Couples unable to have children running yardrımına vitro methods. But before the application of these methods from head to toe examination of the couples, and is required to determine the real reason.
Inoculation, TUBES AND BABY microinjection
Intrauterine insemination (IUI) or the vaccination is what?
Intrauterine insemination of females received sperm from males at spawning time out after passing through a certain process is to give the mother's womb. Prior to this process by giving certain drugs to the mother can provide, such as ovulation, menstruation and may also be made natural
What is IVF and ICSI?
In vitro fertilization or IVF with eggs taken from women, men from outside of the sperm and fertilization in the laboratory to perform together when the mother's womb after a certain period of placement. Intracytoplasmic sperm injection (ICSI) or ICSI with the sperm from men directly injected into the egg fertilization and again held his mother's womb after a certain period after placement.
Who Applies?
Edwards and Steptoe in 1978 by test-tube baby in England for the first time? Also been carried out. Initially patients with occluded tubes as a method for implementing the Area düsünülmüs be, but today is used successfully in the treatment of many patients. Gruplarini IVF patients now briefly review the method we uygulanabildigi:
1. Tubal factors: tubal factor is usually clogged tube or is not functioning normally, but not stuffy. Hysterosalpingography in order to determine the patency of the tubes called the womb since the film is drawn. In this film, but the tube is open at all times show that the tubes may not be normal. With the surrounding tissue adhesion between the tube or tubes are passed within the tissue before surgery because of infection or injury than if the tube is open, but can not leave the function as normal. Therefore, the status of the tubes for exactly gözlemeleyebilmek endoscopic diagnostic methods such as laparoscopy may be needed sometimes. Instead of tube blockage and surgery, depending on patient age may be given the chance. Tubes tied, especially in patients with previously normal means able to conceive after surgery is quite high. But more damage in patients with tube and tube blockage in the part of the uterus has been away from the surgery has a low chance of success with IVF application, and is more convenient. In addition, patients with surgery in patients with advanced age rather than wasting time applying directly to the test-tube baby is more appropriate. Therefore before an inflammation of tube obstruction in some patients detected during ultrasound or laparoscopy can be seen as accumulation of fluid within the tubes. Hidrosalpenx-called test tube baby, in this case be taken before applying to the operation of the tubes has been reported to increase the pregnancy rate. Therefore, this group of patients before performing laparoscopic tube babies are recommended to send the tubes.
2. Endometriosis: Endometriosis in the inner layer of the uterus and cause menstrual bleeding each month the tissue outside the uterus is known as a place to settle. The most important of endometriosis tissue in the ovaries are very settled. Sometimes placed in ovarian chocolate cysts called endometriosis which can cause cysts. Overall prevalence of endometriosis according to the fourth stage of the disease being studied. In the early stages to have children, how is blocked is not known, however, in advanced stages more due to illness as the reproductive organs which adhesions and damage due to pregnancy gerçekleşmemektedir.Erken stage in patients with direct observation or vaccination with a couple of part of the pregnancy can be seen. Surgery in patients with advanced disease still a part of patients can be treated. A certain period of observation, surgery or vaccinations are not provided with the success of IVF patients as a last treatment option is implemented.
3.Yumurtlama Disorders: It is known that women are often thrown an egg from the ovaries each month. In some patients, but no spawning events may or may not be uncommon. The most classic example of this? Polycystic ovary syndrome? is called a disease. Here are scarce or no ovulation does not occur in patients, body hair growth may be seen excessive weight gain and infertility. If an abnormality in males in this group of patients if the first treatment option for ovarian stimulation and appropriate term sexual relationship. Patients unable to conceive in vitro immunization and last treatment option is to go to practice.
4.Erkek Factor: Approximately 50% of the causes of inability to have children? URL causes related to men constituted. Therefore, patients presenting with the desire to have children in the first semen analysis tests is to be done. In general, the sperm count of at least 20 million / ml, the movement of at least 50% of normal-shaped sperm rate the World Health Organization criteria? According to at least 50%, and Kruger criteria for at least 4% is normally considered. Any disorder that occurs on one of these values in the normal way to make it difficult to be having a baby. If there is a slight impairment in sperm count and quality predecessor vaccination 4-6 months may be tried. Patients are not provided directly to the success of ICSI is applied. Even if sperm counts and disorders are also slightly longer duration of infertility mikroenjeksiyona can be contacted directly without the vaccination. Sperm count and quality in patients with severe disorders are applied directly to the ICSI. No sperm may not be seen in some patients. Azospermi name given to a bottleneck in this case, sperm or testes may be due to a defect in sperm production. Regardless of what causes the best treatment method mikroenjeksiyondur azoospermic ICSI. IVF success rate with the normal practice is very low. In these patients, PESA, MESA, TESA or TESE sperm obtained by called the process to be injected with the eggs and fertilization is achieved, the resulting embryos are transferred to a particular.
5. Cervical Factors: Children of couples unable to have caused 10% to 5% of? Nu creates factors that belong to the cervix. It bölgededeki infection, anatomical abnormalities may be so.
6.Açıklanmayan Infertility: 10-15% of couples? Nde children have not found any reason to interfere with. In this doubles as a routine investigations, although there was a reason, detailed studies can be explained in part why, but these treatments do not cause a big change in the attitude. This group is the first treatment option for patients with ovarian stimulation after the vaccination is prescribed. Grafting in patients not treated successfully with ICSI is applied to four months. Evllik time again without vaccination in patients with long mikroenjeksiyona can be contacted directly.
7.İmmünolojik Infertility: A Couple of reasons for not having children in any one of the spouses may be a disorder of the immune system. For example, men and women, destroy the sperm can produce substances called antibodies, or men may produce antibodies that destroy his sperm. However, the immune system with this bozukuluklar inability to have children is still uncertain relationship between was not revealed. Vaccination is the first treatment option for these patients. ICSI should be performed in patients that are not achieved.
Coral Doç.Dr.Ramazan