{"id":209240,"date":"2025-07-23T11:49:02","date_gmt":"2025-07-23T08:49:02","guid":{"rendered":"https:\/\/www.tgrthaber.com\/mavikadin\/?p=209240"},"modified":"2025-07-23T11:49:02","modified_gmt":"2025-07-23T08:49:02","slug":"kisirligin-yuzde-50si-kadinlara-iliskin-faktorlerden-kaynaklaniyor-uzman-isim-tedavi-yollarini-anlatti","status":"publish","type":"post","link":"https:\/\/www.tgrthaber.com\/mavikadin\/kisirligin-yuzde-50si-kadinlara-iliskin-faktorlerden-kaynaklaniyor-uzman-isim-tedavi-yollarini-anlatti\/","title":{"rendered":"K\u0131s\u0131rl\u0131\u011f\u0131n y\u00fczde 50\u2019si kad\u0131nlara ili\u015fkin fakt\u00f6rlerden kaynaklan\u0131yor! Uzman isim tedavi yollar\u0131n\u0131 anlatt\u0131"},"content":{"rendered":"

Memorial Kayseri Hastanesi Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum B\u00f6l\u00fcm\u00fc\u2019nden Do\u00e7. Dr. Mehmet Ak, kad\u0131n k\u0131s\u0131rl\u0131\u011f\u0131 ile ilgili bilgiler verdi.<\/p>\n

KISIRLI\u011eIN Y\u00dcZDE 50\u2019S\u0130 KADINLARA \u0130L\u0130\u015eK\u0130N FAKT\u00d6RLERDEN KAYNAKLANIYOR<\/h3>\n

Bebek sahibi olmak isteyen \u00e7iftlerde k\u0131s\u0131rl\u0131k sorunlar\u0131n\u0131n yakla\u015f\u0131k y\u00fczde 50\u2019si kad\u0131nlara ili\u015fkin fakt\u00f6rlerden kaynaklan\u0131yor. Erkek k\u0131s\u0131rl\u0131\u011f\u0131 \u00e7iftlerde y\u00fczde 30\u2019luk bir oranla ifade edilirken, y\u00fczde 20 oran\u0131nda da hem erkek hem de kad\u0131na ba\u011fl\u0131 fakt\u00f6rlerin bir kombinasyonu olabiliyor. K\u0131s\u0131rl\u0131\u011f\u0131n \u00e7\u00f6z\u00fcm\u00fc i\u00e7in \u00f6ncelikle ya\u015fanan sorunun kayna\u011f\u0131n\u0131n belirlenmesi gerekiyor. Kad\u0131nlarda tedavi s\u00fcrecine ad\u0131m at\u0131l\u0131rken yap\u0131lacak ya\u015fam tarz\u0131 de\u011fi\u015fiklikleri gebelik \u015fans\u0131n\u0131 art\u0131r\u0131yor.<\/p>\n

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KISIRLIK \u0130\u00c7\u0130N K\u0130\u015e\u0130YE \u00d6ZEL TEDAV\u0130<\/h3>\n

K\u0131s\u0131rl\u0131kta tedavinin ki\u015fiye \u00f6zel oldu\u011funu s\u00f6yleyen Mehmet Ak, “Korunma olmadan, d\u00fczenli olarak cinsel birlikteli\u011fe ra\u011fmen gebelik elde edilememesi, infertilite yani k\u0131s\u0131rl\u0131k olarak tan\u0131mlanmaktad\u0131r. K\u0131s\u0131rl\u0131k kad\u0131n a\u00e7\u0131s\u0131ndan de\u011ferlendirildi\u011finde gebe kalamama durumudur. K\u0131s\u0131rl\u0131k i\u00e7in hormonal sorunlar\u0131 d\u00fczeltmek, cerrahi m\u00fcdahale ve t\u00fcp bebek (IVF) gibi do\u011furganl\u0131k tedavileri uygulanabilmektedir. K\u0131s\u0131rl\u0131k, hem kad\u0131n hem de erkek i\u00e7in ki\u015fiye \u00f6zel ve \u00e7\u00f6z\u00fcme y\u00f6nelik tedavi yap\u0131lmas\u0131 gereken bir sorundur. Bir kad\u0131n\u0131n 40 ya\u015f\u0131na gelmesinden sonra hamile kalma \u015fans\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde azalmaktad\u0131r” dedi.<\/p>\n

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“KADIN KISIRLI\u011eI G\u0130DEREK ARTIYOR”<\/h3>\n

Ak, k\u0131s\u0131rl\u0131\u011f\u0131n kad\u0131nlarda art\u0131\u015f g\u00f6sterdi\u011fini s\u00f6yleyerek, “ABD\u2019de \u00e7ocuk iste\u011fiyle kliniklere ba\u015fvuran 15-49 ya\u015flar\u0131 aras\u0131ndaki kad\u0131nlar\u0131n oran\u0131 1980\u2019de y\u00fczde 9 iken, 2010 y\u0131l\u0131 itibar\u0131 ile bu oran y\u00fczde 12 seviyesine y\u00fckselmi\u015ftir. 2023 y\u0131l\u0131nda ise y\u00fczde 17,5 seviyelerine \u00e7\u0131km\u0131\u015ft\u0131r. Bu y\u00fckselmenin nedeni ise artm\u0131\u015f kad\u0131n ya\u015f\u0131 ile evresel toksinlere daha fazla maruziyet ve artm\u0131\u015f obezitenin yan\u0131 s\u0131ra seks\u00fcel yolla bula\u015fan hastal\u0131klarda art\u0131\u015f gibi baz\u0131 fakt\u00f6rlerdir. T\u00fcrkiye N\u00fcfus ve Sa\u011fl\u0131k Ara\u015ft\u0131rmas\u0131\u2019na g\u00f6re \u00fclkemizde, \u00fcreme \u00e7a\u011f\u0131ndaki kad\u0131nlarda k\u0131s\u0131rl\u0131k y\u00fczde 15 olarak belirlenmi\u015ftir. Kad\u0131n k\u0131s\u0131rl\u0131\u011f\u0131n\u0131n son 30 y\u0131lda h\u0131zla artt\u0131\u011f\u0131, ya\u015fa g\u00f6re belirlenen oranlar\u0131n y\u00fckseldi\u011fi ve 30\u2019lu ya\u015flar\u0131n sonlar\u0131ndaki kad\u0131nlar\u0131n d\u00fcnya \u00e7ap\u0131nda en y\u00fcksek k\u0131s\u0131rl\u0131k riskiyle kar\u015f\u0131 kar\u015f\u0131ya oldu\u011fu belirlenmi\u015ftir. D\u00fcnya genelinde 2021 y\u0131l\u0131nda, k\u0131s\u0131rl\u0131k 110 milyon kad\u0131n\u0131 etkilemi\u015ftir. Bu verilere ra\u011fmen k\u0131s\u0131rl\u0131\u011f\u0131n nedenleri her iki partnerden de kaynaklanmaktad\u0131r. K\u0131s\u0131rl\u0131k, kad\u0131n \u00fcreme sistemindeki bir sorun nedeniyle oldu\u011fu kadar erkek \u00fcreme sistemindeki bir sorun nedeniyle de ortaya \u00e7\u0131kmaktad\u0131r” ifadelerini kulland\u0131.<\/p>\n

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“YANIT ALAMAMAK UMUTSUZLUK NEDEN\u0130”<\/h3>\n

K\u0131s\u0131rl\u0131\u011f\u0131n bazen uzun s\u00fcre nedeninin bulunamad\u0131\u011f\u0131n\u0131 s\u00f6yleyen Mehmet Ak, “Baz\u0131 durumlarda k\u0131s\u0131rl\u0131\u011f\u0131n nedeni uzun s\u00fcre bulunamamaktad\u0131r. Her iki partnerde de birka\u00e7 k\u00fc\u00e7\u00fck fakt\u00f6r\u00fcn bir araya gelmesi, a\u00e7\u0131klanamayan do\u011furganl\u0131k sorunlar\u0131na neden olabilmektedir. K\u0131s\u0131rl\u0131\u011f\u0131n nedeni hakk\u0131nda belirli bir cevap alamamak \u00e7o\u011fu zaman umutsuzlu\u011fa neden olsa da, bu sorun zamanla kendi kendine d\u00fczelebilmektedir. A\u00e7\u0131klanamayan k\u0131s\u0131rl\u0131\u011f\u0131n tahmini y\u00fczdesindeki farkl\u0131l\u0131k, uzmanlar\u0131n standart k\u0131s\u0131rl\u0131k testinin ne olmas\u0131 gerekti\u011fi konusunda fikir birli\u011fine varamamas\u0131ndan kaynaklanmaktad\u0131r. Testler, bireyin durumuna ve doktorunun test protokollerine g\u00f6re de\u011fi\u015febilmektedir” dedi.<\/p>\n

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\n

K\u0131s\u0131rl\u0131k durumunda yap\u0131lmas\u0131 gerekenlerle ilgili bilgiler veren Ak, “K\u0131s\u0131rl\u0131k ara\u015ft\u0131rmalar\u0131 ayn\u0131 partnerle 12 ay boyunca vajinal seks\u00fcel ili\u015fkiye ra\u011fmen gebelik elde edemeyen \u00e7iftler \u00fczerinde yap\u0131lmaktad\u0131r. 12 ay olan bekleme s\u00fcresi kad\u0131n ya\u015f\u0131 35 ve \u00fczeri oldu\u011fu durumlarda 6 aya \u00fczerinden hesaplama yap\u0131l\u0131r. Ancak bu s\u00fcre beklenmeden temel k\u0131s\u0131rl\u0131k ara\u015ft\u0131rmas\u0131n\u0131n yap\u0131lmas\u0131 gereken durumlar ise \u015funlard\u0131r; A\u015fikar menstr\u00fcel d\u00fczensizlik s\u00f6z konusu olmas\u0131. Devam eden cinsel fonksiyon bozuklu\u011fu varl\u0131\u011f\u0131. Pelvik inflamatuar hastal\u0131k \u00f6yk\u00fcs\u00fc. Evre 3-4 endometriosis yani \u00e7ikolata kisti olmas\u0131 durumu. Kanser tedavisi i\u00e7in kemoterapi al\u0131nmas\u0131 ve bilinen bir erkek fakt\u00f6r\u00fc varl\u0131\u011f\u0131. Kad\u0131nlarda k\u0131s\u0131rl\u0131\u011fa neden olabilecek bir\u00e7ok fakt\u00f6r bulunmaktad\u0131r. Genel sa\u011fl\u0131k \u015fartlar\u0131n\u0131n yan\u0131 s\u0131ra genetik (kal\u0131tsal) \u00f6zellikler ile ya\u015fam tarz\u0131 ve ya\u015f, k\u0131s\u0131rl\u0131\u011fa yol a\u00e7abilmektedir. Ancak kad\u0131n k\u0131s\u0131rl\u0131\u011f\u0131 i\u00e7in a\u015fa\u011f\u0131daki fakt\u00f6rlerin ara\u015ft\u0131r\u0131lmas\u0131 gerekmektedir; Ya\u015f fakt\u00f6r\u00fc \u00f6nemlidir. Genellikle do\u011furganl\u0131k 30\u2019lu ya\u015flarda azalmaya ba\u015flamaktad\u0131r. Yumurtlamay\u0131 engelleyen hormon sorunlar\u0131 ara\u015ft\u0131r\u0131lmal\u0131d\u0131r. Anormal adet d\u00f6ng\u00fcs\u00fc. Obezite k\u0131s\u0131rl\u0131\u011f\u0131 etkileyen \u00f6nemli bir nedendir. V\u00fccut kitle endeksinin d\u00fc\u015f\u00fck olmas\u0131. Endometriozis ve yap\u0131sal sorunlar (fallop t\u00fcpleri, rahim veya yumurtal\u0131klarla ilgili sorunlar). Rahim miyomlar\u0131, yumurtal\u0131k kistleri, t\u00fcm\u00f6rler, otoimm\u00fcn bozukluklar (lupus, romatoid artrit, Ha\u015fimato hastal\u0131\u011f\u0131), pelvik inflamatuar hastal\u0131\u011fa neden olan cinsel yolla bula\u015fan enfeksiyonlar. Polikistik over sendromu k\u0131s\u0131rl\u0131\u011fa neden olabilen hormonal bir bozukluktur. Birincil yumurtal\u0131k yetmezli\u011fi, a\u015f\u0131r\u0131 madde kullan\u0131m\u0131 (alkol veya uyu\u015fturucu), sigara i\u00e7mek, daha \u00f6nce d\u0131\u015f gebelik ge\u00e7irmi\u015f olmak, kullan\u0131lan ila\u00e7lar; (non-steroid anti-inflamatuarlar, steroid) ve smear sonucu, meme de\u011fi\u015fiklikleri, memeden s\u00fct benzeri ak\u0131nt\u0131 olup olmad\u0131\u011f\u0131, aknenin e\u015flik etti\u011fi y\u00fczde ve g\u00f6\u011f\u00fcste a\u015f\u0131r\u0131 k\u0131llanma” ifadelerini kulland\u0131.<\/p>\n

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\n

“SA\u011eLIKLI YA\u015eAM TARZI \u00d6NEML\u0130”<\/h3>\n

Mehmet Ak, sa\u011fl\u0131kl\u0131 bir ya\u015fam\u0131n \u00f6nemli oldu\u011funu s\u00f6yleyerek, s\u00f6zlerine \u015fu \u015fekilde devam etti:<\/p>\n

“Sa\u011fl\u0131kl\u0131 ya\u015fam tarz\u0131 de\u011fi\u015fiklikleri do\u011furganl\u0131k da dahil olmak \u00fczere bireylerin fiziksel, zihinsel ve duygusal refah\u0131n\u0131 etkileyen davran\u0131\u015flardan olu\u015fmaktad\u0131r. Sigara tiryakili\u011fi, sa\u011fl\u0131ks\u0131z beslenme, v\u00fccut kitle endeksinin dengesiz olmas\u0131, a\u015f\u0131r\u0131 alkol ve kafein t\u00fcketimi, yetersiz fiziksel aktivite ve egzersiz, cinsel yolla bula\u015fan hastal\u0131klara maruz kalmak ve \u00e7evresel fakt\u00f6rler \u00fcreme sa\u011fl\u0131\u011f\u0131n\u0131 etkilemektedir. Ya\u015fam tarz\u0131n\u0131 de\u011fi\u015ftirmek bireyin tercihleri sonucu de\u011fi\u015febilmektedir. Ya\u015fam tarz\u0131 davran\u0131\u015flar\u0131n\u0131n \u00fcreme sa\u011fl\u0131\u011f\u0131n\u0131 olumlu veya olumsuz y\u00f6nde etkiledi\u011fi yap\u0131lan ara\u015ft\u0131rmalarla kan\u0131tlanm\u0131\u015ft\u0131r. Sa\u011fl\u0131kl\u0131 ya\u015fam bi\u00e7imleri sayesinde k\u0131s\u0131rl\u0131k tedavisinde ba\u015far\u0131 elde edildi\u011fi, gebelik ve canl\u0131 do\u011fum oranlar\u0131n\u0131n artt\u0131\u011f\u0131 bilinmektedir.”<\/p>\n","protected":false},"excerpt":{"rendered":"

K\u0131s\u0131rl\u0131\u011f\u0131n y\u00fczde 50\u2019sinin kad\u0131nlara ili\u015fkin fakt\u00f6rlerden kaynakland\u0131\u011f\u0131n\u0131n erkek k\u0131s\u0131rl\u0131\u011f\u0131n\u0131n ise \u00e7iftlerde y\u00fczde 30\u2019luk oranda g\u00f6r\u00fcld\u00fc\u011f\u00fcnden bahseden Do\u00e7. Dr. Mehmet Ak tedavi yollar\u0131n\u0131 anlatt\u0131.<\/p>\n","protected":false},"author":5,"featured_media":209246,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"footnotes":""},"categories":[1991],"tags":[113,265,86,1582,173],"class_list":["post-209240","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-cocuk","tag-gebelik","tag-kadin","tag-kisirlik","tag-saglik"],"_links":{"self":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/209240"}],"collection":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/comments?post=209240"}],"version-history":[{"count":1,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/209240\/revisions"}],"predecessor-version":[{"id":209247,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/209240\/revisions\/209247"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media\/209246"}],"wp:attachment":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media?parent=209240"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/categories?post=209240"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/tags?post=209240"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}