This document is to help you understand when and what will happen during your stay in Cyprus.
Prior to attending for treatment in Cyprus you will be guided through the UK part of your treatment by the International Patient Co-ordinator, she will assist you with donor request completion as well as supporting you through your preparation.
Once a donor has been allocated and we have confirmed that with you, one of the Cyprus team will contact you via email and telephone to inform you of your first appointment at the clinic.
The clinic is situated in the Yasam Hastanesi, Famagusta on the second floor. On arrival to the clinic you will enter our reception. Please ask for the specialist nurse on arrival and the reception staff will then let her know you have arrived. You will be asked to wait in the reception area until she is able to see you.
On the first visit to the clinic, which for egg donation, is the day yobaur donor is attending for egg collection. Please note you will not be in the same area as the donors and will not at any time come into contact with or see donors in the clinic. For PGD your first appointment will be the day after you arrive in Cyprus.
For egg donation patients a specialist nurse will allocate a time to see patients as no scans are carried out on that day as we take the last scan in the UK as a certified account of endometrium thickness, if this has not occurred then you will be scanned. For PGD patients an appointment will be allocated on the day following your arrival in Cyprus.
For egg donation patients we go through consent forms, collect sperm specimen, adjust medications and take payment for treatment on the first visit. A specialist nurse will explain the procedures and protocols also that we go through during your visit. She will explain that she will contact you by telephone everyday until the day of transfer with an update on eggs collected from donor, eggs fertilised and embryo development. For example day after clinic appointment 12 eggs collected and injected and 10 have fertilised, 2nd day of those fertilised 8 embryos are developing and we will see you in the clinic tomorrow at …………… for embryo transfer.
For PGD patients consent forms are completed and a scan will take place to ascertain follicle development and whether or not trigger can be administered to allow for egg collection 35 hours later. If there is a delay with follicle development then a further appointment will be made to again ascertain follicle development. Once it is indicated that you are ready for trigger injection a full explanation of this will be provided along with a date and time to attend for egg collection.
On the day of egg collection for PGD patients, they attend the clinic about 1 hour before operation time. This is to enable us to prepare you by taking blood pressure and pulse readings completing pre-op documentation and the insertion of cannula for the administration of IV fluids, prophylactic antibiotics and analgesia. You will be taken through to theatre in a wheelchair where you will be given anaesthesia. A specialist nurse will accompany you at all stages of treatment and provide full explanation of what is happening. The procedure takes about 10 minutes to complete. Following completion of egg collection you will be taken back to a private room to recover. During this time you will be monitored regularly which will include blood pressure and pulse readings. You recover very quickly as the anaesthesia is very mild. You will be offered a drink and biscuits and once this is tolerated the İV cannula will be removed. A full explanation of what you are required to do prior to embryo transfer will also be given as well as the number of eggs we have collected during the procedure.
For PGD the transfer is 5 days after egg collection and someone will ring everyday with an explanation of progress in embryo development. On the third day a cell is taken from each developing embryo to do the PGD test, on the fourth day the embryos are not checked but someone will contact you with an appointment time for the embryo transfer.
For both PGD and egg donation patients the procedure on transfer day is exactly the same.
On arrival at the clinic you will be shown to a private room, on some days the clinic is extremely busy and you may be asked to wait in the waiting room until one is available. Once in the room Dorothy will explain what embryos we have to transfer and what if any we have to freeze. You will have been asked to attend clinic with a full bladder and the specialist nurse or an experienced assistant will carry out an abdominal scan to see if the bladder is full or not. When we are ready to proceed with the transfer you will be taken in a wheel chair through to theatre for the procedure to be carried out, this may mean being taken through the main reception area as the majority of our rooms are beyond this point.
On arrival into theatre reception or in theatre the specialist nurse will again explain what embryos we have to transfer and what if any are going to be frozen. Once in theatre you will be positioned to accommodate embryo transfer. An abdominal scan is continuously carried out to assist with transfer. Doctor will insert a speculum, clean any residual progestan from the cervix and transfer embryos using a fine catheter. The embryos will be transferred into the endometrium. This can be observed on a monitor next to the theatre table. All stages will be explained during the procedure. When transfer is complete the catheter will be checked to ensure it is clear and then the speculum will be removed. You will be asked to keep your knees bent and transfer to a trolley which will take you back to your room. You are required to keep your knees bent in this position until told you are ready to leave the clinic.
30 – 45 minutes after transfer both the Doctor and the specialist nurse will go through a full explanation of what and what not to do following transfer and also explain what medication to take and for how long, she will also provide you with dates to carry out pregnancy tests.
We do ask that all attending patients complete a patient satisfaction survey before they leave the clinic so that we can continuously assess our level of treatment and change or amend practices as necessary; your co-operation with this is much appreciated.