Treatments

Treatments

Tests performed at our center to reach reliable diagnosis

On average, 1 out of 6 couples will have problems getting pregnant and need professional support. For this purpose, they will have to have some tests done. It is very important to reach the correct diagnosis in order to achieve successful results, to become pregnant and to have children for these couples.

Each patient is evaluated separately in our center, diagnostic procedures and tests are performed, and the results of each patient are interpreted and the patient is informed. In order to reach the correct result, when necessary, all tests of the patient are evaluated in the council composed by our expert faculty members and treatment method is developed separately for each patient. In this evaluation, all treatment costs are taken into consideration and the most appropriate options are conveyed to the patient.

When should I contact an expert?

If the woman is less than 35 years of age and cannot get pregnant despite unprotected and regular intercourse of 1 year; and if over 35 years of age and unprotected intercourse of 6 months, 1 year, and older than 35 months, she should consult with in vitro fertilization specialist. In fact, if couples have concerns about this and want to know their fertility, it may be necessary to contact a specialist at any time and make the necessary tests. According to the results of these tests, the patient can wait for 1 year or 6 months according to her age. Although a couple wants to learn their fertility, telling them to wait a year can sometimes result in the patient wasting a year in vain and sometimes having a very serious problem. In order to avoid such problems, it is very important that IVF specialists known as reproductive endocrinologists evaluate you.

Fertility naturally decreases with age. This decrease starts in the late twenties and accelerates after the age of 35. Likewise, as the number and quality of ovos decreases, the chance of becoming pregnant decreases with age either by natural means or by IVF treatments. It is therefore very important that you consult a IVF specialist as soon as possible.

Infertility Diagnosis

Your IVF specialist will first review your medical history, previous tests and treatments to make a diagnosis. S/he also determines the necessary test for you by conducting examinations and evaluations. A couple's reproductive evaluation consists of four parts:

  • Ovo number, quality and hormonal evaluation of ovulation
  • Gynecologic ultrasonography and hormone tests (AMH, FSH, E2) are performed.
  • Sperm quality and detailed examination of all parameters
  • Sperm count, movement, structure (shape) are evaluated. Especially the total number of motile sperm is very important.

Openness of Fallopian Tubes

The openness of the tubes can be evaluated with a contrasted uterine X-ray called HSG. HSG is the only non-surgical method that can evaluate tube openness. If there are tube probes, laparoscopy can be performed to make it clearer.

Evaluation of the Uterus

This evaluation is crucial for assessing the conditions for the successful placement and growth of an embryo in the uterus. Gynecologic ultrasonography and 4-dimensional ultrasonographic evaluation of the uterus are part of the routine procedures of our center. These examinations, together with other diagnostic methods, provide detailed information about the uterus in order to increase the chance of embryo placement and reduce the risk of miscarriage.

The treatment options to be applied to the patients diagnosed after detailed examination and examination are determined and detailed information is given to our patients. The treatment schedule is then created and treated with care in an advanced, warm and reliable environment of our center.

Below is a list of tests that may be requested for a patient. These tests may be ordered by your IVF specialist for general health screening, which is important in terms of guiding, completing the treatment after the diagnosis and pregnancy health during pregnancy.

  1. Blood Tests
    1. On 3rd day of menstruation FSH, E2, AMH
    2. TSH
    3. PRL
    4. Vitamin D
    5. HbA1c
    6. Rubella
    7. Varicella
    8. Blood count
  2. HSG (Hysterosalpingography), SIS (Saline infusion sonography)
  3. Sperm test
  4. Infection tests from both partners
    1. HIV
    2. Hepatitis B
    3. Hepatitis C

(Note: Your doctor will decide which of these tests will be performed)

From the 2nd or 3rd day of menstruation, Egg development is monitored intermittently by ultrasonography, such as oral tablets (Clomiphene, letrozole) or needles containing subcutaneous FSH or HMG that provide egg development for 1-3 weeks. When the size of the yolk sacs called follicles is around 18-20 mm on the ultrasonography, hCG injection is given to provide ovulation, approximately 34-36 hours after this injection, the sperm taken from the male spouse in the andrology laboratory is subjected to various procedures and washed and the well-motile sperm is selected and given to the uterıs of the woman in the polyclinic setting with the help of a cannula. A fresh sperm sample is used for the fertilization procedure. Pregnancy rate per cycle with IUI procedure is between 5-15%. It is tried twice or a maximum of 3 times. After 3 unsuccessful fertilizations, patients are referred to advanced treatment methods, i.e. in vitro fertilization. The probability of a successful IUI increases as the total number of motile sperms inseminated increases. The best results are obtained when the total number of motile sperm exceeds the 10 million/ml threshold. The success of fertilization depends on the motility of the sperm as well as the number of sperm. If the sperm count and motions are very low, the chance of getting pregnancy with fertilization treatment is very low and in vitro fertilization should be recommended to these patients.

Who is Fertilization Treatment Suitable for?

Fertilization treatment is necessary for a woman's ovarian reserves to be normal, open tubes and a healthy normal uterus is required. Sperm count, movement and structure should be at normal values in men. It can also be applied to women with ovulation problems. Fertilization treatment may not be an appropriate option in couples with serious problems that prevent pregnancy.

Who is Fertilization Treatment not Suitable for?

In women, advanced ednometriosis with both tubes closed, reduced ovarian reserves, weakened ovaries in advanced age women, could not be pregnant although being married for many years, are not suitable. This is not preferred in male patients whose sperm count, movement and structure are lower than normal, and its success is low. Fertilization is not recommended if the total number of advanced motile sperm is less than 5 million according to SSI criteria. In addition, if the fertilization of 2 or up to 3 times is unsuccessful, it is not recommended again.

Intra-Uterine Insemination (Fertilization)

From the 2nd or 3rd day of menstruation, Egg development is monitored intermittently by ultrasonography, such as oral tablets (Clomiphene, letrozole) or needles containing subcutaneous FSH or HMG that provide egg development for 1-3 weeks. When the size of the yolk sacs called follicles is around 18-20 mm on the ultrasonography, hCG injection is given to provide ovulation, approximately 34-36 hours after this injection, the sperm taken from the male spouse in the andrology laboratory is subjected to various procedures and washed and the well-motile sperm is selected and given to the uterıs of the woman in the polyclinic setting with the help of a cannula. A fresh sperm sample is used for the fertilization procedure. Pregnancy rate per cycle with IUI procedure is between 5-15%. It is tried twice or a maximum of 3 times. After 3 unsuccessful fertilizations, patients are referred to advanced treatment methods, i.e. in vitro fertilization. The probability of a successful IUI increases as the total number of motile sperms inseminated increases. The best results are obtained when the total number of motile sperm exceeds the 10 million/ml threshold. The success of fertilization depends on the motility of the sperm as well as the number of sperm. If the sperm count and motions are very low, the chance of getting pregnancy with fertilization treatment is very low and in vitro fertilization should be recommended to these patients.

Who is Fertilization Treatment Suitable for?

Fertilization treatment is necessary for a woman's ovarian reserves to be normal, open tubes and a healthy normal uterus is required. Sperm count, movement and structure should be at normal values in men. It can also be applied to women with ovulation problems. Fertilization treatment may not be an appropriate option in couples with serious problems that prevent pregnancy.

Who is Fertilization Treatment not Suitable for?

In women, advanced ednometriosis with both tubes closed, reduced ovarian reserves, weakened ovaries in advanced age women, could not be pregnant although being married for many years, are not suitable. This is not preferred in male patients whose sperm count, movement and structure are lower than normal, and its success is low. Fertilization is not recommended if the total number of advanced motile sperm count is less than 5 million according to SSI criteria. In addition, if the fertilization of 2 or up to 3 times is unsuccessful, it is not recommended again.

Preimplantation Genetic Diagnosis (PGD)

Preimplantation genetic diagnosis (PGD) is the process of genetic examination of embryos before they are placed in the mother's uterus. PGT helps diagnose specific genetic diseases such as Cystic Fibrosis, Fragile X, Myotonic Dystrophy, Thalassemia, Tay Sachs. Reduces the likelihood of couples with certain genetic risk factors having children with the same genetic disease.

This can be done on day 3 or 5 in the development of embryos. On day 3, embryos are taken with 1 or 2 cells biopsy taken at 7-8 cell stage. Genetic analysis helps to transfer the healthy embryo to the mother. PGD is performed in cases with recurrent miscarriages as well as advanced maternal age, in couples with recurrent unsuccessful in vitro fertilization, in cases of severe male infertility, in cases at risk of genetic disease. Advantages of detecting chromosomal abnormalities by PGT; the embryo is attached to the uterus and increases the chance of pregnancy, decreases the risk of miscarriage, and increases the chance of having a normal chromosomal baby.

5th Day Blastocyst Embryo Biopsy (Trophectoderm Biopsy)

It is applied to blastocyst stage embryos on the 5th or 6th days of embryo development. In order for the procedure to be performed, the trophectoderm cells must protrude out of the membrane of the embryo. For this purpose, an opening is created by making laser shots on the membrane. By entering this opening, 5-6 cells are taken without damaging the internal cell mass (ICM) and the process is completed. Following the procedure, the collected cells are sent to the genetic laboratory for evaluation. The embryo is stored frozen.

GOP IVF Center aims to make use of all kinds of science and technology in order for every patient to have a healthy baby. Studies generally show that there is a possibility of chromosomal defects in embryos.

Preimplantation Genetic Screening

GOP IVF Center aims to make use of all kinds of science and technology in order for every patient to have a healthy baby. Studies generally show that there is a possibility of chromosomal defects in embryos. As women age, the probability of chromosomal abnormalities increases and hence the low risk increases. PGS helps us identify normal embryos with chromosomes before placing the embryo in the uterus.

PGS allows for the detection and detection of a wide range of common chromosomal disorders, including genetic disorders called anoploidy (small or multiple chromosomes) that can cause low or failed IVF trials. PGS is widely used in patients with recurrent miscarriage, ie recurrent miscarriage, and maternal age.

NGS (Chromosomal Screening)

Genetic and chromosomal examination of embryos before they are placed in the uterus is called PGD. Biopsy for examination can be performed at 3 different stages of embryonic development. A healthy embryo can be transferred to the mother after genetic analysis of the polar body from the oocyte, blastomer from the cleavage period embryo, or trophectoderm cells from blastocysts that have reached the fifth day as preferred.

Especially in advanced maternal age (38 years and over), pregnancy does not develop due to chromosomal abnormalities or pregnancy may end with miscarriage. In addition, prenatal diagnosis methods can be used to determine whether pregnancy is healthy in couples at high risk of transmitting a genetic disease to their children. Unfortunately, many couples have to bear the psychological, physical and financial burden of termination of pregnancy numerous times until they have healthy children. In terms of cost calculations, having a healthy baby with PGD is more advantageous than having a sick child when screening for both aneuploidy (chromosomal disorder) and single gene diseases.

Next Generation Sequencing (NGS)

The microarray technology used for PGT, or array CGH, is able to examine all chromosomes in the embryos by binding to approximately 4000 genetic markers scattered across the entire genome. However, it can detect it indirectly by comparing it to two known DNAs that are normal. In the next generation sequencing (NGS) technique, DNA amplification (DNA amplification) in each sample is enzymatically decomposed into millions of parts. After several steps, the sequences of these DNA fragments are read and the total number of readings per embryo is determined. NGS method is more advantageous because it provides a more sensitive and accurate examination than aCGH method and it can detect mosaism in embryos as low as 20%.

Embryos containing two or more cell populations with different chromosomal structure are called mosaic embryos. It is known that mosaic embryos are associated with decreased implantation and pregnancy rates, increased genetic anomalies and adverse pregnancy outcomes. The ability of aCGH technology to detect mosaicity at a rate of only 50% is considered a disadvantage compared to NGS technology, and it is possible to provide more accurate and realistic information to couples about their chances of pregnancy with the reported mosaicity rate sensitive to NGS.

Comprehensive Chromosomal Screening (CCS)

CCS allows the most healthy embryo to be found. At the same time, you don't need to transfer a large number of embryos to increase your chances of pregnancy, thus eliminating the risk of multiple pregnancies. It also increases the chance of successful implantation and prevents unnecessary embryo transfer. By understanding the embryo that cannot hold onto the mother's uterus, the transfer of that embryo is prevented, unnecessary treatments are prevented and the expectation of the expectant mother is not allowed to cause psychological problems. On the other hand, it significantly reduces the risk of miscarriage.

Array-Comparative Genomic Hybridization (a-CGH)

Comparative genomic hybridization (CGH), which is an alternative to FISH method in which a limited number of chromosomes are examined, has made it possible to examine all chromosomes in embryos. However, a significant disadvantage of the technique is that the process is long. For this reason, after biopsy, embryos are frozen by vitrification and stored. Since vitrification is a successful freeze-thaw method and with the increasing experience of the laboratory, all possible procedures can be performed successfully especially on the 5th and 6th day blastocysts.

What is FISH (Fluorescence In Situ Hybridisation)?

In the past, the FISH technique has been used extensively for the determination of aneuploidy (numerical chromosomal disorders) and translocations (structural chromosomal disorders). As a result of the biopsy, fluorescence probes are attached to chromosomes of embryo cells and the signals obtained from these cells are examined by microscope and information is obtained about chromosome numbers. Panels consisting of 8,13,14,15,16,17,18,19,20,21,22, X and Y chromosomes and based on the detection of the most common chromosomal anomalies in spontaneous abortions are used, with this panel, the majority of chromosomal anomalies that may occur in embryos and cause pregnancy miscarriages could be detected. The disadvantage is the limited number of chromosomes that can be examined by this method. In addition, the possible misdiagnosis of chromosome signals in the FISH method is another disadvantage of this method. Therefore, this method is currently only used in translocation carrier pairs, if next generation sequencing, NGS or array method is not suitable.

Tissue Compatible (HLA) Sibling

Thalassemia, also known as Mediterranean Anemia, is a genetically inherited blood disease commonly found in our country. Thalassemia is the cause of serious health problems in children born to parents who carry the genes of this disease. It is possible to eliminate this disease with the PGT method combined with IVF treatment. It is also possible to make suitable siblings for children with blood diseases such as thalassemia and leukemia who need bone marrow transplantation. In this case, GOP IVF Center, which is able to use state support, is among the few centers that have Bone Marrow Centers. In order to do this, it is necessary to have a complex working structure. The IVF Center, the Bone Marrow Center and the Genetic Center must work together. As Yeniyüzyıl University Faculty of Medicine Gaziosmanpaşa Hospital, we have this complex structure in our structure.

eSET (Elective Single Embryo Transfer)

In vitro fertilization, elective single embryo transfer is a method to avoid multiple pregnancy risks without reducing the chance of pregnancy. Elective transfer, ie selected embryos, can be applied in the presence of a large number of good quality embryos. Selecting and transferring one of the embryos obtained in the treatment allows the remaining embryos to be stored frozen. Thus, the e-SET patient will have the chance to make more than one experiment by avoiding multiple pregnancies from the ovos collected at one time with the laboratory having a good freeze-thawing program. It is both physiologically and economically advantageous for mothers.

What is eSET?

In elective embryo transfer, a selected embryo is placed in the mother's uterus. This procedure is rarely performed on the 3rd day of embryo development, usually performed on 5/6 day. Embryologists classify all obtained embryos in terms of their morphological appearance, cell number, developmental potential and quality. Embryos that meet the best criteria are identified according to this classification. The selected embryos are thought to be the embryos with the highest growth potential and the highest chance of pregnancy.

WHY SHOULD eSET BE PREFERRED?

Our main goal in IVF treatments is to achieve pregnancy. However, singleton and healthy pregnancy should be our priority since multiple pregnancies have complications risks in terms of mother and baby. The selected single embryo transfer allows to avoid multiple pregnancies without reducing the patient's chance of pregnancy compared to multiple embryo transfers.

IS eSET A SUITABLE METHOD FOR ME?

We strongly recommend elective embryo transfer to patients who meet the following criteria.

  • Women under 35
  • Previous successful treatment history
  • Excess number and good quality embryos

Egg Freezing

Ovo freezing, also known as ovo storage, is a method of preserving fertility potential in women.

The ovos are grown with drugs and taken from the ovaries and frozen for later use. When desired, these ovos are thawed and combined with sperm, the embryo is obtained, and pregnancy is achieved by placing it in the uterus.

As is known, female fertility decreases with age. The quality of the ovos decreasing with age also decreases. While a woman's ovos slowly decrease until the age of 35, they begin to deplete rapidly in later years, when the woman reaches the age of 40, the number of eggs, which decreases considerably in terms of number and quality, is almost completely exhausted at age 45. If the ovos are exhausted, it is not possible to get another pregnancy. But this is not always the case. Sometimes this occurs before the age of 40, and ovos can be depleted at a much younger age and can be premature menopause.

Egg storage procedure;

  • It can be applied to whom with early menopause history in the family, especially such as the mother, sister, aunt
  • To young women with low egg reserve and early menopause risk
  • In the case of cancer or any disease that may reduce fertility potential, patients who will be subjected to procedures that can directly destroy fertility such as radiotherapy, chemotherapy

Early cancers are increasing, and many of these patients are either not yet having children or want to have children again. Today, by applying different drug methods and techniques, ovos can be obtained without delaying the existing cancer treatments and without adversely affecting cancer disease and these can be stored for the future. These patients must get consultation before cancer treatment.

In addition to the above-mentioned risk factors, the risk of early menopause and the decrease in the number of ovos increases in women who smoke.

In addition to smokers, the risk of premature menopause and the prolongation of the length of women's expert advice about this method may increase the chances of having a baby in the future.

In addition, all women to determine the reserve of the ovo and to predict the status of the ovo ultrasonographically to check the size and content of the ovaries, as well as various hormones such as AMH to measure the ovarian function may be unaware of an early menopause may develop beforehand, even if they do not think in the future with an ovo freeze will help them maintain their chances of owning a baby.

Women who postpone having children due to the stresses of business life, career, future worries or who do not have suitable conditions for pregnancy at the moment, especially those who smoke and have early menopause in their families, will be helpful to consult their physicians about whether ovo storage method is suitable for them or not.

Egg Freezing in Female Cancers

Increasing survival rates of women under the age of 45 cancers increased the demand for fertility protection. Vitrification of oocytes after the diagnosis of cancer; After treatment, it is possible to postpone pregnancy by having the same reproductive potential until it is free of disease. It is very important to obtain information and recommendations for the protection of fertility in patients who will receive chemotherapy with cancer.

When a cancer patient decides to freeze his oocytes, age, ovarian function, ovarian reserve, and time remaining for treatment before chemotherapy become important.

The preservation success of fertility will depend largely on the number of well-frozen oocytes. Pregnancy with frozen oocytes cannot be guaranteed with this method. However, assisted reproductive techniques will be a hope for the patient.

Egg Freezing Procedure

Oocyte freezing and treatment is started on the 2nd or 3rd day of menstruation of the patient admitted to our center. Following hormone treatment to stimulate the ovaries, oocyte retrieval is performed. The collected oocytes are frozen by means of special solutions called cryoprotectants and placed in liquid nitrogen at -196 ° C until the day of fertilization.

Results

In our center, oocyte freezing is carried out by rapid freezing technique (vitrification) as in embryo freezing. With the development of solutions and techniques used in the method, pregnancy rates approached the pregnancy rates obtained by fresh trial. As the rate of genetic anomalies in oocytes frozen at younger ages is lower than in older age oocytes, the chance of success increases. Studies have reported that at least 8-10 mature oocytes are required for successful freezing. However, these numbers should be determined according to the patient after 36 years of age.

Sperm Freezing and Storage

In sperm patients with extremely low sperm count, cancer patients (chemotherapy, radiotherapy), urological surgery patients in the future to continue their chances of becoming a father or testicular tissue samples taken from the testes can be frozen. Sperm freezing techniques are highly developed and can be stored as well as the freshness of frozen sperm and no loss occurs when thawed.

In case of prolonged sperm storage, the DNA fingerprint test known as paternity test is required by the ministry. You can get detailed information from our center.

It is very important that such patients learn about these methods in order to have children in the future.

Embryo Freezing

An alternative option for the maintenance of fertility is to freeze the embryo. This method is more suitable for married women. Although successful results can be obtained in ovo freezing method, pregnancy success of embryo freezing method is still higher today. After the ovos are taken by IVF method, high quality embryos are fertilized with sperms taken from the man and frozen for future placement in the uterus.

Both spouses with non-conception should be investigated extensively. At least 0-50 of couples without children have problems in males.

Sperm test is done by taking the sample obtained by masturbation. For this test, it is ideal for the man not to ejaculate for 2-5 days. If done shortly after the number may be low, too long for men who have not ejaculated dead sperm is likely to increase. After the sample arrives at the laboratory, many parameters are examined, including fluid volume, sperm count, motility, and sperm structure (morphology).

Sperm tests are mostly done by microscopy instead of machines and directly examined by laboratory or embryologists. This means that there may be personal differences between the tests and even different results can be obtained in the same center in the same person. This result is not surprising, and if we encounter a problematic test, we should repeat it after 3-4 weeks.

Normal Sperm Parameters

Volume

> 1.5mL

Ph

7.2

Sperm Concentration

> 15 million/ml

Total sperm count

39 million/ejaculate

Progressive motion

>32%

Morphology

> 4%

Viability

> 58%

Leukocyte

< 1>

Varicocele

Varicocele is the most common abnormality detected by urologists. It is recommended by urologists to evaluate each patient with sperm disorder for varicocele. Varicocele dilates the vessels around the testicle, causing the temperature of the testicle to rise and this increase in temperature may impair sperm function. Therefore, urologists can connect or remove these vessels with a small surgical intervention. However, one need to be very careful about it. Varicocele surgery should be performed only if it is severe, visible findings or can be detected by examination and if there are enough clinical symptoms to cause severe pain in men. Such conditions may also increase the chances of IVF treatment. However, it is a damaging method to consider as varicocele, which has no complaints, is unclear on examination or is not visible to the eye, and is only detected by ultrasound. Both unnecessary surgery is performed, and a vein that should be removed is also removed and sometimes it may have more negative consequences on sperm. We recommend that you seek advice from a IVF Specialist before surgery.

Surgical Sperm Obtaining Methods

If there are no sperm cells in the sperm test (azospermia) or extremely low (cryospermia), it is possible to find sperm cells from the testes or sperm channels called epididymis to find healthy sperm. Sperms obtained in this way can be frozen for later use or used for fertilization of the ovos by microinjection during in vitro fertilization.

The methods applied for this purpose;

  1. PESA is a injection procedure for withdrawal of sperm from the epididymis. It is performed under local anesthesia by our experienced andrologists.
  2. TESA is the name given to the application of sperm withdrawal from the testicles by injection. It is performed under local anesthesia by our experienced andrologists.
  3. Micro TESE: It is the process of obtaining sperm by magnification under a microscope. It is performed under general anesthesia by our experienced andrologists.

Hysteroscopy

Hysteroscopy is another minimally invasive surgical procedure that does not require any incision in the patient's body. In utero is evaluated through the cervix through a thin camera system. After this procedure, the patient can continue the normal life on the same day. It is frequently used in the diagnosis and treatment of problems that may prevent pregnancy in the uterus. It makes a huge contribution to the IVF treatment success.

With Hysteroscopy

  • Fibroids
  • Endometrial polyps
  • Intrauterine adhesions (Asherman's Syndrome)
  • Abnormal bleeding
  • Congenital deformities in the uterus (curtain, T-shaped uterus, dysmorphic uterus, etc.)

Problems can be treated.

Laparoscopy

Laparoscopy is a modern surgical method which is very effective, comfortable and minimally damaging to both the diagnosis and treatment of infertility problems due to anatomic disorders.

Laparoscopic surgery is a closed operation performed by placing cameras and instruments to the abdomen through only a few small incisions without opening the abdomen as wide as the open surgeries. As it is understood, the reproductive organs are directly visualized with the camera system placed in the abdomen, the diagnosis is made by direct observation and if there is any problem, the problem can be solved in a closed manner.

Laparoscopy can be used to precisely control the openness of the tubes. In addition, the definitive diagnosis of endometriosis can only be made by laparoscopy.

It is used in diagnosis as well as in the treatment of the following diseases

  • Endometriosis
  • Ovarian Cysts
  • Fibroids
  • Ectopic pregnancy
  • Opening or blocking the fallopian tubes; in cases where hydrosalpenx tubes are filled with inflamed fluid, this tube should be removed or closed, otherwise it may not be possible to obtain results with IVF treatments.

Hysteroscopy

Hysteroscopy is another minimally invasive surgical procedure that does not require any incision in the patient's body. In utero is evaluated through the cervix through a thin camera system. After this procedure, the patient can continue the normal life on the same day. It is frequently used in the diagnosis and treatment of problems that may prevent pregnancy in the uterus. It makes a huge contribution to the IVF treatment success.

With Hysteroscopy

  • Fibroids
  • Endometrial polyps
  • Intrauterine adhesions (Asherman's Syndrome)
  • Abnormal bleeding
  • Congenital deformities in the uterus (curtain, T-shaped uterus, dysmorphic uterus, etc.)

Problems can be treated.

Laparoscopy

Laparoscopy is a modern surgical method which is very effective, comfortable and minimally damaging to both the diagnosis and treatment of infertility problems due to anatomic disorders.

Laparoscopic surgery is a closed operation performed by placing cameras and instruments to the abdomen through only a few small incisions without opening the abdomen as wide as the open surgeries. As it is understood, the reproductive organs are directly visualized with the camera system placed in the abdomen, the diagnosis is made by direct observation and if there is any problem, the problem can be solved in a closed manner.

Laparoscopy can be used to precisely control the openness of the tubes. In addition, the definitive diagnosis of endometriosis can only be made by laparoscopy.

It is used in diagnosis as well as in the treatment of the following diseases

  • Endometriosis
  • Ovarian Cysts
  • Fibroids
  • Ectopic pregnancy
  • Opening or blocking the fallopian tubes; in cases where hydrosalpenx tubes are filled with inflamed fluid, this tube should be removed or closed, otherwise it may not be possible to obtain results with IVF treatments.
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