Bir\u00e7ok insan\u0131n kar\u015f\u0131la\u015ft\u0131\u011f\u0131 bir sorudur. Ulusal Sa\u011fl\u0131k Enstit\u00fcleri, erkeklerin ve do\u011fumda erkek (AMAB) olarak atanan ki\u015filerin %9’unun do\u011furganl\u0131k sorunlar\u0131 ya\u015fad\u0131\u011f\u0131n\u0131 tahmin ediyor.<\/p>\n
Erkeklerde ve AMAB insanlarda, do\u011furganl\u0131\u011f\u0131n azalmas\u0131 genellikle d\u00fc\u015f\u00fck testosteron seviyeleri ile ili\u015fkilidir ve genellikle “d\u00fc\u015f\u00fck T” olarak adland\u0131r\u0131l\u0131r. D\u00fc\u015f\u00fck T = d\u00fc\u015f\u00fck sperm say\u0131s\u0131 = daha d\u00fc\u015f\u00fck \u00fcreme olas\u0131l\u0131\u011f\u0131.<\/p>\n
Buradaki anahtar, yine de, d\u00fc\u015f\u00fck olas\u0131l\u0131kt\u0131r. D\u00fc\u015f\u00fck T ile ya\u015famak, sizin ve e\u015finizin \u00e7ocuk sahibi olamayaca\u011f\u0131n\u0131z anlam\u0131na gelmez. \u015eans\u0131n\u0131z\u0131 artt\u0131rman\u0131n yollar\u0131 var.<\/p>\n
DO, endokrinolog Kevin Pantalone ile d\u00fc\u015f\u00fck testosteronun do\u011furganl\u0131\u011f\u0131 ne kadar etkiledi\u011fi ve \u015fans\u0131n\u0131z\u0131 nas\u0131l art\u0131rabilece\u011finiz hakk\u0131nda konu\u015ftuk.<\/p>\n
Testosteron seviyeleri normal aral\u0131kta olan ki\u015filerde tek bir bo\u015falma mililitrede 15 milyondan fazla sperm i\u00e7erebilir. Testosteron seviyeleriniz d\u00fc\u015f\u00fckse, sperm say\u0131n\u0131z da d\u00fc\u015f\u00fck olabilir ve bu da gebe kalma \u015fans\u0131n\u0131z\u0131 azalt\u0131r.<\/p>\n
Yine de bir dakika i\u00e7in mikro olal\u0131m. \u0130\u015fte spermin nas\u0131l olu\u015ftu\u011funun k\u0131sa hikayesi:<\/p>\n
Hipofiz beziniz (beyninizin hormon sal\u0131n\u0131m\u0131n\u0131 kontrol eden k\u0131sm\u0131) iki hormon \u00fcretir: folik\u00fcl uyar\u0131c\u0131 hormon (FSH) ve l\u00fcteinize edici hormon (LH).<\/p>\n
LH, testislerinize testosteron yapmas\u0131n\u0131 s\u00f6yler.<\/p>\n
Testosteron daha sonra sperm \u00fcretmek i\u00e7in FSH ile birlikte \u00e7al\u0131\u015f\u0131r.<\/p>\n
Dr. Pantalone, sperm olu\u015fturmak i\u00e7in testislerinizde \u00e7ok fazla testosterona ihtiya\u00e7 oldu\u011funu s\u00f6yl\u00fcyor. Dolay\u0131s\u0131yla, d\u00fc\u015f\u00fck testosteron ya\u015f\u0131yorsan\u0131z, 2. ad\u0131mda tak\u0131l\u0131p kalabilirsiniz, bu da sonu\u00e7ta daha az sperm \u00fcretti\u011finiz anlam\u0131na gelir.<\/p>\n
“Bu, erkeklerde d\u00fc\u015f\u00fck testosteron ve k\u0131s\u0131rl\u0131k ile ilgili g\u00f6rd\u00fc\u011f\u00fcm\u00fcz birincil sorundur. D\u00fc\u015f\u00fck testosteron, daha d\u00fc\u015f\u00fck sperm say\u0131s\u0131 anlam\u0131na gelir. Bu, hamile kalamayaca\u011f\u0131n\u0131z anlam\u0131na gelmez, ancak \u015fans\u0131 azalt\u0131r\u201d diyor Dr. Pantalone.<\/p>\n
Dr. Pantalone, ek olarak, d\u00fc\u015f\u00fck testosteronla ya\u015faman\u0131n cinsel i\u015flevinizi etkileyebilece\u011fini s\u00f6yl\u00fcyor. D\u00fc\u015f\u00fck libido ve erektil disfonksiyon, d\u00fc\u015f\u00fck T’nin yayg\u0131n semptomlar\u0131d\u0131r ve bu, gebe kalma \u015fans\u0131n\u0131z\u0131 daha da azaltabilir.<\/p>\n
Tamam, \u00e7ok d\u00fc\u015f\u00fck T, daha fazla T’ye ihtiyac\u0131n\u0131z oldu\u011fu anlam\u0131na gelir, bu da testosteron tedavisine ihtiyac\u0131n\u0131z oldu\u011fu anlam\u0131na gelir, de\u011fil mi?<\/p>\n
Asl\u0131nda hay\u0131r. Sezgilere ayk\u0131r\u0131 gelebilir, ancak testosteron tedavisi asl\u0131nda sizi sperm \u00fcretmekten al\u0131koyabilir.<\/p>\n
Dr. Pantalone, “Testosteron tedavisi kan\u0131n\u0131zdaki dola\u015f\u0131mdaki testosteronunuzu art\u0131racakt\u0131r, ancak sperm \u00fcretimi i\u00e7in gerekli olan testislerdeki testosteronu art\u0131rmaz” diye a\u00e7\u0131kl\u0131yor. “Asl\u0131nda, testosteron tedavisi sperm say\u0131n\u0131z\u0131 daha da azaltabilir, bu nedenle aile kurmak isteyenler i\u00e7in \u00f6nerilmez.”<\/p>\n
Arz ve talep gibi d\u00fc\u015f\u00fcn\u00fcn. Testosteronunuzu yamalar, haplar, enjeksiyonlar veya kremler yoluyla art\u0131rd\u0131\u011f\u0131n\u0131zda, v\u00fccudunuz bol miktarda testosteron kayna\u011f\u0131 oldu\u011funu d\u00fc\u015f\u00fcn\u00fcr ve bu nedenle testislerinizde daha fazla \u00fcretmez. Bu, testislerinizdeki – sperm \u00fcretimi i\u00e7in \u00f6nemli olan – testosteron seviyelerinin d\u00fc\u015f\u00fck kalaca\u011f\u0131 anlam\u0131na gelir.<\/p>\n
Sperm say\u0131n\u0131z\u0131 art\u0131rman\u0131n yollar\u0131<\/p>\n
Erkek do\u011furganl\u0131\u011f\u0131 hakk\u0131nda pek \u00e7ok efsane var (hay\u0131r, e\u011fer senin i\u015fin buysa, s\u0131k\u0131 beyazl\u0131klar\u0131 atmak zorunda de\u011filsin). Ger\u00e7ek \u015fu ki, genel sa\u011fl\u0131\u011f\u0131n\u0131za dikkat etmek, testosteron seviyenizi art\u0131rmak i\u00e7in en iyi se\u00e7ene\u011finiz olabilir.<\/p>\n
Testosteronu art\u0131rmak ve sperm \u00fcretimini art\u0131rmak i\u00e7in kan\u0131tlanm\u0131\u015f stratejiler \u015funlar\u0131 i\u00e7erir:<\/p>\n
Kronik hastal\u0131klar\u0131 diyet, egzersiz ve di\u011fer ya\u015fam tarz\u0131 de\u011fi\u015fiklikleri yoluyla y\u00f6netmek.<\/p>\n
\u0130nsan koryonik gonadotropin (HCG) enjeksiyonlar\u0131 – testislerinizin testislerinizdeki testosteron d\u00fczeylerini y\u00fckseltmesine ve sperm \u00fcretimini iyile\u015ftirmesine yard\u0131mc\u0131 olabilecek bir hormon tedavisi.<\/p>\n
Sigara i\u00e7memek.<\/p>\n
Yasad\u0131\u015f\u0131 uyu\u015fturucu kullanmamak.<\/p>\n
Alkol kullan\u0131m\u0131n\u0131 s\u0131n\u0131rlamak.<\/p>\n
Dr. Pantalone, testosteronunuzun d\u00fc\u015f\u00fck oldu\u011funu biliyorsan\u0131z veya siz ve e\u015finiz alt\u0131 aydan bir y\u0131la kadar ba\u015far\u0131l\u0131 bir \u015fekilde hamile kalmaya \u00e7al\u0131\u015f\u0131yorsan\u0131z, bir sonraki ad\u0131m\u0131n\u0131z bir do\u011furganl\u0131k uzman\u0131na gitmek olmal\u0131d\u0131r.<\/p>\n
Bir do\u011furganl\u0131k uzman\u0131, sizi ve e\u015finizi herhangi bir do\u011furganl\u0131k sorunu i\u00e7in test edebilir ve ailenizi kurma veya b\u00fcy\u00fctme \u015fans\u0131n\u0131z\u0131 art\u0131rmak i\u00e7in se\u00e7enekler \u00f6nerebilir. Ayr\u0131ca intrauterin tohumlama (IUI) ve t\u00fcp bebek (IVF) gibi se\u00e7enekleri sizinle tart\u0131\u015fabilirler . Dr. Pantalone, k\u0131s\u0131rl\u0131k nedenleri i\u00e7in bir ara\u015ft\u0131rma yap\u0131l\u0131rken hem sizin hem de e\u015finizin de\u011ferlendirilmesinin son derece \u00f6nemli oldu\u011funu s\u00f6yl\u00fcyor.<\/p>\n
Azalm\u0131\u015f do\u011furganl\u0131kla ya\u015famak duygusal olarak ac\u0131 verici ve izole edici olabilir. Do\u011furganl\u0131k sorunlar\u0131 ya\u015fayan insanlar genellikle depresif, kederli veya yetersiz hissettiklerini bildirirler. Partnerinizi desteklemek , lisansl\u0131 bir ruh sa\u011fl\u0131\u011f\u0131 uzman\u0131yla konu\u015fmak ve deneyiminizi payla\u015fan ba\u015fkalar\u0131yla bir topluluk bulmak yard\u0131mc\u0131 olabilir. Sa\u011fl\u0131k uzman\u0131n\u0131za, k\u0131s\u0131rl\u0131k ya\u015fayan insanlar i\u00e7in terapi ve destek gruplar\u0131 gibi zihinsel sa\u011fl\u0131k deste\u011fi hakk\u0131nda dan\u0131\u015f\u0131n – yaln\u0131z de\u011filsiniz ve umut var.<\/p>\n","protected":false},"excerpt":{"rendered":"
Bir\u00e7ok insan\u0131n kar\u015f\u0131la\u015ft\u0131\u011f\u0131 bir sorudur. Ulusal Sa\u011fl\u0131k Enstit\u00fcleri, erkeklerin ve do\u011fumda erkek (AMAB) olarak atanan ki\u015filerin %9’unun do\u011furganl\u0131k sorunlar\u0131 ya\u015fad\u0131\u011f\u0131n\u0131 tahmin ediyor. Erkeklerde ve AMAB insanlarda, do\u011furganl\u0131\u011f\u0131n azalmas\u0131 genellikle d\u00fc\u015f\u00fck testosteron seviyeleri ile ili\u015fkilidir ve genellikle “d\u00fc\u015f\u00fck T” olarak adland\u0131r\u0131l\u0131r. D\u00fc\u015f\u00fck T = d\u00fc\u015f\u00fck sperm say\u0131s\u0131 = daha d\u00fc\u015f\u00fck \u00fcreme olas\u0131l\u0131\u011f\u0131. Buradaki anahtar, yine de, …<\/p>\n","protected":false},"author":8,"featured_media":38332,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-38330","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/38330","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=38330"}],"version-history":[{"count":2,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/38330\/revisions"}],"predecessor-version":[{"id":38333,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/38330\/revisions\/38333"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/media\/38332"}],"wp:attachment":[{"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=38330"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=38330"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=38330"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}