Agennesis, as it is commonly used, infertility is the absence of pregnancy despite the fact that couples has unprotected sexual intercourse 2 to 3 times a week in a 1-year period.
Infertility, that is, infertility, is shown as one of the serious health problems experienced by people not only in our country but also in the world.
Couples who have a standard sexual life that can be expressed as a result of regular intercourse in an average of 1 year period of 90% pregnancy occur.
Although desired, if pregnancy does not occur, one or both of the couples may have different health problems, this situation may be experienced due to infertility.
It is not possible for couples who have problems in this way to detect this situation. Immediately a specialist should be examined and the causes should be determined and treatment should be started.
Infertility is a disorder that has many factors that can be seen in both men and women. Especially the age factor leads to the appearance of infertility problems in people. Infertility rates increase more with age progression in women.
If you want to have children but cannot have children, it is not possible to solve this process without expert help. To reach our clinic and make an appointment for the nearest date, Obstetrics and Gynecology Specialist Op. Call Us Now to create your treatment plan after being examined by Dr. Mahru Nurullayeva…
What is Infertility?
Infertility, which is popularly expressed as Infertility, is the absence of pregnancy in couples who have sexual intercourse without using a method of protection for 1 year.
The problem of infertility can be caused by the woman, the man or both. In the measurements made in our country and in the world, it was determined that 15 out of 100 couples had infertility problems and infertility treatment was seen.
35% of infertility cases occur in women, 35% in men, and the remaining 30% consist of causes that are seen on both sides or cannot be diagnosed.
This problem, called infertility or infertility, is triggered and occurs for many different reasons such as age, hormonal change, obesity, smoking and alcohol use.
Causes of Infertility
The incidence of infertility, that is, infertility problems, in men and women is very close to each other. These rates can be measured in the range of 30% to 40% in both sexes.
After the couples are examined by the Obstetrician, the reasons for them to be treated with the diagnosis of Infertility begin to be important.
In order to have a successful treatment process and to have a child, it should be determined which factors causes infertility and the treatment should be planned accordingly.
These causes are tried to be determined by some examinations and tests performed by specialist doctors in the clinical environment.
Unfortunately, in some cases, the causes of infertility cannot be identified. This phenomenon has been referred to in the literature as Infertility of unknown cause and the incidence rate in couples is around 15%.
This condition, called infertility or infertility, is a disorder that occurs for different reasons, although it is seen in close proportions in women and men.
We can list the factors that cause infertility in men as follows;
- Low sperm count,
- Low sperm motility,
- Structural problems in sperm cells,
- Sperm cannot get out,
- Testosterone deficiency,
- Sexual dysfunctions,
- Channel obstruction,
- Finding an undescended testicle problem,
- Having febrile diseases at a young age,
- Genetic elements,
- Some diseases such as Syphilis and Gonorrhea,
- To have undergone cancer treatment,
- Disorders due to infection,
- Excessive smoking and alcohol consumption,
- Stress and insomnia,
- Hormonal problems,
The problem of infertility in men may be experienced depending on one or more of the factors mentioned above. The causes of this problem in the person should be determined by a specialist and the treatment process should be planned accordingly.
We can list the factors that cause infertility in women as follows;
- Experiencing menstrual irregularities,
- Low ovarian reserve,
- Obstruction in the fallopian tubes,
- Damage or adhesion problems in the fallopian tubes,
- Intra-abdominal operation and infection,
- Ovulation disorder,
- Inability to have menstruation,
- Entering puberty too late,
- High prolactin levels,
- Presence of diabetes,
- Liver disorders,
- Experiencing polycystic over syndrome,
- Myom Problems related to thyroid glands,
- Undergoing cancer treatment,
- Excessive consumption of caffeinated beverages,
- Excessive smoking and alcohol use,
- Stress and insomnia,
The problem of infertility in women may be experienced due to one or more of the factors mentioned above. The causes of this problem in the person should be determined by a specialist and the treatment process should be planned accordingly.
Some of the problems that cause infertility problems in women and men are common. Stress, insomnia, alcohol and cigarette use can be eliminated by eliminating situations that occur due to personal life.
However, some disorders experienced by people and the infertility problem due to the treatments applied to solve these problems are solved by using Assisted Reproductive Techniques.
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How is Infertility Treated?
There are many treatment methods that can be applied to couples who have difficulty in conceiving naturally.
Although the most well-known method for this disorder, which is known as infertility among the people, is IVF, different treatment methods are also used.
While determining the Infertility Treatment Method, couples;
- Age and physical structure,
- Whether she has had a pregnancy before,
- How long they have been engaged in pregnancy,
- The condition of the woman’s fallopian tubes,
- Evaluation of eggs in women,
- Sperm evaluation in men,
Such properties are evaluated. Depending on all these factors, the Infertility Treatment Option to be applied for couples is determined.
Examinations Requested from Infertility Patients in the First Stage
When there is Infertility in the examined couple, some tests and analyzes are performed in order to learn the causes of the discomfort and to make a treatment plan.
While investigating the causes of Infertility Problem in Men, sperm test (spermiogram) and urological examination are performed. If the urologist deems it necessary, further examinations may be requested.
When investigating the causes of Infertility Problem in Women, ultrasonography and pelvic examination are performed first. Then, hormone tests showing the person’s ovarian functions, ovarian capacity test (ovarian reserve tests) and uterine x-ray are requested.
In the light of these tests and analyzes requested at the beginning, the main reasons are tried to be determined. When determining the treatment plan and method, different controls and tests may be requested by Obstetricians.
Infertility Treatment Methods
Infertility Treatment Options are treatment methods applied by specialist doctors in hospital conditions for couples who cannot have a baby due to infertility problems they experience.
After the examinations and examinations performed on couples who have problems of conception, the most appropriate and highest success rate Infertility Treatment Method is applied for them.
You can learn the treatment options applied under the title of Infertility Treatment Methods for couples who cannot have a baby due to infertility problems in the continuation of our article.
Stimulation of the Ovaries
Within the scope of Stimulation of the ovaries, FSH hormone is injected under the skin from the abdominal area starting from the 2nd and 3rd day of the menstrual period in women.
The application is done with the help of micro needles, also known as insulin injections among the people. People do not feel any pain and suffering during the procedure.
It will be more efficient to perform this injection process for the Stimulation of the Ovaries at the same time every day. (Preferably between 19.00 – 21.00)
During the administration of drugs, the number and size of follicles with the help of ultrasound, hormone levels are measured by blood analysis. Depending on the response of the ovaries to treatment, follicle development takes one to two weeks.
In the last days of this process, inhibitive injections are made under the skin in the morning so that the egg does not crack uncontrollably.
In 5% of the couples who have undergone the Stimulation of the Ovaries method, the treatment is canceled because the appropriate response cannot be obtained from the ovaries. When making this decision, the couple’s consent is obtained.
Couples without a proper ovarian response are kept under follow-up. He can rejoin the program with different drug protocols.
Treatment with Pregnancy Medications
One of the Infertility Treatment Methods applied for the formation of pregnancy in couples is Pregnancy Drugs. If pregnancy does not occur because there is no regular ovulation, egg development can be achieved with drugs given by tablets and injections.
When Pregnancy Drugs are given in tablet form, they enable the natural pregnancy mechanism to work more effectively in the woman’s body. If the drug is given in the form of injections, it directly aims to stimulate the ovaries.
Infertility Treatment using Pregnancy Drugs is applied under close supervision and possible side effects are minimized.
Pregnancy Drugs are given to regulate ovulation in women. This is applied under close supervision and possible side effects are minimized. Pregnancy Drugs are given to regulate ovulation in women.
In the Infertility Treatment Method using Pregnancy Drugs;
- Hot flashes,
- Tenderness in the breasts,
- Emotional reactions,
- Allergic manifestations, albeit rarely,
Such side effects are observed.
The Pregnancy Drugs method, which aims to help the formation of pregnancy by aiming to increase the number of eggs, is a type of treatment that can be frequently preferred according to the condition of the couples.
Vaccination Treatment (Insemination)
Vaccination Treatment In couples with infertility problems, the fertility of the woman is highest during the ovulation period when the sperm of the man is placed in the woman’s uterus with the appropriate method.
Vaccination Treatment is known as the preferred Infertility Treatment Method in cases where the woman’s tubes are healthy and the cause of infertility cannot be determined exactly.
Vaccination Treatment method in couples;
- Very low level of sperm count or motility,
- Preventing the passage of sperm through the cervix,
- Sexual intercourse in couples is not fully realized due to problems such as erection, premature ejaculation, vaginismus,
It is often preferred in cases where pregnancy does not occur due to such reasons.
Within the scope of Vaccination Treatment, sperm samples are first taken from the man. Among these sperms, the most motile sperm and the most likely to fertilize the egg are determined.
The process is completed by passing the sperm selected using a plastic tube through the mouth of the woman’s uterus and leaving it in the uterus.
Vaccination treatment is a comfortable and safe Infertility Treatment Method. During the treatment, couples do not feel any aches and pains.
The success rate of this treatment method, which is applied with drugs that support pregnancy, is around 15%.
Among the factors affecting the success of Vaccination Treatment, the age of the woman and the man, the sperm values of the man and the health status of the woman’s tubes are shown.
IVF Treatment is an Infertility Treatment method that is applied in couples who have difficulty in experiencing pregnancy and aims to increase the number of eggs with drugs given to women from outside.
If women menstruate regularly, an egg is formed every month. With IVF treatment, the number of eggs is increased and egg development is tried to be regulated.
Although IVF Treatment shows differences depending on the protocol followed, two parallel hormones are used that mainly provide egg development in women and prevent early ovulation.
Determining the number of embryos to be transferred during the application can directly affect the possibility of pregnancy and the risk of multiple pregnancies.
In the IVF procedure, the embryo quality is determined before the embryo number transfer and detailed interviews are made with the couples receiving pregnancy treatment. Embryo transfer is a safe and comfortable application that can be performed without anesthesia.