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IVF - In Vitro Fertilization in TURKEY

Male Infertility

Male Infertility

Male infertility accounts for 15% of infertility cases. Also male infertility may contribute to 30-40% of all infertility instances. Because of this, couples who cannot get pregnant should apply to the clinic together. Couples who are unable to get pregnant after 1 year of unprotected, timed intercourse are regarded as infertile. When one partner is over 35, then they can consider being evaluated for infertility sooner than one year.

Male Infertility Reasons:

  • Genetic
  • Hormonal
  • Environmental – working conditions. Wearing tight pants, truck drivers, window workers, bakers. In working environments where the testes are subjected to high heat, the testes’ sperm production may be compromised.
  • Undescended testis. Men who have bilateral undescended are infertile.
  • Immunological
  • Sexual and psychological
  • Infections: Gonorrhea, Tuberculosis, Chlamydia micoplasma and ureoplasma infections usually cause blockage in the sperm collecting ducts causing infertility. Irreversible infertility is often caused by viral infections like Mumps that affect both testes.
  • Systemic infections (kidney and liver disease)
  • Trauma (physical injury)
  • Tumors in testes. Drugs used for cancer therapy and radiotherapy will decrease sperm production.
    When evaluating for infertility, semen analysis is the first test that must be done. In order to standardize the results, 2-4 days sexual abstinence is recommended.
    In the event that the results of the semen analysis are sub-normal, the test must be repeated one month later. If the second test also shows sub normal results, then a physical exam and blood tests will be required.
    The doctor will examine the penis, opening of the urethra, testes, epidydimis, and prostate. The patient’s body type, hair growth, genitalia will be examined in detail. Sexual functions, erection – ejaculation and other habits that might result in infertility will also be evaluated. Items below are also shown to cause infertility.
    • Smoking
    • Drinking excessive alcohol
    • Medications
    • Illegal drug use
    • Chemotherapy ( cancer drugs)
    • Radiation
    • Testes being exposed to heat for prolonged periods of time

The doctor can discern the congenital absence of the vasa deference (CAVD) during the physical exam. Vasa deference is the sperm carrying tube that moves sperm from the testes to the urethra. The possibility of a genetic disease called Cystic Fibrosis must be investigated in patients when CAVD is observed.
If testes are smaller than normal then genetic diseases maybe the cause. Kleinfelter’s syndrome is a genetic condition where there genetic composition is 47, XXY and is characterized by small testicles. These patients do not have sperm in their ejaculate but tissue biopsied from the testicles can contain sperm. When there are abnormalities in secondary sexual characteristics such as body hair, sexual dysfunction, hormonal problems such as hypogonatrophic hypoganadism should be investigated. Cryptorchidism (undescended testicles): Testicles descend into the scrotum at birth or one year after the birth at the latest. The condition where one or both testicles have not descended into the scrotum is called Cryptorchidisim. Testicles that remain in the abdomen are exposed to prolonged heat which breaks down sperm production. Infertility is only caused by bilateral cryptorchidisim.
Varicocele: Caused by incompetent valves in the blood vessels around the testicles and like varicose veins in the legs, the veins in the testicles expand. Sperm production is negatively affected by the reduced blood circulation and increased heat in the testicles. Some people may need surgery to correct the condition. Hormone tests are required if semen analysis is sub normal or if the patient has other endocrinological disorders such as diabetes. FSH and Testosterone are the most commonly tested hormones. More detailed tests will be done if necessary.
FSH may appear to be normal in some patients with abnormal spermatogenesis. But an increased level of FSH in the serum is a sign of abnormal spermatogenesis. Some patients may have their urine checked for the presence of sperm right after ejaculation. Ultrasonography, the antisperm antibody test, cervical mucous interaction test are some of the more detailed tests they may be done on semen and sperm.
When looking at semen under a microscope, leukocytes and immature germ cells are difficult to tell apart. These cells are labeled round cells. Many laboratories evaluate all the round cells as leukocytes and report them as such.
In such cases, doctors will evaluate the genital tract for infection. Immunological tests also need to be done to determine whether the round cells observed are immature germ cells or leukocytes.

Our Patient's Reviews

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My treatment went great. No issues with the meds. Protocol was great. Dr Selim was able to review my medical records and choose the perfect protocol for me. Clean and nice and modern facilities. I enjoyed my experience there. The Doctor was great and also very good at explaining things when quest...

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Kar*** **** / US

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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*** **** /

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*** **** /

Very happy I found this clinic. Got successful on the 2nd attempt. My daughter turned 7 months a couple of days ago. Dr Selim was great as were the nurses. Everything was explained to us properly and in a professional manner that made the whole process a lot less stressful for us. I highly recommend...

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*** **** /

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

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We are patients of Dr. Selim Senoz and couldn't have had a better experience and we are so thankful for his care . We had a terrible experience with Dr. Sauer/s office at Columbia clinic in New York City. my husband had 3 million sperm count yet Colombia doctors told us we are not eligibl...

*** **** / USA

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

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*** **** /

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

It went very well. The service there is great. ...

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Jul*** **** /