Stating that women who have this problem have the chance to become mothers with IVF treatment, Gynecology and Obstetrics Specialist Assoc. Dr. Tayfun Kutlu and Gynecology, Obstetrics and IVF Specialist Op. Dr. Ebru Öztürk Öksüz, “Polycystic ovary syndrome seen in 30-40 percent of women who want to have children; Lack of a healthy ovulation brings along problems such as menstrual irregularity, hair growth complaints and infertility. In its treatment, different ways are followed according to these complaints caused by the problem, ”he said.
“Polycystic Ovary Syndrome”, which is an annoying problem for women, is a hormonal disorder that occurs with the accumulation of too many eggs in the ovaries that cannot grow. Emphasizing that polycystic ovary syndrome is not a disease, but an innate feature, Assoc. Dr. Tayfun Kutlu “The underlying cause of the problem is women with insulin resistance and therefore overweight in the group at risk for polycystic ovary syndrome. In all complaints caused by polycystic ovary syndrome, a diet and exercise plan is applied to shed excess weight first in terms of treatment. “This lifestyle change in the patient not only provides the ideal weight, but also reduces hair growth.”
With drug treatment, the aim is to provide ovulation
Stating that there is a two-step treatment process before the IVF stage, Gynecology and Obstetrics Specialist, IVF Center Director Assoc. Dr. Tayfun Kutlu said, “After the patient reaches his / her ideal weight, the process starts with a drug treatment aimed at ensuring egg production in the first step and is generally planned as 3 cycles. Drugs that reduce the patient’s insulin resistance can also be added to the treatment at this stage. If ovulation occurs at the end of the treatment, the patient has the chance to conceive even with a natural relationship. However, if ovulation is not achieved, this time the second step of treatment is started; in other words, injections and vaccination treatments ”.
Age is important
Stating that the needle treatment is used to ensure better quality egg development and thus one or more eggs obtained are matured and cracked, Assoc. Dr. Tayfun Kutlu said, “In the continuation of this treatment, in the vaccination part, the sperm taken from the male are concentrated in the laboratory environment for better quality, and then left to the nearest place when the egg is cracked for optimal fertilization. Injections and vaccination treatments can also be applied in 3 cycles. Of course, at these stages, we should remind that the biggest competitor of the treatment is the “age” criterion and we should definitely underline that:
If the patient has some additional risk factors in the history of having a child (advanced age, surgery history, tube obstructions, etc.), some of the steps we have mentioned can be skipped and the next step can be passed. For example, if the patient’s age is over 35, the chances of success in drug, needle and vaccination treatments will be very low, so IVF treatment can be started directly. “Success rates in in vitro fertilization treatment in such patients are higher than in other step treatments.”
There is more than one chance to try
Underlining that more egg development is provided in IVF treatment, so there is more than one chance to try, Op. Dr. Ebru Öztürk Öksüz said, “In this treatment, egg stimulation can be made with relatively low doses of drugs and the eggs obtained are collected. However, if the number of eggs is higher than expected in patients with polycystic ovary syndrome, some risks may arise. One of these; With the high number of eggs, the chances of the formed embryos to adhere to the uterus decrease. The other is the overexcitation of the ovaries, ”he said.
Eggs are first frozen and transferred after resting the uterus and body.
Emphasizing that there is a way to eliminate risks, Op. Dr. Ebru Öztürk Öksüz continued her words as follows:
“The eggs obtained are frozen at their best stage and stored until the next menstrual period, instead of fresh transfer, allowing the uterus and body to rest. Thus, time is gained for both hormonal balances to reach normal physiological limits. With this uterine resting technique, the chance of pregnancy of the patient is also increased. In spite of all this, if pregnancy does not occur in the first attempt, new trials can be made with previously unused embryos (they can be stored for up to 5-10 years). In this respect, let us state once again that in vitro fertilization is a method that gives women a chance again and again. “