A fertility specialist is a doctor specialized in reproductive endocrinology and infertility (REI) that is a subspecialty of obstetrics and gynecology. REI is the branch of medicine addressing hormonal functioning pertaining to the reproduction and infertility in women and men. A fertility specialist provides the diagnosis, treatment and prevention of all the issues pertaining to reproductive endocrinology and infertility (REI). For instance, if you have been trying to get pregnant for a year (or six months if above 35 years of age) via natural conception or facing any other issues related to reproductive endocrinology and infertility, you might consider visiting a fertility specialist.
Some of infertility problems for which people visit a fertility specialist include:
Procedures Performed by Fertility Specialist in Turkey
Fertility Specialist(s) in Turkey
There are two types of procedures performed by the fertility specialist in Turkey one is Diagnostic procedure and the second is Surgical procedure.
So, to begin with, Diagnostic procedure, there are six types as follows
Ovarian Reserve Assessment- Often used as a part of an initial assessment of fertility to evaluate the supply of eggs that remain in the ovaries. This examination involves blood tests to check the follicle hormone stimulating (FSH), oestradiol (E2), and antimuller hormone (AMH) hormones, along with an ultrasound to check the antral follicle count.
Hysterosalpingography (HSG)- This X-ray helps one to assess the Fallopian and uterine cavities. In this test, the cervix is injected with a sterile liquid that has a dye for contrast. X-rays are taken to track blockage flow to assess if the fallopian tubes are patent. This procedure is short and can cause mild to moderate soreness.
Saline Infusion Sonohysterogram- This ultrasound evaluates the form of the womb and can detect anomalies, such as uterine polyps and fibroids. It cannot define whether the fallopian tubes are open. In this technique sterile fluid is injected into the uterus and, a vaginal ultrasound is done.
Follicular Study- Follicular Ultrasounds Study is used to monitor follicle formation, measure the size of the dominant follicle or follicles and identify them. The timing of ovulation also helps to determine it. This test is carried out in our office in the mid-cycle.
Hysteroscopy- This technique helps to examine and identify polyps and fibroids in the uterine cavity. It cannot decide whether the fallopian tubes are open. This examination allows the doctor to see the uterus comfortably through a small fiber-optic camera in the uterine cavity. This is done in a hospital instead of in the diagnostic center.
Semen Analysis- Since male infertility makes up 40% of cases, semen analysis for most infertility couples is suggested. This semen test analyses the concentration of the sperm (number), motility (movement), and morphology (shape). Sometimes because of many factors, these values are fluctuating.
The surgical procedures are as follow
Hysteroscopy- This procedure involves inserting a small fiber-optic camera into the uterine cavity via the vagina – no incision is required. Then the doctor may extract scar tissue, fibroids, polyps, or a uterine septum. This is done, outpatient.
Laparoscopy/Robotic Laparoscopy- Ovarian cysts, fibroids, abnormal fallopian tubes, endometriosis, and scar tissue is treated with small incisions in the abdomen. This is conducted on an outpatient basis in the hospital.
Egg Retrieval- Egg recovery is a process whereby eggs are removed through a thin needle from the follicles of the ovary for IVF use. This treatment is routinely done for women who have been assigned to in-vitro fertilization (IVF) or egg freezing. A small needle with ultrasound is gently guided to the follicles and the eggs are sucked in and extracted out of the ovary.
Varicocelectomy- In the scrotum, the presence of varicose veins can adversely influence sperm production. Varicose veins are ligated or removed surgically through a small incision in the groin region. The urology collaborator performs this operation.
Vasectomy Reversal/ Vasovasostomy/Vasoepididymostomy- This procedure reconnects the vas deferens through a small incision in the testicle, enabling sperm to once again enter the seminal fluid.
Sperm Retrieval- Sperm is recovered directly from the testis by this surgical technique.
As an IVF care destination abroad, Turkey is rising in popularity. More than 140 IVF clinics exist and the low cost and exotic scenery make Turkey an alluring country for fertility care. Top fertility specialists in Turkey have broad experience, are constantly pursuing their education, engage in professional organizations and receive positive reviews from treated patients. Medical care prices in Turkey are just about 30% to 50% in Western Europe and the United States, but foreign patients do not only have a high-cost benefit for IVF services in Turkey. The quality indicators for clinical services and the success rate of IVF are better in Turkey than in the USA. After correcting the cost per case for the success rate, the cost-benefit of Turkey is very high. As the overall quality indicators of Turkish hospitals (especially accredited ones) have significantly improved over the years, demand for medical tourism in Turkey is expected to increase in the future (M. Said Yildiz and M. Mahmud Khan, 2016).
The price of the Fertility specialist depends upon the clinical experience, educational background, doctor’s workload. The cost also varies upon the medical techniques and equipment used for different procedures. The average cost of the Fertility expert consultation in Turkey is $100, the minimum price is $80, and the maximum price is $145.
In IVF centers and embryo centers, Fertility specialists help you fulfill your motherhood dream. The fertility medical team includes a network of fertility physicians, embryologist, obstetrics, gynecologist’s, an endocrinologist, who works as a team, to provide couples with best possible services and assistance throughout their pregnancy and childbearing. The Ministry of Health inspects Fertility clinics in Turkey every six months. Inspections are carried out in the form of a checklist. They check the devices, staff, the physical environment, and documents. The Ministry of Health would license them if found fit to practice.
Gynecologists- They provide reproductive and sexual health services, including pelvic examinations, Pap tests, cancer screening, and vaginal infection testing and treatment. Reproductive system disorders such as endometriosis, infertility, ovarian cysts, and pelvic pain are diagnosed and managed by them.
Reproductive Endocrinologists- A reproductive endocrinologist, is an obstetrician/gynecologist who diagnoses and manages reproduction-related endocrine disorders directly or indirectly. They deal primarily with infertility problems
Urologists- A urologist is a urinary tract and male reproductive system disorders, specialist.
Andrologists – Andrologists are urologists who have completed additional training in male infertility.
Reproductive Surgeon- Reproductive surgeons consist of gynecologists and urologists who specialize in reproductive surgery and are specialists in the conservative care of reproductive organs in both men and women.
Reproductive Immunologist- Reproductive immunology refers to the phenomenon of immunological arrest which allows a mother to accept a foreign embryo. The treatment of immune problems addresses infertility, recurrent miscarriage, premature delivery, and dangerous complications of pregnancy, such as pre-eclampsia.
Embryologists- An embryologist is a fertility specialist who helps to create viable embryos, either to be immediately used in IVF or to be frozen for later use.
Geneticist- Reproductive genetics is a sub-archive of medical genetics that mostly includes performing various tests to predict potential outcomes for future pregnancies. The tests include testing genetic material such as chromosomes, genes, DNA, RNA, and gene products to access genetic alterations that in either mother or child are likely to cause any disease after pregnancy.
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