In recent years, Kyrgyzstan has become a popular choice for families seeking assisted reproduction overseas due to its clear legal support (allowing single and infertile couples to undergo third-party assisted reproduction), significant cost advantages (40% -50% lower than Europe and America), and a clinical pregnancy rate of up to 70%. To help you better plan your itinerary, Tulip International Reproductive Center has compiled a complete timeline and detailed procedures from ovulation induction to egg retrieval.
1、 Core Process: Overview of Your 12-16 Day Scheduling Cycle
A standard ovulation induction cycle typically takes 12 to 16 days from initiation to egg retrieval. Here is a typical timeline:
Start date (2nd day of menstruation): Arrive at the reproductive center for a comprehensive baseline assessment, including vaginal ultrasound (to check the number of basal antral follicles) and six blood tests for sex hormones.
Ovulation induction stage (3-10/12 days of menstruation): According to your personal plan, inject ovulation inducing drugs at regular intervals every day (usually lasting 8-10 days).
Follicle monitoring (days 7, 9, 11, etc.): Approximately 3-4 B-ultrasound monitoring sessions are required during the cycle to track the development of follicles in real time. Doctors will fine tune the dosage of medication based on the results.
Trigger day ("night shot"): When the dominant follicle group reaches maturity criteria (usually diameter ≥ 18mm), HCG or GnRH-a is injected to simulate natural ovulation signals.
Egg retrieval surgery day: 35-36 hours after the "night needle" injection, the egg retrieval surgery should be performed on time.
2、 Personalized plan: There is no best, only the most suitable
At Tulip International Reproductive Center, we firmly believe that 'individualization' is the key to success. For different groups of people, we will adopt different measures to promote ovulation:
crowd characteristics
Recommended Solution
Expected duration of stimulation
Features of the Solution
Under 35 years old, with normal ovarian function
antagonist protocol
10-12 days
Short process, high flexibility, effectively preventing ovarian hyperstimulation.
Advanced age or low ovarian reserve (AMH<1.0)
Microstimulation/Improvement of Natural Cycle
7-9 days
Low dosage, minimal burden on the ovaries, aimed at obtaining fewer but better quality eggs.
Polycystic ovary syndrome (PCOS)
Mild stimulus/antagonist regimen
10-14 days
Adopting low-dose initiation, closely monitoring, and maximizing prevention of ovarian hyperstimulation syndrome (OHSS).
Endometriosis/adenomyosis
Ultra long scheme/GNRH-a long scheme
28-35 days
It is necessary to undergo 1-2 months of downregulation (GnRH-a injection) to improve the pelvic environment and increase embryo implantation rate.
3、 Real Case Study Sharing: 39 Year Old Ms. Li's "Micro Stimulating" Journey
Ms. Li, who is 39 years old, has an AMH value of only 0.6 ng/ml, indicating decreased ovarian reserve function. I have experienced a routine long program for ovulation induction in China, which left me physically and mentally exhausted. I only obtained one embryo and was unable to implant. After arriving at the Tulip International Reproductive Center, a team of Chinese experts developed a "micro stimulation" plan for her.
Day 2: Ultrasound shows only 4 basal follicles.
Day 3-8: Only a small amount of clomiphene needs to be taken orally daily, combined with low-dose injection medication.
Day 9: Three dominant follicles were detected to be developing well.
Day 10: Inject night shots.
Day 12: Successfully retrieved 3 mature eggs.
In the end, all three eggs were successfully fertilized and two high-quality blastocysts were cultivated. Ms. Li sighed and said, "This experience was completely different. The physical burden was much smaller, and the results far exceeded expectations." This case illustrates that for a specific population, choosing the right plan is far more important than pursuing the number of eggs obtained.
4、 Daily process explanation: Let you have a clear understanding of each step in your mind
Day 1-3 (Start up phase):
Blood was drawn on an empty stomach in the morning to test baseline hormone levels.
B-ultrasound evaluation of ovarian status to confirm activation conditions.
The doctor issues a prescription and the nurse guides you through the first medication injection.
Day 5-7 (Monitoring and Adjustment):
Usually, B-ultrasound and blood sampling monitoring are performed every 2-3 days.
Doctors will finely adjust the dosage of medication based on changes in follicle size and hormone levels, and timely add antagonist drugs (such as Si Zekai) to prevent premature discharge of follicles.
Day 8-10 (Sprint Stage):
The monitoring frequency may be increased to once a day.
When at least 2-3 follicles reach a diameter of 17-18mm, the doctor will determine the specific time (accurate to minutes) for the "night shot".
The nurse will explain to you all the precautions before the egg retrieval surgery, such as fasting and water restriction time.
5、 Egg retrieval day and laboratory procedures
time
process
remark
07:30
Arriving at the hospital, preoperative preparation
Fasting for more than 8 hours, water deprivation for more than 2 hours, and changing to surgical gowns.
08:30
Egg retrieval under intravenous anesthesia
The entire process takes about 15-20 minutes and you will complete it in a painless state.
10:30
Awakening and postoperative observation
Rest and observe in the recovery room for about 2 hours, and leave if there is no discomfort.
12:30
Egg retrieval result notification
The doctor will inform you of the number of eggs successfully obtained during this surgery.
14:00
Laboratory fertilization
Embryologists begin to perform in vitro fertilization (IVF or ICSI).
On the first day after surgery
Fertilization Report
You will receive a report on how many eggs have been successfully fertilized.
On the third day after surgery
Report on cleavage stage embryos
Understand the initial development and grade of the embryo.
5-6 days after surgery
Embryo Report
How many embryos ultimately develop to the blastocyst stage and undergo freezing or biopsy.
2-3 weeks after surgery
PGT results
If you choose the third-generation test tube technology, you will receive a genetic testing report for the embryo.
6、 Travel planning and warm tips
Suggested stay time: To cope with various possible situations, it is recommended that you plan a stay time of at least 18-22 days.
Mentality and schedule: During the period of promoting ovulation, please maintain a relaxed mood and a regular schedule, and avoid vigorous exercise.
Follow up arrangements: After egg retrieval is completed, your body will need 1-2 menstrual cycles to recover. Embryo transfer is usually performed in the second or third cycle after egg retrieval.
Choosing a reputable and professional medical institution is the first step towards your success. I hope this detailed guide can help you confidently embark on a good pregnancy journey in Kyrgyzstan.
For fertility consultation in Kyrgyzstan, please contact your dedicated consultant
/Fertility Consultation /
Dr.Chan
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