{"id":8216,"date":"2025-09-28T04:37:42","date_gmt":"2025-09-28T04:37:42","guid":{"rendered":"https:\/\/polikistikover.net\/yeni\/?page_id=8216"},"modified":"2025-11-21T20:59:14","modified_gmt":"2025-11-21T20:59:14","slug":"polikistik-over-sendromu-olan-kadinlarin-bir-kismi-neden-gebe-kalamiyor","status":"publish","type":"page","link":"https:\/\/polikistikover.net\/yeni\/polikistik-over-sendromu-olan-kadinlarin-bir-kismi-neden-gebe-kalamiyor\/","title":{"rendered":"Polikistik Over Sendromu olan Kad\u0131nlar\u0131n Bir K\u0131sm\u0131 Neden Gebe Kalam\u0131yor?"},"content":{"rendered":"\n<p class=\"has-text-align-center\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-pink-color\">Adet kanamas\u0131n\u0131n 1. g\u00fcn\u00fcnden itibaren ba\u015flayan ve takip eden adet kanamas\u0131n\u0131n 1. g\u00fcn\u00fcne kadar devam eden d\u00f6nem bir&nbsp;adet d\u00f6ng\u00fcs\u00fc<a href=\"http:\/\/polikistikover.net\/polikistik-over-sendromunda-adet-duzensizligi-ve-tedavisi\/\"><\/a>d\u00fcr (\u00d6rne\u011fin; 30 g\u00fcn).<\/mark><\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-pink-color\">Bir adet d\u00f6ng\u00fcs\u00fcn\u00fcn sonunda adet kanamas\u0131n\u0131n olmas\u0131 genel olarak o adet d\u00f6ng\u00fcs\u00fc i\u00e7inde&nbsp;yumurtan\u0131n b\u00fcy\u00fcd\u00fc\u011f\u00fcn\u00fc ve yumurtlaman\u0131n&nbsp;oldu\u011funu g\u00f6stermektedir.<\/mark><\/strong><\/p>\n\n\n\n<p><strong><mark style=\"background-color:#f8c50b\" class=\"has-inline-color\">\u00d6rne\u011fin; <\/mark><\/strong>Her ay bir kere adet kanamas\u0131 olan bir kad\u0131nda bir y\u0131l i\u00e7inde ortalama 12 defa, 2 ayda bir kere adet kanamas\u0131 olan bir kad\u0131nda 1 y\u0131l i\u00e7inde ortalama 6 defa, 6 ayda bir kere adet kanamas\u0131 olan bir kad\u0131nda ise 1 y\u0131l i\u00e7inde sadece ortalama 2 defa&nbsp;yumurtlama&nbsp;olmaktad\u0131r.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"182\" height=\"147\" src=\"https:\/\/polikistikover.net\/yeni\/wp-content\/uploads\/2025\/09\/image-95.png\" alt=\"\" class=\"wp-image-8220\" style=\"width:376px;height:auto\"\/><\/figure>\n<\/div>\n\n\n<p class=\"has-text-align-center\">&nbsp;<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-pink-color\">Yumurtlama&nbsp;sonras\u0131 ilk 72 saat gebelik ihtimalinin en y\u00fcksek oldu\u011fu d\u00f6nemdir. Bu d\u00f6nemde yumurta sperm ile birle\u015fmeye (d\u00f6llenme) haz\u0131rd\u0131r.<\/mark><\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-blue-color\">Yukar\u0131daki ultrason resmi bir polikistik over (yumurtal\u0131k) g\u00f6r\u00fcnt\u00fcs\u00fcd\u00fcr.<\/mark><\/strong><\/p>\n\n\n\n<p> Yumurtal\u0131\u011f\u0131n ortas\u0131nda bulunan beyaz alan\u0131n \u00e7evresine dizilmi\u015f k\u0131rm\u0131z\u0131 renkli ok ile i\u015faret edilen siyah renkli, yuvarlak, k\u00fc\u00e7\u00fck keseciklerin i\u00e7inde yumurtalar bulunmaktad\u0131r.<\/p>\n\n\n\n<p> Polikistik over sendromu olan ki\u015filerin bir k\u0131sm\u0131nda bu k\u00fc\u00e7\u00fck keseci\u011fin i\u00e7inde bulunan&nbsp;yumurtan\u0131n geli\u015fimi ve yumurtlama&nbsp;olmad\u0131\u011f\u0131 i\u00e7in gebelik olu\u015fmamaktad\u0131r.<\/p>\n\n\n\n<p class=\"has-text-align-center\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-pink-color\">Polikistik over sendromu olan kad\u0131nlar\u0131n bir k\u0131sm\u0131,&nbsp;A ve B grubuna girenler,&nbsp;yumurta geli\u015fimi ve yumurtlama olmamas\u0131 veya gecikmeli olmas\u0131 nedeniyle&nbsp;gebe kalmakta zorluk&nbsp;ya\u015famaktad\u0131r.<\/mark><\/strong><\/p>\n\n\n\n<p><strong><mark style=\"background-color:#fdd90d\" class=\"has-inline-color\">\u00d6rne\u011fin; <\/mark><\/strong>Her ay d\u00fczenli adet kanamas\u0131 olan bir ki\u015fi 3 ay i\u00e7inde gebe kalabilirken, polikistik over sendromu oldu\u011fu i\u00e7in adet kanamas\u0131 2 ayda bir olan ba\u015fka bir ki\u015fi ancak 6 ay i\u00e7inde gebe kalabilmektedir.<\/p>\n\n\n\n<p class=\"has-text-align-center\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-pink-color\">Polikistik over sendromu olan kad\u0131nlar\u0131n bir k\u0131sm\u0131nda ise, her ay bir kere d\u00fczenli adet kanamas\u0131 olmas\u0131na ra\u011fmen, yumurtlama olmamaktad\u0131r. Sanki &nbsp;do\u011fum kontrol hap\u0131&nbsp;kullan\u0131yormu\u015f gibi her ay d\u00fczenli adet kanamas\u0131 olmas\u0131na ra\u011fmen bu gruba giren kad\u0131nlar da gebe kalamamaktad\u0131r.<\/mark><\/strong><\/p>\n\n\n\n<p><strong><mark style=\"background-color:#2af70d\" class=\"has-inline-color\">1-<\/mark><\/strong>\u00c7ocuk iste\u011fi tedavisine ba\u015flamadan \u00f6nce ki\u015finin polikistik over sendromu olup olmad\u0131\u011f\u0131 bilinmelidir.<\/p>\n\n\n\n<p><strong><mark style=\"background-color:#71f90a\" class=\"has-inline-color\">2-<\/mark><\/strong>Polikistik over sendromu varsa&nbsp;grubu (A, B, C) <a href=\"http:\/\/polikistikover.net\/polikistik-over-sendromunun-cesitleri-alt-gruplari\/\"><\/a>ve sorunun \u015fiddeti belirlenmelidir.<\/p>\n\n\n\n<p><strong><mark style=\"background-color:#5df308\" class=\"has-inline-color\">3-<\/mark><\/strong>Polikistik over sendromu\u2019nun tedavisi planland\u0131ktan sonra \u00e7ocuk iste\u011fi tedavisine ba\u015flan\u0131lmal\u0131d\u0131r.<\/p>\n\n\n\n<p><strong><mark style=\"background-color:#a2f70d\" class=\"has-inline-color\">4-<\/mark><\/strong>Polikistik over sendromu tedavisini takiben \u00e7ocuk iste\u011fi tedavisine ba\u015flan\u0131lmas\u0131 tedavinin do\u011fru bir \u015fekilde planlanmas\u0131n\u0131 ve&nbsp;hamilelik d\u00f6neminde ortaya \u00e7\u0131kabilecek sorunlar\u0131n&nbsp;da \u00f6nceden tespit edilmesini sa\u011flamaktad\u0131r.<\/p>\n\n\n\n<p class=\"has-text-align-center\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-blue-color\">POL\u0130K\u0130ST\u0130K OVER SENDROMU\u2019NDA \u00c7OCUK \u0130STE\u011e\u0130 TEDAV\u0130S\u0130<\/mark><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-embed aligncenter is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"3- Polikistik Over \u00e7ocuk iste\u011fi tedavisi - Dr. Burak Hac\u0131hanefio\u011flu\" width=\"1320\" height=\"743\" src=\"https:\/\/www.youtube.com\/embed\/P1K7AVwybEc?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong><mark style=\"background-color:#09ff3e\" class=\"has-inline-color\">1-<\/mark><\/strong>Gebelik olu\u015fmas\u0131 i\u00e7in ultrason yard\u0131m\u0131yla yumurtay\u0131 ta\u015f\u0131yan k\u00fc\u00e7\u00fck keseci\u011fin b\u00fcy\u00fcmesi do\u011fal yolla veya keseci\u011fin b\u00fcy\u00fcmesi i\u00e7in yard\u0131mc\u0131 ila\u00e7lar kullan\u0131larak takip edilmektedir.<\/p>\n\n\n\n<p><strong><mark style=\"background-color:#0cf747\" class=\"has-inline-color\">2-<\/mark><\/strong>Yumurtlaman\u0131n olup olmad\u0131\u011f\u0131 ultrason ve kan tahlili (progesteron hormonu) ile tespit edilmektedir. <\/p>\n\n\n\n<p><strong><mark style=\"background-color:#09fe70\" class=\"has-inline-color\">3-<\/mark><\/strong>Belirli bir b\u00fcy\u00fckl\u00fc\u011fe gelen keseci\u011fin duvar\u0131 LH hormonu miktar\u0131n\u0131n kanda en \u00fcst d\u00fczeye ula\u015fmas\u0131ndan yakla\u015f\u0131k 36 saat sonra \u00e7atlar ve&nbsp;yumurta d\u0131\u015far\u0131ya at\u0131l\u0131r ve yumurtlama (ovulasyon) <a href=\"http:\/\/polikistikover.net\/polikistik-over-sendromunda-yumurta-gelisimi-ve-yumurtlama\/\"><\/a>ger\u00e7ekle\u015fir.<\/p>\n\n\n\n<p><br><strong><mark style=\"background-color:#0ff668\" class=\"has-inline-color\">4-<\/mark><\/strong>Yumurtlaman\u0131n oldu\u011fu tespit edildikten sonraki bu d\u00f6nemde ili\u015fkide bulunulmas\u0131 \u00f6nerilmektedir. <\/p>\n\n\n\n<p><strong><mark style=\"background-color:#0bf43d\" class=\"has-inline-color\">5-<\/mark><\/strong>Sperm say\u0131s\u0131n\u0131n azl\u0131\u011f\u0131, hareket ve \u015fekil bozuklu\u011fu gibi erkekten kaynaklanan ba\u015fka sorunlar da varsa a\u015f\u0131lama (\u0130ntrauterin inseminasyon) tercih edilmektedir. <\/p>\n\n\n\n<p class=\"has-text-align-center\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-pink-color\">Buraya kadar anlat\u0131lan y\u00f6ntemler yard\u0131m\u0131yla polikistik over sendromu olan kad\u0131nlar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011fu gebe kalabilmektedir.<\/mark><\/strong><\/p>\n\n\n\n<p>Polikistik over sendromu\u2019nda \u00e7ocuk iste\u011fi tedavisinde&nbsp;laparoskopik ovarian drilling ameliyat\u0131&nbsp;\u00f6zellikle hastalar\u0131n bir k\u0131sm\u0131nda faydal\u0131 olmaktad\u0131r. <\/p>\n\n\n\n<p>\u00d6nemli olan ameliyattan fayda g\u00f6recek olan hastan\u0131n do\u011fru se\u00e7ilmesidir. <\/p>\n\n\n\n<p>Bu ameliyat \u00e7ocuk iste\u011fi tedavisinde yumurtay\u0131 i\u00e7inde ta\u015f\u0131yan k\u00fc\u00e7\u00fck keseci\u011fin b\u00fcy\u00fcmesini ve yumurtlamay\u0131 sa\u011flar.<\/p>\n\n\n\n<p><br>Polikistik over ameliyat\u0131 miktar\u0131 ve etkinli\u011fi artm\u0131\u015f olan erkeklik hormonlar\u0131n\u0131n (testosteron ve\u00a0androstenedion\u00a0gibi) etkinli\u011fini ve miktar\u0131n\u0131 azaltarak ve\u00a0ins\u00fclin direncine\u00a0kar\u015f\u0131 ins\u00fclin duyarl\u0131l\u0131\u011f\u0131n\u0131 art\u0131rarak\u00a0etki g\u00f6steren bir tedavi se\u00e7ene\u011fidir.<\/p>\n\n\n\n<p>\u00a0\u0130ns\u00fclin direncine kar\u015f\u0131 ins\u00fclin duyarl\u0131l\u0131\u011f\u0131n\u0131n artmas\u0131\u00a0erkeklik hormonlar\u0131na ba\u011flanarak onlar\u0131 etkisiz hale getiren\u00a0Sex Hormone Binding Globulin <a href=\"http:\/\/polikistikover.net\/sex-hormone-binding-globulin\/\"><\/a>miktar\u0131n\u0131 artt\u0131r\u0131r.<\/p>\n\n\n\n<p>Ki\u015finin polikistik over sendromu\u2019nun hangi&nbsp;grubunda (A,B,C)&nbsp;oldu\u011fu, ultrasonda yumurtal\u0131klar\u0131n\u0131n g\u00f6r\u00fcn\u00fcm\u00fc,&nbsp;erkeklik hormonlar\u0131n\u0131n (testosteron ve androstenedion gibi) kan d\u00fczeyleri, erkeklik hormonlar\u0131na ba\u011flanarak onlar\u0131 etkisiz hale getiren Sex Hormone Binding Globulin miktar\u0131,&nbsp;ins\u00fclin direnci, \u015feker hastal\u0131\u011f\u0131, kilo fazlal\u0131\u011f\u0131 ve \u015fi\u015fmanl\u0131k olup olmamas\u0131 ameliyat olacak ki\u015finin belirlenmesinde \u00f6nem ta\u015f\u0131maktad\u0131r.<\/p>\n\n\n\n<p class=\"has-text-align-center\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-pink-color\">T\u00fcp bebek tedavisi (IVF) sperm say\u0131s\u0131n\u0131n \u00e7ok az miktarda oldu\u011fu veya spermlerde ileri derecede hareket ve \u015fekil bozuklu\u011funun oldu\u011fu erkekten kaynaklanan sorunlarda veya sperm ve yumurtan\u0131n birle\u015fti\u011fi yer olan t\u00fcplerin (fallop t\u00fcpleri) b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fcn ve iletiminin bozuldu\u011fu t\u00fcplerden kaynaklanan sorunlarda uygulanmaktad\u0131r.<\/mark><\/strong><\/p>\n\n\n\n<p>Polikistik over sendromu olan kad\u0131nlar\u0131n b\u00fcy\u00fck bir k\u0131sm\u0131 t\u00fcp bebek tedavisine gerek kalmadan daha basit tedavi y\u00f6ntemleriyle hamile kalabilmektedir. <\/p>\n\n\n\n<p>Bu nedenle polikistik over sendromu\u2019nda t\u00fcp bebek tedavisinin \u00f6ncelikli bir yeri yoktur.<\/p>\n\n\n\n<p> Ancak yumurta geli\u015fimi ve yumurtlama sorunu ile birlikte erkekten veya kad\u0131n\u0131n t\u00fcplerinden kaynaklanan ba\u015fka sorunlarda varsa t\u00fcp bebek tedavisi tercih edilebilir.<\/p>\n\n\n\n<p class=\"has-text-align-center\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-pink-color\">Tedavi se\u00e7enekleri kad\u0131n\u0131n ya\u015f\u0131, polikistik over sendromu\u2019nun tipi (A,B,C), ultrasonda yumurtal\u0131klar\u0131n g\u00f6r\u00fcn\u00fcm\u00fc,\u00a0kilo fazlal\u0131\u011f\u0131,\u00a0\u015fi\u015fmanl\u0131k,\u00a0ins\u00fclin direnci ve \u015feker sorunlar\u0131, yumurta geli\u015fimi ve yumurtlama sorunu ile birlikte erkekten veya kad\u0131n\u0131n t\u00fcplerinden kaynaklanan ba\u015fka sorunlar\u0131n olup olmamas\u0131na g\u00f6re ki\u015fiden ki\u015fiye farkl\u0131 \u015fekillerde bazen birden fazla tedavi se\u00e7ene\u011fi birlikte, bazen de bir tedavi se\u00e7ene\u011fi tek ba\u015f\u0131na uygulanmaktad\u0131r.<\/mark><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Adet kanamas\u0131n\u0131n 1. g\u00fcn\u00fcnden itibaren ba\u015flayan ve takip eden adet kanamas\u0131n\u0131n 1. g\u00fcn\u00fcne kadar devam eden d\u00f6nem bir&nbsp;adet d\u00f6ng\u00fcs\u00fcd\u00fcr (\u00d6rne\u011fin; 30 g\u00fcn). Bir adet d\u00f6ng\u00fcs\u00fcn\u00fcn sonunda adet kanamas\u0131n\u0131n olmas\u0131 genel olarak o adet d\u00f6ng\u00fcs\u00fc i\u00e7inde&nbsp;yumurtan\u0131n b\u00fcy\u00fcd\u00fc\u011f\u00fcn\u00fc ve yumurtlaman\u0131n&nbsp;oldu\u011funu g\u00f6stermektedir. \u00d6rne\u011fin; Her ay bir kere adet kanamas\u0131 olan bir kad\u0131nda bir y\u0131l i\u00e7inde ortalama 12 defa, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8216","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages\/8216","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/comments?post=8216"}],"version-history":[{"count":16,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages\/8216\/revisions"}],"predecessor-version":[{"id":11445,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages\/8216\/revisions\/11445"}],"wp:attachment":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/media?parent=8216"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}