Normally, sperm and egg meet in the tubes in the female genital organ. In vitro fertilization; This natural process is carried out entirely in the laboratory environment. The eggs formed as a result of appropriate treatment and follow-ups are collected. The collected eggs are combined with the partner's sperm in the laboratory environment. The stages of embryo development are followed by the embryologist in the laboratory environment. Healthy developing embryos are placed in the uterus. The embryo developing in the tubes in the natural environment. stages; Since it is carried out in a laboratory environment, this procedure is called IN Vitro Fertilization
2- HOW LONG SHOULD COUPLES WHO CANNOT HAVE CHILDREN TRY AND WHEN SHOULD THEY THINK OF IVF BABY?
As a general definition, if it is not possible to have a child despite 1 year of regular intercourse, assisted reproductive techniques should be used. However, this rule is not suitable for all couples. In the presence of patient-specific conditions, this period may be further extended or shortened. In this case, the most important indicator is the patient's age, the presence of previous gynecological surgeries and the fertility capacity of the ovaries.
3-WHAT TESTS ARE DONE TO DETECT FEMALE INFERTILITY?
The techniques used vary depending on the age of the patient and the duration of unprotected intercourse. First of all, hormone tests performed on the 3rd day of menstruation; It consists of the AMH test that directly shows the ovarian reserve. Information about the female reproductive system is obtained through the uterine film, which shows the condition of the pathways where the sperm and egg meet.
4-WHAT TESTS ARE DONE TO DETECT MALE INFERTILITY?
The decision is made by sperm analysis after 3 or 5 days of sexual abstinence. The sperm count must be over 15 million. However, just this number is not enough. In addition to the number of sperm, their movements and shapes must also be normal. The fact that the man's sperm count and shape are normal does not indicate that he can have children. It would be appropriate for his wife to be evaluated by a Urology Specialist.
5- IS THERE AN AGE LIMIT IN IVF TREATMENT?
How to achieve success in in vitro fertilization treatment? Ovarian reserve in women between the ages of 32 and 35 The egg reserve in women between the ages of 35 and 38, and even around the age of 43, is largely depleted. We recommend that expectant mothers complete their fertility by the age of 35.
If this method is in vitro fertilization, in vitro fertilization should be performed by the age of 35. The success rate of in vitro fertilization treatment applied after the age of 35 increases, It has been made possible by genetic technologies. This decrease in ovarian reserve is so dramatic that the success rate of in vitro fertilization after the age of 43 is less than 5%. After the age of 38, the chance of pregnancy with IVF treatment decreases by approximately 10% every year. Therefore, it is extremely meaningful and satisfactory to perform in vitro fertilization methods before the age of 35.
6- ARE THERE ANY LONG-TERM SIDE EFFECTS OF IVF TREATMENT?
Although in vitro fertilization procedures have been used for approximately 40 years, they do not have any effect on women's health. In fact, the psychological wear and tear of couples who cannot have children is more negative. However, if the drugs used in in vitro fertilization treatment are not administered to appropriate patients in appropriate doses, a condition of overstimulation of the ovaries, which we call OHSS, may occur.
7-HOW IS HYSTERESCOPY APPLIED IN IVF?
Hysteroscopy is the evaluation of the inside of the uterus with an optical system. In patients who will undergo in vitro fertilization, it is an important element in determining whether there is a pathological condition that may prevent the embryo to be transferred before the in vitro fertilization process. Myoma is one of the leading pathologies. Hysteroscopy will lead to positive results of in vitro fertilization treatment and increase the success rate. In patients who will undergo in vitro fertilization; If there is a suspicion of adhesion in the uterus and pregnancy has not occurred despite the transfer of 2 or more embryos, it is inevitable.
8- TREATMENT METHODS USED IN IVF?
In vitro fertilization treatment is a treatment method that requires personalized programs. Because there are quite dynamic reasons. The woman's age, the woman's hormonal parameters, the man's sperm count, motility and morphology are all among the parameters that affect the treatment. The main points in in vitro fertilization treatment Purpose: To obtain between 10 and 20 eggs, to have the E2 value below 2500 and to obtain quality eggs. To achieve this goal, patient-specific treatment methods should be created.
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