{"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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In couples who cannot have children, the problem may not be solely with the woman. Studies show that approximately 90% of infertility cases... %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 detailed evaluation of the man<\/strong> It is of great importance.<\/p>

Causes of Male Infertility<\/strong>
The main factors that can lead to infertility in men are:<\/p>

  • Varicocele (enlargement of the testicular veins)<\/p><\/li>

  • undescended testicle<\/p><\/li>

  • Testicular inflammation (orchitis), chronic prostatitis<\/p><\/li>

  • Hormonal disorders<\/p><\/li>

  • Genetic anomalies<\/p><\/li>

  • Testicular or groin surgeries<\/p><\/li>

  • sexually transmitted infections<\/p><\/li>

  • History of chemotherapy and radiotherapy<\/p><\/li>

  • Smoking, alcohol, drug, and anabolic steroid use.<\/p><\/li>

  • Prolonged excessive heat (sauna, hot bath)<\/p><\/li>

  • Diabetes, kidney and thyroid diseases<\/p><\/li><\/ul>

    \ud83d\udc49 The most common causes: Varicocele, hormonal disorders, genetic anomalies, and testicular inflammation are among the causes.<\/strong><\/p>

    Medical History and Examination<\/strong>
    The first step is a detailed history (anamnesis) and physical examination.<\/p>

    • Points to consider in the anamnesis:<\/strong><\/p>

      • Mumps, meningitis, and febrile illnesses experienced in childhood.<\/p><\/li>

      • Undescended testicle, inguinal hernia surgery, hypospadias<\/p><\/li>

      • History of premature birth<\/p><\/li>

      • Testicular pain, sexual dysfunction<\/p><\/li>

      • Lack of hair growth or breast tissue enlargement<\/p><\/li><\/ul><\/li>

      • The following were examined during the physical examination:<\/strong><\/p>

        • Secondary sexual characteristics (hair growth, breast development, etc.)<\/p><\/li>

        • The size, location, and motility of the testicles.<\/p><\/li>

        • Abnormalities in the epididymis and sperm ducts<\/p><\/li>

        • Scars from previous operations<\/p><\/li><\/ul><\/li><\/ul>

          Basic Tests<\/strong><\/p>

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

            • This is the basic test given during the initial application process.<\/p><\/li>

            • Sperm count, motility, shape, and volume are evaluated.<\/p><\/li>

            • Least Twice (4\u20136 weeks apart)<\/strong> It should be done.<\/p><\/li>

            • Having the analysis performed by experienced embryologists in an IVF laboratory increases its reliability.<\/p><\/li><\/ul><\/li>

            • Radiological Examinations<\/strong><\/p>

              • Scrotal Doppler USG: For varicocele and testicular structure.<\/p><\/li>

              • TRUS: For sperm duct blockages.<\/p><\/li>

              • MRI: When a detailed anatomical assessment is required.<\/p><\/li><\/ul><\/li>

              • Hormonal Evaluation<\/strong><\/p>

                • Testosterone, FSH, LH, Prolactin, E2 are measured.<\/p><\/li>

                • Hormonal imbalances directly affect sperm production.<\/p><\/li>

                • For example, hypogonadotropic hypogonadism can be treated to enable natural pregnancy.<\/p><\/li><\/ul><\/li>

                • Genetic Tests<\/strong><\/p>

                  • Karyotype analysis: For anomalies such as Klinefelter (47,XXY) syndrome.<\/p><\/li>

                  • Y chromosome microdeletion test: For problems in AZF regions.<\/p><\/li>

                  • Cystic fibrosis gene test: In cases of suspected congenital absence of sperm ducts.<\/p><\/li><\/ul><\/li><\/ol>

                    Advanced Sperm Tests<\/strong><\/p>

                    • DNA Damage Test:<\/strong> High fragmentation is associated with miscarriages and failed IVF attempts.<\/p><\/li>

                    • Sperm FISH Test:<\/strong> It indicates abnormalities in the chromosome structure.<\/p><\/li>

                    • ROS Test:<\/strong> It measures the level of oxidative stress in sperm.<\/p><\/li>

                    • HBA Test:<\/strong> It indicates the sperm's ability to bind to an egg (used in the PICSI technique).<\/p><\/li><\/ul>

                      \u2728 Conclusion:<\/strong>
                      Male infertility can stem from a wide variety of causes, and a single sperm test is not sufficient to make a definitive diagnosis. A thorough history, physical examination, and further investigations as needed are necessary for an accurate diagnosis. Individual assessment for each patient.<\/strong> When done, it increases the chances of a healthy pregnancy, both naturally and through assisted reproductive techniques.<\/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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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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