{"id":882,"date":"2025-04-27T18:44:39","date_gmt":"2025-04-27T15:44:39","guid":{"rendered":"https:\/\/sonerduzguner.com\/?page_id=882"},"modified":"2026-10-29T10:59:49","modified_gmt":"2026-10-29T07:59:49","slug":"chasto-zadavaemye-voprosy","status":"publish","type":"page","link":"https:\/\/www.sonerduzguner.com\/ru\/chasto-zadavaemye-voprosy\/","title":{"rendered":"\u0427\u0430\u0441\u0442\u043e \u0437\u0430\u0434\u0430\u0432\u0430\u0435\u043c\u044b\u0435 \u0432\u043e\u043f\u0440\u043e\u0441\u044b (FAQ)"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div      class=\"vc_row wpb_row section vc_row-fluid  grid_section\" style=' padding-top:80px; padding-bottom:80px; text-align:left;'><div class=\"section_inner clearfix\"><div class='section_inner_margin clearfix'><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_tabstabs_holder clearfix\" data-interval=\"0\">\n\t\t<div class=\"q_tabs horizontal center\">\n\t\t\t<ul class=\"tabs-nav\"><li><a href=\"#tab-30ffefe7-bc6d-10\">\u042d\u041a\u041e<\/a><\/li><\/ul>\n<div class='tabs-container'>\n\t\t\t\n\t\t\t<div id=\"tab-30ffefe7-bc6d-10\" class=\"tab-content\">\n\t\t\t\t<div      class=\"vc_row wpb_row section vc_row-fluid vc_inner\" style=' text-align:left;'><div class=\"full_section_inner clearfix\"><div class=\"wpb_column vc_column_container vc_col-sm-2\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><\/div><\/div><\/div><div class=\"wpb_column vc_column_container vc_col-sm-8\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3 style=\"margin:0 0 20px;\">AMH ve Yumurtal\u0131k Rezervi<\/h3>\n\n\t\t<\/div>\n\t<\/div><div class=\"qode-accordion-holder clearfix qode-accordion qode-initial\">\n\t<h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        AMH de\u011ferim 0.01 \u00e7\u0131kt\u0131. Art\u0131k anne olamaz m\u0131y\u0131m?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Panik yapmay\u0131n. AMH yumurta kalitesini, embriyo kalitesini ya da canl\u0131 do\u011fumu \u00f6ng\u00f6rmez; yaln\u0131zca az yumurta elde edece\u011fimizi s\u00f6yler. Bu da canl\u0131 do\u011fuma ula\u015fmak i\u00e7in birden fazla deneme gerekebilece\u011fi anlam\u0131na gelir. T\u00fcp bebek ya da yumurta dondurma karar\u0131n\u0131 ki\u015finin ya\u015f\u0131n\u0131 ve gebelik isteminin s\u00fcresini birlikte de\u011ferlendirerek veriyoruz. Tela\u015fa kap\u0131lmadan hekiminize ba\u015fvurun.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        AMH 0.4 ile hamile kal\u0131nabilir mi?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Evet, normal yoldan gebelik \u015fans\u0131n\u0131z bile olabilir. Bunu anlamak i\u00e7in e\u015finizin spermiogram yapt\u0131rmas\u0131, sizin de ila\u00e7l\u0131 rahim filmiyle t\u00fcplerinize bakt\u0131rman\u0131z gerekir; ne kadar s\u00fcredir korunmad\u0131\u011f\u0131n\u0131z da \u00f6nemlidir. T\u00fcm testler normalse t\u00fcp bebe\u011fe ne zaman ge\u00e7ece\u011finizi ya\u015f\u0131n\u0131z belirler. T\u00fcp bebekteki ba\u015far\u0131y\u0131 da AMH&#8217;den \u00e7ok ya\u015f belirler: 38 ya\u015f\u0131n alt\u0131nda iyi bir embriyoyla gebelik \u015fans\u0131 yakla\u015f\u0131k %60&#8217;t\u0131r ve ya\u015f ilerledik\u00e7e azal\u0131r.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        AMH nedir, bize ne anlat\u0131r?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>AMH (Anti-M\u00fcllerian Hormon), yumurtal\u0131k rezervini g\u00f6steren bir kan testidir ve kad\u0131nlar i\u00e7in bir \u201cerken uyar\u0131 sistemi\u201d gibidir. Adet d\u00f6neminden ba\u011f\u0131ms\u0131z yap\u0131labilir. 1&#8217;in alt\u0131ndaysa rezervin az olabilece\u011fini g\u00f6sterir, ancak bunu ultrasonla do\u011frulamak gerekir; bazen ultrason rezervi AMH&#8217;den daha iyi g\u00f6sterir. Hekim i\u00e7in AMH, y\u00fcksekse a\u015f\u0131r\u0131 uyar\u0131lmay\u0131 \u00f6nlemek i\u00e7in ila\u00e7 dozunu ayarlamaya, d\u00fc\u015f\u00fckse hastay\u0131 erken de\u011ferlendirip bir yol haritas\u0131 \u00e7izmeye yarar.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Kimler AMH de\u011ferine mutlaka bakt\u0131rmal\u0131?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Ailesinde erken (\u00f6zellikle 40 ya\u015f \u00f6ncesi) menopoz \u00f6yk\u00fcs\u00fc olanlar, kronik tiroid (\u00f6rn. Ha\u015fimoto) hastal\u0131\u011f\u0131 olanlar, yumurtal\u0131klar\u0131ndan ameliyat ge\u00e7irmi\u015f olanlar ve endometriozisi olanlar. Bize ba\u015fvuran hastalar\u0131n yakla\u015f\u0131k %30&#8217;unda endometriozis var. Y\u0131ll\u0131k jinekolojik kontrol\u00fcn\u00fczde yumurtal\u0131k rezervinizi de de\u011ferlendirtin: \u00e7ocuk plan\u0131n\u0131z\u0131 erteleyebilirsiniz ama kontrol\u00fcn\u00fcz\u00fc ertelemeyin.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        AMH takviye ya da destek \u00fcr\u00fcnlerle artt\u0131r\u0131labilir mi?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Hay\u0131r. AMH son derece \u201cd\u00fcr\u00fcst\u201d bir de\u011ferdir. 0.7 ile 0.8 aras\u0131nda b\u00fcy\u00fck bir fark yoktur; belli \u00fcr\u00fcnleri kullan\u0131p AMH&#8217;yi s\u00fcrekli \u00f6l\u00e7t\u00fcrmenin kimseye faydas\u0131 yoktur, yaln\u0131zca kayg\u0131y\u0131 art\u0131r\u0131r.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        AMH d\u00fc\u015f\u00fck \u00e7\u0131kt\u0131; beklenenden fazla yumurta al\u0131nabilir mi?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Evet. AMH&#8217;si 0.86 olup 10 yumurta toplad\u0131\u011f\u0131m\u0131z hastalar oldu. AMH yaln\u0131zca say\u0131sal bir de\u011ferdir; bir kad\u0131n\u0131n anne olma potansiyeli ya da toplanacak yumurta say\u0131s\u0131 hakk\u0131nda kesin bilgi vermez.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        D\u00fc\u015f\u00fck AMH t\u00fcp bebek endikasyonu mudur?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Ultrason d\u00fc\u015f\u00fck rezervi do\u011fruluyorsa evet. Hem t\u00fcp bebek endikasyonudur hem de t\u00fcp bebekte ba\u015far\u0131y\u0131 etkileyen \u00f6nemli fakt\u00f6rlerden biridir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Gen\u00e7 ya\u015fta d\u00fc\u015f\u00fck AMH \u00e7\u0131kmas\u0131 s\u0131k m\u0131?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Son d\u00f6nemde \u00f6zellikle 25\u201334 ya\u015f aras\u0131nda, 0.02 gibi \u00e7ok d\u00fc\u015f\u00fck AMH de\u011ferleriyle ba\u015fvurularda art\u0131\u015f var. Ailede erken menopoz ya da tiroid hastal\u0131\u011f\u0131 \u00f6yk\u00fcs\u00fc varsa dikkatli olun ve kad\u0131n do\u011fum uzman\u0131n\u0131za ba\u015fvurun.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Erken menopoz (erken yumurtal\u0131k yetmezli\u011fi) nedir?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>40 ya\u015f\u0131ndan \u00f6nce yumurtal\u0131k rezervinin ciddi \u015fekilde azalmas\u0131d\u0131r. Belirtileri: adetlerin 35\u201345 g\u00fcnden uzun aralarla gelmesi ya da tamamen kesilmesi ve FSH&#8217;nin 25&#8217;in \u00fczerinde olmas\u0131. Nedenleri aras\u0131nda genetik fakt\u00f6rler (Turner sendromu, FMR1 mutasyonu), otoimm\u00fcn hastal\u0131klar, hipotiroidi, diyabet, kemoterapi\/radyoterapi ve ailede erken menopoz \u00f6yk\u00fcs\u00fc say\u0131labilir. S\u0131cak basmas\u0131, gece terlemesi, vajinal kuruluk, sinirlilik ve cinsel isteksizlik g\u00f6r\u00fclebilir; uzun vadede \u00f6strojen eksikli\u011fi kemik erimesi ve kalp-damar hastal\u0131\u011f\u0131 riskini art\u0131r\u0131r. Tedavide ya\u015fam tarz\u0131 d\u00fczenlemeleri ve \u00f6strojen deste\u011fi \u00f6nemlidir; yumurtal\u0131\u011fa eksozom uygulamas\u0131 ise h\u00e2l\u00e2 deneysel bir se\u00e7enektir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><\/div>\n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3 style=\"margin:50px 0 20px;\">Ya\u015f ve T\u00fcp Bebek<\/h3>\n\n\t\t<\/div>\n\t<\/div><div class=\"qode-accordion-holder clearfix qode-accordion qode-initial\">\n\t<h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        40 ya\u015f\u0131ndan sonra anne olmay\u0131 d\u00fc\u015f\u00fcnenler ne yapmal\u0131?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Zaman\u0131n \u00e7ok k\u0131ymetli oldu\u011fu bir d\u00f6nemdesiniz. Yumurtal\u0131k rezervinize ve t\u00fcplerinizin a\u00e7\u0131k olup olmad\u0131\u011f\u0131na bakt\u0131r\u0131n; ultrasonla rahminizde miyom, kist ya da polip olup olmad\u0131\u011f\u0131 de\u011ferlendirilsin. E\u015finiz de sperm tahlili yapt\u0131rs\u0131n. Bu de\u011ferlendirmeler normalse bir s\u00fcre bekleyebilirsiniz; rehberler 3 ay der, ama kesin bir s\u0131n\u0131r koymayal\u0131m. Gebelik ger\u00e7ekle\u015fmiyorsa i\u015finizi \u015fansa b\u0131rakmay\u0131n, bir t\u00fcp bebek uzman\u0131na ba\u015fvurun.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        T\u00fcp bebek i\u00e7in ya\u015f bir engel mi?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Kad\u0131n ya\u015f\u0131, ba\u015far\u0131y\u0131 etkileyen en \u00f6nemli fakt\u00f6rlerden biridir. Ya\u015f ilerledik\u00e7e yumurtal\u0131k rezervi ve yumurta kalitesi azal\u0131r, yumurtalar\u0131n genetik yap\u0131s\u0131 da bozulmaya ba\u015flar; bu, gebelik \u015fans\u0131n\u0131 azalt\u0131rken d\u00fc\u015f\u00fck ve genetik anomali riskini art\u0131r\u0131r. Ancak ya\u015f tek ba\u015f\u0131na belirleyici de\u011fildir. Klini\u011fimizde adetin 2. g\u00fcn\u00fc yap\u0131lan hormon testleri ve ultrason de\u011ferlendirmesi uygun olan kad\u0131nlara belirli bir ya\u015f s\u0131n\u0131r\u0131 olmaks\u0131z\u0131n t\u00fcp bebek tedavisi uyguluyoruz. Gebelikle sonu\u00e7lanan en ileri ya\u015ftaki hastam\u0131z 47 ya\u015f 8 ayl\u0131kt\u0131.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        38 ya\u015f ve \u00fczerinde ba\u015far\u0131y\u0131 art\u0131ran stratejiler nelerdir?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<ul>\n<li>Adetin 2. g\u00fcn\u00fc FSH&#8217;nin ideal olarak 15&#8217;in, en fazla 20&#8217;nin alt\u0131nda olmas\u0131n\u0131 istiyoruz; daha y\u00fcksek de\u011ferlerde yumurta kalitesi d\u00fc\u015febilir, folik\u00fcller bo\u015f \u00e7\u0131kabilir.<\/li>\n<li>Yumurta kalitesini olumsuz etkilememek i\u00e7in y\u00fcksek doz hormon ila\u00e7lar\u0131ndan ka\u00e7\u0131n\u0131yoruz.<\/li>\n<li>Folik\u00fcller 16\u201317 mm&#8217;ye ula\u015f\u0131nca g\u00fcnl\u00fck takip yap\u0131yor, kanda \u00f6stradiol ve LH&#8217;ye bakarak olgunla\u015ft\u0131rma i\u011fnesinin zaman\u0131n\u0131 ki\u015finin biyolojisine g\u00f6re planl\u0131yoruz.<\/li>\n<li>FSH ve LH&#8217;yi birlikte i\u00e7eren ila\u00e7lar\u0131 tercih ediyoruz.<\/li>\n<li>Kromozomal anomali riski artt\u0131\u011f\u0131 i\u00e7in, embriyo say\u0131s\u0131 ve geli\u015fimi uygunsa preimplantasyon genetik tan\u0131 (PGT) \u00f6neriyoruz.<\/li>\n<\/ul>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Ya\u015f ilerledik\u00e7e normal kromozomlu embriyo bulma \u015fans\u0131 nas\u0131l de\u011fi\u015fir?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>38 ya\u015f ve \u00fczeri ileri kad\u0131n ya\u015f\u0131 kabul edilir. \u00d6rne\u011fin 38 ya\u015f\u0131nda bir kad\u0131n\u0131n embriyosunun normal kromozomlu \u00e7\u0131kma olas\u0131l\u0131\u011f\u0131 yakla\u015f\u0131k %35 iken, 43 ya\u015f\u0131nda bu oran %8&#8217;e iner. \u0130yi haber \u015fu: 43 ya\u015f\u0131nda bir kad\u0131nda normal kromozomlu bir embriyo buldu\u011fumuzda, gebelik \u015fans\u0131 28 ya\u015f\u0131ndaki bir kad\u0131nla ayn\u0131d\u0131r; ortalama %65\u201370.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        42 ya\u015f\u0131nday\u0131m ve 3 yumurta al\u0131nd\u0131. Ne yap\u0131yoruz?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Bu durumda 1 ya da 2 embriyo transfer edebiliriz. Embriyolar\u0131 5. g\u00fcne (blastosist) kadar bekletiyoruz; 5. g\u00fcne ula\u015fabiliyorsa transfer etmeye de\u011fer. \u0130lk denemede ve az embriyo beklenen bu tablo i\u00e7in PGT \u015fart de\u011fildir. Bu ya\u015f grubunda normal kromozomlu embriyo bulma \u015fans\u0131 d\u00fc\u015f\u00fckt\u00fcr, ancak normal bir embriyoya denk gelirsek gebelik \u015fans\u0131 %60\u201370&#8217;tir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Adet d\u00fczensizli\u011fi ba\u015flad\u0131; menopoza girmeden anne olabilir miyim?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Adet d\u00fczensizli\u011fi ya\u015fayan ileri ya\u015ftaki anne adaylar\u0131 rezervlerini zaman kaybetmeden kontrol ettirmeli. Bu hastalarda y\u00fcksek FSH de\u011ferlerini hormon deste\u011fiyle normal seviyelere \u00e7ekmeye \u00e7al\u0131\u015f\u0131rken adetin ilk g\u00fcnlerinde ultrasonla aday yumurta varl\u0131\u011f\u0131n\u0131 titizlikle izliyoruz. Az yumurtayla da ba\u015far\u0131ya ula\u015fmaya \u00e7al\u0131\u015f\u0131yoruz; omega-3 ve koenzim Q10 gibi destekler yumurta kalitesine katk\u0131 sa\u011flayabilir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><\/div>\n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3 style=\"margin:50px 0 20px;\">Neden Gebe Kalam\u0131yorum?<\/h3>\n\n\t\t<\/div>\n\t<\/div><div class=\"qode-accordion-holder clearfix qode-accordion qode-initial\">\n\t<h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        \u041f\u043e\u0447\u0435\u043c\u0443 \u044f \u043d\u0435 \u043c\u043e\u0433\u0443 \u0437\u0430\u0431\u0435\u0440\u0435\u043c\u0435\u043d\u0435\u0442\u044c? \u0412\u043e\u0437\u043c\u043e\u0436\u043d\u044b\u0435 \u043f\u0440\u0438\u0447\u0438\u043d\u044b:    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<ol>\n<li>\u041d\u0430\u0440\u0443\u0448\u0435\u043d\u0438\u044f \u043e\u0432\u0443\u043b\u044f\u0446\u0438\u0438<\/li>\n<li>\u0421\u0438\u043d\u0434\u0440\u043e\u043c \u043f\u043e\u043b\u0438\u043a\u0438\u0441\u0442\u043e\u0437\u043d\u044b\u0445 \u044f\u0438\u0447\u043d\u0438\u043a\u043e\u0432 (\u0421\u041f\u041a\u042f)<\/li>\n<li>\u0422\u0440\u0443\u0431\u043d\u043e\u0435 \u0431\u0435\u0441\u043f\u043b\u043e\u0434\u0438\u0435<\/li>\n<li>\u041f\u043e\u0437\u0434\u043d\u0438\u0439 \u0440\u0435\u043f\u0440\u043e\u0434\u0443\u043a\u0442\u0438\u0432\u043d\u044b\u0439 \u0432\u043e\u0437\u0440\u0430\u0441\u0442<\/li>\n<li>\u0421\u043d\u0438\u0436\u0435\u043d\u0438\u0435 \u043e\u0432\u0430\u0440\u0438\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u0440\u0435\u0437\u0435\u0440\u0432\u0430<\/li>\n<li>\u041e\u043f\u0435\u0440\u0430\u0446\u0438\u0438 \u043d\u0430 \u044f\u0438\u0447\u043d\u0438\u043a\u0430\u0445 \u0432 \u0430\u043d\u0430\u043c\u043d\u0435\u0437\u0435<\/li>\n<li>\u042d\u043d\u0434\u043e\u043c\u0435\u0442\u0440\u0438\u043e\u0437 (\u0448\u043e\u043a\u043e\u043b\u0430\u0434\u043d\u044b\u0435 \u043a\u0438\u0441\u0442\u044b)<\/li>\n<li>\u041d\u0430\u0440\u0443\u0448\u0435\u043d\u0438\u044f \u0444\u0443\u043d\u043a\u0446\u0438\u0438 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b<\/li>\n<li>\u041f\u043e\u0432\u044b\u0448\u0435\u043d\u043d\u044b\u0439 \u0443\u0440\u043e\u0432\u0435\u043d\u044c \u043f\u0440\u043e\u043b\u0430\u043a\u0442\u0438\u043d\u0430<\/li>\n<li>\u041f\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0438 \u044d\u043d\u0434\u043e\u043c\u0435\u0442\u0440\u0438\u044f (\u0441\u043f\u0430\u0439\u043a\u0438 \/ \u0442\u043e\u043d\u043a\u0438\u0439 \u044d\u043d\u0434\u043e\u043c\u0435\u0442\u0440\u0438\u0439)<\/li>\n<li>\u041c\u0438\u043e\u043c\u044b \u0438\u043b\u0438 \u0430\u0434\u0435\u043d\u043e\u043c\u0438\u043e\u0437 \u043c\u0430\u0442\u043a\u0438<\/li>\n<li>\u0412\u0440\u043e\u0436\u0434\u0435\u043d\u043d\u044b\u0435 \u0430\u043d\u043e\u043c\u0430\u043b\u0438\u0438 \u043c\u0430\u0442\u043a\u0438 (\u043e\u0434\u043d\u043e\u0440\u043e\u0433\u0430\u044f, \u0434\u0432\u0443\u0440\u043e\u0433\u0430\u044f \u043c\u0430\u0442\u043a\u0430, \u043f\u0435\u0440\u0435\u0433\u043e\u0440\u043e\u0434\u043a\u0430)<\/li>\n<li>\u041e\u0436\u0438\u0440\u0435\u043d\u0438\u0435 (\u0418\u041c\u0422 &gt;30 \u043a\u0433\/\u043c\u00b2)<\/li>\n<\/ol>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        B\u00fct\u00fcn testlerim normal. Peki neden hamile kalam\u0131yorum?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Asl\u0131nda sorun t\u00fcm testlerin normal olmas\u0131 de\u011fil, elimizdeki testlerin her sorunu g\u00f6sterememesidir. \u00d6rne\u011fin yumurta kalitesini testlerle tam anlayamay\u0131z; do\u011fal yolda sperm ve yumurtan\u0131n i\u00e7eride nas\u0131l d\u00f6llendi\u011fini, embriyonun nas\u0131l geli\u015fti\u011fini g\u00f6remeyiz. A\u00e7\u0131klanamayan infertilite \u00e7\u00f6z\u00fcms\u00fczl\u00fck demek de\u011fildir. Hekiminiz yumurta b\u00fcy\u00fctme ve a\u015f\u0131lama gibi basit y\u00f6ntemleri \u00f6nerebilir ya da sizi t\u00fcp bebe\u011fe y\u00f6nlendirebilir. Yani umut var.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        \u0130lk \u00e7ocu\u011fum hemen oldu. \u0130kincisi neden olmuyor?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Do\u011furganl\u0131k sabit de\u011fil, dinamik bir s\u00fcre\u00e7tir. Olas\u0131 nedenler:<\/p>\n<ul>\n<li>Ya\u015f ilerledik\u00e7e (\u00f6zellikle 37 ya\u015f \u00fczeri) yumurtal\u0131k rezervi ve kalitesi azalabilir.<\/li>\n<li>Rahimde sonradan olu\u015fan miyom ya da polipler.<\/li>\n<li>Enfeksiyonlara ba\u011fl\u0131 t\u00fcp sorunlar\u0131 (hidrosalpenks) veya ilerlemi\u015f endometriozis.<\/li>\n<li>Eski sezaryen kesisine ba\u011fl\u0131 istmosel.<\/li>\n<li>Tiroid hastal\u0131klar\u0131, prolaktin y\u00fcksekli\u011fi, diyabet gibi sistemik hastal\u0131klar.<\/li>\n<li>E\u015finizin sperm say\u0131s\u0131 ve kalitesinde sonradan geli\u015fen d\u00fc\u015f\u00fc\u015f.<\/li>\n<\/ul>\n<p>\u201cBir kere oldu, yine olur\u201d her zaman do\u011fru de\u011fildir. Bir y\u0131l\u0131 ge\u00e7ti ve gebelik olmad\u0131ysa e\u015finizle birlikte \u00fcreme sa\u011fl\u0131\u011f\u0131yla ilgilenen bir jinekolo\u011fa ba\u015fvurun.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Hamile kalmak i\u00e7in cinsel ili\u015fkiye ne zaman girilmeli?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>En kritik nokta yumurtan\u0131n \u00e7atlayaca\u011f\u0131 zaman\u0131 do\u011fru yakalamakt\u0131r (ila\u00e7l\u0131 rahim filmi ve sperm tahlili normal, adetler d\u00fczenliyse). \u201cAdetten 3 g\u00fcn sonra, 3 g\u00fcnde bir ili\u015fki\u201d gibi \u00f6neriler dola\u015f\u0131yor; evde kullan\u0131lan ovulasyon kitleri de fikir verebilir ama bilimsel dayanaklar\u0131 zay\u0131ft\u0131r, \u00e7\u00fcnk\u00fc her kad\u0131n\u0131n d\u00f6ng\u00fcs\u00fc farkl\u0131d\u0131r. En do\u011frusu, adetin 2. g\u00fcn\u00fcnden itibaren hekiminizin ultrasonla yumurta takibi yapmas\u0131d\u0131r. Yumurta 16 mm olunca kanda LH&#8217;ye bak\u0131l\u0131r, y\u00fckseldi\u011finde \u00e7atlatma i\u011fnesi yap\u0131l\u0131r; ayn\u0131 g\u00fcn ve 24 saat sonra ili\u015fki \u00f6nerilir. Alternatif olarak 36 saat sonra a\u015f\u0131lama yap\u0131labilir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Polikistik over sendromu (PKOS) nedir, gebeli\u011fi nas\u0131l etkiler?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Toplumda yakla\u015f\u0131k her 100 kad\u0131ndan 7&#8217;sinde g\u00f6r\u00fcl\u00fcr. Belirtileri sivilcelenme, sa\u00e7 d\u00f6k\u00fclmesi, 35 g\u00fcnden uzun adet d\u00f6ng\u00fcleri ve ultrasonda yumurtal\u0131klarda \u201cboncuk dizisi\u201d g\u00f6r\u00fcn\u00fcm\u00fcd\u00fcr; bunlardan ikisi varsa tan\u0131 konur. S\u0131kl\u0131kla ins\u00fclin direnci ve kilo fazlal\u0131\u011f\u0131 e\u015flik eder. Tedavide kilo verme, egzersiz ve ya\u015fam kalitesini art\u0131ran \u00f6neriler \u00f6nemlidir. \u00c7ocuk istemi olanlarda \u00f6nce yumurta b\u00fcy\u00fctme ve a\u015f\u0131lama gibi basit y\u00f6ntemleri deneriz; 1\u20132 denemede gebelik olmazsa ba\u015far\u0131 \u015fans\u0131 en y\u00fcksek y\u00f6ntem olan t\u00fcp bebe\u011fi \u00f6neririz.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        \u0412\u044b\u0437\u044b\u0432\u0430\u0435\u0442 \u043b\u0438 \u0441\u0438\u043d\u0434\u0440\u043e\u043c \u043f\u043e\u043b\u0438\u043a\u0438\u0441\u0442\u043e\u0437\u043d\u044b\u0445 \u044f\u0438\u0447\u043d\u0438\u043a\u043e\u0432 (\u0421\u041f\u041a\u042f) \u0431\u0435\u0441\u043f\u043b\u043e\u0434\u0438\u0435?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>\u0421\u0438\u043d\u0434\u0440\u043e\u043c \u043f\u043e\u043b\u0438\u043a\u0438\u0441\u0442\u043e\u0437\u043d\u044b\u0445 \u044f\u0438\u0447\u043d\u0438\u043a\u043e\u0432 (\u0421\u041f\u041a\u042f) \u2014 \u044d\u0442\u043e \u0440\u0430\u0441\u043f\u0440\u043e\u0441\u0442\u0440\u0430\u043d\u0451\u043d\u043d\u043e\u0435 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0435, \u043a\u043e\u0442\u043e\u0440\u044b\u043c \u0441\u0442\u0440\u0430\u0434\u0430\u044e\u0442 \u043e\u043a\u043e\u043b\u043e 7 \u0438\u0437 100 \u0436\u0435\u043d\u0449\u0438\u043d.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u0421\u0438\u043c\u043f\u0442\u043e\u043c\u044b:<\/strong><\/p>\n<ul>\n<li>\u0410\u043a\u043d\u0435<\/li>\n<li>\u0412\u044b\u043f\u0430\u0434\u0435\u043d\u0438\u0435 \u0432\u043e\u043b\u043e\u0441<\/li>\n<li>\u041c\u0435\u043d\u0441\u0442\u0440\u0443\u0430\u043b\u044c\u043d\u044b\u0435 \u0446\u0438\u043a\u043b\u044b \u0434\u043b\u0438\u043d\u043d\u0435\u0435 35 \u0434\u043d\u0435\u0439<\/li>\n<li>\u041d\u0430 \u0423\u0417\u0418 \u2014 \u043a\u0430\u0440\u0442\u0438\u043d\u0430 \u00ab\u043e\u0436\u0435\u0440\u0435\u043b\u044c\u044f \u0438\u0437 \u0436\u0435\u043c\u0447\u0443\u0433\u0430\u00bb \u043d\u0430 \u044f\u0438\u0447\u043d\u0438\u043a\u0430\u0445<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>\u0414\u0438\u0430\u0433\u043d\u043e\u0437 \u0441\u0442\u0430\u0432\u0438\u0442\u0441\u044f \u043f\u0440\u0438 \u043d\u0430\u043b\u0438\u0447\u0438\u0438 \u043a\u0430\u043a \u043c\u0438\u043d\u0438\u043c\u0443\u043c \u0434\u0432\u0443\u0445 \u0438\u0437 \u044d\u0442\u0438\u0445 \u043f\u0440\u0438\u0437\u043d\u0430\u043a\u043e\u0432.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u0421\u043e\u043f\u0443\u0442\u0441\u0442\u0432\u0443\u044e\u0449\u0438\u0435 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u044f:<\/strong><\/p>\n<ul>\n<li>\u0418\u043d\u0441\u0443\u043b\u0438\u043d\u043e\u0440\u0435\u0437\u0438\u0441\u0442\u0435\u043d\u0442\u043d\u043e\u0441\u0442\u044c<\/li>\n<li>\u041b\u0438\u0448\u043d\u0438\u0439 \u0432\u0435\u0441 \u0443 \u043d\u0435\u043a\u043e\u0442\u043e\u0440\u044b\u0445 \u0436\u0435\u043d\u0449\u0438\u043d<\/li>\n<li>\u0421\u043a\u043b\u043e\u043d\u043d\u043e\u0441\u0442\u044c \u043a \u0442\u0440\u0435\u0432\u043e\u0436\u043d\u043e\u0441\u0442\u0438 \u0438 \u0434\u0435\u043f\u0440\u0435\u0441\u0441\u0438\u0438<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>\u041c\u0435\u0442\u043e\u0434\u044b \u043b\u0435\u0447\u0435\u043d\u0438\u044f:<\/strong><\/p>\n<ul>\n<li>\u0421\u043d\u0438\u0436\u0435\u043d\u0438\u0435 \u0432\u0435\u0441\u0430, \u0440\u0435\u0433\u0443\u043b\u044f\u0440\u043d\u044b\u0435 \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0443\u043f\u0440\u0430\u0436\u043d\u0435\u043d\u0438\u044f \u0438 \u0437\u0434\u043e\u0440\u043e\u0432\u043e\u0435 \u043f\u0438\u0442\u0430\u043d\u0438\u0435 \u2014 \u043e\u0441\u043d\u043e\u0432\u0430 \u0442\u0435\u0440\u0430\u043f\u0438\u0438.<\/li>\n<li>\u0414\u043b\u044f \u0436\u0435\u043d\u0449\u0438\u043d, \u0436\u0435\u043b\u0430\u044e\u0449\u0438\u0445 \u0437\u0430\u0431\u0435\u0440\u0435\u043c\u0435\u043d\u0435\u0442\u044c, \u0441\u043d\u0430\u0447\u0430\u043b\u0430 \u043f\u0440\u0438\u043c\u0435\u043d\u044f\u044e\u0442 \u043f\u0440\u043e\u0441\u0442\u044b\u0435 \u043c\u0435\u0442\u043e\u0434\u044b: \u043b\u0451\u0433\u043a\u0430\u044f \u0441\u0442\u0438\u043c\u0443\u043b\u044f\u0446\u0438\u044f \u043e\u0432\u0443\u043b\u044f\u0446\u0438\u0438 \u0438 \u0432\u043d\u0443\u0442\u0440\u0438\u043c\u0430\u0442\u043e\u0447\u043d\u0430\u044f \u0438\u043d\u0441\u0435\u043c\u0438\u043d\u0430\u0446\u0438\u044f.<\/li>\n<li>\u0415\u0441\u043b\u0438 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u044c \u043d\u0435 \u043d\u0430\u0441\u0442\u0443\u043f\u0430\u0435\u0442 \u043f\u043e\u0441\u043b\u0435 1\u20132 \u043f\u043e\u043f\u044b\u0442\u043e\u043a, \u0440\u0435\u043a\u043e\u043c\u0435\u043d\u0434\u0443\u0435\u0442\u0441\u044f \u042d\u041a\u041e, \u0442\u0430\u043a \u043a\u0430\u043a \u044d\u0442\u043e \u0434\u0430\u0451\u0442 \u043d\u0430\u0438\u0431\u043e\u043b\u044c\u0448\u0438\u0439 \u0448\u0430\u043d\u0441 \u043d\u0430 \u0443\u0441\u043f\u0435\u0445.<\/li>\n<\/ul>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Sperm azl\u0131\u011f\u0131 neden olur?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Mililitrede 15 milyonun alt\u0131 sperm azl\u0131\u011f\u0131, 5\u201315 milyon orta, 5 milyonun alt\u0131 \u015fiddetli sperm azl\u0131\u011f\u0131 kabul edilir. Ba\u015fl\u0131ca nedenler:<\/p>\n<ul>\n<li>Hormonal dengesizlikler (testosteron, FSH, LH, prolaktin, TSH).<\/li>\n<li>T\u00fct\u00fcn, alkol ve k\u00f6t\u00fc beslenme (sperm DNA hasar\u0131).<\/li>\n<li>Testise ula\u015fan cinsel yolla bula\u015fan enfeksiyonlar.<\/li>\n<li>Testislerin \u0131s\u0131nmas\u0131 (\u00f6rn. f\u0131r\u0131nc\u0131l\u0131k) ve \u00e7ok s\u0131k g\u00f6r\u00fclen varikosel.<\/li>\n<li>Do\u011fu\u015ftan kromozomal bozukluklar.<\/li>\n<li>Steroid gibi baz\u0131 ila\u00e7lar.<\/li>\n<li>Radyasyon (\u00f6rn. pilotlar, kabin ekibi) ve kimyasal maddelere maruz kalma.<\/li>\n<\/ul>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Azospermi nedir, mikro-TESE nas\u0131l yap\u0131l\u0131r?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>\u00c7ocuk istemi olan \u00e7iftlerde nedenlerin yakla\u015f\u0131k yar\u0131s\u0131 erkek fakt\u00f6r\u00fcd\u00fcr; bunun yakla\u015f\u0131k %15&#8217;i azospermidir, yani menide hi\u00e7 sperm bulunmamas\u0131. Alt\u0131n standart h\u00e2l\u00e2 mikroskop alt\u0131nda testisten sperm aranmas\u0131d\u0131r (mikro-TESE). K\u00f6k h\u00fccre ve PRP gibi uygulamalar ara\u015ft\u0131rma d\u00fczeyindedir, uluslararas\u0131 rehberlere girmemi\u015ftir; istismara a\u00e7\u0131k bir alan oldu\u011fu i\u00e7in dikkatli olunmal\u0131d\u0131r.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Mikro-TESE, kad\u0131n haz\u0131rlanmadan yap\u0131lmal\u0131 m\u0131?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Bunu do\u011fru bulmay\u0131z. Taze sperm kullanmay\u0131 hedefledi\u011fimiz i\u00e7in \u00f6nce anne aday\u0131 haz\u0131rlan\u0131r; yumurta toplama g\u00fcn\u00fc erkek mikro-TESE ameliyat\u0131na girer. Taze sperm d\u00f6llenme ve iyi embriyo geli\u015fimi a\u00e7\u0131s\u0131ndan daha avantajl\u0131d\u0131r. Fazla sperm bulunursa dondurulur; ileride yeniden t\u00fcp bebek gerekirse bu spermler kullan\u0131l\u0131r ve hasta tekrar ameliyata girmez.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Mikro-TESE tek seferlik mi? Ba\u015far\u0131y\u0131 neler etkiler?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Hay\u0131r; ilk seferde sperm bulunamazsa i\u015flem ikinci, \u00fc\u00e7\u00fcnc\u00fc kez de yap\u0131labilir. Kabul edilebilir sperm bulma oran\u0131 ortalama %55\u201360&#8217;t\u0131r. Ba\u015far\u0131y\u0131 etkileyenler: azospermi t\u00fcr\u00fc (t\u0131kay\u0131c\u0131 tipte bulmak daha kolay), kromozom analizi (\u00f6rn. Klinefelter), Y mikrodelesyonu, diyabet varsa kan \u015fekeri kontrol\u00fc (HbA1c), testosteron d\u00fczeyi, androlo\u011fun deneyimi ve ay\u0131rd\u0131\u011f\u0131 s\u00fcre, toplanan t\u00fcb\u00fcl say\u0131s\u0131 ve embriyolo\u011fun incelemeye ay\u0131rd\u0131\u011f\u0131 zaman. Ba\u015fka merkezde sperm bulunamam\u0131\u015f hastalarda bizim ba\u015far\u0131 oran\u0131m\u0131z ortalama %15\u201320&#8217;dir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        \u041c\u043e\u0436\u043d\u043e \u043b\u0438 \u043f\u0440\u043e\u0432\u0435\u0441\u0442\u0438 \u0432\u0442\u043e\u0440\u0443\u044e \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u044e micro-TESE, \u0435\u0441\u043b\u0438 \u043f\u0435\u0440\u0432\u0430\u044f \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u044f micro-TESE \u043e\u043a\u0430\u0437\u0430\u043b\u0430\u0441\u044c \u0431\u0435\u0437\u0443\u0441\u043f\u0435\u0448\u043d\u043e\u0439?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>\u042d\u0442\u043e \u043e\u0434\u0438\u043d \u0438\u0437 \u0441\u0430\u043c\u044b\u0445 \u0447\u0430\u0441\u0442\u043e \u0437\u0430\u0434\u0430\u0432\u0430\u0435\u043c\u044b\u0445 \u0432\u043e\u043f\u0440\u043e\u0441\u043e\u0432 \u0432 \u043d\u0430\u0448\u0435\u0439 \u043a\u043b\u0438\u043d\u0438\u043a\u0435.<\/p>\n<p>\u0412 \u0447\u0430\u0441\u0442\u043d\u043e\u0441\u0442\u0438;<\/p>\n<ul>\n<li>\u043f\u0435\u0440\u0432\u0430\u044f \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u044f \u0431\u044b\u043b\u0430 \u0432\u044b\u043f\u043e\u043b\u043d\u0435\u043d\u0430 \u0432 \u0446\u0435\u043d\u0442\u0440\u0435 \u0441 \u043e\u0433\u0440\u0430\u043d\u0438\u0447\u0435\u043d\u043d\u044b\u043c \u043e\u043f\u044b\u0442\u043e\u043c \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u044f micro-TESE,<\/li>\n<li>\u043f\u0435\u0440\u0435\u0434 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0435\u0439 \u043d\u0435 \u0431\u044b\u043b\u0430 \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u0430 \u0441\u043e\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u0443\u044e\u0449\u0430\u044f \u0433\u043e\u0440\u043c\u043e\u043d\u0430\u043b\u044c\u043d\u0430\u044f \u043f\u043e\u0434\u0433\u043e\u0442\u043e\u0432\u0438\u0442\u0435\u043b\u044c\u043d\u0430\u044f \u0442\u0435\u0440\u0430\u043f\u0438\u044f,<\/li>\n<li>\u043f\u0440\u0435\u0434\u043f\u043e\u043b\u043e\u0436\u0435\u043d\u0438\u0435 \u043e \u0442\u043e\u043c, \u0447\u0442\u043e \u0441\u0442\u0430\u043d\u0434\u0430\u0440\u0442\u043d\u044b\u0435 \u043f\u0440\u0438\u043d\u0446\u0438\u043f\u044b micro-TESE \u043c\u043e\u0433\u043b\u0438 \u0431\u044b\u0442\u044c \u043d\u0435 \u043f\u043e\u043b\u043d\u043e\u0441\u0442\u044c\u044e \u0441\u043e\u0431\u043b\u044e\u0434\u0435\u043d\u044b \u0432\u043e \u0432\u0440\u0435\u043c\u044f \u043f\u0435\u0440\u0432\u043e\u0439 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438,<\/li>\n<\/ul>\n<p>\u044f\u0432\u043b\u044f\u044e\u0442\u0441\u044f \u0432\u0430\u0436\u043d\u044b\u043c\u0438 \u0441\u0438\u0442\u0443\u0430\u0446\u0438\u044f\u043c\u0438, \u0442\u0440\u0435\u0431\u0443\u044e\u0449\u0438\u043c\u0438 \u0440\u0430\u0441\u0441\u043c\u043e\u0442\u0440\u0435\u043d\u0438\u044f \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u043e\u0441\u0442\u0438 \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u044f \u0432\u0442\u043e\u0440\u043e\u0439 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438 micro-TESE.<\/p>\n<p>\u0412 \u043d\u0430\u0448\u0435\u0439 \u043a\u043b\u0438\u043d\u0438\u043a\u0435, \u043f\u0440\u0435\u0436\u0434\u0435 \u0447\u0435\u043c \u043f\u0440\u0438\u043d\u044f\u0442\u044c \u0440\u0435\u0448\u0435\u043d\u0438\u0435 \u043e \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u0438 \u0432\u0442\u043e\u0440\u043e\u0439 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438 micro-TESE, \u043c\u044b \u043f\u043e\u0434\u0440\u043e\u0431\u043d\u043e \u0438\u0437\u0443\u0447\u0430\u0435\u043c \u0441\u043b\u0435\u0434\u0443\u044e\u0449\u0438\u0435 \u0434\u0430\u043d\u043d\u044b\u0435:<\/p>\n<ul>\n<li>\u043e\u0442\u0447\u0451\u0442 \u043e \u043f\u0435\u0440\u0432\u043e\u0439 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438 micro-TESE,<\/li>\n<li>\u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442 \u043f\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0438,<\/li>\n<li>\u0437\u043d\u0430\u0447\u0435\u043d\u0438\u044f \u0433\u043e\u0440\u043c\u043e\u043d\u043e\u0432, \u0442\u0430\u043a\u0438\u0435 \u043a\u0430\u043a FSH, LH, \u043e\u0431\u0449\u0438\u0439 \u0442\u0435\u0441\u0442\u043e\u0441\u0442\u0435\u0440\u043e\u043d, \u044d\u0441\u0442\u0440\u0430\u0434\u0438\u043e\u043b \u0438 \u043f\u0440\u0438 \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u043e\u0441\u0442\u0438 \u0438\u043d\u0433\u0438\u0431\u0438\u043d B,<\/li>\n<li>\u0438\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u043d\u043d\u0430\u044f \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u0442\u0435\u0445\u043d\u0438\u043a\u0430 \u0438 \u0434\u0435\u0442\u0430\u043b\u0438 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438.<\/li>\n<\/ul>\n<p>\u0412\u0441\u044f \u044d\u0442\u0430 \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044f \u043e\u0446\u0435\u043d\u0438\u0432\u0430\u0435\u0442\u0441\u044f \u0441\u043e\u0432\u043c\u0435\u0441\u0442\u043d\u043e \u043c\u043d\u043e\u0439 \u0438 \u043d\u0430\u0448\u0435\u0439 \u0430\u043d\u0434\u0440\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u043a\u043e\u043c\u0430\u043d\u0434\u043e\u0439. \u041f\u043e \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u0430\u043c \u043e\u0446\u0435\u043d\u043a\u0438, \u0435\u0441\u043b\u0438 \u043c\u044b \u0441\u0447\u0438\u0442\u0430\u0435\u043c, \u0447\u0442\u043e \u0432\u0442\u043e\u0440\u0430\u044f \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u044f micro-TESE \u0438\u043c\u0435\u0435\u0442 \u0437\u043d\u0430\u0447\u0438\u043c\u0443\u044e \u0432\u0435\u0440\u043e\u044f\u0442\u043d\u043e\u0441\u0442\u044c \u0443\u0441\u043f\u0435\u0445\u0430, \u043c\u044b \u0432\u043a\u043b\u044e\u0447\u0430\u0435\u043c \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430 \u0432 \u043f\u0440\u043e\u0433\u0440\u0430\u043c\u043c\u0443 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438; \u0432 \u0441\u043b\u0443\u0447\u0430\u044f\u0445, \u043a\u043e\u0433\u0434\u0430 \u0432\u0435\u0440\u043e\u044f\u0442\u043d\u043e\u0441\u0442\u044c \u0443\u0441\u043f\u0435\u0445\u0430 \u043a\u0440\u0430\u0439\u043d\u0435 \u043d\u0438\u0437\u043a\u0430\u044f, \u043c\u044b \u043e\u0442\u043a\u0440\u044b\u0442\u043e \u0441\u043e\u043e\u0431\u0449\u0430\u0435\u043c \u043e\u0431 \u044d\u0442\u043e\u043c \u043d\u0430 \u043e\u0441\u043d\u043e\u0432\u0435 \u043d\u0430\u0443\u0447\u043d\u044b\u0445 \u0434\u0430\u043d\u043d\u044b\u0445 \u0438 \u043f\u0440\u0435\u0434\u043f\u043e\u0447\u0438\u0442\u0430\u0435\u043c \u0438\u0437\u0431\u0435\u0433\u0430\u0442\u044c \u043d\u0435\u043d\u0443\u0436\u043d\u044b\u0445 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0445 \u0432\u043c\u0435\u0448\u0430\u0442\u0435\u043b\u044c\u0441\u0442\u0432.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        K\u0131s\u0131rl\u0131k neden art\u0131yor?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Bilim art\u0131k sadece ya\u015f ve genetikten s\u00f6z etmiyor. Yeni ara\u015ft\u0131rmalar mikroplastikler, plastik katk\u0131 maddeleri (ftalatlar), a\u015f\u0131r\u0131 i\u015flenmi\u015f g\u0131dalar, hava kirlili\u011fi, d\u00fczensiz uyku ve gece g\u00fcr\u00fclt\u00fcs\u00fc gibi g\u00fcnl\u00fck ya\u015famda maruz kald\u0131\u011f\u0131m\u0131z \u00e7evresel fakt\u00f6rlerin de do\u011furganl\u0131\u011f\u0131 etkiledi\u011fini g\u00f6steriyor. Klini\u011fimizdeki \u201c21 G\u00fcn Temiz Protokol\u00fc\u201d bu bulgulara dayan\u0131yor; rehberi bizden talep edebilirsiniz.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><\/div>\n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3 style=\"margin:50px 0 20px;\">T\u00fcp Bebek S\u00fcreci<\/h3>\n\n\t\t<\/div>\n\t<\/div><div class=\"qode-accordion-holder clearfix qode-accordion qode-initial\">\n\t<h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        T\u00fcp bebek nedir, hangi durumlarda uygulan\u0131r?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>T\u00fcp bebek (IVF, in vitro fertilizasyon), sperm ve yumurtan\u0131n laboratuvar ortam\u0131nda birle\u015ftirilmesi ve elde edilen embriyonun anne rahmine transfer edilmesidir. Yumurtlama sorunlar\u0131nda, t\u00fcp t\u0131kan\u0131kl\u0131klar\u0131nda, ileri endometriozis ve d\u00fc\u015f\u00fck yumurtal\u0131k rezervinde; erkekte sperm say\u0131s\u0131 ya da hareketi d\u00fc\u015f\u00fck oldu\u011funda, \u015fekil bozukluklar\u0131nda ve menide hi\u00e7 sperm olmad\u0131\u011f\u0131nda; a\u00e7\u0131klanamayan infertilitede ve genetik hastal\u0131k riski nedeniyle preimplantasyon genetik tan\u0131 gerekti\u011finde uygulan\u0131r.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        T\u00fcp bebek tedavisi hangi a\u015famalardan olu\u015fur?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<ol>\n<li>Anne ve baba aday\u0131na \u00f6zel de\u011ferlendirme: ultrason, sperm analizi, hormon testleri ve ila\u00e7l\u0131 rahim filmi.<\/li>\n<li>Adetin 2. g\u00fcn\u00fc ila\u00e7lar ba\u015flar; yumurtal\u0131klar yakla\u015f\u0131k 9\u201310 g\u00fcn uyar\u0131l\u0131r.<\/li>\n<li>K\u0131sa bir anestezi alt\u0131nda yumurtalar toplan\u0131r; baba aday\u0131 ayn\u0131 g\u00fcn sperm \u00f6rne\u011fi verir.<\/li>\n<li>Embriyolar 5. g\u00fcne kadar takip edilir; gerekirse genetik incelemeyle en sa\u011fl\u0131kl\u0131 embriyo se\u00e7ilir.<\/li>\n<li>Stratejiye g\u00f6re taze ya da dondurulmu\u015f embriyo transferi yap\u0131l\u0131r.<\/li>\n<\/ol>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        \u041c\u043e\u0436\u043d\u043e \u043b\u0438 \u043f\u0440\u043e\u0432\u0435\u0441\u0442\u0438 \u042d\u041a\u041e \u0441 \u043c\u0438\u043d\u0438\u043c\u0430\u043b\u044c\u043d\u044b\u043c \u043a\u043e\u043b\u0438\u0447\u0435\u0441\u0442\u0432\u043e\u043c \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>\u041f\u0440\u0438 \u043b\u0435\u0447\u0435\u043d\u0438\u0438 \u042d\u041a\u041e \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0435\u0442\u0441\u044f \u043f\u043e\u043b\u0443\u043d\u0430\u0442\u0443\u0440\u0430\u043b\u044c\u043d\u044b\u0439 \u043c\u0435\u0442\u043e\u0434 (Semi-Natural), \u043a\u043e\u0442\u043e\u0440\u044b\u0439 \u0432\u043d\u0430\u0447\u0430\u043b\u0435 \u043f\u0440\u043e\u0432\u043e\u0434\u0438\u0442\u0441\u044f \u0431\u0435\u0437 \u043f\u0440\u0438\u043c\u0435\u043d\u0435\u043d\u0438\u044f \u0441\u0442\u0438\u043c\u0443\u043b\u0438\u0440\u0443\u044e\u0449\u0438\u0445 \u043f\u0440\u0435\u043f\u0430\u0440\u0430\u0442\u043e\u0432. \u0415\u0441\u0442\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u043e \u0432\u044b\u0431\u0440\u0430\u043d\u043d\u0430\u044f \u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u043e\u043c \u044f\u0439\u0446\u0435\u043a\u043b\u0435\u0442\u043a\u0430 \u043d\u0430\u0431\u043b\u044e\u0434\u0430\u0435\u0442\u0441\u044f \u0434\u043e \u0434\u043e\u0441\u0442\u0438\u0436\u0435\u043d\u0438\u044f \u043d\u0443\u0436\u043d\u043e\u0433\u043e \u0440\u0430\u0437\u043c\u0435\u0440\u0430. \u0417\u0430\u0442\u0435\u043c \u0432 \u0442\u0435\u0447\u0435\u043d\u0438\u0435 3\u20134 \u0434\u043d\u0435\u0439 \u043d\u0430\u0437\u043d\u0430\u0447\u0430\u044e\u0442\u0441\u044f \u043d\u0438\u0437\u043a\u0438\u0435 \u0434\u043e\u0437\u044b \u043f\u0440\u0435\u043f\u0430\u0440\u0430\u0442\u043e\u0432, \u043f\u043e\u0441\u043b\u0435 \u0447\u0435\u0433\u043e \u043f\u043e\u043b\u0443\u0447\u0430\u044e\u0442 \u043e\u0434\u043d\u0443 \u0438\u043b\u0438 \u0434\u0432\u0435 \u044f\u0439\u0446\u0435\u043a\u043b\u0435\u0442\u043a\u0438.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h3>\u041a\u043e\u043c\u0443 \u043f\u043e\u0434\u0445\u043e\u0434\u0438\u0442 \u043f\u043e\u043b\u0443\u043d\u0430\u0442\u0443\u0440\u0430\u043b\u044c\u043d\u044b\u0439 \u043c\u0435\u0442\u043e\u0434 \u042d\u041a\u041e?<\/h3>\n<p>\u042d\u0442\u043e\u0442 \u043c\u0435\u0442\u043e\u0434 \u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e \u0440\u0435\u043a\u043e\u043c\u0435\u043d\u0434\u0443\u0435\u0442\u0441\u044f \u0436\u0435\u043d\u0449\u0438\u043d\u0430\u043c \u0441 \u0440\u0435\u0437\u043a\u043e \u0441\u043d\u0438\u0436\u0435\u043d\u043d\u044b\u043c \u043e\u0432\u0430\u0440\u0438\u0430\u043b\u044c\u043d\u044b\u043c \u0440\u0435\u0437\u0435\u0440\u0432\u043e\u043c \u0438 \u0432\u044b\u0441\u043e\u043a\u0438\u043c \u0443\u0440\u043e\u0432\u043d\u0435\u043c \u0424\u0421\u0413. \u041d\u0435\u0437\u0430\u0432\u0438\u0441\u0438\u043c\u043e \u043e\u0442 \u0432\u043e\u0437\u0440\u0430\u0441\u0442\u0430 \u0436\u0435\u043d\u0449\u0438\u043d\u044b, \u0435\u0441\u043b\u0438 \u0434\u0430\u0436\u0435 \u043f\u0440\u0438 \u0432\u044b\u0441\u043e\u043a\u0438\u0445 \u0434\u043e\u0437\u0430\u0445 \u0441\u0442\u0438\u043c\u0443\u043b\u044f\u0446\u0438\u0438 \u0443\u0434\u0430\u0435\u0442\u0441\u044f \u043f\u043e\u043b\u0443\u0447\u0438\u0442\u044c \u043b\u0438\u0448\u044c 1\u20132 \u044f\u0439\u0446\u0435\u043a\u043b\u0435\u0442\u043a\u0438, \u043c\u043e\u0436\u043d\u043e \u0432\u044b\u0431\u0440\u0430\u0442\u044c \u0434\u0430\u043d\u043d\u044b\u0439 \u043c\u0435\u0442\u043e\u0434.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h3>\u041f\u0440\u0435\u0438\u043c\u0443\u0449\u0435\u0441\u0442\u0432\u0430 \u043f\u043e\u043b\u0443\u043d\u0430\u0442\u0443\u0440\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u043c\u0435\u0442\u043e\u0434\u0430?<\/h3>\n<p><strong>\u041c\u0435\u043d\u044c\u0448\u0435 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432:<\/strong> \u043b\u0435\u0447\u0435\u043d\u0438\u0435 \u0441\u0442\u0430\u043d\u043e\u0432\u0438\u0442\u0441\u044f \u0431\u043e\u043b\u0435\u0435 \u044d\u043a\u043e\u043d\u043e\u043c\u0438\u0447\u043d\u044b\u043c.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u0421\u043e\u0445\u0440\u0430\u043d\u0435\u043d\u0438\u0435 \u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0430 \u044f\u0439\u0446\u0435\u043a\u043b\u0435\u0442\u043e\u043a:<\/strong> \u0441\u043d\u0438\u0436\u0430\u0435\u0442\u0441\u044f \u0440\u0438\u0441\u043a \u043d\u0435\u0433\u0430\u0442\u0438\u0432\u043d\u043e\u0433\u043e \u0432\u043e\u0437\u0434\u0435\u0439\u0441\u0442\u0432\u0438\u044f \u0432\u044b\u0441\u043e\u043a\u0438\u0445 \u0434\u043e\u0437, \u043f\u043e\u0432\u044b\u0448\u0430\u0435\u0442\u0441\u044f \u0432\u0435\u0440\u043e\u044f\u0442\u043d\u043e\u0441\u0442\u044c \u043f\u043e\u043b\u0443\u0447\u0435\u043d\u0438\u044f \u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0445 \u044f\u0439\u0446\u0435\u043a\u043b\u0435\u0442\u043e\u043a.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u0411\u043e\u043b\u0435\u0435 \u043b\u0451\u0433\u043a\u0438\u0439 \u043f\u0440\u043e\u0446\u0435\u0441\u0441:<\/strong> \u043c\u0435\u043d\u044c\u0448\u0435 \u0438\u043d\u044a\u0435\u043a\u0446\u0438\u0439 \u0438 \u043f\u0440\u0435\u043f\u0430\u0440\u0430\u0442\u043e\u0432 \u043f\u043e\u0432\u044b\u0448\u0430\u0435\u0442 \u043a\u043e\u043c\u0444\u043e\u0440\u0442 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043a\u0438.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        T\u00fcp bebekte ba\u015far\u0131 oran\u0131 nedir?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Ba\u015far\u0131, anne aday\u0131n\u0131n ya\u015f\u0131 ve yumurtal\u0131k rezerviyle yak\u0131ndan ili\u015fkilidir. Rezerv iyi ve ya\u015f 37&#8217;nin alt\u0131ndaysa gebelik oran\u0131 yakla\u015f\u0131k %65, 40\u201343 ya\u015f aras\u0131nda yakla\u015f\u0131k %20&#8217;dir. T\u00fcm fakt\u00f6rler uygunsa normal kromozomlu bir embriyonun transferinde gebelik \u015fans\u0131 %70&#8217;e ula\u015f\u0131r.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        T\u00fcp bebek fiyatlar\u0131 neden bu kadar de\u011fi\u015fken?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>T\u00fcp bebek tek bir i\u015flem de\u011fil, bir\u00e7ok bile\u015fenin toplam\u0131d\u0131r. Maliyet genel olarak d\u00f6rt ayak \u00fczerine kurulur: hekim hizmetleri (tan\u0131, tedavi se\u00e7imi, takip, yumurta toplama ve transfer), embriyoloji laboratuvar\u0131 hizmetleri (d\u00f6llenme, embriyo takibi, dondurma, biyopsi), kullan\u0131lan ila\u00e7lar ve gerekti\u011finde genetik tan\u0131 hizmetleri. Fiyat ki\u015fiye \u00f6zel tedaviye, klini\u011fe ve zaman\u0131n ko\u015fullar\u0131na g\u00f6re de\u011fi\u015fir. D\u00fcnyadan \u00f6rnek vermek gerekirse ila\u00e7lar dahil ortalama maliyet ABD&#8217;de 18.000\u201325.000 dolar, \u0130ngiltere&#8217;de 8.000\u201312.000 sterlin, Avrupa \u00fclkelerinde 6.000\u201310.000 euro aral\u0131\u011f\u0131ndad\u0131r; genetik tan\u0131 ek maliyet getirir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        T\u00fcp bebeklik hakk\u0131nda do\u011fru bilinen yanl\u0131\u015flar nelerdir?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<ul>\n<li><strong>\u201cT\u00fcp bebekte kesin gebelik olur.\u201d<\/strong> Ba\u015far\u0131 ya\u015f, yumurta kalitesi, sperm durumu ve bir\u00e7ok fakt\u00f6re ba\u011fl\u0131d\u0131r; her deneme %100 sonu\u00e7 vermez.<\/li>\n<li><strong>\u201cT\u00fcp bebek sadece \u00e7ocu\u011fu olmayan \u00e7iftler i\u00e7indir.\u201d<\/strong> Tekrarlayan d\u00fc\u015f\u00fcklerde, genetik tarama gereksiniminde, ileri ya\u015fta ve kanser tedavisi \u00f6ncesi yumurta dondurmada da uygulan\u0131r.<\/li>\n<li><strong>\u201cTransferden sonra kesinlikle yatak istirahati gerekir.\u201d<\/strong> G\u00fcncel rehberler transfer sonras\u0131 normal g\u00fcnl\u00fck aktiviteye d\u00f6nmenin daha uygun ve g\u00fcvenli oldu\u011funu s\u00f6yl\u00fcyor.<\/li>\n<li><strong>\u201cAMH d\u00fc\u015f\u00fckse asla anne olunamaz.\u201d<\/strong> AMH rezerv hakk\u0131nda bilgi verir, gebelik \u015fans\u0131n\u0131 s\u0131f\u0131rlamaz.<\/li>\n<li><strong>\u201cGenetik tan\u0131 yap\u0131l\u0131rsa sa\u011fl\u0131kl\u0131 bebek garantidir.\u201d<\/strong> PGT normal embriyoyu se\u00e7meye yard\u0131mc\u0131 olur, ama %100 ba\u015far\u0131 ve kusursuz bebek garantisi vermez.<\/li>\n<\/ul>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        T\u00fcp bebek ba\u015far\u0131s\u0131n\u0131 art\u0131rmak i\u00e7in yapabilece\u011fim bir \u015fey var m\u0131?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Ba\u015far\u0131y\u0131 en \u00e7ok \u00e7iftin \u00f6zellikleri belirler: kad\u0131n\u0131n ya\u015f\u0131, yumurtal\u0131k rezervi, varsa erkek fakt\u00f6r\u00fcn\u00fcn \u015fiddeti, daha \u00f6nce yap\u0131lan tedaviler ve genetik tan\u0131 yap\u0131l\u0131p yap\u0131lmad\u0131\u011f\u0131. Bunlar\u0131 ayr\u0131nt\u0131l\u0131 de\u011ferlendirip ki\u015fiye \u00f6zel tedavi se\u00e7iyoruz. Sizin taraf\u0131n\u0131zda ise ya\u015fam tarz\u0131 \u00f6nemlidir (bir sonraki soru).<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Tedavi s\u0131ras\u0131nda neler yapmal\u0131, neler yapmamal\u0131y\u0131m?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Yapmay\u0131n: kafein, alkol, sigara, fast food ve i\u015flenmi\u015f g\u0131dalar; bitkisel k\u00fcrlere de dikkat. Yap\u0131n: sa\u011fl\u0131kl\u0131 beslenin, bol su i\u00e7in, omega-3 ve antioksidanlardan zengin beslenin, yeterli uyuyun, d\u00fczenli egzersiz yap\u0131n ve kilonuza dikkat edin.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Gebeli\u011fe haz\u0131rl\u0131kta sadece \u00fcreme organlar\u0131na m\u0131 bak\u0131l\u0131yor?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Hay\u0131r. As\u0131l soru \u201cgebe kalabiliyor muyum?\u201d de\u011fil, \u201csa\u011fl\u0131kl\u0131 bir gebelik i\u00e7in v\u00fccudum ne kadar haz\u0131r?\u201d sorusudur. Yumurtal\u0131k rezervi, yumurtlama, t\u00fcpler, rahim ve sperm de\u011ferlerinin yan\u0131 s\u0131ra kilo, ins\u00fclin direnci, tiroid fonksiyonlar\u0131, beslenme d\u00fczeni ve gerekirse vitamin-mineral d\u00fczeylerini de de\u011ferlendiriyoruz. PKOS varsa ins\u00fclin direncini, endometriozis varsa beslenme ve ya\u015fam tarz\u0131n\u0131 da ele al\u0131yoruz. Zay\u0131flama i\u011fneleri ya da medikal kilo tedavileri kullan\u0131lacaksa ba\u015flama ve b\u0131rakma zaman\u0131 gebelik plan\u0131yla birlikte, hekim kontrol\u00fcnde planlanmal\u0131d\u0131r. \u00dcreme Sa\u011fl\u0131\u011f\u0131 ve Metabolizma Program\u0131m\u0131z\u0131 bu bak\u0131\u015f a\u00e7\u0131s\u0131yla, diyetisyen deste\u011fiyle olu\u015fturduk.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        \u0130la\u00e7l\u0131 rahim filmi (HSG) t\u00fcp bebekte neden \u00f6nemli?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>HSG&#8217;de t\u00fcplerin a\u00e7\u0131k olup olmad\u0131\u011f\u0131na, yap\u0131\u015f\u0131kl\u0131k olup olmad\u0131\u011f\u0131na, rahmin \u015fekline ve y\u00f6n\u00fcne, rahim bo\u015flu\u011funda polip, miyom ya da yap\u0131\u015f\u0131kl\u0131k bulunup bulunmad\u0131\u011f\u0131na bak\u0131yoruz; bunlar t\u00fcp bebek ba\u015far\u0131s\u0131n\u0131 etkiler. Filmin nerede \u00e7ekildi\u011fi de \u00f6nemlidir, \u00e7\u00fcnk\u00fc \u00e7ekim kalitesi hekimin karar\u0131n\u0131 etkiler. Bir t\u00fcp bebek hekiminin rapordan ba\u011f\u0131ms\u0131z olarak filmi kendisinin yorumlayabilmesi gerekti\u011fini d\u00fc\u015f\u00fcn\u00fcyorum.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        \u00c7atlatma i\u011fnesi nedir, hangisi ne zaman tercih edilir?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Yumurtalar\u0131n son olgunla\u015fmas\u0131n\u0131 tetiklemek i\u00e7in kullan\u0131lan hormon preparatlar\u0131d\u0131r. hCG i\u00e7erenler klasik y\u00f6ntemdir; taze transfer planland\u0131\u011f\u0131nda, rezervi d\u00fc\u015f\u00fck hastalarda ve a\u015f\u0131r\u0131 uyar\u0131lma riski olmayanlarda tercih edilir. GnRH agonisti i\u00e7erenler a\u015f\u0131r\u0131 uyar\u0131lma (OHSS) riski varsa ya da olgunla\u015fma sorunu ya\u015fan\u0131yorsa kullan\u0131l\u0131r; daha kontroll\u00fc ve g\u00fcvenlidir. \u0130kisi birlikte de verilebilir; ancak bunun daha fazla olgun yumurta ya da daha iyi embriyo sa\u011flad\u0131\u011f\u0131na dair g\u00fc\u00e7l\u00fc kan\u0131t yoktur.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        \u041f\u043e\u0447\u0435\u043c\u0443 \u0438\u043d\u043e\u0433\u0434\u0430 \u0446\u0438\u043a\u043b \u042d\u041a\u041e \u043e\u0442\u043c\u0435\u043d\u044f\u0435\u0442\u0441\u044f?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<div>\u041f\u043e\u0447\u0435\u043c\u0443 \u0438\u043d\u043e\u0433\u0434\u0430 \u0446\u0438\u043a\u043b \u042d\u041a\u041e \u043e\u0442\u043c\u0435\u043d\u044f\u0435\u0442\u0441\u044f?<\/div>\n<ul>\n<li>\u041d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0435 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u044f\u0439\u0446\u0435\u043a\u043b\u0435\u0442\u043e\u043a<\/li>\n<li>\u041d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0435 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u044f\u0439\u0446\u0435\u043a\u043b\u0435\u0442\u043e\u043a<\/li>\n<li>Folik\u00fcllerin i\u00e7inden yumurta \u00e7\u0131kmamas\u0131<\/li>\n<li>\u041d\u0435\u0434\u043e\u0437\u0440\u0435\u0432\u0430\u043d\u0438\u0435 \u044f\u0439\u0446\u0435\u043a\u043b\u0435\u0442\u043e\u043a<\/li>\n<li>\u041e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0435 \u043e\u043f\u043b\u043e\u0434\u043e\u0442\u0432\u043e\u0440\u0435\u043d\u0438\u044f<\/li>\n<li>\u041e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0435 \u043e\u043f\u043b\u043e\u0434\u043e\u0442\u0432\u043e\u0440\u0435\u043d\u0438\u044f<\/li>\n<li>\u041f\u043b\u043e\u0445\u043e\u0435 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u044d\u043c\u0431\u0440\u0438\u043e\u043d\u043e\u0432 \u0438\u043b\u0438 \u043e\u0441\u0442\u0430\u043d\u043e\u0432\u043a\u0430 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044f \u043d\u0430 \u043e\u043f\u0440\u0435\u0434\u0435\u043b\u0451\u043d\u043d\u043e\u0439 \u0441\u0442\u0430\u0434\u0438\u0438<\/li>\n<li>\u041e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0435 \u0437\u0434\u043e\u0440\u043e\u0432\u044b\u0445 \u044d\u043c\u0431\u0440\u0438\u043e\u043d\u043e\u0432 \u0438\u0437-\u0437\u0430 \u0433\u0435\u043d\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0445 \u043f\u0440\u043e\u0431\u043b\u0435\u043c<\/li>\n<li>\u041e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0435 \u0441\u043f\u0435\u0440\u043c\u0430\u0442\u043e\u0437\u043e\u0438\u0434\u043e\u0432 \u0443 \u043c\u0443\u0436\u0447\u0438\u043d \u0441 \u0430\u0437\u043e\u043e\u0441\u043f\u0435\u0440\u043c\u0438\u0435\u0439<\/li>\n<\/ul>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Yumurta toplama i\u015flemi nas\u0131l yap\u0131l\u0131r?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Hasta i\u015flem odas\u0131na al\u0131nd\u0131\u011f\u0131nda bilekli\u011fi \u00fczerinden kimlik do\u011frulamas\u0131 yap\u0131l\u0131r; anestezi uzman\u0131 i\u015flem boyunca ba\u015f\u0131ndad\u0131r. Hasta uyuduktan sonra vajinal yoldan, ultrason e\u015fli\u011finde bir i\u011fneyle folik\u00fcllerdeki s\u0131v\u0131 \u00e7ekilir ve hemen yan\u0131ndaki laboratuvara ula\u015ft\u0131r\u0131l\u0131r. \u0130\u015flem anestezi alt\u0131nda ortalama 10\u201315 dakika s\u00fcrer ve a\u011fr\u0131s\u0131zd\u0131r.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Yumurta toplama saati neden bu kadar \u00f6nemli?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Saat tedavinin bir par\u00e7as\u0131d\u0131r. Yumurtalar \u00e7atlatma i\u011fnesinden yakla\u015f\u0131k 36 saat sonra toplan\u0131r; gecikme olursa yumurtalar biz toplayamadan \u00e7atlayabilir. Ayr\u0131ca laboratuvarlarda i\u015flemler yar\u0131m saat arayla planlan\u0131r; bir hastan\u0131n gecikmesi di\u011fer hastay\u0131 da riske atabilir. Nerede tedavi oluyorsan\u0131z olun, \u0130stanbul trafi\u011fini hesaba kat\u0131p erken gelin.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Yumurta topland\u0131ktan sonra laboratuvarda neler oluyor?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Embriyologlar yumurtalar\u0131 mikroskop alt\u0131nda tek tek kontrol eder. Denudasyon ad\u0131 verilen i\u015flemle yumurtan\u0131n \u00e7evresindeki k\u00fcm\u00fcl\u00fcs h\u00fccreleri temizlenir ve olgunluk belirlenir. Ayn\u0131 anda androloji laboratuvar\u0131nda sperm haz\u0131rlan\u0131r. Olgun yumurta ve sperm ICSI (mikroenjeksiyon) y\u00f6ntemiyle bir araya getirilir. Embriyolar, yak\u0131n takip gerekiyorsa embriyoskopa, gerekmiyorsa normal inkubat\u00f6rlere yerle\u015ftirilir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        10 yumurta topland\u0131\u011f\u0131nda 5. g\u00fcne ka\u00e7 embriyo ula\u015f\u0131r?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Embriyoloji laboratuvar\u0131 bizi her g\u00fcn bilgilendirir: toplama g\u00fcn\u00fc ka\u00e7 yumurtan\u0131n olgun oldu\u011fu, 1. g\u00fcn ka\u00e7\u0131n\u0131n normal d\u00f6llendi\u011fi, 2. g\u00fcn ka\u00e7\u0131n\u0131n b\u00f6l\u00fcnmeye ba\u015flad\u0131\u011f\u0131, 3. g\u00fcn 6\u201310 h\u00fccreli ka\u00e7 embriyo oldu\u011fu ve kaliteleri, 4. g\u00fcn s\u0131k\u0131la\u015fma (morula) a\u015famas\u0131 ve 5. g\u00fcn blastosist evresi. Yava\u015f geli\u015fen embriyolar 6. g\u00fcne kadar beklenebilir. Kesin bir s\u0131n\u0131r koymak istemem, ama 10 yumurtadan ortalama 3\u20134 embriyonun 5. g\u00fcne ula\u015fmas\u0131 normaldir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Yumurta toplarken neden \u00e7ikolata kistinin i\u00e7inden ge\u00e7mek istemeyiz?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Baz\u0131 hastalarda yumurtalara ula\u015fmak i\u00e7in \u00e7ikolata kistinin (endometrioma) i\u00e7inden ge\u00e7mek zorunda kalabiliriz. Bu, enfeksiyon riskini art\u0131ran bir durumdur; bu nedenle b\u00f6yle hastalarda uzun s\u00fcreli antibiyotik kullan\u0131yoruz.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><\/div>\n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3 style=\"margin:50px 0 20px;\">Embriyo ve Transfer<\/h3>\n\n\t\t<\/div>\n\t<\/div><div class=\"qode-accordion-holder clearfix qode-accordion qode-initial\">\n\t<h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        \u041a\u0430\u043a \u043f\u043e\u043d\u044f\u0442\u044c, \u0445\u043e\u0440\u043e\u0448\u0438\u0439 \u043b\u0438 \u043c\u043e\u0439 \u044d\u043c\u0431\u0440\u0438\u043e\u043d?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>\u041f\u0440\u0438 \u0432\u044b\u0431\u043e\u0440\u0435 \u044d\u043c\u0431\u0440\u0438\u043e\u043d\u0430 \u0434\u043b\u044f \u043f\u0435\u0440\u0435\u043d\u043e\u0441\u0430 \u0443\u0447\u0438\u0442\u044b\u0432\u0430\u044e\u0442\u0441\u044f \u0447\u0435\u0442\u044b\u0440\u0435 \u043e\u0441\u043d\u043e\u0432\u043d\u044b\u0445 \u043a\u0440\u0438\u0442\u0435\u0440\u0438\u044f:<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u0421\u0442\u0430\u0434\u0438\u044f \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044f \u0438 \u043a\u043b\u0435\u0442\u043e\u0447\u043d\u0430\u044f \u0441\u0442\u0440\u0443\u043a\u0442\u0443\u0440\u0430:<\/strong><br \/>\n\u041a\u043e\u043b\u0438\u0447\u0435\u0441\u0442\u0432\u043e \u043a\u043b\u0435\u0442\u043e\u043a \u0434\u043e\u043b\u0436\u043d\u043e \u0441\u043e\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u043e\u0432\u0430\u0442\u044c \u0434\u043d\u044e \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044f \u044d\u043c\u0431\u0440\u0438\u043e\u043d\u0430, \u0443\u0440\u043e\u0432\u0435\u043d\u044c \u0444\u0440\u0430\u0433\u043c\u0435\u043d\u0442\u0430\u0446\u0438\u0438 (\u0440\u0430\u0437\u0434\u0440\u043e\u0431\u043b\u0435\u043d\u0438\u044f \u043a\u043b\u0435\u0442\u043e\u043a) \u0434\u043e\u043b\u0436\u0435\u043d \u0431\u044b\u0442\u044c \u043d\u0438\u0437\u043a\u0438\u043c.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u041c\u043e\u0440\u0444\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0445\u0430\u0440\u0430\u043a\u0442\u0435\u0440\u0438\u0441\u0442\u0438\u043a\u0438:<\/strong><br \/>\n\u0412 \u0434\u0435\u043d\u044c \u043f\u0435\u0440\u0435\u043d\u043e\u0441\u0430 (\u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, \u043d\u0430 5-\u0439 \u0434\u0435\u043d\u044c) \u043a\u043e\u043c\u043f\u0430\u043a\u0442\u043d\u0430\u044f \u0432\u043d\u0443\u0442\u0440\u0435\u043d\u043d\u044f\u044f \u043a\u043b\u0435\u0442\u043e\u0447\u043d\u0430\u044f \u043c\u0430\u0441\u0441\u0430 \u0438 \u0443\u043f\u043e\u0440\u044f\u0434\u043e\u0447\u0435\u043d\u043d\u043e\u0435 \u0440\u0430\u0441\u043f\u043e\u043b\u043e\u0436\u0435\u043d\u0438\u0435 \u043d\u0430\u0440\u0443\u0436\u043d\u044b\u0445 \u043a\u043b\u0435\u0442\u043e\u043a \u0443\u043a\u0430\u0437\u044b\u0432\u0430\u044e\u0442 \u043d\u0430 \u0432\u044b\u0441\u043e\u043a\u043e\u0435 \u043a\u0430\u0447\u0435\u0441\u0442\u0432\u043e \u044d\u043c\u0431\u0440\u0438\u043e\u043d\u0430.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u041f\u0440\u0435\u0438\u043c\u043f\u043b\u0430\u043d\u0442\u0430\u0446\u0438\u043e\u043d\u043d\u043e\u0435 \u0433\u0435\u043d\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u0442\u0435\u0441\u0442\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 (PGT):<\/strong><br \/>\n\u041f\u043e\u0437\u0432\u043e\u043b\u044f\u0435\u0442 \u0432\u044b\u0431\u0440\u0430\u0442\u044c \u044d\u043c\u0431\u0440\u0438\u043e\u043d\u044b \u0441 \u043d\u043e\u0440\u043c\u0430\u043b\u044c\u043d\u044b\u043c\u0438 \u0445\u0440\u043e\u043c\u043e\u0441\u043e\u043c\u0430\u043c\u0438 \u0438 \u0443\u0432\u0435\u043b\u0438\u0447\u0438\u0442\u044c \u0448\u0430\u043d\u0441 \u043d\u0430 \u0437\u0434\u043e\u0440\u043e\u0432\u0443\u044e \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u044c.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u041e\u0446\u0435\u043d\u043a\u0430 \u0441 \u043f\u043e\u043c\u043e\u0449\u044c\u044e \u0438\u0441\u043a\u0443\u0441\u0441\u0442\u0432\u0435\u043d\u043d\u043e\u0433\u043e \u0438\u043d\u0442\u0435\u043b\u043b\u0435\u043a\u0442\u0430:<\/strong><br \/>\n\u0421\u043e\u0432\u0440\u0435\u043c\u0435\u043d\u043d\u044b\u0435 \u043f\u0440\u043e\u0433\u0440\u0430\u043c\u043c\u044b \u0418\u0418 \u043e\u0442\u0441\u043b\u0435\u0436\u0438\u0432\u0430\u044e\u0442 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u044d\u043c\u0431\u0440\u0438\u043e\u043d\u043e\u0432 \u0438 \u043f\u043e\u043c\u043e\u0433\u0430\u044e\u0442 \u0432\u0440\u0430\u0447\u0430\u043c \u0432\u044b\u0431\u0440\u0430\u0442\u044c \u0442\u0435, \u0447\u0442\u043e \u0438\u043c\u0435\u044e\u0442 \u043d\u0430\u0438\u0431\u043e\u043b\u044c\u0448\u0438\u0439 \u043f\u043e\u0442\u0435\u043d\u0446\u0438\u0430\u043b.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Embriyo transferi 3. g\u00fcn m\u00fc, 5. g\u00fcn m\u00fc yap\u0131lmal\u0131?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Embriyoyu 5. g\u00fcne kadar beklemek se\u00e7imi kolayla\u015ft\u0131rabilir. Ancak embriyo say\u0131s\u0131 az oldu\u011funda 5. g\u00fcne kadar beklemenin toplam gebelik \u015fans\u0131n\u0131 kesin olarak art\u0131rd\u0131\u011f\u0131 g\u00f6sterilmemi\u015ftir. Bu nedenle s\u0131n\u0131rl\u0131 say\u0131da embriyosu olan hastalarda 3. g\u00fcn transferi de do\u011fru bir tercih olabilir; karar ki\u015fiye \u00f6zeldir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        \u015eans\u0131 art\u0131rmak i\u00e7in iki embriyo transfer edilemez mi?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>T\u00fcp bebekte ama\u00e7 eve sa\u011fl\u0131kl\u0131 tek bir bebek g\u00f6t\u00fcrmektir. \u0130kiz gebelik normal kabul edilmez: annede \u015feker ve tansiyon riskini, erken do\u011fum ve d\u00fc\u015f\u00fck riskini art\u0131r\u0131r; erken do\u011fan bebeklerde beyin ve akci\u011fer sorunlar\u0131 riski y\u00fckselir. T\u00fcrkiye&#8217;de yasal olarak 35 ya\u015f \u00fczerinde ilk denemede iki embriyo verilebilir, ama bu da ikiz hedefiyle de\u011fil, ikisinin birden normal olma olas\u0131l\u0131\u011f\u0131 d\u00fc\u015f\u00fck oldu\u011fu i\u00e7indir. Embriyolar\u0131 farkl\u0131 zamanlarda, ayr\u0131 rahim haz\u0131rl\u0131klar\u0131yla tek tek transfer etmek riskleri da\u011f\u0131t\u0131r ve en az bir gebelik elde etme olas\u0131l\u0131\u011f\u0131n\u0131 art\u0131r\u0131r. Bu nedenle \u00e7o\u011fu hasta i\u00e7in tek embriyo transferi en g\u00fcvenli ve en ak\u0131lc\u0131 yakla\u015f\u0131md\u0131r.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Embriyolar ne zaman dondurulur?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<ul>\n<li>\u00c7ok say\u0131da kaliteli embriyo varsa: biri taze transfer edilir, kalanlar ileride kullan\u0131lmak \u00fczere dondurulur.<\/li>\n<li>Yumurtal\u0131klar a\u015f\u0131r\u0131 yan\u0131t verdiyse ve OHSS riski varsa: \u00f6nce anne sa\u011fl\u0131\u011f\u0131 korunur.<\/li>\n<li>37 ya\u015f ve \u00fczerindeyseniz: genetik a\u00e7\u0131dan sa\u011fl\u0131kl\u0131 embriyoyu se\u00e7mek i\u00e7in.<\/li>\n<li>Rahim zar\u0131 yeterince kal\u0131n de\u011filse: transfer rahmin en haz\u0131r oldu\u011fu d\u00f6neme b\u0131rak\u0131l\u0131r.<\/li>\n<li>Rahimde polip, miyom ya da yap\u0131\u015f\u0131kl\u0131k varsa: \u00f6nce embriyolar dondurulur, tedavi tamamlan\u0131nca transfer yap\u0131l\u0131r.<\/li>\n<\/ul>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        \u201cRahim dinlendirme\u201d ne demek?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Rahim yoruldu\u011fu i\u00e7in dinlendirilmez; do\u011fru ifade \u201crahim zar\u0131 haz\u0131rl\u0131\u011f\u0131\u201dd\u0131r. \u00d6zellikle PKOS gibi y\u00fcksek yan\u0131t veren hastalarda tedavi s\u0131ras\u0131nda \u00f6strojen \u00e7ok y\u00fckselir ve rahim zar\u0131n\u0131n dengesi bozulabilir. Bu durumda taze transfer yap\u0131l\u0131rsa gebelik hormonu yumurtal\u0131klar\u0131 daha da uyar\u0131p kar\u0131n i\u00e7inde s\u0131v\u0131 birikimine (OHSS) yol a\u00e7abilir. Bu y\u00fczden embriyolar dondurulur, rahim zar\u0131n\u0131n normalle\u015fmesi beklenir ve dondurulmu\u015f-\u00e7\u00f6z\u00fclm\u00fc\u015f embriyo transferi yap\u0131l\u0131r. Genetik tan\u0131 gerekmesi de dondurma nedeni olabilir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Transfer s\u0131ras\u0131nda rahim kas\u0131lmalar\u0131 tutunma \u015fans\u0131n\u0131 etkiler mi?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Rahim san\u0131ld\u0131\u011f\u0131 kadar sakin bir organ de\u011fildir; transfer s\u0131ras\u0131nda k\u00fc\u00e7\u00fck kas\u0131lmalar olabilir. Son y\u0131llardaki \u00e7al\u0131\u015fmalar bu kas\u0131lmalar\u0131n tutunmay\u0131 etkileyip etkilemedi\u011fine odaklan\u0131yor. Biz transferde embriyonun rahim zar\u0131nda nereye b\u0131rak\u0131ld\u0131\u011f\u0131na dikkat ediyoruz. Bug\u00fcn rahim zar\u0131n\u0131n kal\u0131nl\u0131\u011f\u0131n\u0131 ve g\u00f6r\u00fcn\u00fcm\u00fcn\u00fc konu\u015fuyorsak, ileride rahmin ne kadar sakin oldu\u011funu da konu\u015faca\u011f\u0131z.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Transfer g\u00fcn\u00fc progesteron de\u011ferine bak\u0131yor musunuz?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Rutinde bakm\u0131yoruz, \u00e7\u00fcnk\u00fc progesteron g\u00fcn i\u00e7inde de\u011fi\u015fir; laboratuvar cihaz\u0131 ve kan\u0131n al\u0131nd\u0131\u011f\u0131 saat sonucu etkiler. Baz\u0131 klinikler bak\u0131p d\u00fc\u015f\u00fckse deste\u011fi art\u0131r\u0131yor. Biz yaln\u0131zca luteal faz yetmezli\u011fi d\u00fc\u015f\u00fcn\u00fclen, risk fakt\u00f6r\u00fc olan hastalarda bak\u0131yoruz. Modifiye do\u011fal d\u00f6ng\u00fcde ise LH d\u00fczeyine bakmak, yumurtlaman\u0131n olup olmad\u0131\u011f\u0131n\u0131 ultrasonla birlikte de\u011ferlendirmek daha anlaml\u0131d\u0131r.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Transferden sonra hi\u00e7bir \u015fey hissetmiyorum. Tutmad\u0131 m\u0131?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>\u00c7al\u0131\u015fmalarda gebe olan anne adaylar\u0131n\u0131n yakla\u015f\u0131k yar\u0131s\u0131nda meme hassasiyeti, kas\u0131k a\u011fr\u0131s\u0131 ya da lekelenme gibi belirtiler hi\u00e7 g\u00f6r\u00fclmemi\u015f. \u00dcstelik kullan\u0131lan progesteron da gebelik benzeri \u015fikayetlere yol a\u00e7abilir. Yani belirti olmas\u0131 ya da olmamas\u0131 gebelik hakk\u0131nda kesin bilgi vermez. En do\u011frusu do\u011fru zamanda yap\u0131lan kanda beta-hCG testidir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Embriyo yap\u0131\u015ft\u0131r\u0131c\u0131 (embryo glue) nedir?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Hyal\u00fcronik asit i\u00e7eren, embriyonun rahim duvar\u0131na tutunmas\u0131n\u0131 kolayla\u015ft\u0131rmay\u0131 ama\u00e7layan \u00f6zel bir k\u00fclt\u00fcr ortam\u0131d\u0131r. Tekrarlayan t\u00fcp bebek ba\u015far\u0131s\u0131zl\u0131klar\u0131nda ek destek olarak tercih edebiliyoruz. \u0130kiz gebelik riskini art\u0131rd\u0131\u011f\u0131na dair bulgular oldu\u011fu i\u00e7in dikkatli kullan\u0131yoruz. Herkes i\u00e7in mucize de\u011fildir, ama do\u011fru hasta grubunda \u00f6nemli bir destektir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Destekleyici y\u00f6ntemler ger\u00e7ekten i\u015fe yar\u0131yor mu?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Bilimsel veriler ve klinik deneyimime g\u00f6re 10 \u00fczerinden puanlar\u0131m:<\/p>\n<table style=\"width:100%;border-collapse:collapse;margin:10px 0;\">\n<thead>\n<tr>\n<th style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">\u041c\u0435\u0442\u043e\u0434<\/th>\n<th style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Puan<\/th>\n<th style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Not<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Preimplantasyon genetik tan\u0131 (PGT)<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">9<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Genetik olarak sa\u011fl\u0131kl\u0131 embriyo se\u00e7imi<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">ERA testi<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">7<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Rahmin embriyoyu kabul etti\u011fi en uygun g\u00fcn\u00fc g\u00f6sterir<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Yapay zek\u00e2 ile embriyo se\u00e7imi<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">7<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Tutunma potansiyelini g\u00f6r\u00fcnt\u00fcyle analiz eder<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Eksozom<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">6<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Yumurta kalitesini desteklemeye y\u00f6nelik, h\u00e2l\u00e2 deneysel<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Embriyo glue<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">6<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Tutunmay\u0131 kolayla\u015ft\u0131ran destek jel<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Embriyo zar\u0131n\u0131n inceltilmesi<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">6<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\"><\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">PRP<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">5<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Rahim kal\u0131nl\u0131\u011f\u0131 ve yumurta kalitesine s\u0131n\u0131rl\u0131 etki<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">\u0130mm\u00fcn tedaviler<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">5<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Tart\u0131\u015fmal\u0131, baz\u0131 durumlarda tercih edilebilir<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Histeroskopik \u00e7izik<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">5<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Rahim i\u00e7 dokusunu uyar\u0131r, etkisi s\u0131n\u0131rl\u0131<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Koenzim Q10, omega-3, melatonin<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">5<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Zarars\u0131z ama etkisi s\u0131n\u0131rl\u0131<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Hangi destek kime uygunsa o zaman i\u015fe yarar; do\u011fru se\u00e7imi yapan hekimin deneyimi bu s\u00fcrecin en kritik par\u00e7as\u0131d\u0131r.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><\/div>\n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3 style=\"margin:50px 0 20px;\">Genetik Testler<\/h3>\n\n\t\t<\/div>\n\t<\/div><div class=\"qode-accordion-holder clearfix qode-accordion qode-initial\">\n\t<h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        \u0427\u0442\u043e \u0442\u0430\u043a\u043e\u0435 \u0433\u0435\u043d\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u0442\u0435\u0441\u0442\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 \u044d\u043c\u0431\u0440\u0438\u043e\u043d\u043e\u0432 \u0438 \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u043e \u043b\u0438 \u043e\u043d\u043e?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>\u0412 \u043b\u0435\u0447\u0435\u043d\u0438\u0438 \u042d\u041a\u041e \u043c\u0435\u0442\u043e\u0434, \u043f\u043e\u0437\u0432\u043e\u043b\u044f\u044e\u0449\u0438\u0439 \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u0442\u044c \u043a\u043e\u043b\u0438\u0447\u0435\u0441\u0442\u0432\u043e \u0438 \u0441\u0442\u0440\u0443\u043a\u0442\u0443\u0440\u0443 \u0445\u0440\u043e\u043c\u043e\u0441\u043e\u043c \u044d\u043c\u0431\u0440\u0438\u043e\u043d\u043e\u0432, \u043d\u0430\u0437\u044b\u0432\u0430\u0435\u0442\u0441\u044f \u043f\u0440\u0435\u0438\u043c\u043f\u043b\u0430\u043d\u0442\u0430\u0446\u0438\u043e\u043d\u043d\u043e\u0435 \u0433\u0435\u043d\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u0442\u0435\u0441\u0442\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 (PGT). \u042d\u0442\u043e\u0442 \u043c\u0435\u0442\u043e\u0434 \u043f\u043e\u043c\u043e\u0433\u0430\u0435\u0442 \u043e\u043f\u0440\u0435\u0434\u0435\u043b\u0438\u0442\u044c, \u043a\u0430\u043a\u0438\u0435 \u044d\u043c\u0431\u0440\u0438\u043e\u043d\u044b \u0438\u043c\u0435\u044e\u0442 \u043d\u043e\u0440\u043c\u0430\u043b\u044c\u043d\u044b\u0439 \u0445\u0440\u043e\u043c\u043e\u0441\u043e\u043c\u043d\u044b\u0439 \u043d\u0430\u0431\u043e\u0440.<\/p>\n<p>&nbsp;<\/p>\n<p>\u0413\u043b\u0430\u0432\u043d\u044b\u0439 \u0444\u0430\u043a\u0442\u043e\u0440 \u0432 \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u0438 PGT \u2014 \u044d\u0442\u043e \u0432\u043e\u0437\u0440\u0430\u0441\u0442 \u0436\u0435\u043d\u0449\u0438\u043d\u044b, \u0442\u0430\u043a \u043a\u0430\u043a \u0441 \u0432\u043e\u0437\u0440\u0430\u0441\u0442\u043e\u043c \u0432\u0435\u0440\u043e\u044f\u0442\u043d\u043e\u0441\u0442\u044c \u043d\u0430\u0445\u043e\u0436\u0434\u0435\u043d\u0438\u044f \u043d\u043e\u0440\u043c\u0430\u043b\u044c\u043d\u044b\u0445 \u044d\u043c\u0431\u0440\u0438\u043e\u043d\u043e\u0432 \u0441\u043d\u0438\u0436\u0430\u0435\u0442\u0441\u044f.<\/p>\n<p>&nbsp;<\/p>\n<p>\u041f\u0440\u043e\u0434\u0432\u0438\u043d\u0443\u0442\u044b\u0439 \u0432\u043e\u0437\u0440\u0430\u0441\u0442 \u043e\u0431\u044b\u0447\u043d\u043e \u043d\u0430\u0447\u0438\u043d\u0430\u0435\u0442\u0441\u044f \u0441 38 \u043b\u0435\u0442.<\/p>\n<p>&nbsp;<\/p>\n<p>\u0412 38 \u043b\u0435\u0442 \u0432\u0435\u0440\u043e\u044f\u0442\u043d\u043e\u0441\u0442\u044c \u043d\u0430\u0439\u0442\u0438 \u044d\u043c\u0431\u0440\u0438\u043e\u043d \u0441 \u043d\u043e\u0440\u043c\u0430\u043b\u044c\u043d\u044b\u043c \u0445\u0440\u043e\u043c\u043e\u0441\u043e\u043c\u043d\u044b\u043c \u043d\u0430\u0431\u043e\u0440\u043e\u043c \u2014 \u043e\u043a\u043e\u043b\u043e 35%.<\/p>\n<p>&nbsp;<\/p>\n<p>\u0412 43 \u0433\u043e\u0434\u0430 \u044d\u0442\u0430 \u0432\u0435\u0440\u043e\u044f\u0442\u043d\u043e\u0441\u0442\u044c \u0441\u043d\u0438\u0436\u0430\u0435\u0442\u0441\u044f \u0434\u043e 8%.<\/p>\n<p>&nbsp;<\/p>\n<p>\u042d\u0442\u0438 \u0434\u0430\u043d\u043d\u044b\u0435 \u044f\u0441\u043d\u043e \u043f\u043e\u043a\u0430\u0437\u044b\u0432\u0430\u044e\u0442, \u0447\u0442\u043e \u0432\u043e\u0437\u0440\u0430\u0441\u0442 \u0436\u0435\u043d\u0449\u0438\u043d\u044b \u043d\u0430\u043f\u0440\u044f\u043c\u0443\u044e \u0432\u043b\u0438\u044f\u0435\u0442 \u043d\u0430 \u0443\u0441\u043f\u0435\u0445 \u042d\u041a\u041e.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        PGT-A sonucunda embriyom \u201canormal\u201d \u00e7\u0131kt\u0131. Transfer edilebilir mi?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Hemen vazge\u00e7meyin; \u201canormal\u201d raporlanan her embriyo ayn\u0131 de\u011fildir. Mozaik embriyolar ve segmental delesyon\/duplikasyon saptanan embriyolar, tam kromozom an\u00f6ploidisi olanlardan ayr\u0131 de\u011ferlendirilmelidir. PGT-A embriyonun tamam\u0131n\u0131 de\u011fil, d\u0131\u015f tabakadan al\u0131nan birka\u00e7 h\u00fccreyi inceler. Eyl\u00fcl 2026&#8217;da Fertility and Sterility&#8217;de yay\u0131mlanan \u00e7ok merkezli bir \u00e7al\u0131\u015fmada tam an\u00f6ploid 168 embriyonun transferinden canl\u0131 do\u011fum olmazken, segmental an\u00f6ploid 82 embriyoda canl\u0131 do\u011fum oran\u0131 %17,1 bulundu. Genel s\u0131ralama \u00f6nce \u00f6ploid (normal) embriyolar, sonra uygun durumlarda mozaik embriyolar, se\u00e7ilmi\u015f olgularda da baz\u0131 segmental an\u00f6ploid embriyolard\u0131r. \u00d6ploid embriyonuz kalmad\u0131ysa imha karar\u0131 vermeden \u00f6nce raporunuzu deneyimli bir genetik uzman\u0131 ve t\u00fcp bebek hekiminizle yeniden de\u011ferlendirin. K\u0131sacas\u0131: \u201canormal\u201d her zaman \u201ckullan\u0131lamaz\u201d demek de\u011fildir, ama her anormal embriyo da transfere uygun de\u011fildir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Mozaik embriyo nedir, kullan\u0131labilir mi?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Mozaik embriyo, baz\u0131 h\u00fccreleri genetik olarak normal, baz\u0131lar\u0131 anormal olan embriyodur. Bu sonu\u00e7 embriyonun ger\u00e7ek yap\u0131s\u0131ndan, embriyolo\u011fun biyopsi tekni\u011finden (lazer ya da manuel) ya da genetik merkezin kalibrasyonundan kaynaklanabilir. Normal kromozomlu embriyo yoksa, uluslararas\u0131 kriterlere g\u00f6re mozaik embriyo kullan\u0131labilir: mozaizm y\u00fczdesi, ka\u00e7 kromozomun etkilendi\u011fi, hastan\u0131n ya\u015f\u0131 ve elde ba\u015fka embriyo olup olmad\u0131\u011f\u0131 de\u011ferlendirilir. Mozaik embriyolar 2016\u20132017&#8217;den beri kullan\u0131l\u0131yor; yakla\u015f\u0131k on y\u0131ll\u0131k deneyim birikti. Bu sonucu alan hasta hekimine gebelik oran\u0131n\u0131, d\u00fc\u015f\u00fck riskini ve do\u011fum sonras\u0131 anomali riskini sormal\u0131d\u0131r.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Bir merkez mozaik embriyoyu \u201casla kullanmay\u0131n\u201d, di\u011feri \u201ckullan\u0131labilir\u201d diyor. Neden?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Ba\u015fka bir merkezin biyopsisini ve ba\u015fka bir genetik merkezin de\u011ferlendirmesini yorumlarken \u00e7ok dikkatli davran\u0131yoruz. Kendi embriyolo\u011fumuzla, kendi merkezimizde yap\u0131lm\u0131\u015f i\u015flemlerde daha cesur olabiliyoruz; \u00e7\u00fcnk\u00fc biyopsinin nas\u0131l al\u0131nd\u0131\u011f\u0131, nas\u0131l ta\u015f\u0131nd\u0131\u011f\u0131 ve hangi merkezde de\u011ferlendirildi\u011fi mozaizm sonucunu etkileyebilir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Embriyodaki kromozom bozuklu\u011fu anneden mi, babadan m\u0131 kaynakl\u0131?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Klini\u011fimizde uygulad\u0131\u011f\u0131m\u0131z ileri genetik de\u011ferlendirmelerle an\u00f6ploidinin yumurtadan m\u0131, spermden mi kaynaklanm\u0131\u015f olabilece\u011fini ara\u015ft\u0131rabiliyoruz. Ama\u00e7 kimseyi su\u00e7lamak de\u011fil, tedaviyi do\u011fru biyolojik bilgiyle planlamakt\u0131r: baba kaynakl\u0131 bir de\u011fi\u015fiklik, sperm de\u011ferlendirmesinin ve ki\u015fiye \u00f6zel sperm se\u00e7im stratejilerinin yeniden ele al\u0131nmas\u0131n\u0131 sa\u011flayabilir. Ayr\u0131ca anne ve babadan al\u0131nan \u00f6rneklerle embriyonun ger\u00e7ekten size ait oldu\u011funu do\u011frulayan genetik uyum kontrol\u00fc de yap\u0131yoruz.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        T\u00fcp bebekle hamile kald\u0131m ama d\u00fc\u015f\u00fck yapt\u0131m. Yeni denemede genetik test yapt\u0131rmal\u0131 m\u0131y\u0131m?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>38 ya\u015f ve \u00fczerindeyseniz ve yeniden embriyo olu\u015fturulacaksa \u00f6nerim evet. Karar\u0131 ya\u015f\u0131n\u0131z\u0131, embriyo say\u0131n\u0131z\u0131 ve kay\u0131plar\u0131n\u0131z\u0131 de\u011ferlendirerek hekiminizle birlikte verebilirsiniz.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Genetik test raporunda \u201camplifikasyon yok\u201d yaz\u0131yor. Ne demek?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>DNA \u00e7o\u011faltma i\u015fleminin ger\u00e7ekle\u015fmedi\u011fini g\u00f6sterir. Bu, test sonucunun g\u00fcvenilir olmad\u0131\u011f\u0131 anlam\u0131na gelir; embriyonun sa\u011fl\u0131ks\u0131z oldu\u011funu g\u00f6stermez. Analiz do\u011fru y\u00f6ntemle tekrarland\u0131\u011f\u0131nda en g\u00fcvenilir sonu\u00e7 al\u0131n\u0131r.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Kromozomal translokasyon nedir?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Bir kromozom par\u00e7as\u0131n\u0131n ba\u015fka bir kromozoma yanl\u0131\u015f ba\u011flanmas\u0131d\u0131r. Ta\u015f\u0131y\u0131c\u0131da genellikle hi\u00e7bir belirti olmaz, ama tekrarlayan t\u00fcp bebek ba\u015far\u0131s\u0131zl\u0131klar\u0131, gebelik kay\u0131plar\u0131 ve k\u0131s\u0131rl\u0131kta kar\u015f\u0131m\u0131za \u00e7\u0131kar. Tan\u0131 karyotip analiziyle konur. En etkili \u00e7\u00f6z\u00fcm, t\u00fcp bebekle birlikte preimplantasyon genetik tan\u0131 yap\u0131p yaln\u0131zca genetik a\u00e7\u0131dan sa\u011fl\u0131kl\u0131 embriyolar\u0131 transfer etmektir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        PGT-WGS nedir?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Preimplantasyon genetik tan\u0131 \u2013 t\u00fcm genom dizileme. Embriyoda 3.000&#8217;den fazla geni tarayarak yaln\u0131zca kromozomal de\u011fil, genetik hastal\u0131k risklerini de ortaya koyar. \u00d6zellikle normal kromozomlu embriyoyla gebelik elde edilemeyen ya da tekrarlayan gebelik kayb\u0131 ya\u015fayan \u00e7iftler i\u00e7in \u00f6nemlidir. Anne ve babadan al\u0131nan yanak i\u00e7i s\u00fcr\u00fcnt\u00fcs\u00fc ve embriyo biyopsisiyle yap\u0131l\u0131r. T\u00fcrkiye&#8217;de bu testi uygulayan ilk kliniklerden biriyiz.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Kapsaml\u0131 genetik ta\u015f\u0131y\u0131c\u0131l\u0131k testi nedir, kimlere \u00f6nerilir?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>\u00c7ok say\u0131da genetik hastal\u0131\u011f\u0131n ta\u015f\u0131y\u0131c\u0131s\u0131 olup olmad\u0131\u011f\u0131n\u0131z\u0131 belirleyen bir testtir. Ailenizde hasta olmasa bile toplumda her 30 ki\u015fiden biri Akdeniz anemisi, 40 ki\u015fiden biri SMA, 25 ki\u015fiden biri kistik fibrozis ta\u015f\u0131y\u0131c\u0131s\u0131d\u0131r. Ta\u015f\u0131y\u0131c\u0131 iki ki\u015finin \u00e7ocu\u011funun hasta olma riski %25&#8217;tir. Ta\u015f\u0131y\u0131c\u0131l\u0131k saptan\u0131rsa t\u00fcp bebekte preimplantasyon genetik tan\u0131yla sa\u011fl\u0131kl\u0131 embriyolar\u0131 se\u00e7iyoruz. Tek bir kan \u00f6rne\u011fiyle yap\u0131l\u0131r, sonu\u00e7 yakla\u015f\u0131k 10 g\u00fcnde \u00e7\u0131kar. T\u00fcp bebek aday\u0131 olman\u0131z \u015fart de\u011fil; \u00e7ocuk planlayan her \u00e7ifte \u00f6neriyorum.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        \u201cBu testten sonra hamile kald\u0131m, herkes yapt\u0131rs\u0131n.\u201d EMMA\/ALICE testi herkese gerekli mi?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>EMMA ve ALICE, rahim zar\u0131ndaki bakterileri inceleyen testlerdir. Gebelikle ili\u015fkisi g\u00f6sterilmi\u015ftir, ancak canl\u0131 do\u011fuma katk\u0131s\u0131 hen\u00fcz net de\u011fildir. Kronik endometrit \u015f\u00fcphesi olan ya da normal kromozomlu embriyolar\u0131n transferine ra\u011fmen tekrarlayan ba\u015far\u0131s\u0131zl\u0131k ya\u015fayan hastalarda d\u00fc\u015f\u00fcn\u00fclebilir. Maliyetli bir test oldu\u011fu i\u00e7in karar\u0131 ba\u015fka bir hastan\u0131n olumlu deneyimine g\u00f6re de\u011fil, kendi t\u0131bbi durumunuza ve hekiminizin de\u011ferlendirmesine g\u00f6re verin.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><\/div>\n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3 style=\"margin:50px 0 20px;\">Ba\u015far\u0131s\u0131z Deneme, D\u00fc\u015f\u00fck ve \u00d6zel Durumlar<\/h3>\n\n\t\t<\/div>\n\t<\/div><div class=\"qode-accordion-holder clearfix qode-accordion qode-initial\">\n\t<h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Her ba\u015far\u0131s\u0131z t\u00fcp bebek denemesinde mutlaka bir hata m\u0131 vard\u0131r?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Hay\u0131r. \u00c7ift bunu hata, \u015fanss\u0131zl\u0131k ya da strateji fark\u0131 olarak g\u00f6rebilir. Hekim olarak bize d\u00fc\u015fen \u201cneden olmad\u0131?\u201d sorusunu do\u011fru analiz etmektir: Embriyonun kromozomu biliniyor muydu? Dondurma-\u00e7\u00f6zmeden etkilendi mi? Rahim zar\u0131 nas\u0131l haz\u0131rland\u0131, hangi ila\u00e7lar kullan\u0131ld\u0131? G\u00f6zden ka\u00e7an kronik bir hastal\u0131k var m\u0131yd\u0131? Yeni denemede bu cevaplara g\u00f6re embriyonun kromozom analizi yap\u0131labilir, yasal olarak uygunsa transfer edilen embriyo say\u0131s\u0131 art\u0131r\u0131labilir ya da farkl\u0131 bir rahim zar\u0131 haz\u0131rl\u0131k protokol\u00fc denenebilir. Embriyoya m\u0131, rahme mi, stratejiye mi odaklanmal\u0131? Hepsine; ama her zaman neden ba\u015far\u0131s\u0131z oldu\u011funun cevab\u0131n\u0131 arayarak.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        \u0130lk deneme ba\u015far\u0131s\u0131z oldu. Pes etmeli miyim?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Ba\u015far\u0131da kad\u0131n ya\u015f\u0131, yumurtal\u0131k rezervi ve embriyo kalitesi belirleyicidir. Yumurtalar\u0131n say\u0131s\u0131 ve kalitesi aydan aya de\u011fi\u015febilir; bir tedavi ba\u015far\u0131s\u0131z olsa bile sonraki aylarda daha iyi yumurta ve embriyo elde edilebilir. Deneme say\u0131n\u0131z artt\u0131k\u00e7a toplam gebelik \u015fans\u0131n\u0131z da artar. Hayal k\u0131r\u0131kl\u0131\u011f\u0131n\u0131z\u0131 anl\u0131yorum, ama yeni bir denemeyle umudunuza odaklanman\u0131z\u0131 \u00f6neriyorum.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Embriyolar\u0131m defalarca k\u00f6t\u00fc geli\u015fti. Bir sonraki denemede de \u00f6yle mi olur?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Mutlaka de\u011fil. \u00d6nceki uygulamalar\u0131 inceleyerek yeni stratejiler belirliyoruz: farkl\u0131 bir protokol, farkl\u0131 bir embriyolog, farkl\u0131 bir laboratuvar. Altta yatan a\u011f\u0131r bir biyolojik sorun yoksa hem deneyimlerimiz hem yay\u0131nlar daha iyi embriyo geli\u015fimi elde edilebilece\u011fini g\u00f6steriyor.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Hamileyken kanama oldu. D\u00fc\u015f\u00fck m\u00fc yap\u0131yorum?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Her kanama d\u00fc\u015f\u00fck demek de\u011fildir. Kanaman\u0131n nas\u0131l ba\u015flad\u0131\u011f\u0131 (\u00e7al\u0131\u015f\u0131rken, otururken, ili\u015fki sonras\u0131), rengi (kahverengi\/k\u0131rm\u0131z\u0131), beta-hCG ve progesteron d\u00fczeyleri, ultrasonda kesenin ve kalp at\u0131\u015f\u0131n\u0131n zaman\u0131nda g\u00f6r\u00fcl\u00fcp g\u00f6r\u00fclmedi\u011fi belirleyicidir. Genetik tarama yap\u0131lm\u0131\u015f t\u00fcp bebek gebeliklerinde d\u00fc\u015f\u00fck riski %5&#8217;in alt\u0131ndad\u0131r. Progesteron deste\u011fi (vajinal ya da i\u011fne) ihtiyaca g\u00f6re belirlenir. \u015eiddetli a\u011fr\u0131, 3\u20134 ped dolduracak kadar kanama ya da par\u00e7a d\u00fc\u015f\u00fcrme varsa hemen doktorunuza ula\u015f\u0131n. \u0130yi haber: progesteron deste\u011fi ve yak\u0131n takiple bu kanamalara ra\u011fmen gebeliklerin yakla\u015f\u0131k %85&#8217;i devam eder.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Miyomun yeri ve boyutu \u00e7ocuk sahibi olmay\u0131 etkiler mi?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Evet. Rahmin d\u0131\u015f\u0131ndaki miyomlar genellikle sorun yaratmaz. Ancak rahmin kas tabakas\u0131nda 5\u20136 cm&#8217;den b\u00fcy\u00fck olanlar ya da embriyonun yerle\u015fece\u011fi rahim bo\u015flu\u011fundaki miyomlar hem do\u011fal gebeli\u011fi engelleyebilir hem de t\u00fcp bebek ba\u015far\u0131s\u0131n\u0131 azalt\u0131r. Bu hastalarda \u00f6nce embriyolar\u0131 elde edip donduruyor, ard\u0131ndan miyomu histeroskopik ya da laparoskopik y\u00f6ntemle \u00e7\u0131kar\u0131yor, bir s\u00fcre bekledikten sonra transfer yap\u0131yoruz.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        T\u00fcpte s\u0131v\u0131 birikimi (hidrosalpenks) varsa ne yap\u0131l\u0131r?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Hidrosalpenks embriyonun tutunma potansiyelini azalt\u0131r. Bu nedenle t\u00fcp bebek \u00f6ncesinde s\u0131v\u0131 dolu t\u00fcp\u00fc genellikle laparoskopiyle (kapal\u0131 y\u00f6ntemle) \u00e7\u0131kar\u0131yoruz; bu, sa\u011flam t\u00fcp \u00e7al\u0131\u015f\u0131yorsa kendili\u011finden gebelik \u015fans\u0131na da katk\u0131 sa\u011flar.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        \u041f\u0440\u0438 \u043b\u0435\u0447\u0435\u043d\u0438\u0438 \u0448\u043e\u043a\u043e\u043b\u0430\u0434\u043d\u044b\u0445 \u043a\u0438\u0441\u0442 (\u044d\u043d\u0434\u043e\u043c\u0435\u0442\u0440\u0438\u043e\u043c\u044b) \u2014 \u0447\u0442\u043e \u043b\u0443\u0447\u0448\u0435: \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u044f \u0438\u043b\u0438 \u042d\u041a\u041e?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<div>\u041e\u0441\u043d\u043e\u0432\u043d\u0430\u044f \u043f\u0440\u043e\u0431\u043b\u0435\u043c\u0430 \u0437\u0430\u043a\u043b\u044e\u0447\u0430\u0435\u0442\u0441\u044f \u0432 \u0442\u043e\u043c, \u0447\u0442\u043e \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u044f \u043c\u043e\u0436\u0435\u0442 \u0441\u043d\u0438\u0437\u0438\u0442\u044c \u043e\u0432\u0430\u0440\u0438\u0430\u043b\u044c\u043d\u044b\u0439 \u0440\u0435\u0437\u0435\u0440\u0432. \u0410 \u0435\u0441\u043b\u0438 \u043e\u0432\u0430\u0440\u0438\u0430\u043b\u044c\u043d\u044b\u0439 \u0440\u0435\u0437\u0435\u0440\u0432 \u0443\u043c\u0435\u043d\u044c\u0448\u0430\u0435\u0442\u0441\u044f, \u0442\u043e \u0441\u043d\u0438\u0436\u0430\u0435\u0442\u0441\u044f \u0438 \u0432\u0435\u0440\u043e\u044f\u0442\u043d\u043e\u0441\u0442\u044c \u0443\u0441\u043f\u0435\u0445\u0430 \u043f\u0440\u0438 \u042d\u041a\u041e.<\/div>\n<div><\/div>\n<div>\u041d\u0430 \u0447\u0442\u043e \u043e\u0431\u0440\u0430\u0442\u0438\u0442\u044c \u0432\u043d\u0438\u043c\u0430\u043d\u0438\u0435 \u043f\u0440\u0438 \u0432\u044b\u0431\u043e\u0440\u0435 \u043c\u0435\u0442\u043e\u0434\u0430:<\/div>\n<ul>\n<li>\u0415\u0441\u043b\u0438 \u043a\u0438\u0441\u0442\u0430 \u0431\u043e\u043b\u044c\u0448\u0430\u044f, \u0435\u0441\u0442\u044c \u043f\u043e\u0434\u043e\u0437\u0440\u0435\u043d\u0438\u0435 \u043d\u0430 \u0440\u0430\u043a \u0438\u043b\u0438 \u043e\u043d\u0430 \u0432\u044b\u0437\u044b\u0432\u0430\u0435\u0442 \u0441\u0438\u043b\u044c\u043d\u044b\u0435 \u0431\u043e\u043b\u0438 \u0438 \u0443\u0445\u0443\u0434\u0448\u0430\u0435\u0442 \u043a\u0430\u0447\u0435\u0441\u0442\u0432\u043e \u0436\u0438\u0437\u043d\u0438 \u2014 \u043f\u0440\u0438\u043e\u0440\u0438\u0442\u0435\u0442 \u043c\u043e\u0436\u0435\u0442 \u0431\u044b\u0442\u044c \u0437\u0430 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0435\u0439.<\/li>\n<li>\u0415\u0441\u043b\u0438 \u043a\u0438\u0441\u0442\u0430 \u043d\u0435\u0431\u043e\u043b\u044c\u0448\u0430\u044f, \u0443 \u0432\u0430\u0441 \u0440\u0430\u0441\u043f\u0440\u043e\u0441\u0442\u0440\u0430\u043d\u0451\u043d\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043c\u0435\u0442\u0440\u0438\u043e\u0437 \u0438\u043b\u0438 \u0440\u0430\u0441\u043f\u043e\u043b\u043e\u0436\u0435\u043d\u0438\u0435 \u043a\u0438\u0441\u0442\u044b \u043c\u043e\u0436\u0435\u0442 \u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u043e \u0441\u043d\u0438\u0437\u0438\u0442\u044c \u043e\u0432\u0430\u0440\u0438\u0430\u043b\u044c\u043d\u044b\u0439 \u0440\u0435\u0437\u0435\u0440\u0432 \u043f\u043e\u0441\u043b\u0435 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438 \u2014 \u0432 \u044d\u0442\u043e\u043c \u0441\u043b\u0443\u0447\u0430\u0435 \u043f\u0440\u0438\u043e\u0440\u0438\u0442\u0435\u0442 \u043e\u0442\u0434\u0430\u0451\u0442\u0441\u044f \u042d\u041a\u041e.<\/li>\n<\/ul>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Organ nakli oldum. T\u00fcp bebek tedavisi yapt\u0131rabilir miyim?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Evet; do\u011fru hastada, do\u011fru zamanda m\u00fcmk\u00fcn. \u00d6zellikle b\u00f6brek ve karaci\u011fer nakli olan anne adaylar\u0131, nakil sonras\u0131 organ fonksiyonlar\u0131 1\u20132 y\u0131l i\u00e7inde stabil hale geldiyse, enfeksiyon ve doku reddi riski d\u00fc\u015f\u00fckse sa\u011fl\u0131kl\u0131 bir gebelik ya\u015fayabilir. Gebelik plan\u0131 t\u00fcp bebek uzman\u0131, nefroloji\/gastroenteroloji ve transplantasyon ekipleriyle birlikte yap\u0131lmal\u0131d\u0131r. Her ila\u00e7 kullan\u0131lamaz, her transfer zaman\u0131 uygun olmayabilir; tedavi hastaya \u00f6zel planlan\u0131r.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Kronik bir hastal\u0131\u011f\u0131m var (\u00f6rn. Crohn, lupus). T\u00fcp bebek olabilir miyim?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Evet, ancak plan yaln\u0131zca yumurta say\u0131s\u0131na ve embriyoya de\u011fil, anne aday\u0131n\u0131n t\u00fcm sa\u011fl\u0131k tablosuna g\u00f6re yap\u0131l\u0131r. Hastal\u0131\u011f\u0131n aktif olup olmad\u0131\u011f\u0131n\u0131, \u00fcreme organlar\u0131n\u0131 nas\u0131l etkiledi\u011fini, d\u00fczenli kullan\u0131lan ila\u00e7lar\u0131 ve gebeli\u011fin o an anne i\u00e7in g\u00fcvenli olup olmad\u0131\u011f\u0131n\u0131 de\u011ferlendiriyoruz. Gebeli\u011fi hastal\u0131\u011f\u0131n kontrol alt\u0131nda oldu\u011fu d\u00f6nemde ger\u00e7ekle\u015ftirmeye \u00e7al\u0131\u015f\u0131yor, ilgili b\u00f6l\u00fcmle (\u00f6rn. gastroenteroloji) birlikte takip ediyoruz. Aspirin, enoksaparin ya da steroid gibi ila\u00e7lar\u0131n ne zaman, hangi dozda ve ne kadar s\u00fcre kullan\u0131laca\u011f\u0131 ki\u015fiye \u00f6zel belirlenir; hastal\u0131\u011f\u0131n alevlenmesini \u00f6nleyen tedaviler \u00e7o\u011fu zaman kesilmez.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><\/div>\n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3 style=\"margin:50px 0 20px;\">\u0417\u0430\u043c\u043e\u0440\u043e\u0437\u043a\u0430 \u044f\u0439\u0446\u0435\u043a\u043b\u0435\u0442\u043e\u043a<\/h3>\n\n\t\t<\/div>\n\t<\/div><div class=\"qode-accordion-holder clearfix qode-accordion qode-initial\">\n\t<h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Yumurta dondurmaya ger\u00e7ekten ihtiyac\u0131m var m\u0131?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>35 ya\u015f\u0131n alt\u0131ndaysan\u0131z ve rezerviniz y\u00fcksekse \u015fart de\u011fil. AMH d\u00fc\u015f\u00fck, yumurta rezervi az ise evet, yapt\u0131r\u0131n. Kanser tan\u0131s\u0131 konduysa hemen; ailede erken menopoz \u00f6yk\u00fcs\u00fc varsa ertelemeyin; endometriozis ameliyat\u0131 planlan\u0131yorsa mutlaka \u00f6ncesinde yapt\u0131r\u0131n. AMH&#8217;niz 1.1&#8217;in alt\u0131ndaysa, ailenizde 40 ya\u015f \u00f6ncesi menopoz ya da Ha\u015fimoto tiroiditi \u00f6yk\u00fcs\u00fc varsa bir t\u00fcp bebek uzman\u0131na ba\u015fvurun. Kariyerine odaklan\u0131p 35 ya\u015f\u0131ndan sonra \u00e7ocuk sahibi olmay\u0131 d\u00fc\u015f\u00fcnenler i\u00e7in risk fakt\u00f6r\u00fc \u015fart de\u011fil; erken ad\u0131m atmak her zaman avantajd\u0131r.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        37 ya\u015f\u0131nday\u0131m. Ka\u00e7 yumurta dondurmal\u0131y\u0131m?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Canl\u0131 do\u011fum \u015fans\u0131n\u0131 en \u00fcst d\u00fczeye \u00e7\u0131karmak i\u00e7in 15\u201320 yumurta hedeflenir. Bunun tek denemede mi, birden fazla denemede mi toplanaca\u011f\u0131 rezervinize ba\u011fl\u0131d\u0131r. 3\u20134 yumurtayla bile \u015fans vard\u0131r: gebelik i\u00e7in bir yumurta ve bir sperm yeterlidir, biz olas\u0131l\u0131klar\u0131 art\u0131rmaya \u00e7al\u0131\u015f\u0131yoruz.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Bakireyim. Yumurta dondurma m\u00fcmk\u00fcn m\u00fc?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Evet. Bekarete \u00f6nem veren hastalar\u0131m\u0131zda yumurtalar\u0131 kar\u0131ndan toplayabiliyoruz.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Yumurta dondurma ne kadar s\u00fcrer, yumurtalar ne kadar saklan\u0131r?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Haz\u0131rl\u0131k adetin 2. g\u00fcn\u00fcnden itibaren yakla\u015f\u0131k 9\u201312 g\u00fcn s\u00fcrer; yumurta toplama anestezi alt\u0131nda yakla\u015f\u0131k 15 dakikad\u0131r. Dondurulan yumurtalar, dondurulduklar\u0131 ya\u015ftaki kaliteleriyle teknik olarak s\u00fcresiz saklanabilir. \u00d6zellikle 38 ya\u015f \u00f6ncesi dondurulan yumurtalarla sa\u011fl\u0131kl\u0131 do\u011fum \u015fans\u0131 olduk\u00e7a y\u00fcksektir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Dondurdu\u011fum yumurtalar\u0131 yurt d\u0131\u015f\u0131na ta\u015f\u0131yabilir miyim?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>T\u00fcrkiye&#8217;den yurt d\u0131\u015f\u0131na ta\u015f\u0131mak maalesef m\u00fcmk\u00fcn de\u011fil.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Yumurta dondurmak i\u00e7in i\u011fne kullanmak \u015fart m\u0131?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Her zaman de\u011fil. Rezervi \u00e7ok d\u00fc\u015f\u00fck oldu\u011fu i\u00e7in 1\u20133 yumurta beklenen hastalarda, y\u00fcksek doz gonadotropin i\u011fneleri yerine yaln\u0131zca a\u011f\u0131zdan al\u0131nan klomifen ilac\u0131yla da yumurta dondurulabilir. Bu y\u00f6ntem maliyet a\u00e7\u0131s\u0131ndan \u00e7ok avantajl\u0131d\u0131r ve \u00e7ok say\u0131da \u00e7al\u0131\u015fma, iki y\u00f6ntemle geli\u015fen embriyolarda canl\u0131 do\u011fum sonu\u00e7lar\u0131n\u0131n benzer oldu\u011funu g\u00f6steriyor.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><\/div>\n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3 style=\"margin:50px 0 20px;\">Yurt D\u0131\u015f\u0131ndan Gelen Hastalar<\/h3>\n\n\t\t<\/div>\n\t<\/div><div class=\"qode-accordion-holder clearfix qode-accordion qode-initial\">\n\t<h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Yurt d\u0131\u015f\u0131nda ya\u015fayan \u00e7iftler neden T\u00fcrkiye&#039;yi tercih ediyor?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Birincisi zamansal belirsizlik: Avrupa&#8217;da randevu almak ve t\u00fcm testleri yapt\u0131rmak zaman alabiliyor, \u00e7iftlere s\u0131kl\u0131kla \u201cbiraz daha bekleyin\u201d deniyor. \u0130kincisi k\u00fclt\u00fcrel yak\u0131nl\u0131k: ayn\u0131 dili konu\u015fmak \u00e7iftleri daha g\u00fcvende ve rahat hissettiriyor. \u00dc\u00e7\u00fcnc\u00fcs\u00fc, zor vakalar\u0131n bir k\u0131sm\u0131 Avrupa&#8217;da ba\u015far\u0131s\u0131z olduktan sonra bize ba\u015fvuruyor; bu da T\u00fcrkiye&#8217;nin teknolojik altyap\u0131s\u0131n\u0131 ve deneyimini g\u00f6steriyor.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        \u042f \u0445\u043e\u0447\u0443 \u043f\u0440\u0438\u0435\u0445\u0430\u0442\u044c \u0432 \u0422\u0443\u0440\u0446\u0438\u044e \u0434\u043b\u044f \u043b\u0435\u0447\u0435\u043d\u0438\u044f \u042d\u041a\u041e. \u0427\u0442\u043e \u043c\u043d\u0435 \u043d\u0443\u0436\u043d\u043e \u0441\u0434\u0435\u043b\u0430\u0442\u044c?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3>\u041a\u0430\u043a\u0432\u043e \u0441\u0435 \u0441\u043b\u0443\u0447\u0432\u0430 \u043f\u0440\u0438 \u043f\u044a\u0440\u0432\u0430\u0442\u0430 \u043a\u043e\u043d\u0441\u0443\u043b\u0442\u0430\u0446\u0438\u044f? \u041a\u0430\u043a \u043f\u043b\u0430\u043d\u0438\u0440\u0430\u043c\u0435?<\/h3>\n<p>\u041f\u0435\u0440\u0432\u044b\u043c \u0448\u0430\u0433\u043e\u043c \u043c\u044b \u043d\u0430\u0437\u043d\u0430\u0447\u0430\u0435\u043c \u0431\u0435\u0441\u043f\u043b\u0430\u0442\u043d\u0443\u044e \u043e\u043d\u043b\u0430\u0439\u043d-\u043a\u043e\u043d\u0441\u0443\u043b\u044c\u0442\u0430\u0446\u0438\u044e. \u041e\u043d\u0430 \u0434\u043b\u0438\u0442\u0441\u044f \u043f\u0440\u0438\u043c\u0435\u0440\u043d\u043e 45 \u043c\u0438\u043d\u0443\u0442. \u0412\u043e \u0432\u0440\u0435\u043c\u044f \u0432\u0441\u0442\u0440\u0435\u0447\u0438 \u043c\u044b \u0442\u0449\u0430\u0442\u0435\u043b\u044c\u043d\u043e \u043e\u0446\u0435\u043d\u0438\u0432\u0430\u0435\u043c \u0432\u0430\u0448\u0435 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u043e\u0435 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u0435 \u0438 \u043e\u0431\u044a\u044f\u0441\u043d\u044f\u0435\u043c, \u0447\u0435\u043c \u043c\u043e\u0436\u0435\u043c \u043f\u043e\u043c\u043e\u0447\u044c. \u0417\u0430\u0442\u0435\u043c \u043e\u0431\u0441\u0443\u0436\u0434\u0430\u0435\u043c, \u0441\u043a\u043e\u043b\u044c\u043a\u043e \u0432\u0440\u0435\u043c\u0435\u043d\u0438 \u0432\u0430\u043c \u043d\u0443\u0436\u043d\u043e \u0431\u0443\u0434\u0435\u0442 \u043f\u0440\u043e\u0432\u0435\u0441\u0442\u0438 \u0432 \u0421\u0442\u0430\u043c\u0431\u0443\u043b\u0435 \u0438 \u043a\u0430\u043a\u043e\u0439 \u0431\u044e\u0434\u0436\u0435\u0442 \u0441\u043b\u0435\u0434\u0443\u0435\u0442 \u043f\u0440\u0435\u0434\u0443\u0441\u043c\u043e\u0442\u0440\u0435\u0442\u044c.<\/p>\n<p>&nbsp;<\/p>\n<h3>\u0421\u043a\u043e\u043b\u044c\u043a\u043e \u0434\u043d\u0435\u0439 \u043d\u0443\u0436\u043d\u043e \u043d\u0430\u0445\u043e\u0434\u0438\u0442\u044c\u0441\u044f \u0432 \u0422\u0443\u0440\u0446\u0438\u0438 \u0432\u043e \u0432\u0440\u0435\u043c\u044f \u043b\u0435\u0447\u0435\u043d\u0438\u044f?<\/h3>\n<ul>\n<li>\u0414\u043b\u044f \u0436\u0435\u043d\u0449\u0438\u043d\u044b: \u043d\u0430\u0447\u0438\u043d\u0430\u044f \u0441\u043e 2-\u0433\u043e \u0434\u043d\u044f \u043c\u0435\u043d\u0441\u0442\u0440\u0443\u0430\u0446\u0438\u0438, \u043f\u0440\u043e\u0446\u0435\u0441\u0441 \u043b\u0435\u0447\u0435\u043d\u0438\u044f \u0432 \u0441\u0440\u0435\u0434\u043d\u0435\u043c \u0442\u0440\u0435\u0431\u0443\u0435\u0442 \u043e\u043a\u043e\u043b\u043e 15 \u0434\u043d\u0435\u0439 \u043f\u0440\u0435\u0431\u044b\u0432\u0430\u043d\u0438\u044f \u0432 \u0421\u0442\u0430\u043c\u0431\u0443\u043b\u0435, \u0437\u0430 \u044d\u0442\u043e \u0432\u0440\u0435\u043c\u044f \u0432\u044b\u043f\u043e\u043b\u043d\u044f\u0435\u0442\u0441\u044f \u0437\u0430\u0431\u043e\u0440 \u044f\u0439\u0446\u0435\u043a\u043b\u0435\u0442\u043e\u043a \u0438 \u043f\u0435\u0440\u0435\u043d\u043e\u0441 \u044d\u043c\u0431\u0440\u0438\u043e\u043d\u043e\u0432.<\/li>\n<li>\u0414\u043b\u044f \u043c\u0443\u0436\u0447\u0438\u043d\u044b: \u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e \u043f\u0440\u0438\u0435\u0445\u0430\u0442\u044c \u0432 \u0421\u0442\u0430\u043c\u0431\u0443\u043b \u043d\u0430 \u043e\u0434\u0438\u043d \u0434\u0435\u043d\u044c, \u0432 \u0434\u0435\u043d\u044c \u043f\u0443\u043d\u043a\u0446\u0438\u0438 \u044f\u0439\u0446\u0435\u043a\u043b\u0435\u0442\u043e\u043a, \u0447\u0442\u043e\u0431\u044b \u0441\u0434\u0430\u0442\u044c \u043e\u0431\u0440\u0430\u0437\u0435\u0446 \u0441\u043f\u0435\u0440\u043c\u044b.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>\u0415\u0441\u043b\u0438 \u0432\u043e\u0437\u043c\u043e\u0436\u0435\u043d \u0441\u0432\u0435\u0436\u0438\u0439 \u043f\u0435\u0440\u0435\u043d\u043e\u0441 \u044d\u043c\u0431\u0440\u0438\u043e\u043d\u043e\u0432, \u043e\u043d \u043f\u0440\u043e\u0432\u043e\u0434\u0438\u0442\u0441\u044f \u043d\u0430 3-\u0439 \u0438\u043b\u0438 5-\u0439 \u0434\u0435\u043d\u044c \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044f \u044d\u043c\u0431\u0440\u0438\u043e\u043d\u043e\u0432, \u0438 \u0432 \u044d\u0442\u043e\u0442 \u0436\u0435 \u0434\u0435\u043d\u044c \u0432\u044b \u043c\u043e\u0436\u0435\u0442\u0435 \u0432\u0435\u0440\u043d\u0443\u0442\u044c\u0441\u044f \u0434\u043e\u043c\u043e\u0439.<\/p>\n<p>&nbsp;<\/p>\n<p>\u0415\u0441\u043b\u0438 \u044d\u043c\u0431\u0440\u0438\u043e\u043d\u044b \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u043e \u0437\u0430\u043c\u043e\u0440\u043e\u0437\u0438\u0442\u044c, \u0442\u043e \u043f\u0440\u0438\u043c\u0435\u0440\u043d\u043e \u0447\u0435\u0440\u0435\u0437 2 \u043c\u0435\u0441\u044f\u0446\u0430 \u043f\u043e\u0441\u043b\u0435 \u043f\u0443\u043d\u043a\u0446\u0438\u0438 \u044f\u0439\u0446\u0435\u043a\u043b\u0435\u0442\u043e\u043a \u043c\u043e\u0436\u043d\u043e \u043f\u043e\u0434\u0433\u043e\u0442\u043e\u0432\u0438\u0442\u044c \u044d\u043d\u0434\u043e\u043c\u0435\u0442\u0440\u0438\u0439 \u0432 \u0432\u0430\u0448\u0435\u0439 \u0441\u0442\u0440\u0430\u043d\u0435, \u0430 \u0437\u0430\u0442\u0435\u043c \u043f\u0440\u0438\u0435\u0445\u0430\u0442\u044c \u0432 \u0421\u0442\u0430\u043c\u0431\u0443\u043b \u0432\u0441\u0435\u0433\u043e \u043d\u0430 1 \u0434\u0435\u043d\u044c \u0434\u043b\u044f \u043f\u0435\u0440\u0435\u043d\u043e\u0441\u0430 \u044d\u043c\u0431\u0440\u0438\u043e\u043d\u043e\u0432.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        T\u00fcrkiye ile Avrupa aras\u0131nda ba\u015far\u0131 oranlar\u0131 farkl\u0131 m\u0131?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Kabul edilebilir bir ba\u015far\u0131 oran\u0131 \u015fartt\u0131r; normal kromozomlu embriyoyla bu olas\u0131l\u0131k %60\u201365 civar\u0131ndad\u0131r ve bunun \u00e7ok alt\u0131na d\u00fc\u015fmemek gerekir. Avrupa&#8217;da genellikle daha temkinli rakamlar (%30\u201340) telaffuz ediliyor; elbette iyi merkezler de var.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        T\u00fcrkiye ve Almanya&#039;da t\u00fcp bebek tedavisi aras\u0131nda ne fark var?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<table style=\"width:100%;border-collapse:collapse;margin:10px 0;\">\n<thead>\n<tr>\n<th style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Konu<\/th>\n<th style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Almanya<\/th>\n<th style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">T\u00fcrkiye<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">T\u00fcp de\u011ferlendirmesi<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">HSG yerine histerosonografi; t\u00fcpler kapal\u0131ysa genelde dokunulmuyor<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">HSG rutin; hidrosalpenks varsa t\u00fcp \u00e7\u0131kar\u0131l\u0131yor<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Genetik test (PGT)<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Genetik risk yoksa izin verilmiyor<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">\u0130leri ya\u015f, tekrarlayan d\u00fc\u015f\u00fck ve gebeli\u011fe ula\u015fma s\u00fcresini k\u0131saltmak i\u00e7in uygulan\u0131yor<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">\u0414\u0438\u043d\u0430\u043c\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u043d\u0430\u0431\u043b\u044e\u0434\u0435\u043d\u0438\u0435:<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Kontroller daha seyrek<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Daha s\u0131k takip; rezervi d\u00fc\u015f\u00fck hastalarda avantaj<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Transfer<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">S\u0131kl\u0131kla 2.\u20133. g\u00fcn, tek embriyo s\u0131n\u0131rlamas\u0131 yayg\u0131n<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">5. g\u00fcn blastosist transferi yayg\u0131n; uygun hastada 2 embriyo<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">\u0130leri testler<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Tekrarlayan ba\u015far\u0131s\u0131zl\u0131kta s\u0131n\u0131rl\u0131<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">Daha s\u0131k uygulan\u0131yor<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">\u0421\u0442\u043e\u0438\u043c\u043e\u0441\u0442\u044c<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">\u0412\u044b\u0448\u0435<\/td>\n<td style=\"border:1px solid #ddd;padding:6px 8px;text-align:left;vertical-align:top;\">\u0130la\u00e7 fiyatlar\u0131 benzer, toplam maliyet daha uygun<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Yurt d\u0131\u015f\u0131ndan gelece\u011fim. S\u00fcre\u00e7 nas\u0131l i\u015fliyor?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<ol>\n<li>Bize sosyal medya ya da WhatsApp \u00fczerinden ula\u015f\u0131rs\u0131n\u0131z; \u00f6yk\u00fcn\u00fcz\u00fc almak i\u00e7in sakin bir zamanda dolduraca\u011f\u0131n\u0131z ayr\u0131nt\u0131l\u0131 bir form g\u00f6nderiyoruz.<\/li>\n<li>Yakla\u015f\u0131k 45 dakikal\u0131k g\u00f6r\u00fcnt\u00fcl\u00fc g\u00f6r\u00fc\u015fmede t\u0131bbi durumunuzu, tedavi stratejisini, ay\u0131rman\u0131z gereken s\u00fcreyi ve b\u00fct\u00e7eyi konu\u015fuyoruz.<\/li>\n<li>Ba\u015flamak istedi\u011finiz ay\u0131 1\u20132 ay \u00f6nceden bildirirsiniz; u\u00e7ak biletini ne zaman alaca\u011f\u0131n\u0131za kadar size rehberlik ediyoruz.<\/li>\n<li>Konaklama ve ula\u015f\u0131m ihtiyac\u0131n\u0131z\u0131 siz \u0130stanbul&#8217;a varmadan organize ediyoruz; farkl\u0131 dillerde terc\u00fcmanl\u0131k deste\u011fi sa\u011fl\u0131yoruz.<\/li>\n<\/ol>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        \u0130stanbul&#039;da ne kadar kalmam gerekiyor?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Adetin 2. g\u00fcn\u00fcnden itibaren yumurtalar\u0131n uyar\u0131lmas\u0131, toplanmas\u0131 ve taze transfer i\u00e7in anne aday\u0131n\u0131n yakla\u015f\u0131k 15\u201316 g\u00fcn kalmas\u0131 yeterlidir; embriyolar dondurulacaksa ilk etapta yakla\u015f\u0131k 12 g\u00fcn yeter. Baba aday\u0131n\u0131n yaln\u0131zca yumurta toplama g\u00fcn\u00fc sperm vermek i\u00e7in gelmesi yeterlidir. Embriyolar dondurulduysa, kendi \u00fclkenizde rahim zar\u0131 haz\u0131rl\u0131\u011f\u0131 yap\u0131ld\u0131ktan sonra transfer i\u00e7in \u0130stanbul&#8217;a yaln\u0131zca 1 g\u00fcnl\u00fc\u011f\u00fcne gelmeniz yeterlidir.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Zaman\u0131m k\u0131s\u0131tl\u0131. Uzaktan takip m\u00fcmk\u00fcn m\u00fc?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Evet. Uzaktan takip sistemimizle \u0130stanbul&#8217;da kalman\u0131z gereken s\u00fcreyi 2\u20136 g\u00fcne indirdik:<\/p>\n<ol>\n<li><strong>Online g\u00f6r\u00fc\u015fme:<\/strong> Bilgilerinizi al\u0131yor, tedavi stratejisini ve b\u00fct\u00e7eyi konu\u015fuyoruz.<\/li>\n<li><strong>Muayeneler:<\/strong> Adetinizin 2., 6. ve 9. g\u00fcnlerinde ultrason muayeneleri, benim haz\u0131rlad\u0131\u011f\u0131m rehber do\u011frultusunda kendi jinekolo\u011funuz ya da partner kliniklerimiz taraf\u0131ndan yap\u0131l\u0131r. \u0130la\u00e7 teminiz zorsa 2. g\u00fcn muayenenizi burada yap\u0131p ila\u00e7lar\u0131n\u0131z\u0131 toplu olarak teslim ediyoruz; ayn\u0131 g\u00fcn d\u00f6nebilirsiniz.<\/li>\n<li><strong>Yumurta toplama ve transfer:<\/strong> Toplama g\u00fcn\u00fc anne ve baba aday\u0131n\u0131n klinikte olmas\u0131 gerekir. Taze transferde anne aday\u0131 3\u20135 g\u00fcn daha kal\u0131r ve transfer g\u00fcn\u00fc d\u00f6nebilir. Embriyolar dondurulacaksa toplama g\u00fcn\u00fc d\u00f6nebilir, 1\u20132 ay sonra transfer i\u00e7in 1 g\u00fcnl\u00fc\u011f\u00fcne gelirsiniz.<\/li>\n<\/ol>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Konaklama ve transfer konusunda destek veriyor musunuz?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Evet, talep ederseniz sizi a\u00e7\u0131kta b\u0131rakm\u0131yoruz. Hastalar\u0131m\u0131z\u0131n memnun kald\u0131\u011f\u0131 otel ve apart se\u00e7eneklerini, transfer hizmetlerini \u00f6neriyoruz; zaman zaman yeme-i\u00e7me \u00f6nerilerimiz bile oluyor. Klini\u011fimiz \u015fehir merkezinde, \u00e7evresinde \u00e7ok say\u0131da konaklama se\u00e7ene\u011fi var.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        T\u00fcrkiye&#039;de tetkikler a\u00e7\u0131s\u0131ndan avantaj var m\u0131?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>\u0130ki \u00f6nemli test \u00f6ne \u00e7\u0131k\u0131yor. Birincisi ila\u00e7l\u0131 rahim filmi (HSG): Almanya ve Hollanda&#8217;da yap\u0131lm\u0131yor, t\u00fcplerden \u015f\u00fcphelenildi\u011finde \u00e7o\u011funlukla tan\u0131sal laparoskopi (ameliyat) yap\u0131l\u0131yor. T\u00fcrkiye&#8217;de HSG bir radyoloji merkezinde 5\u201310 dakikada basit\u00e7e \u00e7ekilebiliyor. \u0130kincisi preimplantasyon genetik tan\u0131: Avrupa&#8217;da genellikle yaln\u0131zca ailede genetik hastal\u0131k ta\u015f\u0131y\u0131c\u0131l\u0131\u011f\u0131 varsa uygulan\u0131yor; T\u00fcrkiye&#8217;de tekrarlayan gebelik kay\u0131plar\u0131 ve ba\u015far\u0131s\u0131zl\u0131klarda, gebeli\u011fe ula\u015fma s\u00fcresini k\u0131saltmak i\u00e7in de se\u00e7enek olarak sunabiliyoruz.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><h4 class=\"clearfix qode-title-holder\">\n<span class=\"qode-tab-title\">\n\t    <span class=\"qode-tab-title-inner\">\n        Avrupa&#039;da y\u00fcz y\u00fcze g\u00f6r\u00fc\u015fme yap\u0131yor musunuz?    <\/span>\n<\/span>\n<span class=\"qode-accordion-mark\">\n    <span class=\"qode-accordion-mark-icon\">\n        <span class=\"icon_plus\"><\/span>\n        <span class=\"icon_minus-06\"><\/span>\n    <\/span>\n<\/span>\n<\/h4>\n<div  class=\"qode-accordion-content\" >\n    <div class=\"qode-accordion-content-inner\">\n        \n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Evet. D\u00fcsseldorf&#8217;ta partner klini\u011fimiz var ve d\u00fczenli olarak orada anne-baba adaylar\u0131yla y\u00fcz y\u00fcze g\u00f6r\u00fc\u015f\u00fcyoruz; Amsterdam ve Br\u00fcksel&#8217;e yak\u0131n oldu\u011fu i\u00e7in Bat\u0131 Almanya, Hollanda ve Bel\u00e7ika&#8217;daki \u00e7iftler kolayca ula\u015fabiliyor. Yakla\u015f\u0131k 45 dakikal\u0131k g\u00f6r\u00fc\u015fmede gebeli\u011fin neden ger\u00e7ekle\u015fmedi\u011fini, \u00f6nceki tedavilerin bize ne s\u00f6yledi\u011fini ve t\u00fcp bebe\u011fin sizin i\u00e7in uygun olup olmad\u0131\u011f\u0131n\u0131 konu\u015fuyoruz; \u00f6nceki tetkik ve raporlar\u0131n\u0131z\u0131 getirmeniz yeterli. G\u00f6r\u00fc\u015fmeler D\u00fcsseldorf&#8217;ta, tedaviler \u0130stanbul&#8217;da yap\u0131l\u0131yor.<\/p>\n\n\t\t<\/div>\n\t<\/div>    <\/div>\n<\/div><\/div><\/div><\/div><\/div><div class=\"wpb_column vc_column_container vc_col-sm-2\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><\/div><\/div><\/div><\/div><\/div>\n\t\t\t<\/div><\/div>\n\t\t<\/div>\n\t<\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"T\u00fcp Bebek AMH ve Yumurtal\u0131k Rezervi AMH de\u011ferim 0.01 \u00e7\u0131kt\u0131. Art\u0131k anne olamaz m\u0131y\u0131m? Panik yapmay\u0131n. AMH yumurta kalitesini, embriyo kalitesini ya da canl\u0131 do\u011fumu \u00f6ng\u00f6rmez; yaln\u0131zca az yumurta elde edece\u011fimizi s\u00f6yler. Bu da canl\u0131 do\u011fuma ula\u015fmak i\u00e7in birden fazla deneme gerekebilece\u011fi anlam\u0131na gelir. T\u00fcp bebek ya da yumurta dondurma karar\u0131n\u0131 ki\u015finin ya\u015f\u0131n\u0131 ve gebelik isteminin s\u00fcresini birlikte de\u011ferlendirerek veriyoruz. Tela\u015fa kap\u0131lmadan hekiminize ba\u015fvurun. AMH 0.4 ile hamile kal\u0131nabilir mi? Evet, normal yoldan gebelik \u015fans\u0131n\u0131z bile olabilir. Bunu anlamak i\u00e7in e\u015finizin spermiogram yapt\u0131rmas\u0131, sizin de ila\u00e7l\u0131 rahim filmiyle t\u00fcplerinize bakt\u0131rman\u0131z gerekir; ne kadar s\u00fcredir korunmad\u0131\u011f\u0131n\u0131z da \u00f6nemlidir. T\u00fcm testler normalse...","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"full_width.php","meta":{"footnotes":""},"class_list":["post-882","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.sonerduzguner.com\/ru\/wp-json\/wp\/v2\/pages\/882","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.sonerduzguner.com\/ru\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.sonerduzguner.com\/ru\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.sonerduzguner.com\/ru\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sonerduzguner.com\/ru\/wp-json\/wp\/v2\/comments?post=882"}],"version-history":[{"count":25,"href":"https:\/\/www.sonerduzguner.com\/ru\/wp-json\/wp\/v2\/pages\/882\/revisions"}],"predecessor-version":[{"id":4481,"href":"https:\/\/www.sonerduzguner.com\/ru\/wp-json\/wp\/v2\/pages\/882\/revisions\/4481"}],"wp:attachment":[{"href":"https:\/\/www.sonerduzguner.com\/ru\/wp-json\/wp\/v2\/media?parent=882"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}