Posted on 09/06/2019 by Dr Bernard Kassab Clinic

IVF (in vitro fertilization) Lebanon

Price: 2500USD

SUMMARY: Dr. Bernard Kassab’s Clinic offers standard IVF cycles, IVF cycles with egg donation, IVF cycles with sperm donation, IVF cycles with embryo adoption, IVF cycles with cryo–transfer, and IVF cycles with PGD/PGS screening techniques. Every IVF cycle designed by Dr. Bernard Kassab is authentic and flexible. The treatment protocol is tuned up for every couple according to their health criteria. The basic IVF package costs 2500 USD covering all standard options.

More details about IVF package and IVF cycle in FIV Marbella.

IVF or in vitro fertilization is the POWERFUL technique that is used for fertilization of every mature oocyte with sperm with or without ICSI or IMSI technique with further embryo culturing “event” and embryo transfer “event.”

The “content” and “configuration” in every IVF cycle is authentic as there are different techniques and options that are synchronized for every case, starting from fertilization technique, embryo culturing and embryo monitoring, helping the embryo to hatch outside, preparing maternal endometrium for embryo launching event and completing with PGS (preimplantation genetic screening), PGD (preimplantation genetic diagnosis) for screening the embryonic content and identifying in chromosomal profiles’ the abnormalities and embryo vitrification for the next frozen embryo transfer (FET) cycles.

Dual–staged (oocyte pick–up and fresh embryo transfer) or more, with minimal, moderate or intensive ovarian stimulation protocol, with ICSI (IMSI) fertilization technique or without, with prolonged time frame for embryo transfer event or more, with laser–assisted hatching or without, with PGS NGS screening or without, with PGD or without, with frozen or fresh embryo transfer, — every IVF cycle is different in its core.

Drafted with FLEXIBLE strategies and variety of techniques and options, “previewed” and discussed, synchronized by connecting the most POWERFUL strategies and EFFECTIVE techniques that can be implemented for this case, every IVF cycle is taken to the next level and completed in the most brilliant way. 

IVF cycle in Dr. Bernard Kassab’s Clinic explained step–by–step: 

STEP 1 | Initial Consultation.

During your first consultation, Dr. Bernard Kassab will review your medical history, your husband’s medical history, your OB/GYN history, and your husband’s andrology history. You will discuss all treatment options that can be synchronized in one IVF cycle. Dr. Bernard Kassab will draft your IVF cycle from your first step till the embryo transfer big debut. Several ovarian stimulation protocols will be also drafter and discussed with you. He will schedule all your pre–treatment screening tests and answer all your questions about the screening tests that you will undergo.

STEP 2 | Preparation for IVF cycle.

Pre–treatment screening tests and blood tests are necessary as their results are vital for selecting the most effective ovarian stimulation protocol. Plus, screening tests will indicate the major issues or malformations that may impact your IVF cycle’s outcome making it possible for choosing the best management strategy for your case. If there is no malformations or serious diseases, the ovarian stimulation protocol will be tuned up and started right away. If there is a serious issue, Dr. Bernard Kassab will create a management strategy to fix the problem.

Your husband also undergoes the blood screening tests and sperm screening tests before the IVF cycle is started.

STEP 3 | Controlled Ovarian Stimulation and Its Monitoring.

Naturally, only one or maximum two mature oocytes are released during one cycle. The major goal of IVF is to have more than two mature oocytes that can be fertilized. This goal is achieved by ovarian stimulation. Oral pills and injectable hormones stimulate more ovarian follicles to grow.

Ovarian stimulation is controlled both via regular transvaginal ultrasound scans and blood tests that measure estradiol hormone levels. On the one hand, ultrasound scans show the number of follicles and their development. On the other hand, estradiol hormone indicates the oocytes’ maturity.

STEP 4 | Trigger Shot.

Controlled ovarian stimulation is constantly managed via ultrasound visualization of the follicle growth and blood tests that indicate the timeframe of the oocytes’ maturity. When the oocytes are mature and ready to be released. Oocyte’s release is termed “ovulation.” If ovulation occurs and there are no sperm cells that can fertilize the oocyte, the oocyte is just lost. The same thing may happen if self–ovulation is not prevented. To prevent self–ovulation, the trigger shot is injected. Trigger shot makes the oocytes accessible for collection.

STEP 5 | Oocyte Retrieval.

Ultrasound–guided oocyte retrieval is an invasive procedure, thus performed under the general anesthetic. The oocyte pick–up procedure is performed in the following way: a fine oocyte retrieval needle “punctures” the follicles under the ultrasound guidance one by one. The oocytes with liquid from the follicles are collected into the special bag and transferred to the IVF laboratory. In the IVF laboratory, the oocytes are “taken” from the follicular liquid. The next step is the separation of the mature oocytes from immature ones. The mature oocytes are chosen for further fertilization.

STEP 6 | Sperm Collection and Sperm Preparation.

The husband’s sperm is collected into the sterile sperm collection kit and transferred to the laboratory right away. The sperm sample is prepared for fertilization in the laboratory at the same time as oocyte retrieval is being performed.

STEP 7 | ICSI Fertilization.

Embryo generation event occurs in the IVF laboratory. Fertilization is done under the ultrapowerful objective of IVF Micromanipulation Workstation that turns it possible to “catch spermatozoon’s tail” and to inject the spermatozoon directly in the mature oocyte. Every oocyte is injected with only one spermatozoon. This manual penetration is done to boost fertilization potential. All fertilized oocytes are placed in the incubator for further development.

STEP 8 | Embryo Culturing.

If the oocytes are fertilized with sperm, the embryo generation event is successful. The embryos are left to grow in special culture media that is added into their Petri dishes. Embryonic development is constantly monitored by the embryologist via EmbryoScope Time–Lapse System that detects every moment of the embryo’s growth.

STEP 9 | Embryo Transfer.

Before the actual embryo transfer, the embryologist selects one or two embryos that can be characterized as boutique–quality ones. Embryo transfer day is always the most expected day ever. The embryo transfer procedure is performed when the embryo reached day 3 or day 5. It is completed maximum in 10 minutes without sedation or anesthetic. The speculum is inserted first. After that, a tiny catheter is inserted through the cervix into the uterus manually. It can be done under ultrasound guidance. The embryo is launched inside the catheter and transferred directly into the womb. After the embryo transfer, the patient should rest at least 5 minutes in the doctor’s office and 24 hours at home.

STEP 10 | Embryo Vitrification.

The embryonic cohort that is left after the embryo transfer is vitrified for the further frozen embryo transfer cycles. The best thing is that the IVF with frozen embryo transfer cycle is started without ovarian stimulation protocol and oocyte retrieval. Vitrification is an ultra–rapid cooling technique that allows cryopreserving the oocytes, sperm, and embryos for the future. It is also proved that vitrified embryos have top survival ratings.

STEP 11 | Blood Pregnancy Test. 

Two weeks after the embryo transfer, you will come to Dr. Bernard Kassab’s Clinic for your first pregnancy test. The blood test will be performed to measure the pregnancy (hCG) hormone levels. hCG hormone is a specific pregnancy hormone that is produced by the placenta after the embryo implantation event. This tiny placenta is nearly invisible but manages smartly your hormonal levels. If hCG levels are high, you are pregnant. The urinary test will be done two weeks later to confirm the results.

STEP 12 | Early Ultrasound Scan.

Early ultrasound scan is performed to validate the blood pregnancy test and uterine test results with 100% accuracy. Transvaginal ultrasound detects the gestational sack and the embryo heart activity as early as week 7 in your pregnancy. If you noticed the glittering dot on the screen, be sure, it is a tiny heart. And if the dot is constantly glittering, that seems that it is beating actively. If the heartbeat rate is normal, the embryo is developing.

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