Infertility and Therapy is, in general, an important therapeutic step for couples who can not conceive despite regular sexual intercourse for one year after leaving birth control and prevention measures to prevent pregnancy.
Modern age couples often prefer to have children with planned pregnancies. In the context of pregnancy planning, couples wishing to have children should apply to a gynecologist for preconceptional (pre-pregnancy) evaluation.
In other cases, if the couple do not have children of women over the age of 35, and after six months of regular unprotected intercourse If pregnancy is not possible, the reasons should be investigated.
Similarly, in women with menstrual irregularities and genetically, it is necessary to start evaluating patients with infertility-related risk factors from information obtained from other factors.
When the cases of non-child-bearing couples are examined, almost one-third of the couples are from the male origin, one-third from the female, and the remaining couples can not find any exact reason. This is not to be feared, however, because there are several treatment options for patients who have no reason to be diagnosed, even if they are not fully diagnosed.
In general, women may experience infertility problems due to ovulation problems, hormonal problems, or problems with genital organs. For women, age is an important factor to pay attention to in terms of sterility.
In females, the number of eggs decreases with age. Generally, the probability of having a monthly pregnancy for healthy young couples is about 20%. This rate starts to fall from the age of 30. It decreases more rapidly than the age of 37. In addition to women, age is also important in men, which is less prominent than women. In addition, women with a body mass index of excessively low or high, an unbalanced weight problem, excessive exercise, alcohol or cigarette consumption reduces the chances of getting pregnant.
Similarly, the use of cigarettes, alcohol, drugs, or steroids in males may affect sperm negatively. At the beginning of infertility treatment, listening to the story of the woman about a detailed development and physical examination is necessary.
When researching causes of infertility it is important that you give your doctor detailed information on the following issues:
- Medicines. used.
- Previous disease (especially sexually transmitted) and surgical interventions.
- family history of congenital anomalies.
- Previous pregnancies and their consequences, if any.
- Alcohol and cigarette use.
- Occupational risks.
- Previously used birth control methods.
- Unprotected sexual intercourse initiation time.
- The frequency of intercourse.
- Sexually related difficulties.
- The use of lubricants.
In addition, while infertility research is being conducted, the tests that can be used for basic evaluation in women are as follows:
- Basal body temperature measurements.
- LH measurement in the run (specifies laying).
- Progesterone, prolactin, thyroid hormones.
- Blood tests for over-reserve.
- Vaginal ultrasonography.
- Histerosalfingograf of (medicated film uterus).
- Sonohysterography (vaginal ultrasonography by filling the uterus with fluid).
- Hysteroscopy (looking into the uterus with the camera).
- Laparoscopy (looking into the abdomen with the camera).
Your doctor will decide which of the above tests is needed.
Basal body temperature measurements are a test to detect a slight increase in body temperature after ovulation. Progesterone (one of the most important female hormones) measures menstrual cycles (menstruation cycle) – from the first menstruation to the last menstruation, if it is done on a certain day, it may show whether it is ovulation. The main test for male partner is sperm test. Urological examination may be recommended if deemed necessary.
After preliminary assessments for infertility purposes, there are various treatment modalities for infertility treatment, such as lifestyle changes, medications, surgery, or in vitro fertilization. Lifestyle changes vary from person to person and include measures such as weight gain or gain, less or more exercise, smoking and alcohol abstinence.
Endometriosis (Endometrium cell layer is located in the body only in the uterus, the endometriosis disease occurs when the cell layer is located in another part of the body other than the uterus), vaginal or vaginal organs are used for the treatment of varicoceles (varicosity of male blood vessels) uterine (uterine) septoms (called curtain-shaped septum, which divides the cavity in the uterus into right and left), or for adhesions in the fallopian tubes (uterus -hair, extending from the upper corners to the ovaries, each about 10 cm long).
In women, the most common cause of hormonal infertility is the poliical over syndrome (a syndrome that reflects the impairment of sexual hormones). Some hormonal disorders and menstrual irregularities are common in such patients. These patients respond well to lifestyle changes (diet and exercise) and drug treatment. In addition, if there are problems with thyroid or prolactin hormone, this requires medication.
The first step in infertility treatment is usually ovulation treatment (ovulation induction). In this process, it is aimed to provide ovulation with the help of medicine. The most commonly used drug for this purpose is clomiphene citrate. With this treatment, approximately 40% of women after 6 cycles (pregnancy) are provided with pregnancy. Side effects are light enough to try and these side effects appear as hot flashes, nausea, tenderness in the breasts and emotional changes.
If success can not be achieved by treatment with clomiphene citrate, gonadotropins are tried to be used for ovulation therapy using hormones injectable to resolve problems of fertility and productivity in men and women and also produced in the human body. Gonadotropins are also one of the medicines that are used to obtain a large number of eggs in the treatment of IVF.
Gonadotropin therapy is started in menstrual period. It is administered in the form of daily injections, followed by dosing with ultrasonography. When the follicles reach a certain size (each female is normally a small sachet containing the egg cells), an injection of HCG hormone (also known as pregnancy hormone) is made to crack the egg. The rate of twin occurrence in clomiphene citrate treatment is about 10%. Triplets are much more rare. However, gonadotrophin therapy ie about 30% of pregnancies obtained are multiple pregnancies. Of these, about two-thirds are twin, and the
There may also be a side effect known as ovarian hyperstimulation syndrome.
Intrauterine insemination (vaccination therapy) is the placement of a large number of healthy sperm into the uterus in the closest possible time to laying time. Ovulation induction is usually applied after treatment.
In vitro fertilization is the process of combining the egg and sperm in the laboratory environment, forming the embryo and transferring the embryo into the uterus. It is particularly suitable for patients with infertility who are unable to undergo surgical treatment and whose fallopian tube lesions and obstructions are severe endometriosis, premature ovarian failure, some cases of male infertility and unexplained infertility.
Dr. Tugrul Abacioglu, all of these treatment methods can be applied.
Your health is important to us. If you have any questions on these matters, Please contact Tugrul Abacioglu from the phone numbers below or our live support line and an appointment will be made.