Treatment in infertility

Infertility treatment varies and is planned according to the cause, individual characteristics and common reasons specific to couples.
In women with hormonal imbalance – irregularity, problems in egg development, polycystic ovaries, treatment for unexplained infertility begins with the stimulation of egg development (ovulation induction). After egg development is ensured with some drugs (firstly with oral tablets, if it is not enough, with injections around the navel), the egg can be cracked and vaccinated, and everything can be left spontaneously in the first stage. In many subfertile women and couples, only egg development can be achieved and conception can be achieved with planned intercourse. If there is a cracking problem in the egg, a planned intercourse is recommended by cracking the egg, and if there are one or two unsuccessful plans, the vaccination program is started after egg cracking.

Vaccination should be attempted two or three times, it has been shown that more vaccinations do not increase the success rate. In order to be able to vaccinate, couples must have some characteristics, not every couple can be included in the vaccination program and cannot benefit from vaccination. In order to be able to vaccinate, hysterosalpingography (HSG) should show that the tubes are open, and sperm count and motility should be suitable for vaccination as a male factor.

Couples who can benefit from vaccination; Some of those diagnosed with unexplained infertility are women with mild sperm disorder, sperm-killing secretions in the cervix (presence of antisperm antibodies), women with polycystic ovary syndrome, where egg development can be achieved…
In couples who can not be successful in two or three times vaccination, in women with tubal factors due to obstructions in the tubes (hydrosalpenx, endometiosis, etc.), in women with very low sperm quality, motility and number (oligoaztenozoospermia), peritoneal factor (cases where the tubes cannot catch the eggs due to widespread adhesions in the abdomen). In cases where previous surgeries, previous genital tuberculosis, immunological factors (antisperm antibodies), advanced female age and genetic diagnosis of embryos are required, in vitro fertilization treatment is started.

In vitro fertilization phases begin with the development of the eggs, which we call controlled ovarian hyperstimulation, with hormonal needles, and continue with the egg collection (OPU) process when sufficient maturity is reached. ends with transfer (IVF or ICSI, embryo transfer, ET-DET)…

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