Janin Clinic offers a wide range of services relating to fertility in Jordan, including In Vitro Fertilisation (IVF), Egg Collection, Surgical Sperm Retrieval and Intracytoplasmic Sperm Injection (ICSI).

We can also provide embryology and fertility preservation treatments depending on your particular needs.
In Vitro Fertilisation (IVF) Diagnostic Tests
The first step in overcoming a fertility issue is to identify what’s causing it. That’s where IVF diagnostic testing comes in.

We use the latest technology alongside our standard fertility assessments so we can provide tailored treatment and give you the very best chance of having a baby.

Our IVF diagnostic tests include the following:

• Semen Analysis: This is a procedure where we assess all the potential fertility parameters in a semen sample, particularly the concentration, motility, morphology, volume, and DNA fragmentation test.
   
• Semen Preparation: Performed in the andrology laboratory, this treatment aims to purify and improve the quality of a semen sample.
   
• Hormonal Evaluation and Assessment for the Reproductive System: This is where we test the thyroid gland and ovarian functions to preserve and control abnormalities.
   
• Advanced Chromosomal and Genetic Testing.
  
   

Egg Collection

Known as day 0 of an IVF cycle, the purpose of this operation is to retrieve eggs (oocytes) from the ovaries for insemination at a later time. It’s done under minor anaesthesia and takes from 5 to 10 minutes, depending on how many follicles there are in each ovary.

Even though not every follicle contains an egg, we typically obtain eggs from 70-80% of decent-sized follicles.

Intrauterine Insemination (IUI)

This procedure is where a prepared semen sample (with a higher number of quality sperm) is injected inside the womb to increase the likelihood of fertilisation.

• Low ovarian reserve
• An extremely high risk of Ovarian Hyperstimulation Syndrome (OHSS)
• Allergic reactions to medications

If you’re interested in natural cycle IVF, contact us for a consultation and we’ll determine whether it’s the right option for you.

Surgical Sperm Retrieval

The purpose of Surgical Sperm Retrieval is to collect sperm from the testis or epididymis through a minor surgical operation. This can be done in one of the following ways.

• Percutaneous Epididymal Sperm Aspiration (PESA): where a fine needle is used to gently acquire stored sperm in the tube at the back of the testicles.
   
• Testicular Sperm Aspiration (TESA): where we use a small needle to obtain sperm directly from the testis.
   
• Testicular Sperm Extraction (TESE): where we make a slight skin incision on the top of the testicle to allow us to take a small tissue sample and extract sperm cells from this tissue.
   
• Micro TESE Procedure: designed for difficult cases to help us search the whole testicles for sperm under a microscope

Embryology Treatments

We have various embryology treatments available which involve monitoring and transferring embryos to increase your chances of conception.

A. Embryo Transfer

An embryo transfer is the last step in the IVF process. It involves placing formed embryos into the womb and can be done anytime from day 2 to day 6.

B. Blastocyst Transfer

A blastocyst transfer is essentially an embryo transfer, but it involves transferring one or more embryos at a more advanced stage of development (called the blastocyst stage).

This means that the embryos have been cultured in the laboratory for 5 or 6 days rather than the standard 2 or 3 days involved in traditional IVF treatment. Consequently, this increases the likelihood of implantation.

 

C. EmbryoGlue

EmbryoGlue is considered an advanced embryo transfer medium that is used in the final step of IVF treatment. 

This treatment gets its name from the fact that it acts like a glue and increases the chance of an embryo implanting on the womb, as a result.
 
D. Time-Lapse System (TLS)

A Time-Lapse System can sufficiently improve the chances of a pregnancy. 
It’s a special way of embryo culturing where we can monitor all the development stages of the embryo. This allows us to predict which embryos have the most potential to be successful in your IVF treatment.

Fertility Preservation

To help save time and costs and boost your likelihood of getting pregnant at a later date, our fertility preservation services are an excellent option. This involves freezing embryos, semen and oocytes.
 

A) Embryo Freezing and Storage

We currently have the capacity to freeze and store your embryos until you’re ready to use them.

You might want to do this for one of the following reasons:

• You’re having IVF treatment and there are some viable embryos left after transfer
   
• You’re having IVF treatment but we’ve advised against embryo transfer at this time
   
• You’re not quite ready to have a baby but want to preserve your fertility

B) Freeze-All IVF

Freeze-All IVF is the best scenario for a patient whose womb isn’t ready to receive the embryos during IVF treatment.

Instead of undergoing an embryo transfer several days after egg collection, we’d freeze all your embryos and then perform what’s called a Frozen Embryo Transfer.

The benefits include:

• Strong success rates
   
• The ability to get pregnant on your own timetable
   
• Reduced Ovarian Hyperstimulation Syndrome (OHSS) risks, which can cause pain and swelling in the ovaries

C) Frozen Embryo Transfer

There is strong evidence to suggest that transferring a thawed embryo to the womb anytime after the eggs have been collected and fertilised can improve your chances of getting pregnant, especially when the treatment medication is no longer in the system.

Any spare embryos from your IVF treatment can also be frozen for future use if they’re high in quality.
 

D) Semen Freezing

For cases where there is a low count of semen or for people who have malignant diseases, we can freeze semen samples for a significant period of time.

This will then allow you to resume fertility treatments at a later date.

E) Oocyte Freezing

Oocyte preservation is a very helpful way for you to fulfil your fertility wishes at any age. 

This service is also ideal before chemotherapy and radiotherapy for women with malignant diseases who want to keep their oocytes frozen for future use.

It is performed via a laparoscopic procedure (through the abdomen).

 
Hysteroscopy and Laparoscopy

Both hysteroscopy and laparoscopy can be used to identify and manage certain conditions that are affecting your chances of conception.


A) Hysteroscopy

Hysteroscopy is a procedure that can be diagnostic or operative. It’s carried out using a hysteroscope, which is a narrow telescope with a light and camera that allows a doctor to look inside the uterus.

The aim is to evaluate the cavity and correct problems through a simple procedure. Problems that we may face include adhesions, polyps, myomas and septums.

B) Laparoscopy
 

Also known as diagnostic laparoscopy, this surgical procedure is used to examine the organs inside the abdomen. It’s low-risk and minimally invasive, requiring only small incisions.
 
As well as aiding the evaluation and management of endometriosis, adhesions and tubal problems (such as hydrosalpinx and blocked tubes), laparoscopy can also be used to treat ectopic pregnancy. This occurs when a fertilised egg implants itself outside of the womb