special conditions for several days, after which the most viable ones are selected for transfer.
How does fertilization occur in the laboratory?
Fertilization is performed either by co-culturing eggs with sperm or by using the ICSI method, in which a sperm cell is injected directly into the cytoplasm of the egg.
How many IVF attempts may be required to achieve pregnancy?
The number of attempts is individual and depends on many factors, including age, embryo quality, and the cause of infertility.
What complications may occur during IVF?
Possible complications include ovarian hyperstimulation syndrome, multiple pregnancy, and rare complications associated with invasive procedures.
Is IVF used in cases of severe male factor infertility?
Yes, in such cases the ICSI method is used, allowing fertilization even with significant abnormalities in spermatogenesis.
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