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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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I had my first IVF treatment at Jinepol with Dr Selim and team. I am fortunate to say I was successful the first time and am no 5 weeks pregnant. I already have a 4 year old which took me 2 years to conceive naturally. I then underwent infertility testing in the UK- after 2 more years of trying f...

I highly recommend this clinic and team- extremely professional and excellent service. Everything was catered specifically for my individual needs rather than a list of protocols to follow as is in my home country. There can be a lot of anxiety about doing IVF abroad but with Dr Selim and tea...

shi*** **** / England

Wonderful treatment I begin with Dr. Selim very knowledgable , scientific and nice person every note , hint he gives u it's right . He allowed us to call him every time and ask him for advise our guidance .miss ulku the embryo specialist also very scientific and cooperative .the clinic very clean , ...

Jinepol best clinic u might say I'm eager to write but it's a fact I wished I stay in turkey to be close to them but I am from another country I heard about them from a friend who also did an ivf resulted in a twins .of course I recommend this clinic for everyone trying to do ivf of any women health...

Hus*** **** / Iraq

I am a medical doctor myself, working in UK NHS Hospitals. Me and my wife tried IVF once in the UK which unfortunately failed. We decided to search for a fertility clinic with a high standard and cheaper than UK IVF. We found Jinepol Clinic in Istanbul by searching on the internet. We were optimisti...

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Lam*** **** / UK

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

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Ray*** **** / Saudi Arabia

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Very good and professional, was ready to meet our needs and help us along the journey. I felt a very good personal touch....

*** **** /

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

Follow up review: My first appointment with Dr Selim, day 10 for an examination. First impression of Jinepol, very impressive, modern, clean state of the art building. Theres no clinical feel and it's location fairly is close to the metro. Dr Selim is very pleasant natured, delightful to talk to...

Follow up review: My first appointment with Dr Selim, day 10 for an examination. First impression of Jinepol, very impressive, modern, clean state of the art building. Theres no clinical feel and it's location fairly is close to the metro. Dr Selim is very pleasant natured, delightful to talk to...

*** **** / England

Very good clinic, very friendly and attentive. At least so far....

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Lev*** **** / Georgia

I am writing to let you know how very pleased and impressed we have been with our experience with DR. Selim Senoz and his stuff.My husband and I have struggled with infertility for over 5 years. We went through a very difficult and unsuccessful of three IVF cycle in addition to three rounds of artif...

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Lul*** **** / US

We had a terrible experience with another clinic in New York City. My husband had a three million sperm count, yet doctors told us we are not eligible for IVF. We were forced to get sperm donations. We refused. The other clinic doctors are very rude and disorganized. They have lost several times our...

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Tan*** **** / US