Your Fertility


A typical fertile couple in their mid-to-late 20s having regular sex has about a 20-25% chance of conceiving each month. After 6 months at least three-quarters of such couples will be pregnant, and after a year at least 90%. Infertility is therefore defined as not being able to become pregnant after one year of trying. Approximately half of infertility is male based and about half female based. Whatever the cause of the infertility it is a couple's problem and requires the couple to work together towards a solution.

A woman’s age is the single most important factor affecting a couple’s chances of conceiving. That’s why it is strongly recommended you seek assistance after 6 months of trying if you are over the age of 35, and after 12 months of trying if you are under 35.

At Antalya IVF we consider the examinations and analyses before starting IVF treatment fundamental to successful conception and delivery of a healthy baby. The examinations and analyses must therefore lead to an accurate diagnosis of your infertility and indicate any factors that must receive possible treatment.

Causes of infertility are many and varied and involve male, female or a combination of factors. In 10-20% of couples no cause will be found, this is called Unexplained Infertility, which can be particularly frustrating for you and your partner.

 

In female infertility the most common diagnoses include one or more of the following factors; tubal infertility, endometriosis, ovulation disorders, polycystic ovaries, recurrent miscarriage, hormonal disorders, and auto-immune disorders. The most commonly used tests and procedures done to diagnose female infertility are; simply a blood test or tests done around the time of ovulation to determine the occurrence of ovulation, an ultrasound scan to examine the uterus, the uterus lining and the ovaries, a quantitative ultrasound scan of the ovaries to determine the number of antral folllicles in each ovary to determine the patients ovarian reserve, more critical examination of the fallopian tubes, uterus and ovaries by procedures such as, sonohysterography (a relatively non-invasive examination of the uterus and the fallopian tubes), hysterosalpingography (using X-rays to confirm the fallopian tubes are open, this does not provide any information about the ovaries and provides only limited information about the uterus), laparoscopy and hysteroscopy (surgical procedures for the evaluation of the uterus, fallopian tubes and ovaries). Laparoscopy and hysteroscopy procedures are also used for therapeutic purposes in female infertility management. In approximately half of the time the reason for a couple’s infertility maybe because male infertility issues. Often a man could be completely healthy, but produce poor quality sperm. Sperm have a life cycle of 72 days, so if you are ill or stressed it can temporarily affect your sperm production quality. In male infertility the most common causes of a male infertility factor are; retrograde ejaculation, blocked ducts, absence of vans deferens, undescended testes in childhood, autoimmune (antibody) disorders, hormonal disorders and or genetic abnormalities. A basic semen analysis would more than often indicate if any of these factors are present. Semen analyses at Antalya IVF are performed according to the World Health Organization (WHO 2010) guidelines on semen analysis. A semen analysıs is done to accurately measure the number of sperm, their motility (ability to move), their morphology (size and shape), and the volume and consistency of the ejaculated sample. The male partner will need to produce a semen sample by masturbation, following 3-5 days of abstinence from ejaculation. Two private rooms are available at the clinic that can be used by you to produce a semen ejaculate for examination. It is important to ensure that your hands are clean before masturbation. The whole ejaculate must be collected in the sterile specimen container provided, if not, this must be reported the laboratory scientist as this may affect the outcome of the semen analysis.