Page 13 - medicawell_no5

13

TECHNOLOGY:

HARMS FERTILITY,

CURES INFERTILITY

Technology has given us many advantages, like consum-
ing vegetables and fruits out of proper season,communi-
cating with each other easily through mobile phones and
internet.So today we have to face more chemical pollut-
ing agents and more radiation.This harms the fertility
potential of humans by reducing the number and quality
of sperm and making menstrual irregularities indicating
problems in ovulation.But the technology itself, other
than being the cause,has also found out the cure of this
problem: In Vitro Fertilisation! (IVF)

IVF techniques have evolved dramatically fast in past
years ,starting from “ classical IVF “ to “microinjection”
nowadays.In the microinjection technique, a single sperm
cell is enough to fertilize a single ovum using microinjec-
tors and micromanuplators.Thus, males with very few
sperm cells in their semen analyses can make benefit
from the microinjection technique.Furthermore, in a
special condition called “azoospermia”, in which males
have no sperm cells in their semen analyses, microinjec-
tion is still possible.In azoospermia ,it is possible to find
sperm cells in the testicular tissue.With a TESA proce-
dure,testicular tissue is aspirated from both testes using
special needles.Testicular tissue is assessed for the
presence of sperm cells.If sperm cells are encoun-
tered,they can be frozen for further use in microinjection.

With the progress in technology,it is possible to investi-
gate and diagnose genetic diseases in embryos by making
an embryo biopsy and “Preimplantation Genetic Diagno-
sis”(PGD). PGD technique can also be applied to patients
with repeated IVF failures to detect chromosomally
abnormal embryos to prevent IVF failure.

Technology has also given us the opportunity to freeze
excess embryos in IVF cycles for an embryo transfer with
a low cost in the next treatment cycles.And also embrion-
ic culture media has developed to culture embryos for
longer periods up to 5 days ,for the selection of the best
embryos for transfer.This results in higher pregnancy
rates with less multiple pregnancies.

As a result, IVF treatment results are much more beter
nowadays than it was before.

Dr. A.Serdar Iscan
M.D. Gynecologist
Avrupa Şafak Hospital