IVF Cost » Turkey

IVF Cost at JinePOL Womens’ health and IVF Center, Turkey – great response!

admin — Wed, 07 Jan 2009 13:46:10 +0000

Three days after I sent my letter requesting information on the IVF cost, IVF success rate and IVF procedure to Selim Senoz at the JenePOL Women’s health and IVF Center in Turkey I received the reply below.

I have added the approximate US$ prices in red.

This is a great response, all questions answered directly and fully, the only thing is that there is no indication as to the cost of the fertility drugs – which we all know can add a significant amount to the cost! Even though, I still think this should be one for my shortlist.

The wesite, found here, only has a map on it, but you can get more information by emailing Selim Senoz at selim.senoz@kadindogum.com.

Hi,

It is a long list. Therefore when I receive your mail in my cellular phone, I feel like waiting to find a keyboard. However, you are very much right regarding the question you asked. They are very important. However, it is very difficult to control if they are absolutely true.

What is the current success rate for your clinic? (preferably by age as I know that the success rate will be much lower for somebody of my age)

The pregnancy rate is around 25-30%, the clinical pregnancy rate 20-25% – take away baby rate (delivery rate) is pretty low – about 10%

The chance does very much depend on the number of oocytes produced. If she has less than 4 oocytes, the chance is almost ZERO. Therefore it is very difficult to decide someone’s chance. History of infertility, if there are previous IVF trials, the outcome of those procedures are very important

How many cycles do you perform per year at the clinic?

250-300 cycles per year

What is the maximum age that you treat?

Usually after 45 we do not accept patients for IVF. However, if we believe that she can produce more than 5 oocytes, we can try our chances. One patient at 47 years old produced 15 oocytes and tried one cycle recently. She had nice embryos, but did not get pregnant in her first trial.

Are there any fertility conditions that you will not treat?

I did not understand this question. If there is chance and the patients are willing to try, we accept them. If there is no gamet, then we encourage the patients for donation programs.

What is your embryo transfer policy? How many embryos will you replace at one time?

This depends on the previous trial, patient’s history, religious believes etc. Usually we transfer 2-3 embryos. If the patient is older than 40 and she declare that she will accept fetosit (elimination one or more fetuses around 10 wks of pregnancy) we may transfer more than 3. There is no strict policy. We make a decision with each couple separately.

What is the basic cost of the IVF treatment?

1800 Euro (approx. US$2,451) excluding fertility drugs.

What additional costs would / could be incurred?

Nothing. If embryo freezing needed, 300 Euros (approx. US$409) for freezing and for the first year.

What happens to the costs if the cycle has to be abandoned?

If cycle is canceled before the oocyte pickup, no charge.

If no oocyte is retrieved after an oocyte pickup procedure is done (under general anesthesia), 450 Euro (approx. US$613) is charged.

If no fertilisation occurs and embryo transfer cannot be done, 1000 Euro (approx. US$1362) is charged.

How long would I need to be in Turkey for?

If we have all your data and start your drugs with the help of your local doctor, everything can be done in less than a week. Otherwise, we have to see you on the first day of your cycle and everything usually takes 2 wks.

Who deals with the logistics of flights and accommodation?

If you like we can help you arranging everything. However, you have to tell us what kind of hotels you like etc. It is upto you.

How is the pre-treatment carried out?

If we have your medical history, we can decide the ovulation induction protocol. For example, if you have already tried high doses of gonadotropins and still got 1-2 oocytes, the best thing is donation program. However, we have some patients who got pregnant with low dose of drugs, sometimes with natural cycle (no gonadotropins at all) after retrieving only one oocytes per cycle. However, this does not suit you. This regimen needs to live near the clinic because sometimes after all follow-up, we have to cancel the cycle because of premature ovulation.

How do I get medication?

If you are here, we provide the drugs too.

How will I be monitored?

In some cases, we use the local gynecologist willing to help us. In most cases we do the monitoring. Usually we have to see the patient 2-4 times before the oocyte pickup.

How will I know that I am not being under / over stimulated?

When we see you, I will make a guess about how many eggs you will produce. If you do around that number, the dose means O.K. The higher dose does not mean the more oocyte. Especially POOR RESPONDER patients produce the same number of oocytes with low or very high doses.

If I have a problem whilst in the UK who would I go to?

You won’t have a problem after embryo transfer. If you have problems, it will be related to pregnancy. You will consult with your local doctors. There are some possible problems after an embryo transfer: The infection, ovarian hyperstimulation syndrome (OHSS). These are predictable. At the age of 43, the OHSS is rarely a problem. You cannot produce that many follicles and a very high estradiol.

Is the clinic registered with any regulatory body?

Yes, our clinic is registered with the Ministry of Health.

Technorati Tags: My IVF Shortlist, Turkey

IVF Cost at Prof. Dr.Timur Gurgan Clinic, Turkey – great information!

admin — Tue, 06 Jan 2009 17:44:48 +0000

Four days after I sent my letter requesting the IVF cost, IVF success rate and IVF procedure to the Gurgan Clinic in Turkey I received the excellent reply below. This is one for my shortlist. The website can be found here, unfortunately it does not appear to have an English translation, so only any use to those of you who can read Turkish – which unfortunately I can’t!

I have added the approximate US$ costs in red.

First of all thank you for your interest in our clinic. I will try to answer all of your questions briefly

1- It would not be very accurate to give you or any patient a success rate before you start the treatment in our clinic. Our principle is to evaluate each patient on their own and when they start treatment in our clinic we give them an honest success rate depending on their age, egg and sperm quality and many other different factors. As you might know infertility treatment is very complex and your success rate might be affected by many different factors, even your psycological condition during the treatment. We can give an approximate 25 to 30% average success rate in general (over this percentage would be very unrealistic for any infertility clinic) but of course we had many patients who had chances way over or way below this average. The most correct assumption would be made before the embryo transfer, when we will know the number of high quality embryos you have..

2- We do not have a maximum age for admitting patients. As long as you have healthy eggs and your husband has healthy sperm, we proceed with the treatment. We had many patients over age 40 that achieved healthy pregnancies and had babies.

3- We do not provide egg or sperm donation in our clinic as it is not legally permitted in Turkey. So if you do not produce eggs or we cannot find alive sperm cells in your husband, we won’t be able to offer you donation options. Also according to Turkish law, we can only perform IVF treatment to married couples.

4-We can transfer 3 embryos maximum to the patient again according to the regulations. But we can freeze embryos so if you have more than 3 good quality embryos we can freeze the remaning and use them if your treatment is unsuccessful.

5-The total cost of IVF treatment in our clinic is 4250 YTL (Turkish Liras) (approx. US$2,805) excluding the medications. This price covers your examinations in our clinic throughout the treatment, egg collection and embryo transfer procedures and doctor’s consultations. The IVF medications you will need to buy yourself and The price of medications vary from 1000 (approx. US$660) to 2000 YTL (approx. US$1,320), depending on the type of treatment decided to be performed by our doctors.

6- If you or your husband might need any extra procedures, they will be at extra cost. For example for TESE procedure for men, PGD or embryo freezing procedures will be at extra cost

7- We perform an average of 1000 IVF treatments per year.

7- If the cycle will be abandoned after the egg collection (meaning no healthy embryos were achieved for transfer) you will get 900 YTL (approx. US$594) of the price back. If the cycle is cancelled before the egg collection meaning no eggs could be achieved with drug stimulation or we couldn’t find any healthy sperm from thu husband even with the TESE, you will be refunded 2500 YTL (approx. US$1,650) of the cost.

8- The treatment takes around 30 to 45 days total starting from the day you come to our clinic for consultation. During that time, you can go back home for the while that you are using the hormone drugs and come back a couple of days before the egg collection. We recommend that you stay here between the egg collection and embryo transfer period (which is usually a couple of days) and also wait a couple days before travelling after the embryo transfer.

9- If you wish, you can let us know when you will be arriving and how long you intend to stay here and we can look for accomodation options for you.

10- The medications we can arrange to be transfered to our clinic for you from the local pharmacy.

11- During the treatment, we will have a nurse describe you how to and when to use the medications. You will be invited to the clinic usually once in every two or three days for vaginal ultrasound to monitor how your eggs are developing.

12- The doctors will get your treatment history and will very carefully evaluate your doses. We also do have treatment options with very low stimulation and if you are eligible for those treatments, they will be offered to you.

13- While in UK, if you have a problem you can contact us and we can refer you to visit a physician or a hospital/ clinic that we know of and trust.

14- All of infertility clinics in Turkey are closely monitored by Turkish Department of Health and inspected by officials regularly. If they do not comply with the law or do not meet the standard regulations, their license is cancelled. Our clinic is the oldest private clinic in Ankara and we are one of the leader institutions in Turkey and our doctors are in the IVF consultant board of health ministry themselves.

I hope the information I provided is useful. Please contact me if you have further questions..

Best Regards,

Selin Gurgan

Patient Relations Director

Technorati Tags: My IVF Shortlist, Turkey

IVF Cost at Jinemed Hospital, Turkey

admin — Tue, 11 Nov 2008 16:23:27 +0000

The same day that I sent my letter requesting information on the IVF cost, IVF success rate and IVF procedure to the Jinemad Hospital in Turkey I received the reply below.

Prices have been given in GBP and I have added the approximate US$ equivalents in red. Their website can be found here.

Although all of my questions have been answered directly I was not keen on the replies in the last two, perhaps it’s just me being sensitive!

1. Below 35 it is 60 %, between 35-38 %40 , above 38 %25

2. apprx. 1500

3. no limit on this

4. none, but we may recommend different treatments such as egg donation to women with very poor ovarian reserve

5.up to 3 embryos can be transferred with the patients consent.

6.. 1500 gbp (approx. US$2310) + medications ( about 800 gbp (approx. US$1230))

7. we dont charge for blastocyst, assisted hatching. we charge for medications if we have to use excess. for example 450 IU of gonal f every day will cost about 1500 GBP (approx. US$2310)

8. we charge 500 gbp (approx. US$770) basic + medications used upto that moment

9. 18 days but if local doctors can participate in, then it can be reduced to 7-8 days. there wont be difference in the basic IVF cost but medications will be purchased by the patient int heir home country. we can write prescription and you can order online from international pharmacy such as ivfmeds.com. If the patient is in london, we can recommend a doctor. there would be costs for 1000 gbp (approx. US$1540) extra in such sitation + meds

10. patient coordinators like me arrange these. we offer 3 hotels but we dont do flights because patients can get cheaper tickets in their home country.

11. pre treatment requires several blood tests to be done in the home country ( fsh,lh,prolactin,tsh,estradiol) + antral follicle count + ultrasound scan of the lining of the womb + sperm count. if all is fine , protocol is decided and treatment starts on day 2 of the following cycle in istanbul or in the home country. in some situations down regulation is necessary. when this is the case, then another medication is used on day 21 of the previous cycle before starting the treatment in istanbul or in home country on day2.

12. explained before

13. we can do this in london with our recommended doctor. he follows the patient and we share the information and decide what to do next.

14. your afc count will give you an idea while you are being treated. doctors can tell you as well.

15. if you have a problem our doctor can refer you to clinics but this is not his nor jinemeds responsibility.

16. of course yes. we cannot do treatment otherwise !! what kind of a question is this ??

Best Regards,

Ugur Camlibel

Patient Director

020 3002 0759

00 90 532 265 65 60

Technorati Tags: Turkey