infertility center / clinics in istanbul
After marriage, if the couple could not have a baby in one
year time although they desired, this is called infertility.
Its frequency is 15% among the families.
Since the woman gives birth to the baby, in the case of
infertility always she is blamed. Even more, she was treated
like a desert without a tree, or a river dried. But these
kinds of accusations to a woman, who cannot give birth are
not right. She does not deserve these at all.
Even in history, similar charges are made to the woman, who
cannot deliver a baby. These are also seen in legend stories
as well.
By the technical developments in the medical field, reasons
and answers of many problems were clarified. If the couple
could not have a child, the responsible of this may be
either the man or the woman. Even in 40% of the cases, both
of the man and the woman may have a problem at the same
time.
Left fallopian tube and uterus
are adhesed to each other.
Endometriosis is seen on
the posterior face of uterus.
The ovary of a women
age of more than 35 years of age.
Today, if the couple could not conceive a pregnancy in one
year, they have to see a doctor together. And the reason for
the infertility should be investigated for the woman as well
as for the man.
If the woman is younger than 18 years of age, the laboratory
investigation should not be done, and the doctor should wait
till she is 18 years old. But the procedure should be
started if the couple could not conceive the pregnancy in
one year.
Lipid degeneration
on the fallopian tubes
due to tuberculosis.
Adhesions on the ovary.
There is fimosis on the fallopian tube, so even it is open
it cannot work properly, cannot catch
the ovum from ovary.
There are 4 cardinal tests for the infertile couples. Sperm
counting for the man, coital test for woman, ovulation tests
and investigating if the fallopian tubes are open.
The spermiogram for the man should be done after 3-5 days of
having no sex. If this test is done earlier, the sperm count
may be low; if it is done after 5 days, the death sperm
number may be high.
In a normal spermiogram, the volume should be 2-5ml, the
sperm count should be more than 20million, with 50% normal
and 50% motile.
To understand the sufficiency of the ovaries of the woman,
especially for the women older than 35 years of age, in the
2nd or 3rd days of the menstrual cycle, FSH, estrogen and
inhibin hormones should be investigated. If these hormones
are high, then it can be concluded that the success rate
will be low.
The radiologic evaluation of the uterus should be held and
the inside should be visualized. If this is not done, then
the whole investigation procedure is not complete. If the
fallopian tubes are normal and open, the pregnancy can be
conceived 15-20% in 3 months after this procedure. This has
to be considered without applying any treatment.
If there are any problems or if the doctor has a doubt,
laparoscopy should be done.
Laparoscopy is a procedure, in which a lighted camera is
inserted through umbilical hole to visualize the genital
organs. It is a very important method.
Laparoscopy should not be done only for diagnostic purposes.
If pathology is seen, it has to be treated at the same time.
The treatment protocol cannot be organized without
completing these procedures. Because the reason cannot be
clarified yet. If the treatment protocol is organized only
by physical examination, this will lead to time and money
consumption only without any result.
The treatment of male infertility is more difficult, and may
require a longer time.
If there are problems in the fallopian tubes, the treatment
choice should be microsurgery. The women, who are not
treated by microsurgery should be treated by assisted
reproductive techniques.
(Dr.M.Yildirim)
.
