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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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My husband and I came to Dr. Senoz from the United States where IVF treatment is very expensive. We highly recommend this doctor and his team. Dr. Senoz is an excellent doctor with over 25 years of experience. He cares a lot about his patients and is very hands on and professional with his care and ...

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Nas*** **** /

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 was really happy with the service that we got at Jinepol. However, I wish we had spoke with Dr Selim before making our visit, as we could have spent less time in Turkey. But all praise and thanks is due to ALLAH who has granted us our wish. We are of course especially grateful for the treatment ...

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Has*** **** / UK

My husband and I struggled for years to fall pregnant before turning to IVF. We now hold our beautiful blessing, our miracle in our arms. Dr. Selim and his team were absolutely amazing. Dr. Selim and his team treated us with respect, kindness, and most importantly made us feel very comfortable. Dr...

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*** **** /

My wife and me took two courses of IVF, the second being successful. We are now the proud parents of two wonderful happy little boys. We highly recommend Dr. Selim and his wonderful crew at Jinepol, from the day we walked the clinic we felt welcome and appreciated. The service is outstanding and ev...

Wonderful crew, great facilities. We came from Oman, the clinic is easily reachable from the airport. Dr. Selim is a blessing. Very patient with all our questions. We enjoyed our stay in Istanbul very much, mostly because of the welcoming feeling from Jinepol. Thank you so much!...

Pro*** **** / Oman

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

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

I have a very low spermcount. I was sad and pessimistic about still becoming a father. With my girl friend wie had unsuccesfuly tried in the 'Natural way'. So we decided to seek medical help. We knew that success is not guaranteed. Nevertheless we wanted to try before it were too late and the great ...

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Ste*** **** / Switzerland

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

I have been trying to get pregnant for few year with no results. Me and my husband had both fertility problems. I had very bad endometriosis, uterine fibroids. My husband had low sperm count. We had no chance but IVF. After long researches we picked Jinepol IVF clinic, and this was our best choi...

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Ziy*** **** / Uzbekistan