Monitoring the development of the egg with ultrasound throughout the menstrual cycle and determining the most optimal timing.
Infertility About 45 minutes
Infertility Evaluation and Treatment
Comprehensive evaluation and treatment planning to investigate the cause in couples who are unable to conceive.
About Infertility Evaluation and Treatment
Infertility is defined as the absence of pregnancy within one year of unprotected and regular intercourse; this period is reduced to six months for women over the age of thirty-five. Evaluation is conducted as a couple: in women, it is assessed whether ovulation occurs, the patency of the fallopian tubes, and the structure of the uterus; in men, a sperm analysis is performed. Hormonal tests, ultrasound, and when necessary, hysterosalpingography or hysteroscopy are used to complete the assessment. Depending on the cause, treatment options include ovulation induction, surgical correction, or referral to assisted reproductive techniques. Since outcomes vary according to age, cause, and duration, realistic expectations are discussed together during the initial consultation.
What is Infertility?
Infertility, medically referred to as infertility, is defined as the failure to achieve pregnancy despite unprotected intercourse for twelve months. If the person wishing to become a mother is over 35 years old, infertility is considered if pregnancy does not occur after six months of unprotected intercourse. This is because fertility gradually decreases after the age of 35; evaluation should begin after a six-month trial period in this age group.
Infertility can be caused by many different reasons in both women and men. Treatment is possible by identifying these causes and selecting the appropriate method accordingly.
Causes of Infertility in Women
The most common causes in women include:
- Decrease in ovarian reserve,
- Alcohol and cigarette use.
In addition, various gynecological diseases can also make conception more difficult. Causes related to the woman can only be clarified through a detailed gynecological and obstetric examination.
Causes of Infertility in Men
- Low sperm quality,
- Reduced sperm motility,
- Structural and morphological abnormalities in sperm,
- Enlargement of testicular veins,
- Azospermia, meaning no live sperm found in the semen,
- Blockage in sperm ducts.
Many other diseases can cause infertility in men beyond these; the above are the most commonly encountered.
How Does Evaluation and Treatment Progress?
Infertility treatment consists of a series of steps specially planned for the couple. To properly design the process, both partners must be thoroughly evaluated; only then can the causes be identified.
After the causes are determined, the treatment method is chosen considering the couple's preferences; thus, a personalized plan is created. Assisted reproductive techniques such as intrauterine insemination may be part of this plan. During the consultation, the reasons for recommending each step, the controls to be performed throughout the process, and realistic expectations are clearly discussed.
Preparation Before Evaluation
Bringing any previously performed hormone tests, ultrasound reports, and sperm analysis results to the first appointment speeds up the process. The length and regularity of the menstrual cycle, past surgeries, chronic diseases, and medications used are also part of the evaluation. Since smoking and alcohol use are among the factors that can affect fertility, it is important to openly share these habits.
How Long Does the Process Take?
Evaluation is often not completed in a single appointment; since some tests need to be done on specific days of the menstrual cycle, the plan may extend over several weeks. Once the cause is identified, treatment options, their expected contributions, and limitations are discussed. It is valuable for the couple to go through the process together, both for sharing decisions and easing the emotional burden. During the evaluation, the reason for each requested test is explained individually; asking your questions without hesitation ensures that the plan is truly feasible for you.
The information on this page is prepared for general informational purposes and does not replace a doctor's examination. Please be sure to consult a doctor for your complaints.
How It Works
The Process
The steps below describe how things generally work at the clinic. Which tests are needed and how the plan is set varies from person to person.
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Step 1
Initial consultation and assessment
We review your complaints, medical history and any previous tests together. The examination is planned after this conversation.
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Step 2
Necessary tests
If an ultrasound, lab work or other examination is needed, we clearly explain which one and why.
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Step 3
Personalized plan
Findings are interpreted together; options, expected duration and any alternatives are shared with you. The decision is made jointly.
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Step 4
Follow-up
A check-up is scheduled to see how things are progressing. If you have questions in between, you can reach the clinic.
Infertility
Related services
Other services in the same area may also interest you.
Completion of necessary tests before the IVF process and planning referral to an appropriate center.
Correction of conditions that prevent pregnancy, such as tubal blockage, adhesions, and endometriosis, using a minimally invasive (laparoscopic) method.
Your Doctor
Op. Dr. Abdulkadir Güllüce
Obstetrics and Gynecology Specialist
Op. Dr. Abdulkadir Güllüce has been practicing medicine since 2013 and has specialized in Obstetrics and Gynecology since 2022. He bases his practice on current scientific guidelines in areas ranging from pregnancy follow-up to gynecological surgery, tailoring the treatment plan according to each patient's individual history. He sees his patients at his clinic in Yakuplu, Beylikdüzü, and makes a point of explaining every step of the process in clear, understandable language.
Book Infertility Evaluation and Treatment
The service will already be selected when you book. After choosing a day and time, there's just a short confirmation step.
The information on this page is for general purposes; it does not replace an examination, diagnosis or treatment and does not promise any outcome. Whether it applies to you is assessed together with your history and examination findings. If you experience severe pain, heavy bleeding, fever or fainting, go to the nearest healthcare facility without delay.