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IVF is a technique in which egg cells are fertilised
outside the woman's body. Couples unable to have children
without assistance from a physician mostly choose this
treatment to have a baby. Turkey is offering you world
standard test tube baby operations with much lower prices.
15 percent of the population is considered infertile.
Infertility is described as not having a baby after 6
months of unprotected intercourse. Infertility is
increasing in modern communities. In men declines in sperm
count due to toxic environment and possible evolutionary
effects are noted. Also women due to educational and
career concerns are married at a later age. Average
menopausal age ranges between 48 and 52 in women. We now
know that, several years before the menopause women are
unable to bear children due to the diminished ovarian
function.
Historically, the menopausal age did not change and the
chance of having a baby is very slim as the female
approaches menopause. Therefore we recommend that all
women especially with the family history of early
menopause should have a baby at an earlier age. All the
infertility treatments and even IVF cannot be successful
if women’s ovarian function is diminished.
How do we aproach the infertile couple?
We first evaluate the male partner. Two or three sperm
counts one month apart are ordered and evaluated. WHO (World
Health Organization) and Krugers` criteria is used to
analyze the sperm parameters.
If the sperm count is abnormal, hormonal tests and
ultrasound of the testes is performed. This way, hormonal
and vascular problems may be detected. In male infertility
however, medical and surgical therapies are getting less
and less popular due to high failure rates.
Therefore for male infertility, currently artificial
insemination or IVF/ICSI is recommended, depending on
sperm count results.
For WOMEN,
We order FSH, LH, E2, PRL, and TSH hormon levels on the
third day of the period. If these are normal, ovulations
are monitored with ultrasound. If there is an ovulation
problem it is treated by oral medications or hormonal
injections, monitored by ultrasound.If the ovulation is
normal, then Hysterosalpingography ( X-ray of the uterus
and tubes) is performed to rule out the tubal blockage.
If there is a problem with the tubes, laparoscopic
correction is tried in certain cases. However, in recent
years due to highly successful IVF/ICSI results, tubal
surgery is performed less often.
In some couples no cause is found. This is called as
unexplained infertility. In this group, firstly 3 to 6
months of ovulation induction treatment is given. If this
is unsuccessful, artificial insemination is used for 3 to
6 months as well.
If all these fail, then IVF/ICSI should be performed
In general, below age 40 with normal hormones of the
female, classical treatments are successful in almost 70
percent of the cases. IVF/ICSI would be the answer if the
classical treatments are unsuccessful, the sperm count is
very low, and both tubes are blocked.
The age of woman is a serious factor. If the age is over
40, the chance of getting pregnant is lessened, so the
classical non-IVF treatments should be given for a short
time only. Therefore IVF/ICSI is used earlier and more
often.
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