Op. Dr. Ali Kavas gave information about what needs to be known in in vitro fertilization treatment and said that postponing the treatment wastes time. The age of the woman is of great importance in in vitro fertilization treatment. If the woman's age is under 35 and pregnancy cannot be achieved despite 1 year of unprotected sexual intercourse, a doctor should be consulted. If the woman is over 35, this period is 6 months. The situation in which couples should consult a doctor without wasting time is if the woman's age is over 38. In addition, if the man has undergone chemotherapy or an ovarian-related surgery that may negatively affect his ovaries, or if the man's sperm values have been negatively affected due to a similar surgery or chemotherapy, couples should seek treatment as soon as possible. Infertility is more common in men
The most important reason why couples do not have children is severe male infertility. Male factor is detected in 50-55% of patients applying to in vitro fertilization centers. The second reason is women who are 38 years of age and above, have decreased ovarian reserve and want to have a baby as soon as possible. In addition to these, the third ones are ovulation disorder in women, severe endometriosis (the presence of uterine tissue outside the uterus) and tube obstruction. The rates of infertility causes in men and women are very close to each other. However, when spermiogram analyzes are examined very well, it is determined that the rate of infertility in men is slightly higher than in women. New methods increase the pregnancy rate
Although 15 out of every 100 couples in Turkey want to have children, they do not want to do so. cannot realize it. However, positive developments in this field offer the chance to have more children even in situations that seemed impossible in previous periods. Couples who cannot have children despite in vitro fertilization at least three times can have the chance to become parents with new methods. Techniques such as genetic examination, co-culture, IMSI (sperm enlargement) enable pregnancy to be achieved in one out of every three couples with low chances of getting pregnant.
When is in vitro fertilization treatment necessary?
Couples who cannot have children should resort to in vitro fertilization treatment when they cannot get a response from other treatment methods. If there is severe male infertility, the woman's tubes are completely closed or cannot fulfill their function, and the woman is older, in vitro fertilization is recommended. Couples who do not want to waste time may prefer in vitro fertilization as soon as possible, as other techniques have a low chance of success. However, if the marriage period is short and there is no significant reason, it is more appropriate to start simpler treatment models first. . Many couples need more than one treatment to achieve pregnancy. In the third attempt, this rate increases to 85 percent. Those who have tried in vitro fertilization at least three times with unsuccessful results may be talking about recurrent failure. If the woman's ovaries are suitable and she is young, if the couple wants to try this treatment, there is no harm in trying it. However, hormonal treatments are not recommended because they increase the risk of breast cancer, especially after the age of 43.
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