{"id":43513,"date":"2025-06-13T17:03:23","date_gmt":"2025-06-13T17:03:23","guid":{"rendered":"https:\/\/momart.jowo.studio\/?p=43513"},"modified":"2026-05-15T09:18:42","modified_gmt":"2026-05-15T09:18:42","slug":"infertil-erkeklerin-degerlendirilmesi","status":"publish","type":"post","link":"https:\/\/momart.com.tr\/en\/infertil-erkeklerin-degerlendirilmesi\/","title":{"rendered":"Evaluation of Infertile Men"},"content":{"rendered":"
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\u00c7ocuk sahibi olamayan \u00e7iftlerde sorun yaln\u0131zca kad\u0131nda olmayabilir. Ara\u015ft\u0131rmalar, infertilite vakalar\u0131n\u0131n yakla\u015f\u0131k %20\u201330\u2019unda sadece erkek kaynakl\u0131<\/strong>, %35\u201340\u2019\u0131nda ise hem kad\u0131n hem erkek fakt\u00f6rlerinin birlikte rol oynad\u0131\u011f\u0131n\u0131 g\u00f6steriyor. Yani infertil \u00e7iftlerin yar\u0131s\u0131nda erkek fakt\u00f6r\u00fc etkili oluyor. Bu nedenle erke\u011fin ayr\u0131nt\u0131l\u0131 de\u011ferlendirilmesi<\/strong> b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor.<\/p>

Erkek \u0130nfertilitesinin Nedenleri<\/strong>
Erkeklerde k\u0131s\u0131rl\u0131\u011fa yol a\u00e7abilecek ba\u015fl\u0131ca fakt\u00f6rler:<\/p>

  • Varikosel (testis toplardamarlar\u0131nda geni\u015fleme)<\/p><\/li>

  • \u0130nmemi\u015f testis<\/p><\/li>

  • Testis iltihaplar\u0131 (or\u015fit), kronik prostatit<\/p><\/li>

  • Hormonal bozukluklar<\/p><\/li>

  • Genetik anomaliler<\/p><\/li>

  • Testis veya kas\u0131k ameliyatlar\u0131<\/p><\/li>

  • Cinsel yolla bula\u015fan enfeksiyonlar<\/p><\/li>

  • Kemoterapi, radyoterapi \u00f6yk\u00fcs\u00fc<\/p><\/li>

  • Sigara, alkol, uyu\u015fturucu, anabolik steroid kullan\u0131m\u0131<\/p><\/li>

  • Uzun s\u00fcreli a\u015f\u0131r\u0131 s\u0131cak (sauna, s\u0131cak banyo)<\/p><\/li>

  • Diyabet, b\u00f6brek ve tiroid hastal\u0131klar\u0131<\/p><\/li><\/ul>

    \ud83d\udc49 En s\u0131k kar\u015f\u0131la\u015f\u0131lan nedenler: varikosel, hormonal bozukluklar, genetik anomaliler ve testis iltihaplar\u0131d\u0131r.<\/strong><\/p>

    T\u0131bbi Ge\u00e7mi\u015f ve Muayene<\/strong>
    \u0130lk ad\u0131m ayr\u0131nt\u0131l\u0131 \u00f6yk\u00fc (anamnez) ve fizik muayenedir.<\/p>

    • Anamnezde dikkat edilenler:<\/strong><\/p>

      • \u00c7ocukluk \u00e7a\u011f\u0131nda ge\u00e7irilen kabakulak, menenjit, ate\u015fli hastal\u0131klar<\/p><\/li>

      • \u0130nmemi\u015f testis, kas\u0131k f\u0131t\u0131\u011f\u0131 ameliyat\u0131, hypospadias<\/p><\/li>

      • Premat\u00fcre do\u011fum \u00f6yk\u00fcs\u00fc<\/p><\/li>

      • Testis a\u011fr\u0131lar\u0131, cinsel fonksiyon bozukluklar\u0131<\/p><\/li>

      • K\u0131llanma azl\u0131\u011f\u0131 veya meme dokusunda b\u00fcy\u00fcme<\/p><\/li><\/ul><\/li>

      • Fizik muayenede incelenenler:<\/strong><\/p>

        • \u0130kincil cinsiyet \u00f6zellikleri (k\u0131llanma, meme b\u00fcy\u00fcmesi vb.)<\/p><\/li>

        • Testislerin boyutu, yerle\u015fimi, hareketlili\u011fi<\/p><\/li>

        • Epididim ve sperm kanallar\u0131nda anormallikler<\/p><\/li>

        • Ge\u00e7irilmi\u015f operasyonlara ait izler<\/p><\/li><\/ul><\/li><\/ul>

          Temel Tetkikler<\/strong><\/p>

          1. Semen Analysis (Spermiogram)<\/strong><\/p>

            • \u0130lk ba\u015fvuruda yap\u0131lan temel testtir.<\/p><\/li>

            • Sperm say\u0131s\u0131, hareket, \u015fekil ve hacim de\u011ferlendirilir.<\/p><\/li>

            • En az 2 kez (4\u20136 hafta arayla)<\/strong> yap\u0131lmal\u0131d\u0131r.<\/p><\/li>

            • Analizin tecr\u00fcbeli embriyologlar taraf\u0131ndan t\u00fcp bebek laboratuvar\u0131nda yap\u0131lmas\u0131 g\u00fcvenilirli\u011fi art\u0131r\u0131r.<\/p><\/li><\/ul><\/li>

            • Radyolojik \u0130ncelemeler<\/strong><\/p>

              • Skrotal Doppler USG: Varikosel ve testis yap\u0131s\u0131 i\u00e7in<\/p><\/li>

              • TRUS: Sperm kanal\u0131 t\u0131kan\u0131kl\u0131klar\u0131 i\u00e7in<\/p><\/li>

              • MR: Detayl\u0131 anatomik de\u011ferlendirme gerekti\u011finde<\/p><\/li><\/ul><\/li>

              • Hormonal De\u011ferlendirme<\/strong><\/p>

                • Testosteron, FSH, LH, Prolaktin, E2 \u00f6l\u00e7\u00fcl\u00fcr.<\/p><\/li>

                • Hormonal bozukluklar sperm yap\u0131m\u0131n\u0131 do\u011frudan etkiler.<\/p><\/li>

                • \u00d6rn. Hipogonadotropik hipogonadizm tedaviyle do\u011fal gebelik sa\u011flayabilir.<\/p><\/li><\/ul><\/li>

                • Genetik Testler<\/strong><\/p>

                  • Karyotip analizi: Klinefelter (47,XXY) sendromu gibi anomaliler i\u00e7in<\/p><\/li>

                  • Y kromozomu mikrodelesyon testi: AZF b\u00f6lgelerindeki sorunlar i\u00e7in<\/p><\/li>

                  • Kistik fibrozis gen testi: Do\u011fu\u015ftan sperm kanal\u0131 yoklu\u011fu \u015f\u00fcphesinde<\/p><\/li><\/ul><\/li><\/ol>

                    \u0130leri Sperm Testleri<\/strong><\/p>

                    • DNA Hasar\u0131 Testi:<\/strong> Y\u00fcksek fragmantasyon; d\u00fc\u015f\u00fckler, ba\u015far\u0131s\u0131z t\u00fcp bebek denemeleri ile ili\u015fkilidir.<\/p><\/li>

                    • Sperm FISH Testi:<\/strong> Kromozom yap\u0131s\u0131ndaki bozukluklar\u0131 g\u00f6sterir.<\/p><\/li>

                    • ROS Testi:<\/strong> Spermde oksidatif stres d\u00fczeyini \u00f6l\u00e7er.<\/p><\/li>

                    • HBA Testi:<\/strong> Spermin yumurtaya ba\u011flanabilme yetene\u011fini g\u00f6sterir (PICSI tekni\u011finde kullan\u0131l\u0131r).<\/p><\/li><\/ul>

                      \u2728 Conclusion:<\/strong>
                      Erkek infertilitesi \u00e7ok farkl\u0131 nedenlerden kaynaklanabilir ve tek bir sperm testi ile kesin karar vermek do\u011fru de\u011fildir. Ayr\u0131nt\u0131l\u0131 \u00f6yk\u00fc, muayene ve gerekti\u011finde ileri tetkiklerle do\u011fru tan\u0131 konulabilir. Her hasta i\u00e7in bireysel de\u011ferlendirme<\/strong> yap\u0131ld\u0131\u011f\u0131nda hem do\u011fal yolla hem de yard\u0131mc\u0131 \u00fcreme teknikleriyle sa\u011fl\u0131kl\u0131 gebelik \u015fans\u0131 artar.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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                      \n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

                      \u00c7ocuk sahibi olamayan \u00e7iftlerde sorun yaln\u0131zca kad\u0131nda olmayabilir. Ara\u015ft\u0131rmalar, infertilite vakalar\u0131n\u0131n yakla\u015f\u0131k %20\u201330\u2019unda sadece erkek kaynakl\u0131, %35\u201340\u2019\u0131nda ise hem kad\u0131n hem erkek fakt\u00f6rlerinin birlikte rol oynad\u0131\u011f\u0131n\u0131 g\u00f6steriyor. Yani infertil \u00e7iftlerin yar\u0131s\u0131nda erkek fakt\u00f6r\u00fc etkili oluyor. Bu nedenle erke\u011fin ayr\u0131nt\u0131l\u0131 de\u011ferlendirilmesi b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor. Erkek \u0130nfertilitesinin NedenleriErkeklerde k\u0131s\u0131rl\u0131\u011fa yol a\u00e7abilecek ba\u015fl\u0131ca fakt\u00f6rler: Varikosel (testis toplardamarlar\u0131nda geni\u015fleme)…<\/p>","protected":false},"author":2,"featured_media":44389,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-43513","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"acf":[],"yoast_head":"\n\u0130nfertil Erkeklerin De\u011ferlendirilmesi - Momart T\u00fcp Bebek Merkezi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/momart.com.tr\/en\/infertil-erkeklerin-degerlendirilmesi\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0130nfertil Erkeklerin De\u011ferlendirilmesi - Momart T\u00fcp Bebek Merkezi\" \/>\n<meta property=\"og:description\" content=\"\u00c7ocuk sahibi olamayan \u00e7iftlerde sorun yaln\u0131zca kad\u0131nda olmayabilir. Ara\u015ft\u0131rmalar, infertilite vakalar\u0131n\u0131n yakla\u015f\u0131k %20\u201330\u2019unda sadece erkek kaynakl\u0131, %35\u201340\u2019\u0131nda ise hem kad\u0131n hem erkek fakt\u00f6rlerinin birlikte rol oynad\u0131\u011f\u0131n\u0131 g\u00f6steriyor. Yani infertil \u00e7iftlerin yar\u0131s\u0131nda erkek fakt\u00f6r\u00fc etkili oluyor. Bu nedenle erke\u011fin ayr\u0131nt\u0131l\u0131 de\u011ferlendirilmesi b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor. 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Momart T\u00fcp Bebek Merkezi","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/momart.com.tr\/en\/infertil-erkeklerin-degerlendirilmesi\/","og_locale":"en_US","og_type":"article","og_title":"\u0130nfertil Erkeklerin De\u011ferlendirilmesi - Momart T\u00fcp Bebek Merkezi","og_description":"\u00c7ocuk sahibi olamayan \u00e7iftlerde sorun yaln\u0131zca kad\u0131nda olmayabilir. Ara\u015ft\u0131rmalar, infertilite vakalar\u0131n\u0131n yakla\u015f\u0131k %20\u201330\u2019unda sadece erkek kaynakl\u0131, %35\u201340\u2019\u0131nda ise hem kad\u0131n hem erkek fakt\u00f6rlerinin birlikte rol oynad\u0131\u011f\u0131n\u0131 g\u00f6steriyor. Yani infertil \u00e7iftlerin yar\u0131s\u0131nda erkek fakt\u00f6r\u00fc etkili oluyor. Bu nedenle erke\u011fin ayr\u0131nt\u0131l\u0131 de\u011ferlendirilmesi b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor. Erkek \u0130nfertilitesinin NedenleriErkeklerde k\u0131s\u0131rl\u0131\u011fa yol a\u00e7abilecek ba\u015fl\u0131ca fakt\u00f6rler: Varikosel (testis toplardamarlar\u0131nda geni\u015fleme)...","og_url":"https:\/\/momart.com.tr\/en\/infertil-erkeklerin-degerlendirilmesi\/","og_site_name":"Momart T\u00fcp Bebek Merkezi","article_published_time":"2025-06-13T17:03:23+00:00","article_modified_time":"2026-05-15T09:18:42+00:00","og_image":[{"width":460,"height":260,"url":"https:\/\/momart.com.tr\/wp-content\/uploads\/2025\/06\/ergenlik-doneminde-varikosel_1688647956.jpg","type":"image\/jpeg"}],"author":"Momart","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Momart","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/momart.com.tr\/infertil-erkeklerin-degerlendirilmesi\/#article","isPartOf":{"@id":"https:\/\/momart.com.tr\/infertil-erkeklerin-degerlendirilmesi\/"},"author":{"name":"Momart","@id":"https:\/\/momart.com.tr\/#\/schema\/person\/2d08865840d60156cb18393100257c27"},"headline":"\u0130nfertil Erkeklerin De\u011ferlendirilmesi","datePublished":"2025-06-13T17:03:23+00:00","dateModified":"2026-05-15T09:18:42+00:00","mainEntityOfPage":{"@id":"https:\/\/momart.com.tr\/infertil-erkeklerin-degerlendirilmesi\/"},"wordCount":506,"commentCount":0,"publisher":{"@id":"https:\/\/momart.com.tr\/#organization"},"image":{"@id":"https:\/\/momart.com.tr\/infertil-erkeklerin-degerlendirilmesi\/#primaryimage"},"thumbnailUrl":"https:\/\/momart.com.tr\/wp-content\/uploads\/2025\/06\/ergenlik-doneminde-varikosel_1688647956.jpg","articleSection":["Blog"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/momart.com.tr\/infertil-erkeklerin-degerlendirilmesi\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/momart.com.tr\/infertil-erkeklerin-degerlendirilmesi\/","url":"https:\/\/momart.com.tr\/infertil-erkeklerin-degerlendirilmesi\/","name":"\u0130nfertil Erkeklerin De\u011ferlendirilmesi - 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