Infertility Treatment and Gynecology
Infertility Treatment in Iran: Fertility treatments in Iran is at an outstanding level in the world. According to the research findings 1 out of 5 couples in Iran have fertility related problems and need medical care, so taking this into consideration Iran has made huge improvements throughout the years for finding the best treatment and cure for this problem. Evidently, recently the efforts of the doctors and scientist resulted in many successful pregnancy and childbirth.
Iran has many cases of curing infertility through using innovative ways of treatment, high-quality technology, one of a kind reproductive medicine, and low costs of the treatment (the average cost of the treatments in Iran is $3000). Iran currently has more than hundred clinics for fertilization, pregnancy, childbirth, sexually transmitted diseases, IVF, IVM, IMSI, ICSI, IUI, microscopic testicular sperm extraction (TESE), ovulation induction, PGD, PGS, egg donation, sperm donation, embryo donation, surrogacy, PCOS treatment, etc.
We offer our Fertility treatment package with best service, VIP hospitals for your comfort and experienced doctors all approved by the medical university of Iran.
How is Infertility Diagnosed
As for the first step your doctor needs to go through your medical and health history, sexual history (the frequency of you having sex), have a pelvic exam, blood test, ultrasounds from ovaries and uterus, an X-ray for checking the uterus and fallopian, and physical exam like sperm analysis (analyzing the number of sperm, movement, and the shape) for men.
It has been known that 80% of couples` reason of infertility is an ovulation problem, blockage of the fallopian tubes, or a problem in sperm. Also, only 5%-15% of the cases` cause is unknown.
Reasons for Infertility in Men:
Having low sperm count or no sperm in your semen
Having low sperm mobility in which your sperm doesn`t move well as expected
Having abnormal sperm formation
Having your sperm ducts blocked
Drinking and smoking can affect the count of your sperm
Men above the age of 40 have lower chance of fertility
Because of injury in the testicles, being hot for too long, or being in contact with chemicals, your sperm count can drop and this can cause temporary infertility.
Reasons for Infertility in Women:
The most common reason for female infertility is that she doesn`t release an egg from an ovary (Polycystic ovary syndrome).
Another reason can be the problems with fallopian tubes, the tubes carry the eggs from ovary to the uterus, get blocked by scar tissue because of an infection or endometriosis (the growth of uterus lining tissue outside of the womb)
Women who are overweight or underweight and are smoking can have infertility problems.
Above the age of 35 fertility chances can get low and after the age of 45 getting pregnant can be rare.
Men Infertility Treatment
In the case that the cause is a varicoele (having wide veins in the scrotum) or having a blockage in the vas defense (the tubes that carry sperm), Surgery is the best option.
For treating the infection in the reproductive organs, Antibiotics can be used.
For treating difficulties in having erections or ejaculation, Medications or Consulting can be the answer.
For balancing low or high level of specific hormones your doctor can prescribe, Hormone Treatments.
Women Infertility Treatment
For helping women with ovulation or restoring the level of hormones, Fertility and Hormone Drugs can be effective.
For removing the tissue which is blocking fertility or for opening the blocked fallopian tubes, Surgery can be the best available option.
Other way for treating the infertility is Assisted Reproductive Technology or ART that includes these types:
IUI (Intrauterine Insemination): in the time that the patient is ovulating, sperm gets collected and inserted inside the patient`s uterus.
IVF (In vitro fertilization): first the sperm and egg get collected and combined together in a laboratory, then they let the egg to grow for 3 to 5 days. Afterwards, the embryo gets inserted inside the patient`s uterus.
GIFT (Gamete intrafallopian transfer) and ZIFT (Zygote intrafallopian transfer): after having the sperm and egg collected, it gets placed inside a fallopian tube. With using GIFT both of egg and sperm get placed in fallopian tube, and with ZIFT after the sperm and egg combined, the fertilized egg gets placed in the tube at 24 hours.
Intracytoplasmic sperm injection (ICSI): is the method used for male identified infertility. In this procedure, a mature egg is chosen then a single sperm gets injected to it.
Lasik Eye Surgery in Iran
The best and only permanent way of getting rid of wearing glasses is having a Lasik eye surgery and say goodbye to glasses forever! Lasik eye surgery in Iran can be noticeably cheaper than your own country. LASIK stands for Laser-Assisted in Situ Keratomileusis and is mostly done for treating Astigmatism, Nearsightedness, Farsightedness, and correcting the vision. Through Lasik eyes surgery in Iran your cornea will get reshaped by Lasers and this will give you much better vision. You Should Not Have LASIK Eye Surgery If:
Lip Augmentation
Lip augmentation procedure is done for having a fuller, plumper, no wrinkled lips. Whether your lips lose volume because of aging or you were born with thin lips, by lip augmentation, filler injection, and implant replacement you can have fuller lips with prominent volume and restore the lost soft tissue. Lip augmentation in Iran: Iran with being one of the top countries in the world in the field of cosmetic surgeries has the most experienced doctors, VIP hospitals, professional personnel, and reasonable price (compared to European and American countries Iran offer the same service with higher quality for a very cheap price. The U.S cost of lip augmentation surgery is about $5000, in Iran is about $2000; lip injections in Iran cost about $400). That`s why many patients from all over the world choose Iran as their destination for medical services. Besides the medical services provided for you, we offer you a wide diversity of cultural and adventurous tours. According to your desire we can set a tour to have the chance to have some twirls in the historical cities of Iran. Methods of Lip Enhancement According to your unique case, physical health, and your desired shape in mind, our doctors will suggest the best suited method for your comfort and satisfactory. Injections- Fat Transfer: In this method some fat from your own body by liposuction gets out and gets injected into your lips. It may take more than one session until you get to your wished shape. Injections- Fillers: fillers can be natural or synthetic material as collagen or hyaluronic acid like Restylane and Juvederm act as fat substitute for plumping up your lips. Using the fillers can get you to your desired lips in one session however you might need to have several injections over time. Surgery- Dermal Graft: the methods for having permanent full lips is done through dermal graft in which the incision are placed inside the mouth and a dermal- fat graft , which has already been taken from the deeper layers of the skin, may then be placed under the lining of the lip to add extra plumpness. Surgery- Vermillion Advancement: in this procedure an incision is made along under the colored portion of the lips then remove a strip of skin outside the border, afterwards by pulling the colored portion we can increase the area of the lips. Surgery- Lip Implant: for inserting the implant sacs inside the lips, doctors make incisions inside the corners of the lips. The material inside the sac of implant can be natural or made of synthetic material. Surgery- Lip Lift: for patient with loose skin or downward sloping mouth, doctors remove some extra skin and lift the lips upwards. Also, for lifting the upper lip the doctor can make an incision under the nose to shorten up the skin and pull up the upper lip. Some other techniques are: shortening the upper lip for more lip exposure, for lifting a downward turning mouth small incisions are placed on the side of the mouth and the extra skin gets to be removed. For this procedure quite small sutures are used and they get removed after 4-5 days. Who are good candidates for Lip Enhancement?
Cardiology (Heart Surgery)
Heart surgeries in Iran are done in the hands of capable and experienced Iranian doctors with high standard hospitals and professional personnel. The most common heart surgery in Iran is Open heart surgery or heart bypass. Iran is one of the top countries in doing successful heart surgeries and has the most progressed ways and techniques in this field. The most common kind of open-heart surgery done in Iran is Coronary artery bypass. In simple words, doctor chooses an undamaged and healthy vein from the body and replaces and grafts it with blocked coronary artery for preventing heart attacks. This procedure lets the grafted artery to bypass the blocked and narrowed path artery and bring the blood to the heart. This surgery is best suited for people with Coronary heart diseases, multivessel atherosclerotic disease that suffer from angina and heart attack, valvular disease, congenital lesions in children, and septal defects in grown-ups. Open heart surgery is done in Iran in different ways, traditional form of cutting the chest wide open or using robotic arms in which the doctor controls the instruments remotely. So, our doctors will take different factors like the severity of the blockage, location of the damaged vessel, Arthrosclerosis severity, lung diseases, heart beat rate into consideration then decide about the best way of performing your surgery in your consult session. Hospitals performing heart surgery in Iran have the top-notch technology and equipment for doing Eco-cardiograph processes such as stress echo, eco-cardiograph through esophagus, angioplasty, and electro-physiology alongside with treatment for invasive angiographic attacks. Cardiology Treatments covered in Iran:
Breast Implant Surgery
Breast implant or Augmentation Mammoplasty is one of the most popular surgeries among women. Breast implant is best suited for women who have small breasts or have lost breast volume because of breast feeding, pregnancy, weight lost, and cancer.
This surgery is done by placing the implant behind the breast tissue or under the pectoral muscle, depending on the doctor`s decision. In this surgery, depending on the patient`s status, either general anesthesia or local anesthesia is used.
Breast implants surgery in Iran
Breast implant surgery is one of the five top surgeries performed in Iran. Doctors are highly experienced and have about 200000 cases of breast implant surgery per year. The hospitals of Iran meet the highest standards of cleaning and comfort, provide the cutting-edge equipment for surgery, the best possible service for the patient`s comfort and satisfactory, and cheap prices with high quality. (because of the low value of Iranian money, you will be able to get the same surgery much cheaper (about $2000) in Iran than your country (about $4000)! This applies to all of the medical care in Iran for international patients.)
There is no need for overnight stay in the hospital for breast augmentation surgery and you can return to your hotel and rest for the next one week. Post-surgery you are forbidden to anything heavy, you can just move around and do light activities, so in the case you are alone we provide you someone to help you around so you can rest.
The implant itself is a sac filled with sterile water (Saline) or a material named silicone.
Saline Implant:
+ less monitoring and supervision is needed
+ costs less
+ slightly smaller incision is needed
+ in the case of breakage, there is no harm to the body. Since it is saltwater it can be absorbed into the body
-- high risk of getting wrinkled
-- gives unnatural feeling when touching the breast
-- can affect the tissue and texture of the breast
-- possibility of rupturing and leaking of the implant inside the breast
Silicone Implant (Gummy Bears):
+ Gummy bear implants are highly cohesive gel so they can hold their form even in the case of breakage
+ lower risk of getting wrinkled
+ no possibility of implant getting depleted by itself inside the breast
+ looks and feels natural especially when moving
+ implant`s chances of getting ruptured is quite low due to its gel-like consistency
+ Silicone implants last quite longer than Saline implants
-- need of constant monitoring and checking with ultrasound and MRI
-- possibility of rupturing with no signs
-- costs more
-- bigger incision is needed
The shape of the implants can be Round or Teardrop.
Round Implants are suitable for:
People who want more noticeable breasts
People with perfect breast shape and soft texture
People looking for better upper pole fullness
People seeking more tender touch
Teardrop implant is suitable for:
People who want natural looking
People who do not have strong breast texture or no texture at all
People are flat chested
People who have deformed breasts
People with asymmetrical breasts
People seeking better shape definition and firmer gel consistency
Post-Surgery: After the surgery the patient will experience some pain and will be in the need of pain killers. If your stitches are dissolvable suture, they will get collapse otherwise you need to visit your doctor one week after the surgery for stitch removal. You can take a shower 3 days after the surgery.
Incisions:
There are different places on the body for incision to avoid visible scaring. Incision can be along the areolar edge (peri-areolar incision), the fold under the breast (inframammary fold) and in the armpit (trans axillary incision).
Breast Lift
Breast lift is best suited for people whose breasts are saggy, lost volume and they want more perky breasts. Also, for people who have been through weight lost, pregnancy, have nipples pointing downwards, people whose nipples and the dark area around nipples (areolae) have stretched and are not in proportion with their breasts, and for people who have lost the firm shape of their breasts due to aging.
Breast lift is not suited for people whom are breast feeding and have plans for pregnancy in the future because it will stretch and offset the result of the breast lift.
This surgery does not change the size of the breast. The incisions are done:
Hair Transplant
Hair transplant is a popular riskless surgery done all over the world. Losing hair can have many different reasons such as stress, heredity, genetics, hormonal changes, medications, using excessive hair products, lack of mineral and protein in body, and chemotherapy. Whatever the reason is behind your hair loss, hair transplant can change your life and give you a new look and the lost confidence. For doing a hair transplant there are a number of methods and ways, so choosing an expert doctor to choose the best way for your surgery is crucial. When doing the hair transplant surgery, the doctor takes into consideration many different factors, like your body condition (level of baldness, state of health), your age, condition of the scalp, the number of the required Grafts, and number of needed sessions. Iran has the most professional doctors and clinics for hair transplant and uses different and state of the art methods for doing hair transplantation. Here are some of the used techniques for hair transplant in Iran FUT (Follicular Unit Transplantation) Technique: This technique is done by cutting a small area at the back of the head with local anesthesia which includes about 1500 to 2500 grafts and 7000 to 9000 hairs. Then the hair Follicular grafts (group of 1 to 4 hairs) get extracted as units and get ready for the implantation. + In this surgery the patient is not required to shave his/her whole head and only the donor site will do. + This technique is the most trustable for getting the desired result and up to 97% of people having the surgery are satisfied with the final result. + FUT is quite acceptable among the doctors since with cutting the donor site the chances of success get increased. + In this technique planting the grafts is quickly which decreases the risk of losing the grafts + The quality of Follicular units is quite high, + The process of extraction and planting the grafts are done in one day, + And the price of the surgery with this technique is less. --This technique for hair transplant is the least popular among the patients due to its bleeding and scaring. FIT (Follicular Isolation Technique) Technique: This technique for hair transplantation is the quite popular among people since it doesn`t involve surgery. Meaning there is no cutting in the back of your head. In this method the hairs get extracted one by one which makes the whole process very slow and time consuming. In this procedure the hair follicles get extracted from the back of your head then implanted in the front of your head. + The bleeding is much less than other techniques and there is no scaring. + The recovery period is between 2 to 3 days. --Because implanting the hair follicular one by one is a gradual and takes time so the doctor may need to do it in two or more sessions. --Grafts can get damaged since they get extracted one by one --The donor site can get damaged --The price of FIT is higher --The head must be shaved for the operation SUT Technique: In this technique most of the work is done by the instruments and punch lenses and the only difference is the way the follicles are extracted. This process is done by local anesthesia under the supervision of professional doctors. + The speed of the extraction is high + Since the extraction is done with modern technology and instruments, almost no harm is done to extracted grafts and also the donor site. + There is very little bleeding, no pain and no scar + One of the important factors in this technique is the high number (3 times more than other techniques) of the grafts that can be extracted in one session compared to other techniques. + The beauty of this technique is the naturalness of the growing line as in no one can say if you have hair implanted or not! --The biggest defect of this technique is the transfer tubes which if be dirty can cause infection. However, by using disposable tubes for the surgery this problem can be solved ***** Please note that according to your unique case, the doctor may utilize a different technique from the ones mentioned above or combines the techniques to get the best and desired result. There are other methods and techniques for hair transplant namely FUE, BHT MFIT, etc which again will be chosen and decided by your doctor and his/her advice. ******
Liposuction
According to the studies, Liposuction is the second most common surgery after Rhinoplasty in Iran and the first common surgery in the U.S. Due to the expert doctors, VIP hospitals and low cost of the surgery compared to the other countries (Iran`s money value is quite low to your country`s currency). This surgery is with the aim of removing the fat with no harm to the body, tissue, nerves, and organs. There are many ways for having the desired body shape, like exercising constantly and having a healthy diet but these ways would take time to be affective and would gradually show the result that you are seeking. On the other hand, Liposuction can give you the desire body shape in a short time with not much trouble. The operation takes about 2 hours and is done by anesthesia. Side effects of this surgery are post operation pain, bruises, swelling, and scaring. After the surgery you get to be hospitalized for one night or two depending upon your condition and the holes for evacuating the fat will get healed over a week. The bruises can take 6 months to be healed completely but the swelling will be gone over a week and you can see the result. Parts of the body that Liposuction can be done:
Rhinoplasty
The procedure in which the shape and form of the nose gets changed is called Rhinoplasty or Nose job. Through rhinoplasty surgery, the surgeon can change the shape of the bone, skin, and cartilage. Nose job or Rhinoplasty is not just for beauty, medical reasons namely birth defects and breathing problems can be the reason for undergoing the Rhinoplasty surgery. Iran is one of the top 5 countries in cosmetic surgery in the world and since rhinoplasty or nose job is the most common surgery in Iran (about 80,000 times annually), doctors are quite expert in this field and can offer different shapes and types to you to choose from. Rhinoplasty or nose job is done in Iran with a cheap price with expert doctors so people from all over the world choose Iran for this purpose, especially people from Canada, European countries, and Arabic countries. When having a rhinoplasty or nose job surgery doctors examine your face and shape to see the best fit for your face then make an appointment for the surgery. The operation would take about 3-4 hours and you may need to spend the night at the hospital. Furthermore, you will be unconscious during the operation. One week after the operation you will visit the doctor for the final checking and then you can go back home. Risks of having a Rhinoplasty surgery include: Bleeding Infection Having an adverse reaction to the anesthesia Scarring Permanent numbness around and in your nose Discoloration Pain and swelling A hole in the septum The probability of having uneven-looking nose Having breathing difficulty through the nose And there is the possibility that you may need another surgery Preparing for Rhinoplasty Surgery Before the surgery you will have a consulting session with your doctor to tell him/her your desired shape. You need to inform your doctor what you have in mind and even bring a picture of the people with that kind of nose to give your doctor the clear idea of what you want. During your sessions, your doctor will ask about your medical history to have all the necessary information about your body. Then your doctor will conduct a comprehensive physical examination including lab test and an exam of inside and outside of your nose for the impact of surgery on your breathing. The effect of your facial features like your skin thickness and the strength of the cartilage at the end of your nose can have an undeniable effect on the result of the surgery. The doctor will take some photos of your nose to use them to give you a demonstration of what your nose will be like and use it as a reference during the surgery. During the Surgery For Rhinoplasty surgery local anesthesia with sedation or general anesthesia is used and the kind and amount of anesthesia depends on your unique case and your doctor`s decision. Rhinoplasty surgery can be done through an external cut at the base of your nose between your nostrils or inside your nose so that your surgeon will readjust the bone and cartilage underneath your skin. At the end of the surgery, tampons will be placed inside your nose and there will be cast and splints on your nose for your nose to maintain the new form. After the Surgery Right after the surgery you need someone to drive you home. Do not use medications that can increase bleeding, medications like Aspirin or Ibuprofen (Advil, Motrin IB) for 2 weeks after and before the surgery. If you are a smoker, you need to stop smoking since smoking can make the healing process slow and may cause infection. You need to bed rest after the surgery for 3 days until the tampons get removed then it takes about 1 week until the cast gets removed by your doctor. When sleeping, your head position needs to be higher than your chest so that the bleeding and swelling reduces. After the dressings inside of your nose get removed, it is common to have some bleeding and drainage of mucus for a few days post-surgery. Instead of shower you need to take baths when you have bandages on your nose. You must not do strenuous activities like jogging and aerobics. Do not blow your nose. When brushing your teeth be careful and gentle so that your upper lip doesn`t move much. You mustn`t smile or laugh. Try to eat high-fiber food so that you don`t experience constipation. Do not use sunglasses or glasses for at least 4 weeks after the surgery. Instead use contact lenses or tape your glasses to your forehead until your nose gets better. The discoloration and swelling of the eyelids are temporary and can heal in a couple of weeks but the swelling of the nose can take about 1 year to heal completely. Do not put any ice or cold packs on your nose after the surgery but you must put sunscreen with SPF 30 on your nose to prevent any permanent skin discoloration.
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