Sunday, August 25, 2019

What is IVF? What are the success rates?

In vitro fertilization is a method of conception frequently used by couples who cannot have children naturally.
For the treatment, sperm from the mam and oocyte from the woman are taken and fertilized in the external environment.
This process, which is expected to occur in the uterus under normal conditions, cannot occur due to some anomalies and pregnancy cannot occur.
Embryos created after artificial insemination performed in special incubation centers within the IVF laboratory are selected and placed in the mother's womb.

For the in vitro fertilization method, which increases the chances of having couples with little or no chance of pregnancy,
oocyte are taken to the expectant mothers ovary by anesthetizing. This process is called oocyte collection process.
On the same day, the sperm cells from the man are fertilized with oocyte cells and are transferred into the uterus after fertilization in 3-5 days.
IVF transfer is a painless operation.

Success Rates in IVF

Although it is a highly successful pregnancy method, unfortunately negative results can be obtained in some couples.
The aim of the IVF is to increase the chance of couples who want to be parents. Therefore,
the factors that increase the chance of in vitro fertilization are the key points of this treatment for us:

The reasons for infertility should be determined well before treatment. Knowing the problem will always bring us closer to a solution.
Using advanced methods such as vaccination, ERA test, Embryoscope, Microinjection will increase the success of the results.

Menstruation after IVF

Menstrual bleeding after IVF transfer, which is associated with the failure of IVF treatment,
is a type of vaginal bleeding called luteal phase bleeding that can be seen before pregnancy test. This hemorrhage, which can be seen in many patients,
usually occurs within 10 days of the first week following egg collection and can occur in about 7% to 42% of women receiving IVF.

Implant bleeding, also known as localization bleeding, is often feared in this stress-filled process in which the couples have a very tense waiting.
After embryo transfer, small bleedings such as brown discharge,
pink discharge often occur as implantation bleeding and this bleeding spontaneously disappears within 1-2 days.

This hemorrhage, which can be seen during the pregnancy test interval after embryo transfer,
is a bleeding that scares the prospective mothers and is thought to be among the symptoms of non-retention.
Although there is a relationship between the failure of the IVF and the bleeding after embryo transfer,
this does not always mean that the IVF does not retain and it is possible to talk about the possibility that the mother is still pregnant.

The number of patients who have bleeding after transfer and become pregnant is quite high. The first thing you should do in case of this bleeding,
which is thought to be menstrual bleeding after IVF, is strictly in despair and if you are taking medication for IVF (ovulation medication,
hormone medication and progesterone pill), you should strictly follow your physician's recommendations.

How Many Days After Transfer Pregnancy test must be done?

Ovarian stimulant drugs used for IVF treatment are hormone-containing drugs.
Drug treatment to increase the number of eggs released from the ovary during the menstrual cycle allows multiple eggs to be obtained,
which means an increase in the success rate of in vitro fertilization.

Since the hormone balance in the body changes, the menstrual delay after IVF is quite normal and the menstrual order will return to the usual balance over time.
However, if the IVF does not hold, the menstrual delay can last for 1-2 months.
The reasons for menstrual irregularity or menstrual delay are due to both medications and the intense stress experienced by the expectant mother.

In vitro fertilization test is performed 12 days after embryo transfer. This period is determined according to the women's menstrual calendar.
In other words, the period of pregnancy test after transfer is also the expected period for a woman to have her period.

However, if the pregnancy test is negative after IVF and you do not have menstruation,
you should wait for 2 weeks and consult your doctor if your period has not yet started. Many problems such as uterine infection,
ovarian infection or cyst formation are among the causes of menstrual delay and such problems can only be detected by detailed physician control.

How Long Does a Menstrual Delay After a Negative Result in an IVF?

Unfortunately, failure of the IVF is one of the problems we face.
Negative pregnancy test in in vitro fertilization is a process of great frustration for couples, especially the expectant mother.
When the medication administered to the expectant mother changes the routine hormone balance severely,
the recovery of the body is a certain process and this process is also accompanied by psychological conditions such as depression,
stress and anxiety. Coexistence of all these causes causes of menstrual delay after IVF and the first menstrual period can be seen after 1-2 months.

After In vitro fertilization, menstrual delay is a common condition. However, in some cases, post-IVF period may be due to pregnancy.
Therefore, at least 12 days should be waited for pregnancy test after embryo transfer.

It is also very common for the pregnancy test to be negative 12 days before the transfer.
The reason for this is that even if the pregnancy has occurred, the possibility of the IVF coming out of the blood or urine after transfer is very low.

When Does Risk End in IVF?

There is always a risk of miscarriage during pregnancy, and the first 8 weeks of pregnancy are the months when the highest risk of miscarriage.
The first reason of miscarriage in the first 3 months of pregnancy is the inability to hold the embryo in the uterus.

The risk of miscarriage in IVF is the same as that of normal pregnancy. In other words, the form of pregnancy does not affect the risk of miscarriage.
In all pregnancies, the risk of miscarriage decreases severely after 3 months and the risk occurrence in IVF coincides with the same months.

The fact that women who are pregnant by IVF method is under the control of doctors frequently since the beginning of the pregnancy
is the most important factor that reduces the risk of miscarriage and thus, even if there is bleeding during pregnancy,
the chance of saving the baby's life is much more. Thanks to early intervention, pregnancy can be continued without problems in many patients.

İsmet YILDIRIM MD. Gynecologist and Obstetrician, Infertility
Private Office:
Adress: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul - TurkeyPhone: +90 212 542 87 85
Mobile: +90 532 325 30 08
Fax: +90 212 542 74 47

Thursday, August 8, 2019

Laparoscopic Gynecologic Surgery in Istanbul - Turkey

Laparoscopic operations: In parallel with the developing technology in recent years, new methods have emerged in gynecological operations. In endoscopic operation, organs are made visible by entering into the body with a pipe and necessary surgical procedure is performed. Endoscopy is generally used by many branches.

Since gynecological operations are usually performed into the abdomen, it is called “laparoscopic operation j. Gynecological laparoscopic operations are performed in ovarian cyst, uterine fibroids, ectopic pregnancy, gynecological tumors.

Laparoscopic Gynecologic Surgery

Laparoscopic Cyst Operation

Laparoscopy is frequently used in ovarian cyst operations. Laparoscopy is used especially in simple cysts, chocolate cysts and ovarian cyst of unknown origin.

Laparoscopic Uterus Operation

Uterine fibroids, formal abnormalities can be corrected by laparoscopic surgery. In some cases, the uterus and ovaries can be removed by complete laparoscopic surgery.

Laparoscopic Ectopic Pregnancy Surgery

Ectopic pregnancy is a condition in which the pregnancy is not in the uterus, but in tubes or on the ovarian cyst surface. Causes internal bleeding. Once diagnosed, surgery is required quickly. Laparoscopy (closed) surgery is an appropriate option.

Advantages of Laparoscopic Surgery

It is a more comfortable, less painful operation for the patient. When performed in experienced hands, the operation time is quite short, but it can be quite long compared to open operations. Rather than making a large surgical incision, a maximum of 3 or 4 holes are operated and healing is faster.

However, patient selection is very important for laparoscopic surgery. The procedure may not be suitable for all patients. The general condition of the patient, the characteristic of the gynecological problem and the degree of the disease are decisive factors.

what is estopic pregnancy
How to perform abortion
İsmet YILDIRIM MD. Gynecologist and Obstetrician, Infertility
Private Office:
Adress: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul - TurkeyPhone: +90 212 542 87 85
Mobile: +90 532 325 30 08
Fax: +90 212 542 74 47

Tuesday, August 6, 2019

Where can I have an abortion in Istanbul - Turkey

Abortion Center in Turkey

There are many centers in Istanbul that do abortion.

Some physicians have an abortion in their private practice.

The abortion procedure performed in the office environment is usually performed with local anesthesia, that is, by injecting drugs into the cervix.

Local anesthesia may not completely relieve the pain, it prevents appropriate intervention in case of an emergency problem.

The abortion procedure performed with general anesthesia is safer, sleeping with an intravenous medication provides a maximum sleep of 5-10’min and an abortion procedure is performed.
Therefore, under general anesthesia, especially in hospital environment abortion is safer.
Nowadays, many abortions are usually performed in the hospital environment. In our practice, pregnant women can be examined by ultrosonografically in our private office then some drugs are applied vaginally to dilate and soften the cervix.

After 30-40 minutes, the abortion procedure is started under anesthesia in the hospital environment.

Where can I have an abortion in Istanbul

What is Vacuum Abortion?

Today, most of the abortion procedures are performed with vacuum.
The cervix is ​​softened and widened with medications, the appropriate millimetric tubes are inserted
into the uterus and the pregnancy material is drawn through the uterus with negative pressure.
The risk of fragmentation is very low. In some centers, abortion procedures are still in the form of scraping.
Scraping abortion increases the risk of remaining parts inside and consequently increases the risk of adhesion in the uterus.
Vacuum abortion is always more advantageous. The procedure is shorter and the risk of infection and intrauterın adhesions are less than scraping.

Bleeding After Abortion

Bleeding may occur at various degrees and times after abortion.
It is a common bleeding that lasts less than 1 week and 10 days after the procedure.
Apart from this, it is common to have 3-4 days of bleeding after menstrual pain after a 3-4-day bleeding-free period.
Both types of bleeding are normal. In rare cases, there may be no bleeding at all.
Bleeding of pregnancy abortions in excess of 10 weeks may persist for 3-4 weeks.

It may not be normal for the bleeding to be more painful and more painful after abortion.
Excessive bleeding and pain may occur if parts remain inside. One week after the abortion,
ultrasonography should be performed. Normal menstruation usually occurs within 3-6 weeks after abortion.
If you have not had normal menstruation after 6 weeks after the procedure, you should definitely talk to your doctor.
There is a risk of adhesion to the uterus, even if it is small after each abortion.

How to perform an abortion in İstanbul - Turkey

İsmet YILDIRIM MD. Gynecologist and Obstetrician, Infertility
Private Office:
Adress: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul - TurkeyPhone: +90 212 542 87 85
Mobile: +90 532 325 30 08
Fax: +90 212 542 74 47

Friday, August 2, 2019

What is Ectopic Pregnancy? Treatment in istanbul Turkey

What is ectopic pregnancy? fertilized egg is located in a different place outside the uterus.
It is most commonly observed to be placed in tubes. The fertilized egg cannot reach the uterine cavity for various reasons and settles in an area outside the uterus.
In the early stages of pregnancy, pregnancy symptoms are experienced normally.
Therefore, menstrual delay, positive pregnancy test, nausea, breast tenderness symptoms may occur.
However, as the pregnancy begins to grow into the tubes, the tubes stretch. Therefore, tearing and bleeding may occur.
It is very important to treat this condition at an early stage.

Ectopic Pregnancy

What are the causes of ectopic pregnancy?

Mild obstructions in the tubes or factors limiting the ability of the tubes to move can lead to ectopic pregnancy.
In particular, previous infections pave the way for ectopic pregnancy. Infections cause tissue damage.
Depending on the number and severity of previous infections, adhesions may occur in the tubes.
If these adhesions completely block the tubes and prevent sperm passage, infertility may occur.
However, slight adhesions also occur in fertilization but can occur in tubes. Therefore, ectopic pregnancy may occur.
In addition, previous surgical operations may cause adhesion.
If the woman has a history of ectopic pregnancy, the risk may be higher.

What are the symptoms of ectopic pregnancy?

In the early stages of ectopic pregnancy, normal pregnancy symptoms are observed.
A woman's menstrual period is delayed and nausea may occur. Pregnancy test may be positive in urine.
In addition, pain and abnormal vaginal bleeding may occur in the lower abdomen. Because of such symptoms, a woman who is admitted to a doctor can be diagnosed.

In addition, if the ectopic pregnancy does not show signs of bleeding, fainting or pain, it can be diagnosed by pregnancy test.
If the blood or urine test shows that the woman is pregnant but there is no pregnancy sac on the ultrasound, it may be an ectopic pregnancy.
Then, vaginal ultrasound can detect the pregnancy product in the ovary region.

If there are no signs of bleeding, blood bhCG values ​​are checked. This can make the diagnosis.
If these values ​​are high but there is no pregnancy sac on transvaginal ultrasound, the suspicion increases.
In addition, early pregnancy, risk of miscarriage, acute appendicitis, pelvic inflammation should also be considered and diagnosed.

What are the symptoms of ectopic pregnancy

Ectopic Pregnancy Treatment

If ectopic pregnancy has caused tube rupture or internal bleeding, surgical intervention is the only effective treatment.
At this stage, it is aimed to clear the ectopic pregnancy by laparoscopic method or open surgery.
If the patient's condition is appropriate, the procedure can be performed by preserving the tubes.
However, it may be necessary to remove the tubes in various cases.

Causes and Solutions of Ectopic Pregnancy

If there is no rupture, but if the necessary conditions are present, close follow-up of the patient may be sufficient before applying surgery.
In part of ectopic pregnancies, the pregnancy product does not tear the tubes and does not grow enough to cause bleeding.
In this case, the voided pregnancy product can be absorbed by the body or removed from the body by bleeding.

In such cases, surgical procedures are not necessary. This eliminates the risk of complications related to the operation.
However, in various cases ultrasound can detect the pregnancy product in the tube. However,
if the baby does not have any heartbeat or signs of viability, surgical procedures are not necessary.
Treatment methods are decided according to the patient's condition.

What are rare forms of ectopic pregnancy?

Ectopic pregnancy usually settles in tubes. However, it may rarely be located outside the tubes.
In various cases, pregnancy in the tube results in miscarriage after a while. The pregnancy product then falls into the abdominal cavity.
He may not lose his vitality yet. Therefore, it can settle in the area where it falls. It can also occur in the ovaries and cervix outside the tubes.

In our clinic, best treatment of ectopic pregnancy is the laporoscopic way. Because of rapid recovery and less pain make popular the laporoskopic surgery.

İsmet YILDIRIM MD. Gynecologist and Obstetrician, Infertility
Private Office:
Adress: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul - TurkeyPhone: +90 212 542 87 85
Mobile: +90 532 325 30 08
Fax: +90 212 542 74 47