Dr. Sabri Berkem Okten

Dr. Sabri Berkem Okten Kadın Hastalıkları ve Doğum Uzmanı
Obstetrics and Gynecology Specialist M.D. Acıbadem Kozyata?

Bugün, çocukların güvenle büyümesi gereken bir dünyada, umutların gölgelendiği zamanlardan geçiyoruz. 🇹🇷 Geleceğe her ko...
23/04/2026

Bugün, çocukların güvenle büyümesi gereken bir dünyada, umutların gölgelendiği zamanlardan geçiyoruz.
🇹🇷 Geleceğe her koşulda umutla bakan ve o geleceği çocuklara emanet eden Mustafa Kemal Atatürk’ün armağanı; 23 Nisan Ulusal Egemenlik ve Çocuk Bayramı’mız tam da bu yüzden, yalnızca bir kutlama değil; geleceğe sahip çıkma sorumluluğumuzun bir hatırlatıcısıdır.
Çünkü bu ülkenin yarınları, yalnızca bugünün çocuklarına değil; Cumhuriyet’in değerlerine sahip çıkan, Atamızın daimi çocukları olan bizlere de emanettir.
Atamızın açtığı yolda, gösterdiği hedefe; aklın, bilimin ve vicdanın ışığında, umutla yürümek her zamankinden daha önemli… ☀️
23 Nisan Ulusal Egemenlik ve Çocuk Bayramı’mız kutlu olsun 🇹🇷
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07/04/2026

Gebelik nasıl oluşur?
🏴󠁧󠁢󠁥󠁮󠁧󠁿 How Does Natural Conception Occur?
🚻 After in*******se, s***m travel through the cervix into the uterus and then to the fallopian tubes. Following ovulation, the egg is captured by the tube, where fertilization takes place.
🗓️About five days later, the fertilized egg reaches the uterine cavity, implants into the lining, and continues its development there.
🔺Infertility may occur if there is:
🔹A blockage in the fallopian tubes
🔹Reduced s***m count or motility
🔹A problem with ovulation
✅ Through various treatment approaches, we aim to address and overcome these factors.

16/02/2026

Tüp bebek gebeliklerinde son adet tarihi gebelik yaşını yansıtır mı?

🏴󠁧󠁢󠁥󠁮󠁧󠁿 Does the last menstrual period reflect gestational age in IVF pregnancies?

➡️ In IVF treatments, ovulation does not occur within a natural cycle, and the timing of embryo transfer varies depending on the treatment protocol used. Therefore, calculating gestational age based on the actual last menstrual period (LMP) can sometimes be misleading.
🧐 So how should we respond when asked about the last menstrual period during pregnancy follow-ups?
➡️In a woman with regular cycles, ovulation typically occurs 14 days after the first day of menstruation, and the fertilized egg implants in the uterus approximately 5 days later.

🧮 In other words, we consider that a day-5 embryo implants around 19 days after the first day of the cycle:

📌 If a day-5 embryo was transferred:
Count back 19 days from the embryo transfer date to determine the adjusted last menstrual period.

📌 If a day-3 embryo was transferred:
Count back 17 days from the transfer date.

✅ Briefly, in IVF pregnancies, gestational age is sometimes calculated not according to the actual last menstrual period, but according to the developmental age of the embryo at transfer.

09/02/2026

Sıklıkla kafa karışıklığına neden olan bir konu: Gebelik Yaşı Hesaplama
🏴󠁧󠁢󠁥󠁮󠁧󠁿 Calculating gestational age can sometimes be a little confusing 🤔
🤰🏻We use the first day of the last menstrual period (LMP) to determine pregnancy age and then check whether this calculated week is consistent with ultrasound measurements.
➡️ In reality, fertilization does not occur on the first day of the period. However, the first day of menstruation serves as a practical reference point that makes it easier to calculate gestational age and estimate the expected due date.
✅ In women with regular cycles, ovulation typically occurs about 14 days after the first day of the period, and it is this ovulated egg that is fertilized. Therefore, the actual embryonic age is approximately two weeks younger than the gestational age calculated based on the last menstrual period.
🧩 In women with irregular cycles, the last menstrual period can be misleading when dating the pregnancy. In such cases, we usually revise the gestational age according to ultrasound measurements. ✅

02/02/2026

Embryo transferinin ertelenmesi ne anlam taşır?

🏴󠁧󠁢󠁥󠁮󠁧󠁿 Why would an embryo transfer be postponed, and what does that really mean for your treatment?
🎈 Embryo transfer day is often the most exciting and emotional milestone for couples going through IVF. 🤍

🗓️ However, treatment does not always move forward exactly as planned — and sometimes we may decide to postpone the embryo transfer.

📍The most important factor here is ensuring that the endometrium is optimally prepared. A delay can be recommended to achieve the ideal endometrial thickness and structure, and to ensure that your hormonal levels are perfectly aligned for implantation.

✅This decision is a strategic step taken to maximize your chances of pregnancy and create the best possible environment for your embryo.

If your transfer is postponed, please don’t lose hope. Sometimes waiting a little longer means giving your embryo the best possible start. 😊

28/01/2026

Tüp bebek tedavilerinde transfer edilecek embriyoyu nasıl seçiyoruz ?
🏴󠁧󠁢󠁥󠁮󠁧󠁿 How do we choose the embryo for transfer in IVF treatment?
Embryos are monitored day by day in the laboratory based on their cleavage rate, cell structure, and stage of development.
When selecting which embryo to transfer—especially among those that have reached day 5—we use a grading system.
❗️I’d like to clarify a very common misunderstanding here ❗️
The numbers you often see, such as 3, 4, or 5, do not indicate embryo quality. They simply describe the embryo’s developmental stage—how much it has expanded.
➡️ The indicators of quality are the letters, such as AA or AB, which reflect the structure of the inner cell mass and the outer cell layer.
✅ So what really matters is not the number of the embryo, but whether it is the right embryo. 👌🏻

Hoşgeldin Umay ❤️ Keyifli bir hikayesi ile karşıladık Umay’ı 🎉Muayenemizi yaptık ve artık Umay gelmiyorsa biz başlatal...
26/01/2026

Hoşgeldin Umay ❤️
Keyifli bir hikayesi ile karşıladık Umay’ı 🎉
Muayenemizi yaptık ve artık Umay gelmiyorsa biz başlatalım doğumu diyerek, ertesi gün hastaneye yatış yapmayı planlayarak eve uğurladık çiftimizi 😊
Birkaç saat sonra kendi sancıları ve su gelişi ile geri geldi sevgili 😁😁 ve daha gün bitmeden 23.10’da kavuştuk Umay’a ❤️
✅ 1.5 ay önce gün tahmini yaptığımda da tam tutturmuş olduğumu hatırlattı çiçeği burnunda babamız 😎😁
Sohbet, muhabbet, keyifli bir doğumdan karelerimiz 😊
Hoşgeldin Umay, sağlıklı, mutlu, sevdiklerinle birlikte, upuzun bir ömrün olsun 💐❤️

22/01/2026

Tüp Bebek tedavilerinde çoğul gebelik çok daha sık mı görülür? 👶🏻👶🏻
🏴󠁧󠁢󠁥󠁮󠁧󠁿 Are multiple (twin or higher) pregnancies much more common in assisted reproductive treatments?

🔍In previous years, the answer to this question was “Yes”.
The reason for this was that the freezing and subsequent thawing procedures used for embryo preservation could adversely affect embryo viability and quality. Therefore, in order to increase the chance of pregnancy, the transfer of more than one embryo into the uterus was a commonly preferred approach.
✅ However, the situation has changed in recent years. With advances in cryopreservation technology, freezing and thawing processes no longer have a negative impact on embryo viability or quality.
❇️ As a result, single embryo transfer has become the preferred strategy in most assisted reproductive treatments. Consequently, the rate of multiple pregnancies following in vitro fertilization has significantly decreased.

12/01/2026

🎯 Tüpbebek tedavilerinde başarıyı artırmak için kullanılan yöntemler

🏴󠁧󠁢󠁥󠁮󠁧󠁿 Methods used to improve success in IVF treatments

When a s***m enters the egg during fertilization, it triggers the process known as oocyte activation. In IVF treatments, the presence of a severe s***m count or quality problem may sometimes lead to low fertilization rates or even complete fertilization failure, because adequate oocyte activation cannot be achieved.
🔬 At this point, we can employ several methods to support oocyte activation in IVF procedures.
🎯 Depending on the clinical situation, mechanical, chemical, or electrical activation techniques can be preferred. In appropriately selected cases, these approaches allow us to obtain better fertilization rates and consequently embryos of higher number and quality.

07/01/2026

Tüp bebek başarısında kaç deneme gerekli?

🏴󠁧󠁢󠁥󠁮󠁧󠁿 How many attempts are required for IVF success?

🧐 Actually, there is no definitive answer to this question, but woman’s age and ovarian reserve play a very important role in determining the response.
❗️As age advances, both the number and the quality of oocytes decline. Therefore, even if a large number of eggs are retrieved, the likelihood that they will fertilize and progress into a healthy embryo decreases.

➡️ For example, you retrieved 10 oocytes. Six of them fertilized, and three developed into day-5 embryos. However, only one was found to be genetically normal. You proceeded with a transfer, and pregnancy either did or did not occur.

✅We know that in every cycle, the developmental potential of the eggs your body provides—and their implantation capacity—can be different. Under the right treatment protocol and optimal laboratory conditions, it is sometimes possible to achieve pregnancy and a healthy live birth with a single retrieved oocyte, while in other cases, repeated attempts may be required despite retrieving many eggs.

🤞So the key point we should focus on is not “how many attempts are necessary,” but rather understanding that each attempt represents a new page.

It is important to know that even after 3–4 unsuccessful cycles, your chance of achieving pregnancy does not necessarily decline.
☀️In fact, scientific data also tell us the same thing: do not lose hope.

Tüp bebek başarısında kaç deneme gerekli? (Olası senaryo görseli için kaydırın ➡️)🏴󠁧󠁢󠁥󠁮󠁧󠁿 How many attempts are required...
07/01/2026

Tüp bebek başarısında kaç deneme gerekli?
(Olası senaryo görseli için kaydırın ➡️)

🏴󠁧󠁢󠁥󠁮󠁧󠁿 How many attempts are required for IVF success?
🧐 Actually, there is no definitive answer to this question, but woman’s age and ovarian reserve play a very important role in determining the response.
❗️As age advances, both the number and the quality of oocytes decline. Therefore, even if a large number of eggs are retrieved, the likelihood that they will fertilize and progress into a healthy embryo decreases.

➡️ For example, you retrieved 10 oocytes. Six of them fertilized, and three developed into day-5 embryos. However, only one was found to be genetically normal. You proceeded with a transfer, and pregnancy either did or did not occur.

✅We know that in every cycle, the developmental potential of the eggs your body provides—and their implantation capacity—can be different. Under the right treatment protocol and optimal laboratory conditions, it is sometimes possible to achieve pregnancy and a healthy live birth with a single retrieved oocyte, while in other cases, repeated attempts may be required despite retrieving many eggs.

🤞So the key point we should focus on is not “how many attempts are necessary,” but rather understanding that each attempt represents a new page.

It is important to know that even after 3–4 unsuccessful cycles, your chance of achieving pregnancy does not necessarily decline.
☀️In fact, scientific data also tell us the same thing: do not lose hope.

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Acıbadem Kozyatagı Hastanesi
Istanbul
34736

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