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IVF - In Vitro Fertilization in TURKEY.

Azoospermia

Azoospermia

Azoospermia is the condition describing a complete lack of sperm cells in the ejaculate. There is a 1% incidence in all men and 10-15% incidence in infertile men. Azoospermia is divided into three categories: pre-testicular, testicular and post testicular. Pre testicular azoospermia usually has endocrinological causes which affect spermatogenesis. Hypogonadotrophic hypogonadism can cause azoospermia but can be treated with hormone replacement therapy. Primary testicular failure applies to problems relating to the testicles specifically. Post testicular problems usually relate to ejaculation dysfunction or obstruction in the ducts. Incidences of this nature are found in 40% of the cases.

Pre and post testicular abnormalities are treatable. Testicular failure is irreversible. Varicocele is excluded from this group however. Another way of categorizing azoospermia is by dividing up groups based on whether or not the ducts are blocked. Obstructive azoospermia: Although there is sperm production in the testes, the ducts which move the sperm are blocked (e.g. due to a previous infection). These patients can have cells removed from their testes or surrounding ducts with the help of an injector and fine needle. Non-Obstructive Azoospermia: In this case there is no sperm production, or tissue biopsy indicates immature cells do not complete the maturation process. This type of azoospermia maybe due to several reasons: undescended testicles, genetic or environmental reasons are some. Doctors take small samples of tissue from the testicles by making small incisions or using a fine needle to aspirate. The samples are then examined for sperm cells.

  • TESA: TEsticular Sperm Aspiration
  • TESE: TEsticular Sperm Ekstraction
  • PESA: PErcutaneousr Sperm Aspiration
  • MESA: Microsurgical Epydydimal Sperm Aspiration

Normal semen analysis values
Volume: between 1.5-5ml
Concentration: 15 million /ml
Motility: over 50%.
Morphology: over 30% according to WHO or 14% and over according to Kruger’s Strict Criteria.
Progressive motile: must be over 20 %

Varicocele and Azoospermia:
Some studies suggest that azoospermic men with clinical type varicocele might benefit from varicocele surgery. According to research results 50% of patients show resumption of spermatogenesis and 20% report spontaneous pregnancy. Testicular biopsy done before or during surgery will give the doctors an idea of the sucess of the procedure. Men who have immature sperm cells may start sperm production but patients who had no spermatogenesis, previously, do not start producing sperm after varicocele treatment. Consequently azoospermic patients with varicocele who have begun infertility treatment, and have sperm cells found in testicular biopsy, should be treated for varicocele even if they get pregnant through IVF.

Our Patient's Reviews

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My appointment was, unfortunately, not successful. Due to my current situation, I have not gotten any treatment. But approach of the doctor was excellent. He was nice and patient with me. I can recommend him to others. My impression of the clinic was positive. Brand new building with modern equi...

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Pet*** **** / Czech Republic

I was really happy with the service that we got at Jinepol. However, I wish we had spoke with Dr Selim before making our visit, as we could have spent less time in Turkey. But all praise and thanks is due to ALLAH who has granted us our wish. We are of course especially grateful for the treatment ...

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Has*** **** / UK

The treatment I received at this clinic was amazing. I felt like they really knew me and cared about me. Especially the embryologist! I originally picked this clinic because of the response from the doctor himself. He seemed knowledgeable and straight forward. There were times throughout IVF I would...

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Nic*** **** / Canada

I had my first IVF treatment at Jinepol with Dr Selim and team. I am fortunate to say I was successful the first time and am no 5 weeks pregnant. I already have a 4 year old which took me 2 years to conceive naturally. I then underwent infertility testing in the UK- after 2 more years of trying f...

I highly recommend this clinic and team- extremely professional and excellent service. Everything was catered specifically for my individual needs rather than a list of protocols to follow as is in my home country. There can be a lot of anxiety about doing IVF abroad but with Dr Selim and tea...

shi*** **** / England

I underwent my first course of IVF treatment with Jinepol and am happy to say ai am now 5 weeks pregnant. I visited Jinepol for an initial consultation and was prescribed a course of treatment which I administered myself at home. Eveything was fool proof and easy to follow with a bit of concentrat...

DR Selim and team are very professional and friendly. They are experts in their field so you are definitely in good hands. IVF can be an anxcious journey buy you needn't worry with Jinepol. It is the best chocie and I would highly recommend....

shi*** **** / uk

Very good clinic, very friendly and attentive. At least so far....

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Lev*** **** / Georgia

He could get your grandmother pregnant! I cannot speak more highly of Dr. Selim. Not only is he one of the most experienced, intuitive and knowledgeable physicians I have ever met, but he's also an exceptionally kind man. On top of that, because of him, my husband and I have two beautiful daughte...

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Mau*** **** / Canada

Very good doctor and procedure. Excellent facilities. Price was exactly as quoted....

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Bri*** **** / Albania

My wife and me took two courses of IVF, the second being successful. We are now the proud parents of two wonderful happy little boys. We highly recommend Dr. Selim and his wonderful crew at Jinepol, from the day we walked the clinic we felt welcome and appreciated. The service is outstanding and ev...

Wonderful crew, great facilities. We came from Oman, the clinic is easily reachable from the airport. Dr. Selim is a blessing. Very patient with all our questions. We enjoyed our stay in Istanbul very much, mostly because of the welcoming feeling from Jinepol. Thank you so much!...

Pro*** **** / Oman

It went very well. The service there is great. ...

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Jul*** **** /