Nexus Global Health Tourism

• Patients with occluded or surgically removed Fallopian Tubes,
• Patients with endometriosis or who cannot conceive with surgical treatment,
• Patients with ovarian problem who do not respond to medical treatment,
• Patients diagnosed with idiopathic infertility,
• Patients with low sperm count or no sperm in the semen.

• Maturation of follicles
• Oocyte pick-up (collecting the eggs)
• Preparation of sperms and fertilization of eggs
• Thinning the embryonal membrane
• Embryo transfer
• Pregnancy test

The age, ovarian reserve, blood hormone levels and height/weight ratio are considered to determine an appropriate treatment protocol and the dose of medication for patients who will receive in vitro fertilization therapy.

For long-term protocol, the medications that suppress ovarian functions are administered in the form of nasal spray or subcutaneous injection approximately for 10 to 12 days. When the patient menstruates, the second part of the treatment is started and the hormone therapy is maintained for 8 to 10 days in average, which will ensure maturation of eggs. Next, oocytes are picked up.

For short-term therapy protocols, egg maturation hormones are started as of second to third day of menses, and ovarian suppression hormones are added to the treatment in subsequent days in order to suppress spontaneous hormone secretion of ovaries.

Patients are monitored with blood hormone analyses and vaginal ultrasound, and when the follicles reach the appropriate size, human chorionic gonadotropin, colloquially known as egg hatching injection, is administered and oocytes are picked up 33 to 26 hours later. This procedure is carried out under anesthesia to suppress pain and it takes about 10 to 15 minutes.

Embryos are selected 2 to 5 days after oocytes are picked up and a thin catheter is inserted through the cervix and embryos are transferred. Embryo transfer is a pain-free procedure and patients can watch the procedure as it is performed with ultrasound guidance. Patients are discharged to home after resting in bed for 30-45 minutes following the embryo transfer.

Absolutely yes. Submission of marriage documents is one of the prerequisites of the procedure. Irrespective of the underlying factor, a man who cannot produce sperms or a woman who cannot produce egg is not admitted to the treatment. Own germ cells of the officially married couples are used for the treatment.

The success rate of the in vitro fertilization therapy should be determined according to health-related characteristics of the couple. The success rate of the in vitro fertilization is influenced by many factors, including but not limited to ovarian reserve, age and serious male factor. For couples who are transferred embryo, the success rate is around 55-60% if women is ≤35 years old and has good ovarian reserve, while the figure is around 30% for women older than 40. Considering the high rate of genetic anomaly in this age group, preimplantation genetic diagnosis should be considered and thus, genetically normal embryo is transferred to increase the chance of conception.

Four couples with difficulty in conception, the underlying problem should be identified with a detailed examination and the best treatment method that would most possible achieve the conception should be determined and the couple should be informed.

Treatment methods broadly include surgical treatment of problems in Fallopian tubes, ovulation induction and monitoring, insemination and in vitro fertilization. For couples who meet particular requirements, conception can be achieved with intrauterine insemination that implies instilling the specifically processed sperms into uterus after ovulation is induced by medications.

Insemination is, in fact, a procedure that is performed to increase chance of sperm to fertilize the egg.

The woman is given pills or injections to have two or three oocytes mature in the period, while sperms of the man is irrigated and prepped with special methods. Thus, sperms with good motility are harvested.  The timing of hatching is manipulated with egg hatching injections and sperms are placed into the uterus through a special plastic tube, and sperms can easily reach the egg(s), as the route they follow is shortened.

Certainly, minimum a canal or tube should be patent in order to perform the procedure. Therefore, the uterine cavity should be imaged before the insemination.

this is the branch of surgery concerned with conditions involving the musculoskeletal system. Both surgical and non-surgical means are employed to treat trauma, spinal diseases, sport injuries, degenerative diseases, bone infections, tumors and congenital disorders.

The hip and knee joints are among the most mobile joints of our body. The components that form these joints may be damaged over time or a trauma may result in loss of stability in the hip or knee joint.

Total hip and knee replacement is performed to cure joint disorders that hinder daily life activities such as climbing stairs, walking and getting out of bed that do not respond to medication treatment and physiotherapy.

Some of the risks involved in this surgery infection, clot formation, laxity of hip prothesis over time, revision surgery and failure to obtain desired range of motion.

The knee is one of the most complex parts of your body and this joint is of vital importance for your mobility.

The knee ligaments connect your femur to your lower leg bones (tibia and fibula). Knee ligaments function by limiting the extreme rotational motions of the joint between these bones, namely the knee joint. Therefore, knee ligaments are most frequently injured during sports and sudden motions.

In the past, knee ligament injury could terminate sports life of most professional athletes. Recently, it is often possible to resume the sports life even if multiple ligaments are injured.

Anterior cruciate ligament is the most frequently injured ligament of the knee joint. The deformed or torn ligament as a result of the strain is either repaired or replaced by a tendon graft that is obtained from another part of the body.

The knee joint has significantly wide range of motion and the range of these motions is limited by the ligaments in and around the knee. These ligaments are extremely strong tissues and keep the bones that form the knee joint connected to each other.

Among the aforementioned ligaments, the most frequently injured one is the anterior cruciate ligament. This ligament limits the rotational motion of the knee joint and it is injured due to many reasons, including but not limited to sudden halt, sudden change of direction while running fast, jumping from a high place in wrong position and direct impact to the knee. This injury not only leads to pain, but it also causes instability of the knee joint.

If you are not a professional athlete and your condition is mild, the condition can be treated by combining medication treatment with physiotherapy. However, if more than one ligament is injured, the person is a professional athlete and the knee joint is instable, treatment option is to repair or replace the ligament. If the condition is left untreated, knee joint will lose the stability as a result of tear or deformity and subsequently, additional load will be born on the meniscus and other joint structures, resulting in other problems in them.

As the case for most surgeries, there are some risks involved in knee ligament reconstruction surgery.

Organ transplantation refers to the medical procedure of transferring organs from one person to another. Currently, the organs that can be successfully transplanted include the heart, lungs (either individually or together), liver, kidney, cornea, and bone marrow. In this process, a donor willingly contributes a part of their organ to help another person in need, while the recipient is the patient who receives the organ from the donor.

1. Auto transplantation- this is the transplantation of organs or tissues from one part of the body to another in the same person.
2. Allotransplantation- the transplant of organ or tissues to a recipient from a genetically non-identical donor of the same species. Most human tissues or organ transplants are allografts.
3. Xenotransplantation- this is organ transplantation from an organism of another biological species (for e.g. Animal to human). This is less common.