IVF Treatment Policy

In vitro fertilization treatment strategies vary depending on the situation and age.

Ovarian Stimulation Method

Fertilization Method

Whole Embryo Freezing

Embryo Transfer

Assisted Hatching

*This is simply a guideline.
Click here for basic information about in vitro fertilization.

Ovulation induction method using injection administration or oral medicine

41 years of age and younger

42 years of age and older

Start from HMG Cetro Method		Start from Clomid®Metod

Polycystic Ovarian Syndrome (PCOS)

Oak Diet Program		HMG-MPA Method HMG Cetro Other Long Method Clomid®Method

Severe Endometriosis (Intestinal / Rectal / Vaginal Endometriosis)

Others

[Remarks]

♦ If you enter the oocyte cycle in the course of the period Regardless of age, start with HMG-MPA Method or HMG Cetero Method.
♦ Stimulus Cancellation ⁄ Cancellation Criteria
Growing follicle number is greater than or equal to10mm
(ⅰ) Greater than or equal to 35 oocytes → Cancellation due to risk of Ovarian Hyper-stimulation Syndrome (OHSS)
(ⅱ) 0 Oocytes by CD15 → Cancellation due to follicle growth failure

Fertilization Method

Methods by conventional IVF or ICSI

If semen volume is ＜1.5 ml, sperm concentration is ＜15 x 106 / ml or motility is ＜40%: ICSI fertilization may be recommended.

Flow of ICSI

Azoospermia			ICSI
TESE
Over 40 years old
At last Conbentional method, Fertilization Rate＜50% history
Percoll Sex Selection
Bad Sermen After Swim up Motile Sperm Less than or equal to 4ｘ10 6 /ml
Conventional

All Embryo Freezing

A method of freezing all cultured good embryos and transferring them to another cycle

EM thin (Under 7mm)		All embryo freezing
OHSS Risk Oocyte Pick-up 20 or more, or related sympthoms
OHSS history
Couples' Preference
ET/BT

AHA

How to make a hole if the zona pellucida hardens and cannot hatch

40years of age or older		AHA
Repeated implantation failure, IFCE test: No abnomalities
Couples' preference
none

Embryo Transfer (ET) ⁄ Blastocyst Transfer (BT)

A method of culturing in vitro fertilized embryos and returning the split embryos to the uterus

History of ectopic pregnancy		Days5 Transfer/Freeze
Oocyte Pick-up 5 or more		Days2-3 Transfer Days5 Freeze
Days2-3 Transfer/Freeze

♦ Conditions for the Possibility of 2 embryo transfers
(ⅰ)Over 35 years old OR
(ⅱ)Unsuccessful pregnancies of 2 or more times OR
(ⅲ)Strong desire of the couple