Does anyone need to consult a doctor before?
Infertility is defined as the inability to become pregnant despite regular and unprotected intercourse for a year
. In this case, if
pregnancy has not been achieved for a year or more
there is a need for an evaluation in terms of infertility.
However, if the woman is 30 or over, 6 months old If there is still no pregnancy after unprotected intercourse, a doctor
should be consulted. Additionally, if there is menstrual irregularity, which may indicate a problem with ovulation, or if the man has a known problem, a doctor should be consulted without waiting another year. One should never worry about anything during this one-year period when trying to achieve pregnancy. Because this condition is seen in approximately one in 7 couples in society
and today, very advanced technology
is used in the treatment of infertility and pregnancy is achieved in a significant portion of the cases.
In which case should men see a doctor before one year?
Infertility in men rarely causes symptoms. In order to make a complete evaluation of Male Infertility
it is necessary to ask whether there is discharge, difficulty in urination and burning sensation, and it is necessary to perform a complete urinalysis and at least
2 sperm analyses. With a physical examination performed by a urologist, pathologies related to sexual organs are revealed. If there are risk factors; For example, bilateral
cryptorchitism (bilateral undescended testicles), if the woman is older than 35, if the couple questions the male partner's
fertility potential, men should also see a doctor as soon as possible. Also
those who will or have received chemotherapy or radiotherapy treatment, who had mumps during adolescence, who have diabetes, or who have been diagnosed with varicocele or for this reason
Men who have had surgery should see a doctor immediately after marriage.
Should the man or the woman go to the doctor first?
The man should go to the doctor first. Because the tests to be performed on men are both easy, fewer in number, and less costly.
How can you advise the couple who apply to you with the complaint that they cannot have children? Are you asking questions?
First of all, age, menstrual cycle, whether there is groin pain, abnormal vaginal bleeding or discharge,
previous inflammatory diseases and whether there are diseases of other systems. It is asked whether it is not.
She is asked whether she has ever been pregnant before, if so, how it turned out, whether she had a miscarriage,
whether she had surgery, and whether she used any birth control method
. Whether the patient has ever had a trauma, disease or surgery that could damage the sexual area to his/her partner, any infections, any medication use, a medical condition and if any, he/she has had sexual intercourse with another woman before. They are asked whether pregnancy has been achieved.
In addition, questions include how long they have not been protected, how often they have had intercourse, and whether lubricating creams were used during intercourse.
It should be asked whether there are any congenital abnormalities in the family. Duration of infertility, whether or not he/she has received any treatment yet, an allergic disease, occupation, smoking/alcohol use, whether milk comes from the breasts, hair growth and pain during sexual intercourse are among the questions asked. . The patient's
weight should also be recorded.
Does career choice have an effect on infertility?
It is known that some professions predispose to infertility. Those who work in Turkish baths and saunas,
doner kebab masters, bakery and mine workers, long-distance drivers, those who work in ceramics and glass, and those who work in paint jobs where thinner is used have high levels of such chemicals.
Decreases in sperm quantity and quality are detected in those who inhale the substance. In addition
Infertility rates also increase in professions such as police work, which are tiring and have a high stress coefficient
.
Which specialist should couples who do not have children consult?
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General gynecologists can make the initial evaluation, or you can go to a gynecologist specializing in infertility
. The important thing here is to choose a doctor who is trusted and with whom the patient feels comfortable. However, whenever the patient wants to go, The decision should be made by accessing his
resume via the internet, which can now be connected from almost anywhere
, and examining his interests and the work he has done to date.
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What are the first tests performed on couples who consult a doctor?
The first tests performed for diagnostic purposes are tests aimed at finding the cause of infertility, are inexpensive and do not harm the patient.
. Here, the patient's wishes, age, duration of infertility, medical history, physical and gynecological examination are taken into consideration, and the female internal sexual organs are evaluated with ultrasonography. First of all, the man is asked to perform a sperm analysis following a three to five-day sexual abstinence. Then, to obtain information about the woman's ovulation function, blood is taken on the third day of menstruation and hormone analysis is performed. 2 days after menstruation ends, a film is taken to show whether the tubes that allow the egg and sperm to come together are open or not. This procedure is performed by administering a dyed substance through the cervix.
After these initial examinations, a preliminary evaluation is made about the patient and it is decided whether further examinations are required. These are examinations such as examining the pituitary gland in the brain, the thyroid gland in the neck region, the adrenal glands, or observing the inside of the abdomen and uterus with laparoscopy and hysteroscopy.
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