Medical Tours

Infertility, IVF & ICSI

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    Internal Services

     

    Semen Analysis

    The semen sample is assessed to account for the sperm count, motility and morphology.

    Ovulation Monitoring

    Following up on the ovulation of the natural cycle or drug induced ovulation by performing an ultrasound (US) or by measuring hormones in blood and/or urine.

    Ovulation Induction

    In a natural cycle, only one oocyte (egg) is produced. Whereas, in ovulation induction, hormones are given to the female to stimulate the production of more than one oocyte (egg) in a single cycle, to enhance the probability of conception.

    Intrauterine Insemination (UI)

    A small volume of washed and activated husband’s sperms is injected inside the uterus at the estimated time of ovulation determined by the ultrasound and the hormonal analysis in urine.

    In Vitro Fertilization (IVF)

    Root Canal Treatment

    It is the process of fertilization by aspirating the oocytes(eggs) outside the body, retrieving a sperm sample, and then manually adding a certain number of selected and prepared husband’s sperms to each oocyte. Signs of fertilization are checked the next morning and the division is monitored, until the embryo(s) is transferred to the uterus.

    Intracytoplasmic Injection (ICSI)

    A process similar to IVF, except for the method of fertilization, one sperm (the best available) is chosen under a special microscope, aspirated and injected into each oocyte.

    Testicular Sperm Aspiration/Biopsy (TESA/TESE)

    In case of male infertility, where no sperms are found in the semen, a simple operation can be performed to aspirate a small sample from the testes using a needle (TESA) or through a small incision (TESE) usually under anesthesia.

    Preimplantation Genetic Diagnosis (PGD)

    A biopsy (one cell) is taken from the embryo to be examined genetically to ensure the transfer of healthy embryos. It is suggested to prevent the risk of transmission of chromosomal or genetic abnormalities to offspring.

    Comprehensive Chromosome Screening (CCS)

    A screening tool used to assess number of chromosomes present in each embryo and their potential to make a live birth. It helps in choosing the best embryo (normal) for transfer. It is indicated for couples who had multiple unexplained miscarriages or repeated IVF/ICSI failure.

    Cyrosemen (Semen Freezing)

    Long-term storage of semen samples in liquid nitrogen, which can be very useful for cancer patients before receiving the treatment that may affect their semen samples.

    Oocyte Vitrification (Egg Freezing)

    Long-term storage of oocytes to preserve fertility in case of aging, or for cancer patients before undergoing cancer treatment. The patient undergoes ovarian stimulation and oocyte pickup, then the oocytes (eggs) are treated in the laboratory and stored safely in liquid nitrogen for many years.

    Hysteroscopy

    An examination of the cervix and the uterine cavity by introducing a very fine camera and instruments through the vagina.

    Karyotyping

    An examination of the whole set of chromosomes in a blood sample. It is recommended in cases of family history of genetic diseases, severe male factor infertility, history of repeated abortions and repeated IVF/ICSI failure.

    Screening for Thalassaemia

    Thalassaemia is an anaemia type where the red blood cells are destroyed in large numbers. Testing for thalassemia involves the examining of a blood sample through HB electrophoresis, if both partners are carriers or one is infected, PGD is indicated to prevent having a child with thalassaemia.

    Antenatal Care

    Antenatal care is offered to all our pregnant patients who wish to follow up on their pregnancy with our experienced team.

    Frequently Asked Questions

    For Men: Semen analysis, less than a year old.

    For Women: Hormonal analysis on the third day of the menstrual cycle; E2, FSH, LH – Liver blood tests and kidney function tests – Transvaginal ultrasound examination.

    Once or twice at least, one of them on the day of withdrawal of oocytes.  The husband should preferably attend a week before oocyte withdrawal to provide a semen sample for sperm freezing.

    – Generally IVF medications are proven to be safe.

    – No long-term risks of cancer or increased incidence of pre-mature menopause has ever been scientifically linked to IVF medication.

    – The most common side effects are some abdominal discomfort, headache and hot flushes. In rare cases, especially in patients with polycystic ovaries, ovarian hyper stimulation may occur in response to drugs leading to enlarged ovaries, abdominal distention and pain.

    The treatment may take one month and may increase or decrease for a period of one week depending on the response of the case. This period will be calculated after the second visit to the doctor or center.

    It is possible  for the first 15 days of treatment only (about half the duration of treatment).

    – The patient needs to visit the center or doctor about 8 times as follows:

    – First visit: aims at establishing diagnosis and identifying the necessary treatment and treatment plan.

    – Second visit: It shall be 21 days from the start of menstruation to start treatment.

    – The third visit: 15 days after starting treatment to take a blood sample.

    – Fourth, fifth and sixth visits: To follow the ovulation process within the week.

    – Seventh visit: The oocytes are withdrawn.

    – The eighth visit: during which embryos are transferred and this is after withdrawal of the oocytes by two days to five days.

    The number varies from one case to another depending on the quality of the embryos and the age of the mother, but often 2 to 3 embryos are transferred.

    – The chances of success of IVF/ICSI are directly related to the age of the female partner.

    – Efficient treatment has an almost 50% chance of pregnancy with females aged 35 or less.

    – Between ages 35 and 39, chances of success drop to approximately 35-40%; while at the age of 40 chances of pregnancy drop to 20% and at 43 years to 5%.

    – Injections that are used during the treatment period are injected under the skin using a short needle that does not cause any pain.

    – After the transfer of embryos there is an intramuscular injection that may cause some minor pain, This can be substituted for by a vaginal suppository.

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