{"id":71289,"date":"2024-01-12T08:21:22","date_gmt":"2024-01-12T08:21:22","guid":{"rendered":"https:\/\/fertilityroad.com\/?p=71289"},"modified":"2024-03-25T14:40:02","modified_gmt":"2024-03-25T14:40:02","slug":"overcoming-advanced-maternal-age-real-patient-cases","status":"publish","type":"post","link":"https:\/\/fertilityroad.com\/nl\/treatment-options-abroad\/overcoming-advanced-maternal-age-real-patient-cases\/","title":{"rendered":"Het overwinnen van gevorderde leeftijd van de moeder en complexe onvruchtbaarheidsproblemen - Echte pati\u00ebntgevallen"},"content":{"rendered":"

At Cyprus IVF-ziekenhuis<\/a>, a leading center for reproductive medicine under the expert guidance of Dr. Serap Ka\u011fan<\/strong>, remarkable stories of hope, resilience, and medical triumph unfold regularly. These patient success stories are not just narratives of personal journeys; they are testaments to the advanced capabilities of modern fertility treatments and the profound impact of personalized care.<\/p>\n\n\n\n

In the realm of assisted reproductive technology, challenges such as advanced maternal age<\/a>, recurrent implantation failures, and complex medical histories often stand in the way of the dream of parenthood. However, at Cyprus IVF Hospital, these obstacles are transformed into opportunities for success through innovative treatments, meticulous medical protocols, and a deep understanding of each patient’s unique fertility journey.<\/p>\n\n\n\n

The following three patient case studies exemplify the hospital’s commitment to overcoming some of the most daunting challenges in fertility treatment. Each story is unique in its challenges and triumphs, yet all share the common thread of determined pursuit of successful outcomes against significant odds.<\/strong><\/p>\n\n\n\n

First Patient Story<\/h2>\n\n\n\n

In the realm of reproductive medicine, each patient’s journey is unique, but some stories stand out for their complexity and triumphant outcomes. This is particularly true for the first case, where a 47-year-old patient was treated at Cyprus IVF Hospital, led by the accomplished Dr. Serap Ka\u011fan, an OB\/GYN & IVF specialist with a rich background spanning almost 30 years. This case not only highlights the challenges associated with advanced maternal age and adenomyosis but also demonstrates the profound impact of tailored medical approaches in the field of IVF.<\/p>\n\n\n\n

Background and Previous Challenges<\/h2>\n\n\n\n

The patient arrived at Cyprus IVF Hospital with a history of reproductive difficulties, including female infertility primarily due to advanced maternal age. Her journey had been marked by recurrent miscarriages and implantation failures, compounded by a diagnosis of adenomyosis. Before her treatment at Cyprus IVF Hospital, she had undergone five IVF attempts at other clinics, all of which ended either in miscarriages or negative results.<\/p>\n\n\n\n

A Tailored Medical Approach by Dr. Serap Ka\u011fan<\/h2>\n\n\n\n

Understanding the intricacies of the patient’s medical history, Dr. Ka\u011fan embarked on a meticulous treatment plan. The initial step involved a comprehensive evaluation through a Karyotype male analysis and a thrombophilia genetic panel for the patient, which returned normal results. The presence of adenomyosis required a specialized and extended protocol, a challenge that Dr. Ka\u011fan was ready to meet.<\/p>\n\n\n\n

\n
\"Dr.
<\/figcaption><\/figure>\n<\/figure>\n\n\n\n

The treatment began on the 21st day of the patient’s menstrual cycle, with Gonapeptyl 0.1mg injections. This careful synchronization with her cycle was crucial for the success of the subsequent steps. The patient’s readiness for the next phase of treatment was achieved within eight days, a testament to the protocol’s effectiveness.<\/p>\n\n\n\n

In preparation for the IVF process, the patient underwent several examinations, including an ECHO, an Effort Test, and consultations with cardiologists and internal medicine physicians. These steps were necessary to comply with the health regulations for patients aged 45 and above.<\/p>\n\n\n\n

The IVF Process and Embryo Transfer<\/h2>\n\n\n\n

A key element of the treatment involved egg donation and IVF. The synchronization between the donor and the patient’s preparation was crucial. From the donor, nine mature eggs were obtained, leading to seven blastocysts by the fifth day. The patient’s endometrium was prepared to an optimal thickness of 8.9 mm, creating a conducive environment for embryo implantation.<\/p>\n\n\n\n

A carefully selected single 4AA embryo was transferred. This decision, influenced by the patient’s adenomyosis, was a critical aspect of Dr. Ka\u011fan\u2019s strategy.<\/p>\n\n\n\n

A Positive Outcome<\/h2>\n\n\n\n

The patient’s first trial at Cyprus IVF Hospital resulted in a positive pregnancy test<\/strong>. She is now three months pregnant, a significant milestone after her complicated journey.<\/p>\n\n\n\n

Cyprus IVF Hospital\u2019s Experience with Similar Cases<\/h2>\n\n\n\n

Cyprus IVF Hospital has become a renowned center for patients over the age of 45, handling a wide variety of complex infertility cases. More than half of their patients fall into this age group, illustrating the clinic’s expertise and success in addressing such challenging scenarios.<\/p>\n\n\n\n

Dr. Serap Ka\u011fan\u2019s Insights<\/h2>\n\n\n\n

Reflecting on the case, Dr. Ka\u011fan emphasized the challenges posed by the patient’s previous IVF attempts and miscarriages. The decision to employ an extended protocol and a cautious approach to embryo transfer was pivotal. Dr. Ka\u011fan expressed immense joy and satisfaction in witnessing the patient’s success and happiness.<\/p>\n\n\n\n

\n\n\n\n

Second Patient Story<\/h2>\n\n\n\n

Now we come to our second Patient story, about a patient over 50 years old, who finally became a mother thanks to a fertility treatment at Cyprus IVF Hospital.<\/p>\n\n\n\n

Patient Background and Previous Attempts<\/h2>\n\n\n\n

The patient, at the age of 55 with a BMI of 23, had undergone IVF with egg donation four times at other clinics, unfortunately resulting in negative outcomes despite good embryo qualities. Her medical history revealed struggles with advanced maternal age, thyroid issues, and recurrent implantation failures. Her male partner had been diagnosed with azoospermia, attributed to pituitary gland inhibition by androgen substitution with Nebido, a condition he had stopped treating before starting their IVF journey.<\/p>\n\n\n\n

Diagnosis and Initial Steps<\/h2>\n\n\n\n

Upon arriving at Cyprus IVF Hospital, comprehensive diagnostics were conducted. The female patient’s tests indicated a thyroid imbalance<\/strong>, as her TSH was above the limit despite medication. Dr. Serap advised her to consult her doctor to balance her thyroid hormone, underlining the critical role of TSH hormones in conception and pregnancy.<\/p>\n\n\n\n

The male partner’s azoospermia<\/strong> was a significant factor in their infertility. Dr. Serap recommended vitamins and supplements to improve sperm quality before starting their protocol.<\/p>\n\n\n\n

Protocollen en procedures<\/h2>\n\n\n\n

Several tests and procedures were conducted to ensure the couple’s readiness for IVF:<\/p>\n\n\n\n