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IVF - In Vitro Fertilization in TURKEY

Azoospermia

Azoospermia

Azoospermia is the condition describing a complete lack of sperm cells in the ejaculate. There is a 1% incidence in all men and 10-15% incidence in infertile men. Azoospermia is divided into three categories: pre-testicular, testicular and post testicular. Pre testicular azoospermia usually has endocrinological causes which affect spermatogenesis. Hypogonadotrophic hypogonadism can cause azoospermia but can be treated with hormone replacement therapy. Primary testicular failure applies to problems relating to the testicles specifically. Post testicular problems usually relate to ejaculation dysfunction or obstruction in the ducts. Incidences of this nature are found in 40% of the cases.

Pre and post testicular abnormalities are treatable. Testicular failure is irreversible. Varicocele is excluded from this group however. Another way of categorizing azoospermia is by dividing up groups based on whether or not the ducts are blocked. Obstructive azoospermia: Although there is sperm production in the testes, the ducts which move the sperm are blocked (e.g. due to a previous infection). These patients can have cells removed from their testes or surrounding ducts with the help of an injector and fine needle. Non-Obstructive Azoospermia: In this case there is no sperm production, or tissue biopsy indicates immature cells do not complete the maturation process. This type of azoospermia maybe due to several reasons: undescended testicles, genetic or environmental reasons are some. Doctors take small samples of tissue from the testicles by making small incisions or using a fine needle to aspirate. The samples are then examined for sperm cells.

  • TESA: TEsticular Sperm Aspiration
  • TESE: TEsticular Sperm Ekstraction
  • PESA: PErcutaneousr Sperm Aspiration
  • MESA: Microsurgical Epydydimal Sperm Aspiration

Normal semen analysis values
Volume: between 1.5-5ml
Concentration: 15 million /ml
Motility: over 50%.
Morphology: over 30% according to WHO or 14% and over according to Kruger’s Strict Criteria.
Progressive motile: must be over 20 %

Varicocele and Azoospermia:
Some studies suggest that azoospermic men with clinical type varicocele might benefit from varicocele surgery. According to research results 50% of patients show resumption of spermatogenesis and 20% report spontaneous pregnancy. Testicular biopsy done before or during surgery will give the doctors an idea of the sucess of the procedure. Men who have immature sperm cells may start sperm production but patients who had no spermatogenesis, previously, do not start producing sperm after varicocele treatment. Consequently azoospermic patients with varicocele who have begun infertility treatment, and have sperm cells found in testicular biopsy, should be treated for varicocele even if they get pregnant through IVF.

Our Patient's Reviews

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Dr. Selim Senoz and his medical team provided us exceptional services that exceeded our expectation. We had little medical issues that prevented us from getting pregnant for twelve years, and we came to Dr. Selim Senoz and his team, and although we got only three eggs, miraculously two of them worke...

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*** **** / USA

I underwent my first course of IVF treatment with Jinepol and am happy to say ai am now 5 weeks pregnant. I visited Jinepol for an initial consultation and was prescribed a course of treatment which I administered myself at home. Eveything was fool proof and easy to follow with a bit of concentrat...

DR Selim and team are very professional and friendly. They are experts in their field so you are definitely in good hands. IVF can be an anxcious journey buy you needn't worry with Jinepol. It is the best chocie and I would highly recommend....

shi*** **** / uk

Hysteroscopy. Great experience. We really appreciate our visit to Jinepol, we were very impressed by the quality of the service. Dr Selim and his team are caring and also kind ready for any answers all your concerns. The clinic is very clean and modern. Thanks again, Doctor for the warm welcome!...

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Bab*** **** / Senegal

From day one the communication has been prompt and protocol expertise that met my needs, medication shipped safely and things explained clearly. I am now 3months pregnant with twins. Thank you, Doctor Selim and team, at Jinepol....

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Hal*** **** /

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Excellent services. Higher Success rate. Reasonable cost....

*** **** / Saudi Arabia

Excellent knowledge and preparation by doctors and nurses for treatment. I would highly recommend this clinic for anyone seeking help as I did, I tracked half way around the world to have this treatment done and was rewarded with a successful operation, many thanks to all involved. This is a wor...

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Bri*** **** / Canada

I have severe endometriosis which was diagnosed at the age of 37 years. After a number of surgeries I was told that both my fallopian tubes were blocked. I underwent IVF at Oxford but all 3 times the embryo failed to implant. Naturally I was very devastated and daunted at the potential cost of fu...

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Sha*** **** / 37

A wonderful team. The professionalism of the highest class and the most wonderful Doctor Selim ŞENÖZ! Excellent knowledge and preparation by doctors and nurses for treatment. I would highly recommend this clinic for many, thanks to all involved....

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Kha*** **** /

Very good doctor and procedure. Excellent facilities. Price was exactly as quoted....

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Bri*** **** / Albania

Excellent Doctor and the service is high level. No waiting hours and very caring doctor. Unfortunately my age and chance were not good enough for IVF. If you choose Dr Selim I assure you will never regret. He is the best doctor ever. He didn’t charge for appointments and explained everything very...

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Sar*** **** / US