Education:
2023 Nuh Naci Yazgan University faculty of health sciences
Work experience:
Çapa Faculty of Medicine Oncology Institute 2022
Areas of interest:
Nutrition in diseases
Nutrition after gastric sleeve surgery and stomach botox
sports nutrition
Pregnant and Breastfeeding Nutrition
Nutrition in diabetes
Baby-child-adult nutrition
Getting fat
Allergy-food intolerance and nutrition
Losing weight
Adequate balanced and healthy nutrition
Nutrition in eating behavior disorders
weight maintenance
institutional nutrition
sports nutrition
“Ovarian hyperstimulation syndrome”, also known as Ovarian Hyperstimulation Syndrome (OHSS), in the most basic way; It can be explained as a reaction to the hormones given to women for the development of the ovaries. During IVF treatment, women are given hormone drugs to stimulate and support egg development. When these hormone drugs stimulate the ovaries more than necessary, the syndrome of overstimulation of the ovaries occurs.
How Ovaries Stimulation Happens?
Ovarian hyperstimulation syndrome (OHSS) is an undesirable consequence of IVF treatment. Although the aim of IVF treatment is to develop a large number of eggs, OHSS may occur if more than a certain number of eggs develop.
Women with polycystic ovary syndrome are much more likely to have ovarian overstimulation syndrome. Excessive response to the drugs given to stimulate the ovaries prepares the ground for encountering this syndrome. During the stimulation of the ovaries, there is a fine line between stimulating the desired number of eggs and over-stimulating the ovaries. It is not always possible to determine this point clearly. When there is overstimulation, reducing the dose of ovarian stimulating drugs and not giving the drug for a day or more, if needed, can prevent the excessive rise of estrogen.
Symptoms of ovarian hyperstimulation syndrome can be mild, moderate or severe. These symptoms are;
-Increased ovarian size
- Abdominal pain, bloating, shortness of breath, decreased urination
-Fluid accumulation in the abdominal cavity
-Coagulation disorders
It can be seen as fluid collection in the chest cavity. It is extremely important to follow these situations closely and to get medical support when necessary.
How is Ovarian Overstimulation Syndrome Treated?
OHSS treatment is carried out to relieve the expectant mother, reduce ovarian activity and prevent complications. However, OHSS can be performed in two different ways as drug and surgical treatment. In mild cases, no additional treatment is required other than outpatient follow-up and severe physical activity restriction, and the patient can usually recover in 10-14 days. Moderate and severe cases may require hospitalization and treatment. In most cases, women who have had OHSS can continue IVF. It is still possible to become pregnant despite OHSS, but these symptoms may worsen if pregnancy occurs. In this case, the patient is followed closely under the supervision of a doctor.
IVF treatment, which is preferred by couples who cannot conceive naturally and cannot have children, is a source of hope for couples who cannot have children due to the development of medicine and technology. IVF treatment is the fertilization of male and female reproductive cells outside the body under laboratory conditions. Currently, couples have a 95 percent chance of success with IVF treatments. IVF treatment is one of the most successful methods in the treatment of infertility, the cause of which is not clear, or which cannot be conceived in the most natural ways. If couples do not succeed in their first attempts at IVF treatments, they should not despair and stress immediately. Because there are no restrictions on IVF treatment.
How many times can IVF treatment be tried?
A study conducted on couples undergoing IVF treatment shows that the rate of achieving pregnancy in couples after the first three trials is 95 percent. In addition, no number can be given about the number of treatments in the remaining group. The experts are also 4. or 5. there is an opinion that the chances of IVF success in trials are slightly lower than in the first three trials. The success rate of IVF treatment does not depend on many attempts. Multiple factors, such as the age of the couples, obtaining a quality embryo, affect the success rate of IVF treatment at a critical point.
Is Success Achieved in the First Attempt in IVF?
The chances of pregnancy during the one-month treatment period with the insemination method or ovulation treatments are about 20% or slightly more than the chances of a healthy couple becoming pregnant in a month. These treatments can be tried 3 or 4 times until pregnancy is achieved, but most of the pregnancies are obtained in the first months of treatment. Continuing treatment for more than 4 years will not increase the chances of pregnancy, so you can switch to IVF treatment.
Currently, thanks to newly developed methods and applications, the success rate of in vitro fertilization treatment is gradually increasing, if success is not achieved at the first attempt, repeated attempts can be made. The chance of becoming pregnant in a month with IVF treatments varies depending on age, but on average it is up to 50-60%. Pregnancy rates can increase by more than 90% after 4 applications when more than one treatment is performed in a row. For this reason, the chances of becoming pregnant increase with the number of attempts in couples who do not have a specific problem.
The application of Botulinum toxin (botox) to the stomach is a relatively new weight loss method based on the endoscopic injection of Botulinum toxin into certain parts of the stomach. Gastric botox, which provides "weight loss" without the need for surgical intervention, is the most preferred among the non-surgical slimming options.
Who is Stomach Botox suitable for?
Stomach botox can actually be applied to anyone who wants to lose weight. This procedure is not an obesity surgery. Our patients who meet the following criteria can choose it.
Our patients, who cannot lose weight properly with diet and sports,
Our patients with a body mass index below 40,
For our patients with stomach ulcers or gastritis, they can have stomach botox after the treatment process is completed.
Who can't be applied stomach botox?
Like every application, there are people who should not be treated with stomach botox. Stomach botox should not be applied to cancer patients, especially pregnant women, those who are undergoing cancer treatment, those who have had recent surgery and those who have gastrointestinal system diseases. Also; It is not recommended to apply stomach botox alone to people whose body mass index is above 35 kg/m2. Because it will not be appropriate to reduce the targeted weight only with stomach botox, combined treatments or bariatric surgery will be more suitable for these patients.