Since infertility, which can be caused by factors related to men and women, is a health problem that concerns couples, treatment should be evaluated and continued in this direction. Drawing attention to the importance of individual and cause-specific treatment, Gynecology, Obstetrics and In Vitro Fertilization Specialist Dr. Ali Kavas stated that pregnancy rates in personalized infertility treatment have been increasing in recent years. Very successful results can be achieved in infertility treatment, especially in recent years, with the influence of genetic and technological developments. However, in order for couples to have healthy babies, men and women must be evaluated separately at the beginning of the treatment and a correct treatment must be applied to the cause. Gynecology, Obstetrics and In Vitro Fertilization Specialist Dr. stated that ovulation disorders, problems arising from the tubes and uterus, and endometriosis are among the top causes of female infertility. Ali Kavas shared important information on the subject.
Ovarian reserve decreases with age
In parallel with the increase in the number of women working in social life, children The idea of owning one is also postponed until later ages. A woman's career becomes stronger over time, but her chance of becoming a mother also decreases. Dr. says that the most common and important cause of infertility, especially in older women, is the decrease in ovarian reserve. Ali Kavas said, “The chance of pregnancy decreases in women over the age of 35, and as they approach the age of 40, these rates seem to decrease even more. "Especially for women after the age of 40, the pregnancy rate drops below 5 percent," he says. Reminding that with the decrease in ovarian reserve in older ages, damage to egg DNA also occurs, Dr. Ali Kavas says that this situation also causes the egg quality to decrease. Stating that it is a rational way to directly perform in vitro fertilization treatment for women aged 38 and over without wasting time, Dr. Ali Kavas points out that premature ovarian failure has become more common, especially in recent years, due to stress, nutrition, smoking and genetic factors.
Egg freezing increases the effect on older age pregnancies
Civil diagnosed with infertility Dr. said that doctors postpone their treatment for various reasons. Ali Kavas states that treatment is affected by delay and the chance of pregnancy decreases. For this reason, Dr. underlines that couples should plan their treatment without wasting time as soon as they are diagnosed with infertility. Ali Kavas said, “Embryo genetic analysis tests called PGD or array CGH make an important contribution to the treatment in in vitro fertilization applications for older women. “In this way, it is possible to detect genetically sound embryos and transfer them, thus achieving pregnancy rates close to those of younger women,” he says. Dr. Ali Kavas says that the 'egg freezing' procedure, which is also used in our country and has to be postponed, is a very important approach for women to protect their chances of having children at a later age.
Surgery may be needed for treatment
Dr. says that among the causes of female infertility, problems related to the uterus and ovulation dysfunction can also be treated successfully. Ali Kavas continues his words as follows: "Ensuring ovulation in ovulation dysfunctions, especially polycystic ovary (PCOS) disease, removing polyps that prevent pregnancy by creating a mass effect in the uterus with closed surgery known as hysteroscopy, and correcting the intrauterine septum, that is, the curtain, with the same method are important treatments. are among the methods. It is possible to achieve very successful results with the right patient and timely treatments.” Dr. Ali Kavas says that the effect of myomas on infertility, which are seen in many women, varies depending on the location, and the possibility of pregnancy is not affected much in small myomas that do not extend into the uterus.
If there is a chocolate cyst...
One of the most important factors in the occurrence of infertility in women of reproductive age is endometrioma, also known as chocolate cyst. Dr. states that endometriosis should be suspected, especially in cases of painful menstruation. Ali Kavas: “If cysts grow, ovarian reserves decrease significantly. If the chocolate cyst is even 1 cm in size, it is considered a stage 3-4 disease and the disease progresses. “It means,” he says. Dr. said that recent research has shown that treatments other than in vitro fertilization are not effective in this group of patients, and therefore couples experiencing infertility problems due to endometriosis should be directed to in vitro fertilization treatment without wasting time. Ali Kavas gives the following information about the treatment: “It seems that the chance of success in embryo transfers in endometriosis patients increases after the cysts are suppressed with medication. In these patients, surgery should be avoided unless necessary due to the possibility of further damage to the ovarian reserves.“
Treatment specific to the person and the cause should be planned
Since the factors are completely individual, it is of great importance to treat patients in an age- and patient-specific manner when planning their treatment. Dr. Ali Kavas emphasizes that personalized and solution-oriented treatments are very important in the treatment of infertility in terms of avoiding financial and psychological wear and tear and irreversible processes, and says that this approach also increases the success of pregnancy.
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