IVF

Frequently Asked Questions

1- What factors determine the chances of success with an IVF+ICSI treatment?
The success rate of IVF treatment depends on several factors such as the age of the patient, hormone activity level, and fertility level of the semen of your sexual partner. The medications, medical equipment which is used and the doctor’s experience also play a key role in determining the success rate of IVF treatment. Hence, it is not possible to quote exact statistics on the success rate of these treatments. It is usually concluded that female patients up to the age of mid-’30s with appropriate hormonal balance usually acquire better chances of pregnancy on the first attempt after treatment than females above the age of 35, as after this age fertility level starts to decline in females.
In a few cases, when a good count and quality of eggs are obtained, it leads to multiple embryos. If the embryos obtained are more than the requirement for one cycle, they are preserved for future use and prevent an entire treatment procedure again in the future. If the current cycle fails, then the preserved embryos can be utilised to increase the chances of a successful pregnancy.
2- Why shall I obtain medication treatment before being administered IVF treatment?
It is one of the most common queries among patients who undergo IVF treatment. The answer to this query is that the medications are essential before IVF treatment because, without the use of fertility medications, the ovaries may not release multiple eggs during the menstrual cycle. Without medications, only one egg is produced in the menstrual cycle, and it may not be of an optimal level. Hence, customised prepared medication is administered to optimise the number of eggs to be harvested to increase the chances of a successful pregnancy after the IVF treatment cycle.
3- Is there any age limit to get IVF treatment?
No, there isn’t any age limit to get IVF treatment. The patients are advised to undergo a series of tests for assessment of their fertility level to determine their chances of success with this treatment. Based on these assessment relations, we can determine how likely is it to obtain a good count of eggs of the desired quality for a healthy pregnancy. Experts suggest that females above 35 have much lesser chances of success as their fertility declines after this age unless the females have satisfactory hormone levels which may increase the probability of healthy and faster pregnancy.
4- What tests need to be done prior to IVF treatment?
A series of assessments are required to check the level of fitness and fertility level of the patients. The tests are also carried out to screen for any infectious diseases in the patients. Every test is done to serve different purposes which has a direct implication on the treatment.

Assessment for fertility

For assessment of the fertility level of the patients, they require the following tests to be done on the 2nd or 3rd day of their menstrual cycle:

FSHLHProlactinEstradiolTSMAMHAntral follicle count in ovariesBaseline pelvic ultrasound
The male patients are required to have a semen analysis to observe their sperm parameters such as volume, count, morphology, motility, PH level and round cell count. A minor infection in the man’s sperm levels could lead to a compromise on the entire procedure and affect results negatively.

Assessment of infectious disease

All patients undergoing the treatment of IVF are also required to undergo assessment for the screening of any infectious disease. The tests which need to be done include:

For female patients:

Anti-HIVVDRLRubella IgGToxoplasmosis IgGAnti-HCVCMV IgG
For male patients:

Anti-HCVAnti-HIVVDRLHbsAg

There are three main reasons which make this test essential:

To protect the spread of any infectious disease ar our labs which exposes other patients to the disease too.To avoid the exposure of the embryo to infectious diseases which originates from the patentsTo protect the personnel of the la from the infectious diseases while they handle the sperms and eggs.
The results of the infectious diseases assessment test are valid for a period of 6 months. As long as the patients get their tests done within six months prior to their IVF treatment, a repeat of this test is not required. The test results from reputable hospitals, clinics or diagnostic centres are only accepted, and the original test results need to be present at the time of the first visit for IVF treatment.

5- Hysteroscopy for the imaging of the Uterus and fallopian tubes or the HSG- which test is better and why?
Thirty per cent of the infertile couples suffers from a condition called tubal dysfunction. Diagnostic imaging tests are done to observe the fallopian tube damage before treatment. The fallopian tubes can be assessed in two ways, namely Hysterosalpingo contrast Sonography (HyCoSy) which is a variation of the standard sonography. In this imaging procedure, a contrasting agent is utilised for obtaining visuals of the leakages in the fallopian tubes. This test gives a clearer picture compared to the standard pelvic sonography. When there is leakage detected in the patent tubes of the patient, it indicates that there are no blockages, and when the opposite picture is seen, it indicates that the tubes are either blocked or damaged. However, the blockage or damage in the fallopian tubes is the only factor that influences infertility. The uterine conditions also play a key role in leading to infertility conditions. To assess the uterine condition, Hysteroscopy or Hysterosalpingography (HSG) is the standard imaging technique used for assessment.

Hysteroscopy imaging technique provides a panoramic vision of the patient’s uterine cavity. This process can help us to also carry out a direct biopsy of the possible lesions with this procedure. This method is one of the most accurate processes to diagnose and assess intra-uterine problems. Hysteroscopy is only limited to the assessment of the Uterus and uterine factors and cannot be used to analyse the anatomy of the fallopian tubes.

The HSG, on the other hand, is a more advanced imaging technique to assess the uterine factors and fallopian tubes as well. In this process, a dye is injected into the Uterus. The anatomy of the uterus and the fallopian tubes can be imaged once the dye flows into the fallopian tubes using a steady beam of X-ray. The pictures accurately depict any abnormality or damage in the Uterus or the fallopian tubes.

X-ray beams which are used for imaging during the HSG procedure involve some amount of radiation to the patient. So even though it is an effective imaging technique, the radiation can harm some patients. Hence, HyCoSy is first preferred and regarded to be a better imaging technique for uterine pathology compared to standard sonography. It does not use any radiations compared to the HSG and is considered to be a safer method. Hysteroscopy is used mostly for assessment of tubal patency, and this imaging technique is combined with sonography. This combination of Hysteroscopy and sonography is safer, easier and minimally invasive procedure to the HSG imaging procedure.

6- How do I begin with the IVF treatment?
Firstly all medical test reports are gathered of the patient to analyse and begin with the first-line treatment, which includes fertility medicines. Clear instructions are provided on the dosage and administration of the medicines before final embryo transfer procedure.
7- How is the UVF treatment administered?
Administration of the fertility medicines is quite easy, and these subcutaneous injections are administered under the skin. The doctors provide clear instructions on the doses which need to be mixed and arranged for administering the injections.

You will notice that once the required dosage of medicines is used from the vial, some medicines may be leftover and stored in the freezer to use it for the next day’s dose.

8- How long do I need to live in Thailand for treatment?
We try to minimise the duration of the stay of our foreign patients as we understand how difficult it is for them to take time off from their daily commitments. You can carry out the preliminary tests locally and need to visit us for only six days for the entire treatment process which includes final scans, triggers injection, retrieval of eggs, ICSI for the fertilisation process and the final embryo process.
9- Where do the patients stay in Thailand?
We try to ensure that your stay in Thailand is quite pleasant. From our end, we make arrangements for discounts on hotel accommodation to cater to different budgets.
10- How fast after the completion of the embryo transfer can I know that I have conceived?
A beta Hcg test should be done after completion of 12 days of embryo transfer to detect the levels of the HCG hormones in the blood. This is the specific hormone that is released immediately after conceiving and this gives a more accurate result compared to the pregnancy test which may not be able to detect pregnancy at least 16 days after the successful embryo transfer. Hence it is recommended to schedule a beta test 12 days after the embryo transfer procedure for most accurate results.
11- Do I need to do anything more after the successful embryo transfer to become pregnant?
There are specific guidelines provided after the embryo transfer process. Once the embryo transfer is successfully performed, there is not much to be done for conception. However strict precautions need to be taken to prevent jeopardising the process which can bring negative results, these include having a healthy diet and not indulging in too rigorous physical activities which can impact the embryo’s ability to implant.
12- What is the cost of IVF treatment at Medicare Vacation IVF centre ?
The cost of the IVF treatment at IVF clinic is approximately 2500 THB. The cost includes the various scans and tests which are done before the IVF treatment. However, the preliminary testing, fertility medicines s, flight costs, and accommodation is not included in this.
13- Why should you go for IVF in Thailand?

Thailand is one of the best countries with a great medical facility. There are many IVF hospitals in Thailand that provide you with great infertility treatment at the most reasonable price. Therefore, going to Thailand for an IVF treatment can benefit you with high-class medical facilities economically.

14- What is the cost of IVF treatment in Thailand?

The cost of IVF treatment in Thailand may vary depending upon the IVF treatment clinics in Thailand and other factors such as the medical history of the patient, the package offered by the IVF clinic, the number of facilities opted by the patients and much more. The cost of IVF treatment in Thailand may cost you approximately anywhere between $ 7000 to $ 11000 depending upon the procedure, medical condition and much more.

15- Is IVF in Thailand successful

Yes, IVF is one of the most tired and tested fertility treatments in the world. The success ratio of IVF is great. However, it is necessary to opt for this treatment only at the best IVF centre in Thailand to get the desired results and best medical facility.

16- How is the IVF service in Thailand?

The IVF treatment clinics in Thailand offer good medical facilities and IVF treatment. They are known for their immense knowledge of the procedure and superior medical advancements. Most of the IVF treatment Clinics in Thailand optimum IVF and medical service.

17- Does age affect the chances of success in IVF?

Yes, Age is one of the most important factors that affect the success of IVF. The more the age of the patient the lesser the chances of successful IVF treatment. However, opting for the professional and experienced IVF treatment clinics in Bangkok can considerably increase the success of your IVF procedure. It is imperative to do research and find the best IVF hospital in Thailand for the desired results and successful IVF treatment.

18- How many days are required for IVF?

The days required for IVF may vary depending upon the IVF clinic in Thailand. However, the best IVF clinic in Bangkok, 2 time need to travel . 1st time 7 days (If 7 days egg stimulation doing in home country) & 2nd time 4 days . minimum gap between 1st & 2nd visit 1 month. Max gap no limit it’s up to client.

19- How many embryos are transferred in IVF?

Generally, 1-2 embryos are transferred in IVF. However, this may change depending upon the age of the patients and their medical history. Consult the best IVF centre in Bangkok to in detail about the IVF treatment and procedure.