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FAQs


1. Where are we located?


3 St. 161, Hadayek El-Maadi, Maadi, Cairo, Egypt. Behind Maadi Military hospital.

115 Omar Ibn El Khattab street, Almaza, Heliopolis (Satellite clinic)

Talaat Mostafa building, in front of Tivoli Dome

2. What services do you offer?


The Egyptian IVF-ET Center offers all infertility related procedures, this includes:

1. Semen analysis 

2. Monitoring ovulation

3. Ovulation induction

4. IUI (Intra Uterine Insemination)

5. IVF (In Vitro Fertilization)

6. ICSI (Intra Cytoplasmic Sperm Injection)  

7.     Male infertility, TESA/TESE (Testicular Sperm Aspiration/Extraction)

8. PGD (Preimplantation Genetic Diagnosis)

9. Fertility preservation: Cryosemen (semen freezing)

10. Fertility preservation: Oocyte vitrification (egg freezing)

11. Fertility surgery: Hystroscopy

12. Karyotyping

13. Screening for Thalassaemia

14. Antenatal care

15. Satellite

1. Semen analysis

Examination of the semen sample to report on the sperm count, motility and morphology.

2. Monitoring ovulation

Follow up on ovarian response to ovulation induction drugs. In the case of the natural cycle we perform an US (ultrasound) or measure hormones in blood and/or urine to monitor ovulation.

3. Ovulation induction

One oocyte (egg) is produced in natural cycle. Ovulation induction involves giving hormones to stimulate the ovaries to produce more than one oocyte (egg) in a single cycle, to increase possibility of conception

4. IUI (Intra Uterine Insemination)

Injecting a small volume of washed and activated husband’s sperm inside the uterus at the time of expected ovulation as detected by US and hormonal testing in urine.

5. IVF (In Vitro Fertilization)

Ovarian stimulation and monitoring is followed by aspirating of the oocytes outside the body through a needle into the vagina guided by US. The oocytes are kept in a controlled environment within the incubator in the laboratory with appropriate temperature, oxygen, carbon dioxide tension and  all necessary elements. Certain number of selected and prepared husband’s sperm are added to each oocyte to be fertilized . The next morning the oocytes are checked for signs of fertilization and left to grow further into early embryonic growth as division into 2,4,8,16....cells takes place . At the proper time ( day 2 to 5) embryo transfer of the best 2-3 embryos takes place into the wife’s uterus.

6. ICSI (Intra Cytoplasmic Sperm Injection)  

Is the same like IVF in all steps except the method of fertilization where in ICSI selection of one sperm (the best available) is done under a special microscope and is aspirated in a very fine glass micro needle to be injected into the oocyte.

7. Male infertility, TESA/TESE (Testicular Sperm Aspiration/biopsy)

Our expert andrologist will examine the husband clinically to assess the cause of infertility. In cases where no sperm are found in the semen, a simple operation can be performed to take a small sample from the testes through a needle (TESA) or through a small incision (TESE) usually under local anaesthesia.

8. PGD (Preimplantation Genetic Diagnosis)

Taking a biopsy (one cell) from the embryo to be tested genetically to ensure the transfer of healthy embryos. It is indicated to avoid the risk of transmitting chromosomal or genetic  abnormalities to offsprings.

9. Fertility preservation: Cryosemen (semen freezing)

Longterm storage of semen samples for cancer patients before receiving treatment is achieved by safely storing in liquid nitrogen.

10. Fertility preservation: Oocyte vitrification (egg freezing)

Longterm storage for oocytes can be done to preserve fertility before undergoing cancer treatment. The patient will undergo ovarian stimulation and oocyte pick up, then the resulting oocytes will be treated in the laboratory to be stored in liquid nitrogen where they can be safely preserved for many years.

11. Fertility surgery: Hystroscopy

Is an examination of the uterine cavity by a very fine camera and instruments that are introduced through the vagina and the uterine cervix as an outpatient procedure.

12. Karyotyping

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

13. Screening for Thalassaemia

This is a type of anaemia where the red blood cells are excessively broken. The procedure involves examining a blood sample through HB electrophoresis to determine the percentage of HB A type. If both partners are carriers or one is affected it is advisable to do PDG in order to avoid having a child affected with Thalassaemia.

14. Antenatal care

The Egyptian IVF center offers antenatal care to all our pregnant patients who wish to follow up with their pregnancy under the supervision of our team of expertise, excluding the patients referred by physicians who are not working in the center.  Those patients will be asked to follow up with their initial doctors. Antenatal at the IVF center involves the first visit to confirm viability of pregnancy,  which is done by transvaginal ultrasound at 7 weeks (5 weeks after the positive pregnancy test). During this ultrasound we confirm the presence of fetal pulsation and the number of gestational sacs. Instructions are given on medications and lifestyle.Follow up visits are held monthly to follow up weight gain, blood pressure, instructions on Vitamin supplementation and general pregnancy complaints.The center offers 3D ultrasound examinations at least twice during pregnancy; the 11-14 weeks to screen for Down’s syndrome and check fetal anatomy, and  20-24 weeks scan to recheck fetal anatomy, monitor growth and development of organs. We don’t believe in exposing the fetus to ultra sounds waves unnecessarily, thus subsequent scans are only undertaken if need arises. The team at the Egyptian IVF center supervises and manages the delivery of our patients in facilities (hospitals) within and without the precincts of Cairo according to patients’ choice and convenience.

15. Satellite

We at the Egyptian IVF-ET center understand the burdens and efforts of our patients and we’re also aware of the traffic problem in Cairo nowadays.  To facilitate the journey to our patients, we’ve decided to open in a new facility that would be closer to reach if the patients are working or living far away from our main facility in Maadi.The satellite clinic is located in Heliopolis.  Patients can do their first counseling there, follow up visits including; monitoring blood testing and timing of ovum pick up ( pick up and embryo transfer is performed at the home center in Maadi) , Blood pregnancy test, first pregnancy ultrasound and follow up antenatal care

3. How can I make an appointment?And is it possible to take an appointment in the evening as I can’t leave work in the mornings?


The appointment can be easily made, through our website, by phone or e-mail.Yes it’s possible to take an appointment in the evening at our new Heliopolis facility.

4. How many times should I visit the center?


1st visit: initial consultation

2nd  visit: on the 21st day of the beginning of the cycle to start the treatment

3rd visit: Blood sample 15 days following the start of the treatment.


4th.5th.6th visits: Monitoring of ovulation within one week

7th visit: day of ovum pick-up

8th visit: day of embryo transfer on the second to the fifth day of ovum pick-up.

5. How long does the treatment take?


Medication usually starts on the 21st day from the beginning of the cycle and the whole cycle from start of medication till embryo transfer lasts for almost one month ± one week according to the ovarian response.

6. Does my husband need to be present throughout the procedure?


No, generally we need your husband only on the day of egg retrieval; however, we prefer to cryopreserve a semen sample prior to egg retrieval. Therefore, ideally your husband would be involved one week prior to the egg retrieval procedure (only 2 visits).

7. What tests do I need prior to the start of the procedure?


a.     Recent semen analysis dating less than one year.

b.     Hormonal profile F.S.H ;  L.H and  E2 done on day 3 of the cycle.

c.      Recent pelvic U/S scan.

d.     Liver & kidney functions.

8. Can I start the treatment while I am abroad?


Yes, the 1st the treatment should be followed up at the center.

9. What can I expect during my 1st visit?


At the initial visit, you will be counseled by one of our consultants, who will examine you, review your medical file, decide and discuss the treatment plan, and explain the procedure in details.

10. Are the procedures involved in IVF painful and am I awake during these procedures?


No, generally the IVF procedure is not painful, it mainly involves a series of transvaginal ultrasounds and blood samples. Egg retrieval is done under general anesthesia. Embryo transfer which is the last step, is a simple procedure done in majority of cases without anesthesia, but if you are stressed about it, it can be done under general anesthesia.

11.Are the injections painful?


Almost all of these injections are administrated subcutaneously with a short needle thus, discomfort should be minimal. After the embryo transfer there are intramuscular injections which may be more uncomfortable; however they can be replaced by vaginal suppositories. 

12.What are the side effects of IVF medication?


In general IVF medications used to prepare uterus and to stimulate the ovaries 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 effect is some abdominal discomfort, headache, hot flushes. In rare cases, especially in patients with polycystic ovaries, ovarian hyper stimulation may occur which excessive ovarian response to drugs is leading to enlarged ovaries, abdominal distention and pain. At our center the incidence significantly decreased due to strict preventive measures. In our last record the incidence is <1%.

13. Which day is ideal for embryo transfer?


So far, there is no such thing as an ideal day for everyone.  Each body is different and every woman has her own ‘ideal day’.  The days of transfer are typically from day 2 after egg retrieval to day 5.  The lab experts together with the physician in charge are the ones who decide the ideal day of transfer depending on each case; according to the number of embryos, the rate of growth, quality of embryos, results of previous trials, and any associated procedure like PGD.

14. Does blastocyst transfer (day 5) improve outcome of IVF?


Only in some selected patients. However it does not improve overall pregnancy rate in IVF program. The ideal patients for blastocyst transfer are those who are less than 38 yrs old, producing a good number of oocytes and good number of good quality embryos. It’s not suitable for elderly patient or young patients producing small number of good quality embryos.  Its main value is for single embryo transfer to reduce multiple pregnancies.

15. Does assisted hatching improve outcome of IVF?


Our center has introduced assisted hatching by laser more than 20 years back. Generally, it is not indicated, as evidence has shown, that it doesn’t improve the outcome of IVF in any way. It may only benefit some selected cases.

16.How many embryos do we transfer?


This depends on the age of the patient as well as the quality of available embryos; the majority of patients transfer 2-3 embryos.

17. How long do I need to rest following embryo transfer?


After the procedure of embryo transfer you need to rest at the center for 2 hours, after which you can resume your normal life. Generally, vigorous exercise like horseback riding & diving are not advised.

18. Can I fly by plane after my IVF/ET procedure?


Yes, it is safe to fly one day after the procedure.

19.What is the policy of the Egyptian IVF center for storing embryos for patients?


This depends on the number of available embryos on the day of transfer. Generally, you’re offered to freeze the excess embryos.  In some patients at risk of severe hyperstimulation we advise to cryo (freeze) all embryos and then do embryo transfer in another months after the condition subsides.

20. What is the billing policy?


At initial visit, you only pay the fees of the initial consultation, then once you start the procedure you will be informed about the exact fees, based on your case.

21. How much does the treatment cost?


Cost is determined after meeting the doctor and determine the program followed.

22. How successful is IVF/ICSI?


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 drops  to approximately 35-40%; while at the age of 40 chances of pregnancy drop to 20% and at 43 years to 5%.

23. What are the results of the Egyptian IVF Center?


Our latest results of cycles performed in one year:

a. Overall summary of results irrespective the cause of infertility ,the age of the wife, and the number of previous trials.

Number of ovum pick-up procedures 5499
Number of embryo transfers 4931 (90%)
Number of confirmed pregnancies by pregnancy test & ultrasound 1916 (39%)

b. Summary of results if age of the patient is less than 40 yrs, irrespective of the cause of infertility

Number of ovum pick-up procedures 4005
Number of embryo transfers 3849 (96%)
Number of confirmed pregnancies by pregnancy test & ultrasound 1571 (41%)

c. Summary of results of testicular biopsy if the cause of infertility is functional azoospermia, irrespective of the age of the female patients

Number of ovum pick-up procedures640
Number of embryos transfers348 (54.4%)
Number of confirmed pregnancy by pregnancies test & ultrasound126 (36%)


d. Summary of results of testicular biopsy if cause of infertility is obstructive azoospermia,  irrespective of the age of the female patients

Number of ovum pick-up procedures 198
Number of embryo transfers 197 (99.5%)
Number of pregnancies confirmed by pregnancy test & ultrasound 88 (45%)

Success rate of embryo survival following thawing (de-freezing of embryos) is around 97% while the chance of becoming pregnant is around 35%.

24. What is the success rate of frozen thawed embryos?


Success rate of embryo survival following thawing is around 97% while the chance of becoming pregnant is around 35%.

Special Circumstances:


1. What is the age limit of the procedure?


Women are not advised to undergo IVF treatment if they've passed 43 yrs.

2. I have endometriosis, does this affect my fertility and can it affect success of IVF?


Patients who require IVF and who suffer from endometriosis, still have the same chances of successful outcomes as patients of the same age without endometriosis.

3. Can fibroid interfere with success of IVF?


The significance of fibroids depends not only to their size, but also their location. Even small fibroids located inside the cavity of the uterus where embryos need to implant may interfere with success and need to be removed whilst fibroids not encroaching on the cavity of the uterus are generally not significant unless they're larger than 5 cm. Fibroids, also require more medical attention if there are enough of them to cause significant uterine enlargement.

4. Does removal of hydrosalpinx improve the outcome of IVF?


Yes, it does increase chances of pregnancy by 5-10% . It is recommended as long as it does not involve surgical risks for the patient.

5. Does preimplantation genetic screening (PGS) improve outcome of IVF?


Generally it's not recommended, as evidence has shown it of no benefit.

6. My husband does not have any sperm in his semen, can we still do ICSI?


Yes, but prior to the treatment your husband needs to visit our andrologist, in order to know the exact chances of finding sperms in the testicular biopsy (i.e. in the testicles) before starting the procedure.