{"id":3987,"date":"2025-01-23T15:59:49","date_gmt":"2025-01-23T15:59:49","guid":{"rendered":"https:\/\/klinikagliozheni.com\/?page_id=3987"},"modified":"2025-06-23T15:08:07","modified_gmt":"2025-06-23T15:08:07","slug":"couple-follow-up","status":"publish","type":"page","link":"https:\/\/klinikagliozheni.com\/en\/couple-follow-up\/","title":{"rendered":"Couple Follow-up"},"content":{"rendered":"<style>.elementor-3987 .elementor-element.elementor-element-66595fb{--display:flex;--min-height:290px;--flex-direction:column;--container-widget-width:100%;--container-widget-height:initial;--container-widget-flex-grow:0;--container-widget-align-self:initial;--flex-wrap-mobile:wrap;--justify-content:center;--overlay-opacity:0.7;}.elementor-3987 .elementor-element.elementor-element-66595fb:not(.elementor-motion-effects-element-type-background), .elementor-3987 .elementor-element.elementor-element-66595fb > .elementor-motion-effects-container > 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.elementor-element.elementor-element-1fce2b4{--padding-top:0em;--padding-bottom:3em;--padding-left:1em;--padding-right:1em;}}<\/style>\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3987\" class=\"elementor elementor-3987 elementor-571\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-66595fb e-flex e-con-boxed e-con e-parent\" data-id=\"66595fb\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-31e1bb0 elementor-widget elementor-widget-heading\" data-id=\"31e1bb0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Couple Follow-up<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b730d4e elementor-icon-list--layout-inline elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"b730d4e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/klinikagliozheni.com\/en\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-home\" viewBox=\"0 0 576 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M280.37 148.26L96 300.11V464a16 16 0 0 0 16 16l112.06-.29a16 16 0 0 0 15.92-16V368a16 16 0 0 1 16-16h64a16 16 0 0 1 16 16v95.64a16 16 0 0 0 16 16.05L464 480a16 16 0 0 0 16-16V300L295.67 148.26a12.19 12.19 0 0 0-15.3 0zM571.6 251.47L488 182.56V44.05a12 12 0 0 0-12-12h-56a12 12 0 0 0-12 12v72.61L318.47 43a48 48 0 0 0-61 0L4.34 251.47a12 12 0 0 0-1.6 16.9l25.5 31A12 12 0 0 0 45.15 301l235.22-193.74a12.19 12.19 0 0 1 15.3 0L530.9 301a12 12 0 0 0 16.9-1.6l25.5-31a12 12 0 0 0-1.7-16.93z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><span style=\"text-decoration: none\">\/<\/span><\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Couple Follow-up<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0ee20d0 e-flex e-con-boxed e-con e-parent\" data-id=\"0ee20d0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-cc92735 e-con-full e-flex e-con e-child\" data-id=\"cc92735\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c7fe6a0 elementor-arrows-position-inside elementor-widget elementor-widget-image-carousel\" data-id=\"c7fe6a0\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;slides_to_show&quot;:&quot;1&quot;,&quot;navigation&quot;:&quot;arrows&quot;,&quot;autoplay&quot;:&quot;yes&quot;,&quot;pause_on_hover&quot;:&quot;yes&quot;,&quot;pause_on_interaction&quot;:&quot;yes&quot;,&quot;autoplay_speed&quot;:5000,&quot;infinite&quot;:&quot;yes&quot;,&quot;effect&quot;:&quot;slide&quot;,&quot;speed&quot;:500}\" data-widget_type=\"image-carousel.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-image-carousel-wrapper swiper\" role=\"region\" aria-roledescription=\"carousel\" aria-label=\"Image Carousel\" dir=\"ltr\">\n\t\t\t<div class=\"elementor-image-carousel swiper-wrapper swiper-image-stretch\" aria-live=\"off\">\n\t\t\t\t\t\t\t\t<div class=\"swiper-slide\" role=\"group\" aria-roledescription=\"slide\" aria-label=\"1 of 3\"><figure class=\"swiper-slide-inner\"><img decoding=\"async\" class=\"swiper-slide-image\" src=\"https:\/\/klinikagliozheni.com\/wp-content\/uploads\/2025\/05\/IY3A0789-scaled.jpg\" alt=\"IY3A0789\" \/><\/figure><\/div><div class=\"swiper-slide\" role=\"group\" aria-roledescription=\"slide\" aria-label=\"2 of 3\"><figure class=\"swiper-slide-inner\"><img decoding=\"async\" class=\"swiper-slide-image\" src=\"https:\/\/klinikagliozheni.com\/wp-content\/uploads\/2025\/05\/IY3A0837-scaled.jpg\" alt=\"IY3A0837\" \/><\/figure><\/div><div class=\"swiper-slide\" role=\"group\" aria-roledescription=\"slide\" aria-label=\"3 of 3\"><figure class=\"swiper-slide-inner\"><img decoding=\"async\" class=\"swiper-slide-image\" src=\"https:\/\/klinikagliozheni.com\/wp-content\/uploads\/2025\/05\/IY3A0914-scaled.jpg\" alt=\"IY3A0914\" \/><\/figure><\/div>\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-swiper-button elementor-swiper-button-prev\" role=\"button\" tabindex=\"0\">\n\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-chevron-left\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M646 125C629 125 613 133 604 142L308 442C296 454 292 471 292 487 292 504 296 521 308 533L604 854C617 867 629 875 646 875 663 875 679 871 692 858 704 846 713 829 713 812 713 796 708 779 692 767L438 487 692 225C700 217 708 204 708 187 708 171 704 154 692 142 675 129 663 125 646 125Z\"><\/path><\/svg>\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-swiper-button elementor-swiper-button-next\" role=\"button\" tabindex=\"0\">\n\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-chevron-right\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M696 533C708 521 713 504 713 487 713 471 708 454 696 446L400 146C388 133 375 125 354 125 338 125 325 129 313 142 300 154 292 171 292 187 292 204 296 221 308 233L563 492 304 771C292 783 288 800 288 817 288 833 296 850 308 863 321 871 338 875 354 875 371 875 388 867 400 854L696 533Z\"><\/path><\/svg>\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-66382cd e-con-full e-flex e-con e-child\" data-id=\"66382cd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-b4f5dc2 e-con-full e-transform e-flex e-con e-child\" data-id=\"b4f5dc2\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-12,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-af08f6f elementor-widget elementor-widget-heading\" data-id=\"af08f6f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Couple Follow-up \u2013 Step by Step<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c1741db elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"c1741db\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>By consistently following the latest techniques in the field of assisted reproductive medicine, we can suggest the most appropriate path for each couple who comes to our clinic, monitoring their progress step by step with the primary goal of making decisions together.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1fce2b4 e-flex e-con-boxed e-con e-parent\" data-id=\"1fce2b4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-fa26013 e-con-full e-flex e-con e-child\" data-id=\"fa26013\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-cdf8c45 e-con-full e-transform e-flex e-con e-child\" data-id=\"cdf8c45\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-12,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7e61b49 elementor-widget elementor-widget-heading\" data-id=\"7e61b49\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">I. The First Meeting<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c3dad5 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"1c3dad5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"85\" data-end=\"165\"><strong data-start=\"85\" data-end=\"165\">Listening and support are essential; the goal is to make decisions together.<\/strong><\/p><ul data-start=\"167\" data-end=\"280\"><li data-start=\"167\" data-end=\"221\"><p data-start=\"169\" data-end=\"221\">Gathering the medical history (\u201cCouple\u2019s history\u201d)<\/p><\/li><li data-start=\"222\" data-end=\"257\"><p data-start=\"224\" data-end=\"257\">Reviewing previous examinations<\/p><\/li><li data-start=\"258\" data-end=\"280\"><p data-start=\"260\" data-end=\"280\">Requesting new tests<\/p><\/li><\/ul><p data-start=\"282\" data-end=\"673\">The first meeting is crucial for planning the entire itinerary of the program the couple will follow, understanding its stages, reviewing all documentation, scheduling, and determining possible treatments. During this initial meeting, the bond between the couple and the doctors who will monitor them is established; therefore, it is necessary and essential that both partners are present.<\/p><p data-start=\"675\" data-end=\"856\">To proceed with second-level assisted reproduction techniques (FET and ICSI), one of the specialists on the team must certify the infertility status and acceptance into the program.<\/p><hr data-start=\"858\" data-end=\"861\" \/><p data-start=\"863\" data-end=\"917\"><strong data-start=\"863\" data-end=\"917\">II. The couple completes the required examinations<\/strong><\/p><p data-start=\"919\" data-end=\"1241\">These examinations allow determining the most suitable assisted reproduction methodology, thereby maximizing the probability of a positive outcome for the couple. For example, ICSI may be preferred over conventional IVF in cases where tests reveal a deterioration in seminal fluid quality compared to previous assessments.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-86da623 e-con-full e-flex e-con e-child\" data-id=\"86da623\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-fd40fae e-con-full e-transform e-flex e-con e-child\" data-id=\"fd40fae\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-12,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8858bb0 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"8858bb0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4><strong><span style=\"font-family: roboto; font-weight: 300; color: #0b56a6;\">Some of these examinations include:<\/span><\/strong><\/h4><p data-start=\"143\" data-end=\"155\"><strong data-start=\"143\" data-end=\"153\">Women:<\/strong><\/p><ul data-start=\"157\" data-end=\"1148\"><li data-start=\"157\" data-end=\"199\"><p data-start=\"159\" data-end=\"199\">Blood group (including Rhesus system).<\/p><\/li><li data-start=\"200\" data-end=\"225\"><p data-start=\"202\" data-end=\"225\">Complete blood count.<\/p><\/li><li data-start=\"226\" data-end=\"293\"><p data-start=\"228\" data-end=\"293\">Hemoglobin electrophoresis (required for at least one partner).<\/p><\/li><li data-start=\"294\" data-end=\"360\"><p data-start=\"296\" data-end=\"360\">Cystic fibrosis screening (required for at least one partner).<\/p><\/li><li data-start=\"361\" data-end=\"428\"><p data-start=\"363\" data-end=\"428\">Indirect Coombs test (in cases of negative Rhesus blood group).<\/p><\/li><li data-start=\"429\" data-end=\"568\"><p data-start=\"431\" data-end=\"568\">Anti-Rubella IgG and IgM antibodies, anti-Toxoplasma IgG and IgM, anti-Cytomegalovirus IgG and IgM (if previous results were negative).<\/p><\/li><li data-start=\"569\" data-end=\"628\"><p data-start=\"571\" data-end=\"628\">HbsAg, HbcAb, HCV, TPHA (Treponema pallidum), HIV test.<\/p><\/li><li data-start=\"629\" data-end=\"779\"><p data-start=\"631\" data-end=\"779\">On day 2 or 3 of the menstrual cycle: measurement of levels of FSH, LH, TSH, 17\u03b2-estradiol, beta inhibin, anti-M\u00fcllerian hormone (AMH), prolactin.<\/p><\/li><li data-start=\"780\" data-end=\"942\"><p data-start=\"782\" data-end=\"942\">Transvaginal ultrasound on day 2, or at the latest day 6 of the menstrual cycle, to assess ovarian accessibility for egg retrieval and count antral follicles.<\/p><\/li><li data-start=\"943\" data-end=\"1037\"><p data-start=\"945\" data-end=\"1037\">Vaginal and cervical swabs to check for the possible presence of Chlamydia and Mycoplasma.<\/p><\/li><li data-start=\"1038\" data-end=\"1057\"><p data-start=\"1040\" data-end=\"1057\">Pap smear test.<\/p><\/li><li data-start=\"1058\" data-end=\"1107\"><p data-start=\"1060\" data-end=\"1107\">Mammography depending on age or risk factors.<\/p><\/li><li data-start=\"1108\" data-end=\"1148\"><p data-start=\"1110\" data-end=\"1148\">In specific cases: karyotype analysis.<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-31ef21b e-con-full e-transform e-flex e-con e-child\" data-id=\"31ef21b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-12,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-aa794ff elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"aa794ff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"vc_row wpb_row section vc_row-fluid \"><div class=\" full_section_inner clearfix\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><p data-start=\"77\" data-end=\"87\"><strong data-start=\"77\" data-end=\"85\">Men:<\/strong><\/p><ul data-start=\"89\" data-end=\"429\"><li data-start=\"89\" data-end=\"131\"><p data-start=\"91\" data-end=\"131\">Blood group (including Rhesus system).<\/p><\/li><li data-start=\"132\" data-end=\"199\"><p data-start=\"134\" data-end=\"199\">Hemoglobin electrophoresis (required for at least one partner).<\/p><\/li><li data-start=\"200\" data-end=\"266\"><p data-start=\"202\" data-end=\"266\">Cystic fibrosis screening (required for at least one partner).<\/p><\/li><li data-start=\"267\" data-end=\"305\"><p data-start=\"269\" data-end=\"305\">HbsAg, HbcAb, HCV, TPHA, HIV test.<\/p><\/li><li data-start=\"306\" data-end=\"346\"><p data-start=\"308\" data-end=\"346\">Semen analysis (e.g., swim-up test).<\/p><\/li><li data-start=\"347\" data-end=\"384\"><p data-start=\"349\" data-end=\"384\">Testosterone, FSH, LH, Estradiol.<\/p><\/li><li data-start=\"385\" data-end=\"429\"><p data-start=\"387\" data-end=\"429\">Other tests depending on clinical history.<\/p><\/li><\/ul><p data-start=\"431\" data-end=\"764\">For some of these tests, it is necessary that the couple provides a copy which will be attached to the consent forms in the patient file and kept in the clinic\u2019s archive. Additionally, some examinations are required to assess the patient\u2019s safety at the time of anesthesia, which is planned for the egg retrieval (pick-up) procedure.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e5d84ee e-con-full e-flex e-con e-child\" data-id=\"e5d84ee\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-55e08a6 e-con-full e-flex e-con e-child\" data-id=\"55e08a6\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1158c6b elementor-arrows-position-inside elementor-pagination-position-outside elementor-widget elementor-widget-image-carousel\" 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data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">III. Takimi i dyt\u00eb<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b55962c elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"b55962c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"vc_row wpb_row section vc_row-fluid \"><div class=\" full_section_inner clearfix\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><div class=\"content has_slider\"><div class=\"content_inner \"><div class=\"full_width\"><div class=\"full_width_inner\"><section class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row section vc_row-fluid \"><div class=\" full_section_inner clearfix\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><div class=\"content has_slider\"><div class=\"content_inner \"><div class=\"full_width\"><div class=\"full_width_inner\"><section class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row section vc_row-fluid \"><div class=\" full_section_inner clearfix\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><div class=\"vc_row wpb_row section vc_row-fluid \"><div class=\" full_section_inner clearfix\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><p data-start=\"98\" data-end=\"144\"><strong data-start=\"98\" data-end=\"142\">During this meeting, the key points are:<\/strong><\/p><ul data-start=\"146\" data-end=\"428\"><li data-start=\"146\" data-end=\"214\"><p data-start=\"148\" data-end=\"214\">The doctor evaluates the tests requested during the first visit.<\/p><\/li><li data-start=\"215\" data-end=\"273\"><p data-start=\"217\" data-end=\"273\">A diagnosis is made or additional tests are requested.<\/p><\/li><li data-start=\"274\" data-end=\"428\"><p data-start=\"276\" data-end=\"428\">If the tests are sufficient, the therapeutic program is determined, and the assisted reproductive treatment to be followed is discussed with the couple.<\/p><\/li><\/ul><hr data-start=\"430\" data-end=\"433\" \/><p data-start=\"435\" data-end=\"482\"><strong data-start=\"435\" data-end=\"480\">Possible decisions at this stage include:<\/strong><\/p><ul data-start=\"484\" data-end=\"671\"><li data-start=\"484\" data-end=\"538\"><p data-start=\"486\" data-end=\"538\">The couple decides not to continue with treatment.<\/p><\/li><li data-start=\"539\" data-end=\"617\"><p data-start=\"541\" data-end=\"617\">It is decided to proceed first with intrauterine insemination (Level One).<\/p><\/li><li data-start=\"618\" data-end=\"671\"><p data-start=\"620\" data-end=\"671\">It is decided to proceed with IVF-ICSI (Level Two).<\/p><\/li><\/ul><hr data-start=\"673\" data-end=\"676\" \/><h3 data-start=\"678\" data-end=\"724\">Level One: Intrauterine Insemination (IUI)<\/h3><ul data-start=\"726\" data-end=\"878\"><li data-start=\"726\" data-end=\"798\"><p data-start=\"728\" data-end=\"798\">Determination and provision of instructions for stimulation therapy.<\/p><\/li><li data-start=\"799\" data-end=\"849\"><p data-start=\"801\" data-end=\"849\">Ultrasound monitoring and ovulation induction.<\/p><\/li><li data-start=\"850\" data-end=\"878\"><p data-start=\"852\" data-end=\"878\">Intrauterine insemination.<\/p><\/li><\/ul><p data-start=\"880\" data-end=\"1088\">Intrauterine insemination is a technique aimed at increasing the chance of meeting between the gametes (oocyte and sperm) within the female reproductive tract. It is therefore an in vivo fertilization method.<\/p><p data-start=\"1090\" data-end=\"1239\">A mild multiple follicular growth (maximum 3 to 4 follicles) is induced via subcutaneous injections of gonadotropins (follicle-stimulating hormones).<\/p><p data-start=\"1241\" data-end=\"1408\">After several days of therapy, the woman begins ultrasound monitoring of ovulation to assess follicle size, or plasma levels of estradiol and progesterone are checked.<\/p><p data-start=\"1410\" data-end=\"1798\">Once a follicle reaches the appropriate size (around 18 mm), ovulation is induced by injecting hCG, and 36 hours later, insemination is performed by transferring laboratory-prepared sperm into the uterus. The sperm are treated to optimize their ability to reach the oocyte. The insemination procedure takes place in the clinic using a soft catheter inserted through the vagina and cervix.<\/p><p data-start=\"1800\" data-end=\"2159\">After insemination, the woman lies on the gynecological bed for a few minutes and can then resume her normal daily activities. Generally, luteal phase support therapy with progesterone starts from the day of insemination and continues for 14 days. Progesterone supports the endometrium (the uterine lining) and makes it more receptive for embryo implantation.<\/p><p data-start=\"2161\" data-end=\"2474\">After 14 days, the woman is asked to take a beta-hCG blood test to determine pregnancy status. If the test is negative, the procedure may be repeated multiple times without breaks between stimulation cycles. However, an ultrasound control is performed to ensure there are no obstacles to continuing the procedure.<\/p><hr data-start=\"2476\" data-end=\"2479\" \/><h3 data-start=\"2481\" data-end=\"2504\">Level Two: IVF-ICSI<\/h3><ul data-start=\"2506\" data-end=\"2759\"><li data-start=\"2506\" data-end=\"2578\"><p data-start=\"2508\" data-end=\"2578\">Determination and provision of instructions for stimulation therapy.<\/p><\/li><li data-start=\"2579\" data-end=\"2655\"><p data-start=\"2581\" data-end=\"2655\">Ultrasound and hormonal monitoring and induction of multiple ovulations.<\/p><\/li><li data-start=\"2656\" data-end=\"2684\"><p data-start=\"2658\" data-end=\"2684\">Egg retrieval (pick-up).<\/p><\/li><li data-start=\"2685\" data-end=\"2705\"><p data-start=\"2687\" data-end=\"2705\">Embryo transfer.<\/p><\/li><li data-start=\"2706\" data-end=\"2759\"><p data-start=\"2708\" data-end=\"2759\">Freezing (cryopreservation) of gametes and embryos.<\/p><\/li><\/ul><hr data-start=\"2761\" data-end=\"2764\" \/><h3 data-start=\"2766\" data-end=\"2804\">IV. Conclusions of the First Cycle<\/h3><p data-start=\"2806\" data-end=\"2863\"><strong data-start=\"2806\" data-end=\"2861\">Positive result (rising beta-hCG levels): Pregnancy<\/strong><\/p><ul data-start=\"2864\" data-end=\"2992\"><li data-start=\"2864\" data-end=\"2928\"><p data-start=\"2866\" data-end=\"2928\">Continue with supportive therapy for the achieved pregnancy.<\/p><\/li><li data-start=\"2929\" data-end=\"2992\"><p data-start=\"2931\" data-end=\"2992\">Ultrasound after 2-3 weeks to evaluate pregnancy progression.<\/p><\/li><\/ul><p data-start=\"2994\" data-end=\"3055\"><strong data-start=\"2994\" data-end=\"3053\">Negative result (falling beta-hCG levels): No Pregnancy<\/strong><\/p><ul data-start=\"3056\" data-end=\"3233\"><li data-start=\"3056\" data-end=\"3117\"><p data-start=\"3058\" data-end=\"3117\">Discontinue supportive therapy and wait for menstruation.<\/p><\/li><li data-start=\"3118\" data-end=\"3199\"><p data-start=\"3120\" data-end=\"3199\">Schedule a future transfer of a frozen embryo or oocytes (thawing procedure).<\/p><\/li><li data-start=\"3200\" data-end=\"3233\"><p data-start=\"3202\" data-end=\"3233\">Schedule a new \u201cfresh\u201d attempt.<\/p><\/li><\/ul><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\/ Couple Follow-up \u2013 Step by Step By consistently following the latest techniques in the field of assisted reproductive medicine, we can suggest the most appropriate path for each couple who comes to our clinic, monitoring their progress step by step with the primary goal of making decisions together. I. The First Meeting Listening and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3987","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/klinikagliozheni.com\/en\/wp-json\/wp\/v2\/pages\/3987","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/klinikagliozheni.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/klinikagliozheni.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/klinikagliozheni.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/klinikagliozheni.com\/en\/wp-json\/wp\/v2\/comments?post=3987"}],"version-history":[{"count":7,"href":"https:\/\/klinikagliozheni.com\/en\/wp-json\/wp\/v2\/pages\/3987\/revisions"}],"predecessor-version":[{"id":3995,"href":"https:\/\/klinikagliozheni.com\/en\/wp-json\/wp\/v2\/pages\/3987\/revisions\/3995"}],"wp:attachment":[{"href":"https:\/\/klinikagliozheni.com\/en\/wp-json\/wp\/v2\/media?parent=3987"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}