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IVF Treatment and Care

Learn about IVF treatment approaches, patient care, and supportive services at Liv Hospital.

Explore In Vitro Fertilization treatment options, non-surgical treatment for infertility, the IVF procedure steps, and emotional recovery support at LIV Hospital. 

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Precision Medicine for Your Future Family

In the early days of reproductive medicine, IVF was a “one size fits all” procedure. Today, it is a highly personalized science. At Liv Hospital, we understand that a couple struggling with male factor infertility needs a completely different protocol than a woman with Endometriosis or a couple carrying a genetic disorder.

Our IVF Treatment and Care program is built on the philosophy of “Precision Reproductive Medicine.” We do not just treat infertility; we treat your specific biological barriers. By combining advanced microsurgical techniques (like Micro-TESE) with state-of-the-art laboratory technology (Embryoscope, PGT-A) and holistic support (acupuncture, nutrition), we maximize the potential of every single egg and sperm.

Advanced Sperm Selection: ICSI and IMSI

For nearly 50% of couples, the barrier to conception lies with the sperm. Liv Hospital utilizes advanced selection methods to ensure that only the “champion” sperm is used for fertilization.

ICSI (Intracytoplasmic Sperm Injection)

In standard IVF, thousands of sperm are placed in a dish with an egg, hoping one penetrates. At Liv Hospital, we use ICSI as our standard of care for almost all patients.

  • The Procedure: An embryologist uses a microscopic glass needle to pick up a single sperm and inject it directly into the center (cytoplasm) of the egg.
  • The Benefit: It bypasses the sperm’s need to penetrate the egg shell, making it the solution for low sperm count or poor motility.

IMSI (High-Magnification Selection)

For couples with severe male factor infertility or repeated IVF failures, standard ICSI may not be enough.

  • The Difference: Standard ICSI magnification is 400x. IMSI (Intracytoplasmic Morphologically Selected Sperm Injection) uses a specialized microscope with 6,000x magnification.
  • What We See: At this level, we can see tiny defects (“vacuoles”) inside the sperm head that are invisible at lower magnification. These defects correlate with high DNA fragmentation.
  • The Result: By selecting sperm with a perfect head structure, we improve fertilization rates and reduce miscarriage risk.
ivf

Surgical Sperm Retrieval (Micro-TESE)

A diagnosis of Azoospermia (zero sperm in the ejaculate) used to mean donor sperm was the only option. With Micro-TESE, biological fatherhood is possible.

  • The Procedure: This is a microsurgery performed under anesthesia. The urologist opens the testicle and uses a high-powered operating microscope to search for tiny, swollen tubules that may contain pockets of sperm production.
  • Why “Micro”? Unlike a random needle biopsy (which is “blind”), the microscope allows us to target only the healthy tissue, minimizing damage to the testicle and testosterone production.
  • The Success: Liv Hospital has high sperm retrieval rates even in challenging cases like Klinefelter Syndrome or post-chemotherapy.

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Bülent Tekin Obstetrics and Gynecology Liv Hospital Bahçeşehir Asst. Prof. MD. Kübra Irmak Obstetrics and Gynecology Op. MD. Ayşe Bilgen Liv Hospital Bahçeşehir Op. MD. Ayşe Bilgen Obstetrics and Gynecology Op. MD. Betül Averbek Liv Hospital Bahçeşehir Op. MD. Betül Averbek Obstetrics and Gynecology Op. MD. Billur Küpelioglu Liv Hospital Bahçeşehir Op. MD. Billur Küpelioglu Obstetrics and Gynecology Op. MD. Cansu Kaya Liv Hospital Bahçeşehir Op. MD. Cansu Kaya Obstetrics and Gynecology Op. MD. Deniz Sarıkaya Kalkan Liv Hospital Bahçeşehir Op. MD. Deniz Sarıkaya Kalkan Obstetrics and Gynecology Op. MD. Selda Akal Liv Hospital Bahçeşehir Op. MD. Selda Akal Obstetrics and Gynecology Assoc. Prof. MD. Semra Yüksel Liv Hospital Topkapı Assoc. Prof. MD. Semra Yüksel Obstetrics and Gynecology Asst. Prof. MD. Serhat Şen Liv Hospital Topkapı Asst. Prof. MD. Serhat Şen Obstetrics and Gynecology Op. MD. Elif Uysal Liv Hospital Topkapı Op. MD. Elif Uysal Obstetrics and Gynecology Op. MD. 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ivf

Advanced Embryology

Once fertilization occurs, the embryos spend 5 days in our laboratory. This is the most critical window. We use technology to mimic the natural environment of the womb.

MEETING WITH THE DOCTOR

The Embryoscope (Time-Lapse Incubator)

Standard incubators require removing embryos daily to check them under a microscope. This exposes them to temperature and pH changes.

  • The Liv Advantage: We use the Embryoscope, which has a built-in camera that takes photos every 10 minutes.
  • AI Analysis: The system uses Artificial Intelligence to analyze the timing of cell division. An embryo that divides too fast or too slow is often genetically abnormal. We select the embryo with the perfect rhythm.

Assisted Hatching (Laser)

Before an embryo can implant in the uterus, it must break out of its outer shell (Zona Pellucida).

  • The Problem: In women over 37 or with frozen embryos, this shell can be thickened or hardened, trapping the embryo inside.
  • The Solution: Our embryologists use a precision laser to create a tiny hole or thin spot in the shell just before transfer. This acts as a “doorway,” helping the embryo hatch and implant successfully.
IVF

Genetic Safety Nets: PGT-A and PGT-M

Many couples suffer from “unexplained” IVF failure or recurrent miscarriage because they are transferring embryos that look perfect but are genetically chaotic (aneuploid).

PGT-A (Preimplantation Genetic Testing for Aneuploidy)

  • What it is: Screening the embryo to ensure it has the correct number of chromosomes (46).
  • Who is it for? Women over 35 (where egg abnormalities are common), couples with recurrent miscarriage, or repeated implantation failure.
  • The Process: We biopsy 5 cells from the blastocyst (placenta part) and freeze the embryo. The cells are analyzed using Next Generation Sequencing (NGS).
  • The Result: We only transfer “Euploid” (normal) embryos. This significantly increases the pregnancy rate per transfer and reduces miscarriage risk to <10%.

PGT-M (Monogenic Disorders)

  • What it is: Testing for a specific genetic disease that the parents carry (e.g., Thalassemia, Cystic Fibrosis, SMA).
  • The Goal: To identify embryos that are free of the disease, ensuring a healthy child and stopping the transmission of the disorder to the next generation.

Fertility Preservation

ivf

Biology is unfair; women are born with all the eggs they will ever have, and quality declines with age. Egg Freezing stops the biological clock.

Social Egg Freezing

  • Ideal Candidate: Women under 38 who are not ready for a family yet but want to preserve their fertility for the future.
  • The Method (Vitrification): Old freezing methods formed ice crystals that damaged the egg. We use Vitrification (flash-freezing), which turns the egg into a glass-like solid instantly. Survival rates after thawing are over 90–95%.

Onco-Fertility (Cancer Preservation)

For patients diagnosed with cancer, chemotherapy can destroy ovarian reserve. We offer emergency egg or embryo freezing before cancer treatment begins, often coordinating with our Oncology department to start stimulation immediately.

Holistic Care

Stress, inflammation, and poor blood flow can negatively impact IVF outcomes. We treat the whole patient.

Acupuncture for Fertility

Many patients choose to have acupuncture sessions before and after embryo transfer.

  • The Theory: It reduces stress hormones (cortisol) and increases blood flow to the uterus, potentially improving endometrial receptivity.
  • The Experience: It is painless and deeply relaxing, helping patients navigate the anxiety of the “two-week wait.”

Nutritional Counseling

“You are what you eat” applies to your eggs and sperm too.

  • The Plan: Our dietitians create anti-inflammatory meal plans rich in antioxidants (CoQ10, Omega-3s, Vitamin D) to improve mitochondrial energy in the eggs and reduce DNA fragmentation in sperm.

Managing Your Medications

IVF

IVF involves injectable medications that can be intimidating. Our nursing team provides comprehensive training.

  • Gonadotropins (FSH/LH): Stimulate egg growth. Taken subcutaneously (belly fat) daily.
  • GnRH Antagonist: Prevents premature ovulation.
  • Trigger Shot (hCG): Matures the eggs 36 hours before retrieval.
  • Progesterone: Supports the pregnancy lining. Available as injections (intramuscular) or vaginal gels/suppositories.

“Training is key. We teach you exactly how to mix and inject during your orientation. You are never alone.”

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Related Doctors

Assoc. Prof. MD. Elif Göknur Topçu Liv Hospital Ulus Assoc. Prof. MD. Elif Göknur Topçu Obstetrics and Gynecology Assoc. Prof. MD. Miraç Özalp Liv Hospital Ulus Assoc. Prof. MD. Miraç Özalp Obstetrics and Gynecology Op. MD. Kübra Karakolcu Liv Hospital Ulus Op. MD. Kübra Karakolcu Obstetrics and Gynecology Op. MD. Selin Çetinkal Liv Hospital Ulus Op. MD. Selin Çetinkal Obstetrics and Gynecology Op. MD. Sibel Malkoç Liv Hospital Ulus Op. MD. Sibel Malkoç Obstetrics and Gynecology Prof. MD. Mustafa Alper Karalök Liv Hospital Ulus Prof. MD. Mustafa Alper Karalök Obstetrics and Gynecology Prof. MD. Ayhan Sucak Liv Hospital Ulus Prof. MD. Ayhan Sucak Obstetrics and Gynecology Prof. MD. K. Doğa Seçkin Liv Hospital Ulus Prof. MD. K. Doğa Seçkin Obstetrics and Gynecology Assoc. Prof. MD. Gönül Özer Liv Hospital Vadistanbul Assoc. Prof. MD. Gönül Özer Obstetrics and Gynecology Assoc. Prof. MD. Çağlar Çetin Liv Hospital Vadistanbul Assoc. Prof. MD. Çağlar Çetin Obstetrics and Gynecology Op. MD. Altuğ Semiz Liv Hospital Vadistanbul Op. MD. Altuğ Semiz Obstetrics and Gynecology Op. MD. Asena Ayar Madenli Liv Hospital Vadistanbul Op. MD. Asena Ayar Madenli Obstetrics and Gynecology Op. MD. Burak Hazine Liv Hospital Vadistanbul Op. MD. Burak Hazine Obstetrics and Gynecology Op. MD. Gamze Baykan Özgüç Liv Hospital Vadistanbul Op. MD. Gamze Baykan Özgüç Obstetrics and Gynecology Op. MD. Nesime Damla İplik Liv Hospital Vadistanbul Op. MD. Nesime Damla İplik Obstetrics and Gynecology Op. MD. Ulviye Hanlı Liv Hospital Vadistanbul Op. MD. Ulviye Hanlı Obstetrics and Gynecology Prof. MD. Mehmet Serdar Kütük Liv Hospital Vadistanbul Prof. MD. Mehmet Serdar Kütük Obstetrics and Gynecology Assoc. Prof. MD. Müberra Namlı Kalem Liv Hospital Bahçeşehir Assoc. Prof. MD. Müberra Namlı Kalem Obstetrics and Gynecology Assoc. Prof. MD. Ziya Kalem Liv Hospital Bahçeşehir Assoc. Prof. MD. Ziya Kalem Obstetrics and Gynecology Asst. Prof. MD. Bülent Tekin Liv Hospital Bahçeşehir Asst. Prof. MD. Bülent Tekin Obstetrics and Gynecology Liv Hospital Bahçeşehir Asst. Prof. MD. Kübra Irmak Obstetrics and Gynecology Op. MD. Ayşe Bilgen Liv Hospital Bahçeşehir Op. MD. Ayşe Bilgen Obstetrics and Gynecology Op. MD. Betül Averbek Liv Hospital Bahçeşehir Op. MD. Betül Averbek Obstetrics and Gynecology Op. MD. Billur Küpelioglu Liv Hospital Bahçeşehir Op. MD. Billur Küpelioglu Obstetrics and Gynecology Op. MD. Cansu Kaya Liv Hospital Bahçeşehir Op. MD. Cansu Kaya Obstetrics and Gynecology Op. MD. Deniz Sarıkaya Kalkan Liv Hospital Bahçeşehir Op. MD. Deniz Sarıkaya Kalkan Obstetrics and Gynecology Op. MD. Selda Akal Liv Hospital Bahçeşehir Op. MD. Selda Akal Obstetrics and Gynecology Assoc. Prof. MD. Semra Yüksel Liv Hospital Topkapı Assoc. Prof. MD. Semra Yüksel Obstetrics and Gynecology Asst. Prof. MD. Serhat Şen Liv Hospital Topkapı Asst. Prof. MD. Serhat Şen Obstetrics and Gynecology Op. MD. Elif Uysal Liv Hospital Topkapı Op. MD. Elif Uysal Obstetrics and Gynecology Op. MD. Haldun Celal Özben Liv Hospital Topkapı Op. MD. Haldun Celal Özben Obstetrics and Gynecology Op. MD. Meltem Özben Liv Hospital Topkapı Op. MD. Meltem Özben Obstetrics and Gynecology Prof. MD. İsmet Alkış Liv Hospital Topkapı Prof. MD. İsmet Alkış Obstetrics and Gynecology Assoc. Prof. MD. Ümit Yasemin Sert Dinç Liv Hospital Ankara Assoc. Prof. MD. Ümit Yasemin Sert Dinç Obstetrics and Gynecology Assoc. Prof. MD. Aytac Jafarzade Liv Hospital Ankara Assoc. Prof. MD. Aytac Jafarzade Obstetrics and Gynecology Assoc. Prof. MD. Nazlı Topfedaisi Liv Hospital Ankara Assoc. Prof. MD. Nazlı Topfedaisi Obstetrics and Gynecology Op. MD. Gökhan Kılıç Liv Hospital Ankara Op. MD. Gökhan Kılıç Obstetrics and Gynecology Op. MD. Zeynep Ataman Yıldırım Liv Hospital Ankara Op. MD. Zeynep Ataman Yıldırım Obstetrics and Gynecology Op. MD. Çetin Arık Liv Hospital Ankara Op. MD. Çetin Arık Obstetrics and Gynecology Op. MD. Özge Şehirli Liv Hospital Ankara Op. MD. Özge Şehirli Obstetrics and Gynecology Op. MD. Özgül Kafadar Liv Hospital Ankara Op. MD. Özgül Kafadar Obstetrics and Gynecology Prof. MD. Mehmet Sinan Beksaç Liv Hospital Ankara Prof. MD. Mehmet Sinan Beksaç Obstetrics and Gynecology Prof. MD. Türkan Gülpınar Liv Hospital Ankara Prof. MD. Türkan Gülpınar Obstetrics and Gynecology Prof. MD. İbrahim Alanbay Liv Hospital Ankara Prof. MD. İbrahim Alanbay Obstetrics and Gynecology Assoc. Prof. MD. Ali Ovayolu Liv Hospital Gaziantep Assoc. Prof. MD. Ali Ovayolu Obstetrics and Gynecology Op. MD. Eda Deniz Atkın Liv Hospital Gaziantep Op. MD. Eda Deniz Atkın Obstetrics and Gynecology Op. MD. Hatice Şahin Bıkmaz Liv Hospital Gaziantep Op. MD. Hatice Şahin Bıkmaz Obstetrics and Gynecology Op. MD. Merve Evrensel Liv Hospital Gaziantep Op. MD. Merve Evrensel Obstetrics and Gynecology Spec. MD. Ayça Bozoklar Nuh Liv Hospital Gaziantep Spec. MD. Ayça Bozoklar Nuh Obstetrics and Gynecology MD. Gamze Keleş Liv Hospital Samsun MD. Gamze Keleş Obstetrics and Gynecology Op. MD. Hilal Mürüvvet Bulut Aydemir Liv Hospital Samsun Op. MD. Hilal Mürüvvet Bulut Aydemir Obstetrics and Gynecology Op. MD. Sami Şahin Liv Hospital Samsun Op. MD. Sami Şahin Obstetrics and Gynecology Op. MD. Seher Sarı Kayalarlı Liv Hospital Samsun Op. MD. Seher Sarı Kayalarlı Obstetrics and Gynecology MD. KAMRAN NAĞIYEV Liv Bona Dea Hospital Bakü MD. KAMRAN NAĞIYEV Obstetrics and Gynecology Spec. MD. AYNURE HEMIDOVA Liv Bona Dea Hospital Bakü Spec. MD. AYNURE HEMIDOVA Obstetrics and Gynecology Spec. MD. RAMİN QELENDEROV Liv Bona Dea Hospital Bakü Spec. MD. RAMİN QELENDEROV Obstetrics and Gynecology Spec. MD. SEVİNC SERDARLI Liv Bona Dea Hospital Bakü Spec. MD. SEVİNC SERDARLI Obstetrics and Gynecology Spec. MD. İLHAME ELDAROVA Liv Bona Dea Hospital Bakü Spec. MD. İLHAME ELDAROVA Obstetrics and Gynecology Spec. MD. İRANE QORÇİYEVA Liv Bona Dea Hospital Bakü Spec. MD. İRANE QORÇİYEVA Obstetrics and Gynecology MD. Kamran Naghiyev MD. Kamran Naghiyev IVF (In Vitro Fertilization) Op. MD. Merve Akın Op. MD. Merve Akın Obstetrics and Gynecology Op. MD. Selda Atar Akal Op. MD. Selda Atar Akal Obstetrics and Gynecology Spec. MD. İrana Gorchiyeva Spec. MD. İrana Gorchiyeva IVF (In Vitro Fertilization) Op. MD. Faik Tamer Sözen Liv Hospital Ulus + Liv Hospital Vadistanbul Op. MD. Faik Tamer Sözen Obstetrics and Gynecology Assoc. Prof. MD. Yusuf Başkıran Liv Hospital Bahçeşehir + Liv Hospital Topkapı Assoc. Prof. MD. Yusuf Başkıran Obstetrics and Gynecology

30 Years of
Excellence

Trusted Worldwide

With patients from across the globe, we bring over three decades of medical

Group 346 LIV Hospital

Reviews from 9,651

4,9

Worth a look

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FREQUENTLY ASKED QUESTIONS

What is Ovarian Hyperstimulation Syndrome (OHSS)?

OHSS is an exaggerated response to excess hormones, where the ovaries become swollen and fluid leaks into the belly. Mild cases cause bloating, while severe cases require medical drainage and hospitalization, though modern protocols make severe OHSS rare.

High-impact exercise is discouraged because it can cause the ovaries to become enlarged and heavy, increasing the risk of ovarian torsion (twisting). Gentle walking and light stretching are safe, but running and heavy lifting should be avoided.

Birth control pills are often used to quiet the ovaries and synchronize the follicles before stimulation begins. This ensures that all eggs start growing at the same time, resulting in a more uniform group for retrieval.

Most patients are nervous initially but find the injections very manageable. The needles used for stimulation are very thin and short, similar to insulin needles, and go into the fatty tissue of the stomach or thigh.

If a dose is missed, contact your clinic immediately. Depending on the medication and the timing, you may be instructed to take it immediately or wait. The timing of the “trigger shot” is the only one that cannot be changed.

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