We are always with you
If you are looking to start a family at some point, or looking to add a new member,
and you find it difficult and/or too early for any reason, we will help
you to make your dream true, it’s not magic but with science and passion miracles would happen.
Our clinic offers a full fertility treatment for both genders along with other Gynecology consultation,
your first step to establish a family starts from you.
Our clinic offers a full fertility treatment for both genders along with other Gynecology consultation, your first step to establish a family starts from you.













problems
veins
antibodies
age
disorders
abnormalities
disease
and female
factors
Diagnoses











problems
veins
antibodies
age
disorders
abnormalities
disease
and female
factors
Diagnoses

















consultation
pregnancy
follows up
Insemination
(IUI)
retrieval
of sperms
Freezing
Genetic
Diagnosis
(PGD)
Gender Selection
(PGS).







consultation
pregnancy
follows up
Insemination
(IUI)
retrieval
of sperms
Freezing
Genetic
Diagnosis
(PGD)
Gender Selection
(PGS).













problems
veins
antibodies
age
disorders
abnormalities
disease
and female
factors
Diagnoses











problems
veins
antibodies
age
disorders
abnormalities
disease
and female
factors
Diagnoses

















consultation
pregnancy
follows up
Insemination
(IUI)
retrieval
of sperms
Freezing
Genetic
Diagnosis
(PGD)
Gender Selection
(PGS).







consultation
pregnancy
follows up
Insemination
(IUI)
retrieval
of sperms
Freezing
Genetic
Diagnosis
(PGD)
Gender Selection
(PGS).
Fix an Appointment
Trimester Chart
Here are some tips on how your journey will start and progress

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4
Things to Know
Starting the second week of your oocytes age, you will ovulate, if the egg meets the sperm, you will get pregnant, then a tiny ball on your third week called blastocyst, hundreds of cells that multiplying quickly to progress to an embryo. during week four, it will become an embryo made up of two layers, in parallel the primitive placenta is developing.
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9
Fetal Development
Now pregnancy discomforts might start, sore breast, fatigue and maybe morning sickness and spotting, as the tiny embryo is growing like crazy, nose, mouth and ears will start shaping, by week seven your baby with a tail will start forming hands and feet, the uterus will double in size, week nine it will look more human. Your waist thickening can tell.
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13
Baby Movement
The baby finished the most critical part of development, organs and structures are in place and ready to grow, hands will open and close into a fist, even the tooth buds will appear underneath the gum, toes will curl, brain will grow, and even kidneys start to excrete urine, finishing the first trimester, it has exquisite fingerprints and it’s 3” long.
1st Trismester
0.4kg - 2.0kg

-
18
Pregnancy Health
As your baby tiny features making expressions, you will feel more energetic and less nauseated, it will sense the light and forming taste buds. By week 16 you have to get ready for a growth spurt, as your baby will start doubling its weight and length, skeleton and umbilical cord will grow stronger and thicker, do not feel guilty about your appetite.
-
22
Pregnancy Comfort
Half way your pregnancy, you should establish the bond with your baby, start talking and singing, enjoy the moves that soon will turn into kicks, on week 22 your baby will look like a miniature newborn, it can swallow and produce meconium, and with eyebrows, if your sides are aching it could be due to the growth of your amazing pregnancy belly.
-
27
Yoga & Exercise
When you are on the move, the baby can feel the motion, having a uterus sized as a soccer ball might cause swelling in your ankles and feet, the baby will start adding on some fat and grow hair, practice of breathing start on WK 26, it will inhale and exhale small amounts of amniotic fluid, hiccups, sucking fingers and even eyes moving happen now.
2nd Trismester
2.0kg - 8.0kg

-
31
Healthy Sleep
Welcome to last trimester, were clumsiness, mood swings and fatigue will start, the baby head is growing now to make room for brain development, along with other organs will start maturing, the baby will be able to see the light filtering in through the womb, stronger kicks will surely keep you awake, Braxton Hicks contractions might be felt, don’t worry.
-
36
Relax with Music
With a baby that weighing over 4 pounds, you might start having problems in sleeping comfortably, heartburn and shortness of breath will also occur due to expanding in uterus, the baby central nervous system and lungs continue maturing, the result of feeling cozy and warm, along with growing an ounce a day will be less but heavier movements
-
40
Lower Anxiety
Your baby is fully developed now, and waiting to greet the world, you will start feeling vaginal discharge and occasional contractions, don’t worry, as you are also getting ready welcoming your angel, if your water breaks, call your gynecologist. It’s OK to pass few days after your due date, more frequent follow up, as the baby cant stay inside you much longer.
3rd Trismester
8.0kg - 13.6kg
You could be really pregnant, feel free to talk to us
We are following you
Make sure monthly follow ups with your gynecologist.
We care about your food
Supplements are as important as your nutrition intact.
We care about your health
Sport, yoga, activities are important, as long as it’s not heavy.
Know Everything

Controlled Ovarian Stimulation
Controlled ovarian stimulation is key in IVF/ICSI cycles.
As it is step one upon receiving the results and confirming the possibility of IVF/ICSI, the same used not only for getting pregnant but also when a woman decide to freeze her eggs, this will help maximizing the number of oocytes produced to increase the chances of getting pregnant and/or freezing for future use.
We also encourage maximizing the number of produced oocytes when Gender selection and preimplantation genetic diagnosis is required, as it will increase the probabilities of required gender / healthy embryos.
How does it work:
The 2 most commonly used protocols for stimulation are the Short Antagonist protocol and the Long Agonist protocol.
The Long Agonist protocol is typically started on day 21 of the cycle in a regular 28 days cycle or simply a week before the anticipated cycle.
Indication
- Young age group ( <35 years)
- Recurrent failures.
Stimulation dose:
- 150 iu for age <25 or PCOS
- 225 iu for age < 30
- 300 iu for age <35
Protocol:
- Start 5-7 days before the expected period if regular period, if irregular period you can start any time after at least 3 weeks from the LMP.
- Do base line TVS US to check for ovarian collection cyst > 25 mm, ovarian endometrioma, or obvious endometrial polyp
- Give Promulot N 10 mg or Duphastone 2 Tab for 5 days in cases of irregular periods or if the patient gives history of variable periods or there is a need to design and delay the cycle of treatment.
- Start Decapeptyl 0.1 µg subcutaneous daily at the same time of the day (preferably in the evening) either immediately after finishing Pogesteron tab or as detailed in the previous point. Continue the injections for at least one week, until day 3 of the period. One may need to extend the Deca injection for 2 weeks if the period did not start. Remember to do Pregnancy test if delay of period >7 days.
- On Day 3 of the period do TVS US (Down Regulation scan). It could be on D2-D5 as far as the patient continued the Deca injections. The scan is to check thin endometrium (ET) < 5mm and no collection cyst > 20mm. If any of the previous two points persist need to wait few days and continue on Decapeptyl injection and then repeat the scan. If thick ET persists consider to cancel the cycle and the need of Hysteroscope. If collection cyst > 20 mm persists consider cyst aspiration.
- Start stimulation according to the suitable dose and reduce to decapeptyl to 0.05µg (1/2 injection) subcutaneously for 5-7 days.
- At day 6-8 of stimulation TVS US to check ET and folliclometry. ET is expected 6-8 mm and the leading follicle 12-15 mm. Adjust the stimulation dose accordingly and repeat the scan as need. Expected growth of recruited follicle 1-1.5 mm per day.
- When reaching 3 follicles ≥ 17 mm consider the patient for egg collection. There is no need for the patient to receive stimulation or Decapeptyl on the day of the HCG injection however if the patient already received the injection one can proceed with treatment as planned.
- Triggering of ovulation 10,000 iu HCG IM or 5000 iu HCG if more that 10 follicle >16mm or more than 15 follicle in total. HCG injection 36 hours before the egg collection procedure. Example HCG injection on 10pm Saturday the egg collection at 10 am Monday.
Day | Ultrasound | Medication | |
D 21 | Base line | Progesterone | |
D22 | Progesterone | ||
D23 | Progesterone | ||
D24 | Progesterone | ||
D25 | Progesterone | ||
D26 | Decapeptyl 0.1 Sub cut | ||
D27 | Decapeptyl 0.1 Sub cut | ||
D28 | Decapeptyl 0.1 Sub cut | ||
D29 | Decapeptyl 0.1 Sub cut | ||
D1 | Decapeptyl 0.1 Sub cut | ||
D2 | Decapeptyl 0.1 Sub cut | ||
D3 | Decapeptyl 0.1 Sub cut | ||
D4 | S1 | Down Regulation | Decapeptyl 0.05 Sub cut + Stimulation |
D5 | S2 | Decapeptyl 0.05 Sub cut + Stimulation | |
D6 | S3 | Decapeptyl 0.05 Sub cut + Stimulation | |
D7 | S4 | Decapeptyl 0.05 Sub cut + Stimulation | |
D8 | S5 | Decapeptyl 0.05 Sub cut + Stimulation | |
D9 | S6 | Decapeptyl 0.05 Sub cut + Stimulation | |
D10 | S7 | Decapeptyl 0.05 Sub cut + Stimulation | |
D11 | S8 | Follow up scan | Decapeptyl 0.05 Sub cut + Stimulation |
D12 | S9 | Decapeptyl 0.05 Sub cut + Stimulation | |
D13 | S10 | Follow up scan | Decapeptyl 0.05 Sub cut + Stimulation |
D14 | S11 | Decapeptyl 0.05 Sub cut + Stimulation | |
D15 | Follow up scan | HCG injection | |
D16 | |||
D17 | Egg collection |
The advantages of such protocol are that it enhances synchronous growth of the follicles, might lead to a better yield in eggs (reported as 1-2 more eggs in most studies) and is considered more convenient to the physician considering the inhibiting ability of the agonist to the pituitary ovarian access.
However, it may take longer days to stimulate the ovaries, which entitles more use of HMG or FSH, and since only HCG trigger can be used, this puts a patient at a risk, though minimal, of ovarian hyperstimulation syndrome.
After the Procedure
The Short Antagonist Protocol commences typically on day 2 or 3 of the cycle with the straight administration of ovarian stimulation medications (HMG or FSH) until the follicles reach around 14 mm in size where a GnRH antagonist is then used for the rest of the cycles along with (FSH or HMG) until the follicular size is (18-20) mm in size.
Indication
- Age group ( >37 years).
- Poor responders
- Patient attended 2-3 of the period.
Stimulation dose:
- 150 iu for age <25 or PCOS
- 225 iu for age < 30
- 300 iu for age <35
- 450 iu for age >37
Protocol:
- On Day 2- 3 of the period do TVS US . It could be NOT be any later than Day 4 of the period . The scan is to check thin endometrium (ET) < 5mm and no collection cyst > 20mm. If any of the previous two points present cannot use the short protocol.
- Start Decapeptyl 0.1 µg subcutaneous daily for 8 days at the same time of the day (preferably in the evening), and start the stimulation according to the suitable dose form the next day for 7 days. Both medications will finish on the same day.
- At day 8 of stimulation TVS US to check ET and folliclometry. ET is expected 8 mm and the leading follicle 14-16 mm. Adjust the stimulation dose accordingly and repeat the scan as need. Expected growth of recruited follicle 1-1.5 mm per day.
- When reaching 3 follicles ≥ 17 mm consider the patient for egg collection. There is no need for the patient to receive stimulation or Decapeptyl on the day of the HCG injection however if the patient already received the injection one can proceed with treatment as planned.
- Triggering of ovulation 10,000 iu HCG IM or 5000 iu HCG if more that 10 follicle >16mm or more than 15 follicle in total. HCG injection 36 hours before the egg collection procedure. Example HCG injection on 10pm Saturday the egg collection at 10 am Monday.
In regards to cost, and considering the GnRH antagonist to be expensive in most countries, it is regarded to be of slight financial increase compared to the long protocol.
Which protocol is better?
Pregnancy rates, ongoing pregnancy rates (pregnancies which continue beyond 20 weeks) as well as live birth rates are considered to be of no significant difference between the 2 protocols.
FAQ
Will my ovaries be normal after stimulation?
Will I get pregnant normally if I stimulate my ovarian?
Are oocytes produced from stimulation normal and healthy?
Schedule a Consultation
Ph: +962-79-6055991
Address: Jordan – Amman – Farah Hospital