Today, the chance of success in women with in vitro fertilization treatment methods is between 50-60% until the age of 35. We can say that couples should not despair and should stay away from stress, which creates serious health problems and negatively affects treatment. The important thing is to know that you need time to be successful. The treatment methods generally used in couples who decide to be treated are as follows;
- Ovulation induction (Ovulation-enhancing treatment)
- Vaccination, insemination (giving the sperm taken from the man into the uterus)
- Treatment according to the causes of infertility
- Reproductive treatment techniques
What should you pay attention to during the treatment process?
Before starting the treatment, the expectant mother should inform her doctor about all the diseases she has had and the medications she is using, if any.
Smoking and alcohol use should be stopped before IVF treatment.
Being at an ideal weight has a positive effect on the success of the treatment.
Causes of Female Infertility
- Ovulation disorders (Polycystic ovary syndrome, Chocolate cysts)
- Tubes are clogged
- Antisperm antibodies
- Endometriosis
- Pathologies in the uterus
- Thyroid hormone disorders (goiter, hypothyroidism, hyperthyroidism)
- Past infections related to genital organs
- Surgery related to previous uterus and ovaries
- High levels of milk hormone
- Decreased ovarian reserve due to advanced age
- Causes related to the cervix, cervical factor
- Smoking
- being overweight
- Having the cervix closed
- Not having sex on a regular basis
- vaginismus
- Adhesion in the uterus
- Luteal phase failure
- Having undergone chemotherapy and radiotherapy treatment
- Going into menopause early
- Ovulation disorders are the most common cause of infertility in women
In order for pregnancy to occur, the woman's egg must first be released from the ovaries and ovulated. Under normal conditions, the female ovulates once a month. However, the infrequent, irregular or absent ovulation is defined as an ovulation disorder. The most important sign for a woman to suspect an ovulation disorder is irregular menstrual bleeding. Ovulation disorders can also be seen in women who have regular menstruation every month.
In order for ovulation to occur in women, the female hormones secreted from the pituitary gland in the brain must be secreted at regular intervals and in sufficient quantities. If this hormone is not secreted at all from birth, a woman will not be able to menstruate throughout her life. If hormones are secreted irregularly, menstrual bleeding and ovulation will be irregular. However, although the milk hormone called prolactin is secreted more than normal, ovulation disorders are experienced until the prolactin level is reduced to normal with surgical methods and drug treatments.
In addition, Polycystic Ovary Syndrome, which is the formation of multiple cysts in the ovaries due to any disorder, also causes ovulation disorders. Irregular menstruation, excessive hair growth and hair loss, and excessive acne are also symptoms of ovulation disorder caused by Polycystic Ovary Syndrome (PCOS).
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Deformed or blocked fallopian tubes lead to infertility.
For pregnancy to occur, first of all, the sperm and egg must come together to produce fertilization. If the woman's tubes are somewhat blocked or completely closed, it becomes very difficult or impossible to conceive naturally. Tuberculosis microbes taken into the body in childhood, sexually transmitted infections and microbes, intra-abdominal adhesions caused by surgical operations, conditions such as the manifestation of intrauterine tissue in another area of the body can damage the tubes. In such cases, which negatively affect the functionality of the tubes, it is not possible for the woman to conceive naturally.
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Endometriosis is one of the causes of female infertility.
Endometriosis is the formation of tissue that covers the inside of the uterus, which ensures the attachment of the embryo when pregnancy occurs, and is shed with menstrual bleeding, even if there is no pregnancy. When abnormal intrauterine tissue forms on the surface of the uterus, its ligaments, tubes and ovaries, this tissue bleeds every month during the menstrual period and this blood cannot be expelled from the body, causing adhesions and inflammation in the surrounding areas. Also, when Endometriosis occurs in the ovaries, chocolate cysts called Endometrioma are formed. If women feel severe pain and pain during and after sexual intercourse, before and during menstrual bleeding, if their menstrual bleeding is irregular and they cannot conceive naturally, they should suspect Endometriosis. 80% of people with endometriosis suffer from infertility.
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Cervical problems can lead to female infertility.
Congenital or acquired structural defects in the cervix, polyps or fibroids formed in this area and surgical operations applied in their treatment are among the causes of infertility in women. However, disorders in the secretion of the cervix under the influence of hormones and abnormal features make it difficult to transfer sperm from the genital route. In addition, infections that occur in the cervix for any reason can lead to infertility in women.
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Low egg reserve makes it difficult to conceive naturally.
Every woman is born with a certain number of egg capacity. However, advancing age, drugs used, and surgical operations applied in the treatment of various ailments reduce the egg reserve of the woman. As the egg reserve decreases, the probability of conceiving naturally also decreases.
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Uterine or ovarian surgeries can also lead to female infertility.
While benign formations such as uterine fibroids or polyps are surgically removed, adhesions may occur in this area and adhesions may prevent pregnancy. In addition, removal of an ovary due to problems in the ovaries also makes the hormone levels in this place irregular and the possibility of obtaining a natural pregnancy decreases. If both ovaries are removed due to any ailment, pregnancy becomes impossible.
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Advancing age makes it difficult or even impossible for a woman to conceive.
The most important factor for women to get pregnant is that their reproductive functions are working at full capacity. In this context, the age of the woman is an important factor. Because, while the probability of a healthy 20-year-old woman to conceive naturally within a year is about 85%, the probability of a healthy woman over the age of 35 to get pregnant in the same period is about 50% on average. Because as the age progresses, the reproductive functions, capacity and adequacy of the woman decrease rapidly.
inflammation or congenital adhesions, tumors that develop into the uterus called fibroids, congenital heart-shaped uteruses, double uterus, deformities in the uterus, infections and poor mucus quality, polyps developing in the cervix or inside the uterus, irregular Life, smoking, alcohol use, weight, stress are among the factors that cause infertility.
Is it possible to treat female infertility?
The rate of pregnancy in women with surgical and interventional methods differs with the age factor. Most of the above-mentioned factors can be easily eliminated by choosing the right center and the right physician.