{"id":20577,"date":"2023-05-07T07:08:15","date_gmt":"2023-05-07T05:08:15","guid":{"rendered":"https:\/\/vestionline.com\/?p=20577"},"modified":"2023-05-07T07:08:15","modified_gmt":"2023-05-07T05:08:15","slug":"sterilitet-4","status":"publish","type":"post","link":"https:\/\/vestionline.com\/sterilitet-4\/","title":{"rendered":"Sterilitet"},"content":{"rendered":"<div class=\"main-head\">\n<h1 class=\"entry-title\" data-attribute-id=\"single-post-title\">\u0160ta sve mo\u017ee da izazove mu\u0161ki sterilitet i koja je najbolja prevencija<\/h1>\n<div class=\"meta\">\n<div class=\"meta-wrapper\"><span class=\"cat-name\"><a class=\"cat-name__link\" href=\"https:\/\/n1info.rs\/zdravlje\/\" data-attribute-id=\"cat-name-link\">ZDRAVLJE\u00a0<\/a><\/span><span class=\"post-author\" data-attribute-id=\"post-author\"><a class=\"fn\" target=\"_blank\" rel=\"author noopener\"><b>Autor<\/b>\u00a0Lidija Rov\u010danin<\/a>\u00a0<\/span><span class=\"post-time\" data-attribute-id=\"post-time\">06. maj 202321:2<\/span><\/div>\n<\/div>\n<\/div>\n<div id=\"post-11051340\" class=\"post-11051340 post type-post status-publish format-standard hentry category-zdravlje tag-dr-bozana-stepanov tag-muski-sterilitet tag-vantelesna-oplodnja\">\n<div class=\"entry-content\">\n<div class=\"uc-social-bar-wrapper\">\n<div class=\"uc-social-bar\">\n<div class=\"uc-social-bar-icons\">\n<div class=\"uc-icon-wrap\"><\/div>\n<div class=\"uc-icon-wrap\"><\/div>\n<div class=\"uc-icon-wrap\"><\/div>\n<div class=\"uc-icon-wrap\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"feature-media image\"><img loading=\"lazy\" class=\"attachment-featured-single size-featured-single\" src=\"https:\/\/n1info.rs\/wp-content\/uploads\/2023\/05\/05\/1683269720-sterilitet-750x500.jpg\" sizes=\"(max-width: 750px) 100vw, 750px\" srcset=\"https:\/\/n1info.rs\/wp-content\/uploads\/2023\/05\/05\/1683269720-sterilitet-750x500.jpg 750w, https:\/\/n1info.rs\/wp-content\/uploads\/2023\/05\/05\/1683269720-sterilitet-300x200.jpg 300w, https:\/\/n1info.rs\/wp-content\/uploads\/2023\/05\/05\/1683269720-sterilitet-1024x683.jpg 1024w, https:\/\/n1info.rs\/wp-content\/uploads\/2023\/05\/05\/1683269720-sterilitet-768x512.jpg 768w, https:\/\/n1info.rs\/wp-content\/uploads\/2023\/05\/05\/1683269720-sterilitet-1536x1024.jpg 1536w, https:\/\/n1info.rs\/wp-content\/uploads\/2023\/05\/05\/1683269720-sterilitet-2048x1365.jpg 2048w, https:\/\/n1info.rs\/wp-content\/uploads\/2023\/05\/05\/1683269720-sterilitet-175x117.jpg 175w, https:\/\/n1info.rs\/wp-content\/uploads\/2023\/05\/05\/1683269720-sterilitet-1200x800.jpg 1200w, https:\/\/n1info.rs\/wp-content\/uploads\/2023\/05\/05\/1683269720-sterilitet-220x147.jpg 220w, https:\/\/n1info.rs\/wp-content\/uploads\/2023\/05\/05\/1683269720-sterilitet-330x220.jpg 330w, https:\/\/n1info.rs\/wp-content\/uploads\/2023\/05\/05\/1683269720-sterilitet-550x366.jpg 550w, https:\/\/n1info.rs\/wp-content\/uploads\/2023\/05\/05\/1683269720-sterilitet-900x600.jpg 900w\" alt=\"mu\u0161ki sterilitet\" width=\"750\" height=\"500\" data-attribute-id=\"featured-zone-image\" \/>Shutterstock\/tommaso79<\/div>\n<p><strong data-attribute-id=\"emphasized-text\">Kada \u017eele da se ostvare kao roditelji, a to nije mogu\u0107e u prirodnom odnosu, \u017eene i mu\u0161karci upu\u0107uju se na neki od postupaka medicinski potpomognute oplodnje ( VTO).<\/strong><\/p>\n<div class=\"article-banner\">\n<div id=\"div-gpt-ad-1620632716371-0\" class=\" div-gpt-ad-1620632716371-0-loaded\">\n<div id=\"\/21876124292\/N1-SRB\/n1-srb-inText\" data-google-query-id=\"CL7-2oC34v4CFTLAuwgdwWAAQg\">\n<div id=\"google_ads_iframe_\/21876124292\/N1-SRB\/n1-srb-inText_0__container__\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>\u201eU tom procesu, od po\u010detka se i jedni i drugi podvrgavaju ispitivanju, jer \u2013 i \u017eena i mu\u0161karac, prema statistici, jednako mogu biti pogo\u0111eni\u00a0<a href=\"https:\/\/n1info.rs\/tag\/sterilitet\/\">sterilitetom<\/a>. Statistika nekad ne poma\u017ee, pa se lekarima na klinikama za vantelesnu oplodnju, ka\u017eu stru\u010dnjaci, danas javljanju parovi kojima je te\u0161ko da prihvate da je \u201cproblem\u201d mu\u0161ki sterilitet\u201c, obja\u0161njava za portal N1 dr Bo\u017eana Stepanov, specijalista ginekologije i aku\u0161erstva.<\/p>\n<section class=\"uc-block-post-grid in-post-related-news\" data-attribute-id=\"related-news\">\n<div class=\"uc-post-grid-block-header\">\n<h2 class=\"uc-post-grid-section-title\" data-attribute-id=\"related-news-section-title\">PRO\u010cITAJTE JO\u0160:<\/h2>\n<\/div>\n<div class=\"uc-post-grid-items is-list\">\n<article id=\"post-10283213\" class=\"uc-post-grid-item post-10283213 post type-post status-publish format-standard hentry category-zdravlje tag-vantelesna-oplodnja\" title=\"Vantelesna oplodnja: Svaki \u0161esti par u Srbiji ima problem sa sterilitetom\" data-attribute-id=\"related-news-post-10283213\">\n<div class=\"uc-block-post-grid-image\"><a href=\"https:\/\/n1info.rs\/zdravlje\/vantelesna-oplodnja\/\"><img loading=\"lazy\" class=\"attachment-featured-block-small size-featured-block-small\" src=\"https:\/\/n1info.rs\/wp-content\/uploads\/2022\/09\/12\/1662966158-shutterstock_1193897125-175x117.jpg\" sizes=\"(max-width: 175px) 100vw, 175px\" srcset=\"https:\/\/n1info.rs\/wp-content\/uploads\/2022\/09\/12\/1662966158-shutterstock_1193897125-175x117.jpg 175w, https:\/\/n1info.rs\/wp-content\/uploads\/2022\/09\/12\/1662966158-shutterstock_1193897125-750x500.jpg 750w, https:\/\/n1info.rs\/wp-content\/uploads\/2022\/09\/12\/1662966158-shutterstock_1193897125-1200x800.jpg 1200w, https:\/\/n1info.rs\/wp-content\/uploads\/2022\/09\/12\/1662966158-shutterstock_1193897125-220x147.jpg 220w, https:\/\/n1info.rs\/wp-content\/uploads\/2022\/09\/12\/1662966158-shutterstock_1193897125-330x220.jpg 330w, https:\/\/n1info.rs\/wp-content\/uploads\/2022\/09\/12\/1662966158-shutterstock_1193897125-550x366.jpg 550w\" alt=\"\" width=\"175\" height=\"117\" data-attribute-id=\"related-news-post-image-10283213\" \/><\/a><\/div>\n<div class=\"uc-block-post-grid-text\">\n<header class=\"uc-block-post-grid-header\">\n<h3 class=\"uc-block-post-grid-title\"><a class=\"uc-block-post-grid-title-link\" href=\"https:\/\/n1info.rs\/zdravlje\/vantelesna-oplodnja\/\" rel=\"bookmark\" data-attribute-id=\"related-news-post-title-link-10283213\">Vantelesna oplodnja: Svaki \u0161esti par u Srbiji ima problem sa sterilitetom<\/a><\/h3>\n<\/header>\n<\/div>\n<div class=\"uc-block-post-grid-byline mobile\">\n<div class=\"uc-block-post-grid-cat_name\"><a class=\"uc-block-post-grid-cat_name_link\" href=\"https:\/\/n1info.rs\/zdravlje\/\" data-attribute-id=\"related-news-post-cat-link-10283213\">ZDRAVLJE<\/a><\/div>\n<p><time class=\"uc-block-post-grid-date\" datetime=\"2022-09-13 08:06:02\" data-attribute-id=\"related-news-post-datetime-10283213\">13. sep 2022<\/time><a class=\"total-comments\" href=\"https:\/\/n1info.rs\/zdravlje\/vantelesna-oplodnja\/?comments\">24<\/a><\/div>\n<\/article>\n<article id=\"post-9473185\" class=\"uc-post-grid-item post-9473185 post type-post status-publish format-standard hentry category-vesti tag-miodrag-stojkovic tag-sterilitet tag-zagadjenje\" title=\"Geneti\u010dar Stojkovi\u0107: Zaga\u0111enje mo\u017ee da izazove i sterilitet i gubitak trudno\u0107e\" data-attribute-id=\"related-news-post-9473185\">\n<div class=\"uc-block-post-grid-image\"><a href=\"https:\/\/n1info.rs\/vesti\/geneticar-stojkovic-zagadjenje-moze-da-izazove-i-sterilitet-i-gubitak-trudnoce\/\"><img loading=\"lazy\" class=\"attachment-featured-block-small size-featured-block-small\" src=\"https:\/\/n1info.rs\/wp-content\/uploads\/2021\/12\/13\/1639433929-stojkovic-175x117.jpg\" sizes=\"(max-width: 175px) 100vw, 175px\" srcset=\"https:\/\/n1info.rs\/wp-content\/uploads\/2021\/12\/13\/1639433929-stojkovic-175x117.jpg 175w, https:\/\/n1info.rs\/wp-content\/uploads\/2021\/12\/13\/1639433929-stojkovic-750x500.jpg 750w, https:\/\/n1info.rs\/wp-content\/uploads\/2021\/12\/13\/1639433929-stojkovic-1200x800.jpg 1200w, https:\/\/n1info.rs\/wp-content\/uploads\/2021\/12\/13\/1639433929-stojkovic-220x147.jpg 220w, https:\/\/n1info.rs\/wp-content\/uploads\/2021\/12\/13\/1639433929-stojkovic-330x220.jpg 330w, https:\/\/n1info.rs\/wp-content\/uploads\/2021\/12\/13\/1639433929-stojkovic-550x366.jpg 550w\" alt=\"Miodrag Stojkovi\u0107\" width=\"175\" height=\"117\" data-attribute-id=\"related-news-post-image-9473185\" \/><\/a><\/div>\n<div class=\"uc-block-post-grid-text\">\n<header class=\"uc-block-post-grid-header\">\n<h3 class=\"uc-block-post-grid-title\"><a class=\"uc-block-post-grid-title-link\" href=\"https:\/\/n1info.rs\/vesti\/geneticar-stojkovic-zagadjenje-moze-da-izazove-i-sterilitet-i-gubitak-trudnoce\/\" rel=\"bookmark\" data-attribute-id=\"related-news-post-title-link-9473185\">Geneti\u010dar Stojkovi\u0107: Zaga\u0111enje mo\u017ee da izazove i sterilitet i gubitak trudno\u0107e<\/a><\/h3>\n<\/header>\n<\/div>\n<div class=\"uc-block-post-grid-byline mobile\">\n<div class=\"uc-block-post-grid-cat_name\"><a class=\"uc-block-post-grid-cat_name_link\" href=\"https:\/\/n1info.rs\/vesti\/\" data-attribute-id=\"related-news-post-cat-link-9473185\">VESTI<\/a><\/div>\n<p><time class=\"uc-block-post-grid-date\" datetime=\"2022-01-05 09:43:09\" data-attribute-id=\"related-news-post-datetime-9473185\">05. jan 2022<\/time><a class=\"total-comments\" href=\"https:\/\/n1info.rs\/vesti\/geneticar-stojkovic-zagadjenje-moze-da-izazove-i-sterilitet-i-gubitak-trudnoce\/?comments\">3<\/a><\/div>\n<\/article>\n<article id=\"post-9838639\" class=\"uc-post-grid-item post-9838639 post type-post status-publish format-standard hentry category-zdravlje tag-ginekologija tag-par tag-roditeljstvo tag-vantelesna-oplodnja\" title=\"Vantelesna oplodnja \u2013 kada morate da se zapitate da li je vreme za to\" data-attribute-id=\"related-news-post-9838639\">\n<div class=\"uc-block-post-grid-image\"><a href=\"https:\/\/n1info.rs\/zdravlje\/vantelesna-oplodnja-kada-morate-da-se-zapitate-da-li-je-vreme-za-to\/\"><img loading=\"lazy\" class=\"attachment-featured-block-small size-featured-block-small\" src=\"https:\/\/n1info.rs\/wp-content\/uploads\/2021\/03\/shutterstock_205907629-175x117.jpg\" sizes=\"(max-width: 175px) 100vw, 175px\" srcset=\"https:\/\/n1info.rs\/wp-content\/uploads\/2021\/03\/shutterstock_205907629-175x117.jpg 175w, https:\/\/n1info.rs\/wp-content\/uploads\/2021\/03\/shutterstock_205907629-300x200.jpg 300w, https:\/\/n1info.rs\/wp-content\/uploads\/2021\/03\/shutterstock_205907629-1024x682.jpg 1024w, https:\/\/n1info.rs\/wp-content\/uploads\/2021\/03\/shutterstock_205907629-768x511.jpg 768w, https:\/\/n1info.rs\/wp-content\/uploads\/2021\/03\/shutterstock_205907629-1536x1022.jpg 1536w, https:\/\/n1info.rs\/wp-content\/uploads\/2021\/03\/shutterstock_205907629-2048x1363.jpg 2048w, https:\/\/n1info.rs\/wp-content\/uploads\/2021\/03\/shutterstock_205907629-750x499.jpg 750w, https:\/\/n1info.rs\/wp-content\/uploads\/2021\/03\/shutterstock_205907629-1200x800.jpg 1200w\" alt=\"trudnica, trudnice, stomak, trudno\u0107a, \u017eena,\" width=\"175\" height=\"117\" data-attribute-id=\"related-news-post-image-9838639\" \/><\/a><\/div>\n<div class=\"uc-block-post-grid-text\">\n<header class=\"uc-block-post-grid-header\">\n<h3 class=\"uc-block-post-grid-title\"><a class=\"uc-block-post-grid-title-link\" href=\"https:\/\/n1info.rs\/zdravlje\/vantelesna-oplodnja-kada-morate-da-se-zapitate-da-li-je-vreme-za-to\/\" rel=\"bookmark\" data-attribute-id=\"related-news-post-title-link-9838639\">Vantelesna oplodnja \u2013 kada morate da se zapitate da li je vreme za to<\/a><\/h3>\n<\/header>\n<\/div>\n<div class=\"uc-block-post-grid-byline mobile\">\n<div class=\"uc-block-post-grid-cat_name\"><a class=\"uc-block-post-grid-cat_name_link\" href=\"https:\/\/n1info.rs\/zdravlje\/\" data-attribute-id=\"related-news-post-cat-link-9838639\">ZDRAVLJE<\/a><\/div>\n<p><time class=\"uc-block-post-grid-date\" datetime=\"2022-04-23 15:17:03\" data-attribute-id=\"related-news-post-datetime-9838639\">23. apr 2022<\/time><a class=\"total-comments\" href=\"https:\/\/n1info.rs\/zdravlje\/vantelesna-oplodnja-kada-morate-da-se-zapitate-da-li-je-vreme-za-to\/?comments\">9<\/a><\/div>\n<\/article>\n<\/div>\n<\/section>\n<p>Dr Stepanov za portal N1 nagla\u0161ava da bi na savetovanju i prevenciji mu\u0161kog steriliteta trebalo raditi vi\u0161e.<\/p>\n<p>\u201eParovi se danas obra\u0107aju lekarima mnogo \u2018hrabrije\u2019 i ranije kada prepoznaju da imaju problem sa ostvarivanjem trudno\u0107e, a u okviru same dijagnostike steriliteta, mu\u0161karci uglavnom vrlo otvoreno i bez problema razgovaraju i prihvataju ponu\u0111ene savete i dijagnosti\u010dke procedure. Uglavnom je re\u010d o mla\u0111im bra\u010dnim parovima. Naravno, nailazimo i na parove koji su godinama \u010dekali da se \u2018ne\u0161to desi\u2019 bez pomo\u0107i lekara, koji dolaze iz konzervativnijih sredina i koji te\u0161ko prihvate da je \u2018problem\u2019 u stvari mu\u0161ki sterilitet\u201d, ka\u017ee doktorka Stepanov.<\/p>\n<p>Ona dodaje da zabrinjava i podatak da je u poslednjih 50 godina za 60 odsto opao broj spermatozoida kod na\u0161ih mu\u0161karaca, a da sve vi\u0161e mla\u0111ih od 30 godina ima problem da ostvari trudno\u0107u. Re\u010d je o gotovo 30 procenata ukupnog broja parova koji su obuhva\u0107eni postupcima vantelesne oplodnje. Pove\u0107an je broj sve mla\u0111ih mu\u0161karaca koji se javljaju sa slo\u017eenim problemima azospermije, koja zna\u010di potpuno odsustvo spermatozoida u ejakulatu, upozoravaju stru\u010dnjaci.<\/p>\n<p>\u201dOno \u0161to uvek isti\u010demo, jeste da se jo\u0161 nedovoljno radi na savetovanju i prevenciji mu\u0161kog steriliteta. Mladi mu\u0161karci jo\u0161 dobijaju vrlo malo saveta kako da se \u010duvaju infekcija, naro\u010dito polno prenosivih, kako da rade preventivne preglede i gde mogu da se savetuju i kako da provere stanje plodnosti. Zato nastojimo da kod svakog para, koji se javi s problemom steriliteta, napravimo kompletnu dijagnostiku i kod mu\u0161kog partnera\u201d, poja\u0161njava dr Bo\u017eana Stepanov.<\/p>\n<p>Prema re\u010dima doktorke takva dijagnostika, podrazumeva analizu briseva mokra\u0107nog kanala, analizu spermokulture, urinokulture, krvne slike, spermograma (analiza broja, kvaliteta i pokretljivosti spermatozoida), po potrebi se radi i hormonski status, provera rada \u0161titne \u017elezde, kao i genetska analiza kariotipa i mikrodelecije Y hromozoma.<\/p>\n<h2><strong>Uzroci mu\u0161kog steriliteta<\/strong><\/h2>\n<p>Prema re\u010dima dr Stepanov, brojni su uzroci koji mogu dovesti do mu\u0161kog steriliteta.<\/p>\n<p>\u201dPo\u010dev od poreme\u0107aja ranog razvoja (genetski uzroci), hormonskih poreme\u0107aja (naj\u010de\u0161\u0107e u pubertetu), uticaja pridru\u017eenih bolesti (autoimune bolesti, hroni\u010dne bolesti), nele\u010dene infekcije (naro\u010dito polno prenosive), operacije u predelu testisa ili npr. preponske kile, uticaj lekova, alkohola, pu\u0161enja, droga, upotreba kortikopreparata (sportisti), te\u0161ki uslovi rada\u201d, poja\u0161njava dr Bo\u017eana Stepanov.<\/p>\n<p>Kako ona ka\u017ee retki su mu\u0161karci koji imaju naviku da jednom godi\u0161nje odu kod urologa i radiologa, kako bi proverili svoje reproduktivne organe i spermogram, kao \u0161to \u017eene idu na kontrole kod ginekologa.<\/p>\n<p>\u201eMu\u0161karci nemaju naviku da rade samopregled, a lekaru se javljaju jedino ukoliko primete neku promenu u nivou skrotuma, bilo da je re\u010d o otoku, crvenilu ili otvrdnu\u0107u\u201c, ka\u017ee doktorka za portal N1.<\/p>\n<p>\u201dNe postoje preporuke za skrining pregled skrotuma, osim u slu\u010daju porodi\u010dnog optere\u0107enja (otac ili brat imali tumor testisa), kriptorhizma (nespu\u0161tenog testisa) gde je pove\u0107ana u\u010destalost karcinoma testisa, kao i kod pacijenata koji su se pre vi\u0161e godina izle\u010dili od te opake bolesti\u201d, navodi doktorka .<\/p>\n<p>Rak testisa naj\u010de\u0161\u0107e se pojavljuje kod mu\u0161karaca izme\u0111u 18. i 35. godine, ali ugro\u017eeni su de\u010daci u pubertetu od \u010detrnaeste godine, upozoravaju stru\u010dnjaci. Za tu vrstu raka va\u017ei isto \u0161to i za ostale \u2013 \u0161to se pre prepozna, bolji su izgledi za le\u010denje.<\/p>\n<figure id=\"attachment_10283314\" class=\"wp-caption aligncenter image-clickable\" aria-describedby=\"caption-attachment-10283314\"><img loading=\"lazy\" class=\"wp-image-10283314 size-large\" src=\"https:\/\/n1info.rs\/wp-content\/uploads\/2022\/09\/12\/1662966158-shutterstock_1193897125-1024x576.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/n1info.rs\/wp-content\/uploads\/2022\/09\/12\/1662966158-shutterstock_1193897125-1024x576.jpg 1024w, https:\/\/n1info.rs\/wp-content\/uploads\/2022\/09\/12\/1662966158-shutterstock_1193897125-300x169.jpg 300w, https:\/\/n1info.rs\/wp-content\/uploads\/2022\/09\/12\/1662966158-shutterstock_1193897125-768x432.jpg 768w, https:\/\/n1info.rs\/wp-content\/uploads\/2022\/09\/12\/1662966158-shutterstock_1193897125-1536x864.jpg 1536w, https:\/\/n1info.rs\/wp-content\/uploads\/2022\/09\/12\/1662966158-shutterstock_1193897125-2048x1152.jpg 2048w, https:\/\/n1info.rs\/wp-content\/uploads\/2022\/09\/12\/1662966158-shutterstock_1193897125-750x422.jpg 750w, https:\/\/n1info.rs\/wp-content\/uploads\/2022\/09\/12\/1662966158-shutterstock_1193897125-900x506.jpg 900w\" alt=\"\" width=\"1024\" height=\"576\" \/><figcaption id=\"caption-attachment-10283314\" class=\"wp-caption-text\">Shutterstock<\/figcaption><\/figure>\n<p>\u201eNaj\u010de\u0161\u0107e bolesti testisa ne stvaraju intenzivne simptome te se kasno otkrivaju. Iz tog razloga mu\u0161karcima se preporu\u010duju redovne kontrole i ultrazvu\u010dni pregled ( UZ) kojim se mogu otkriti promene koje su posledica raka, upale ili povrede i time zapo\u010deti sigurno izle\u010denje na vreme. Ovaj pregled mo\u017ee dati dragocene informacije kod benignih i malignih tumora, povreda genitalne regije, anomalija u razvoju, cista, prisustva te\u010dnosti u skrotumu, pro\u0161irenih vena, kod prisustva krvi u ejakulatu, kod infertiliteta, impotencije\u201d, isti\u010de doktorka.<\/p>\n<p>Dr Stepanov dodaje i da, kada se dijagnostikuje da je sterilitet para mu\u0161kog porekla, postoji mogu\u0107nost terapije suplementima, ponekad i dodavanjem hormonske terapije \u2013 u slu\u010daju lo\u0161ijih nalaza spermograma u pogledu broja, kvaliteta i pokretljivosti spermatozoida.<\/p>\n<p>\u201dKada dobijemo nalaz azoospermije, odnosno potpunog nedostatka spermatozoida, a ostali nalazi koje smo obavili su uredni, savetujemo hirur\u0161ku intervenciju \u2013 TESA, kojom naj\u010de\u0161\u0107e dobijamo kakav-takav uzorak spermatozoida\u201d, ka\u017ee ona i dodaje da, ako se ni hirur\u0161kom metodom ne dobiju spermatozoidi u uzorku, jedino \u0161to se mo\u017ee preporu\u010diti jeste postupak vantelesne oplodnje uz doniran uzorak sperme. Kod nas se jo\u0161 veliki broj parova ne odlu\u010duje na ovaj korak\u201d, ka\u017ee doktorka.<\/p>\n<p>Parovima kod kojih ne dolazi do \u017eeljene trudno\u0107e, savetuju na\u0161e sagovornice da ne \u010dekaju predugo.<\/p>\n<p>\u201dUkoliko do trudno\u0107e ne do\u0111e za \u0161est meseci do godinu uz planirane, ciljane odnose, javite se va\u0161em ginekologu ili u neki od centara koji se bave neplodno\u0161\u0107u. I budite strpljivi i verujete\u201d, savetuje doktorka.<\/p>\n<p>\u201eOd pro\u0161le godine na teret redovnog zdravstvenog osiguranja parovi kod kojih mu\u0161ki partner nema spermatozoide zbog nekog oboljenja, sada ima pravo da o tro\u0161ku dr\u017eave ide na VTO\u201c, ka\u017ee dr Bo\u017eana Stepanov, specijalista ginekologije i aku\u0161erstva, supspecijalista steriliteta i fertiliteta.<\/p>\n<\/div>\n<footer class=\"tags-wrapper\"><span class=\"tags-title\">Tagovi<\/span><\/p>\n<div><a href=\"https:\/\/n1info.rs\/tag\/dr-bozana-stepanov\/\" rel=\"tag\">DR BO\u017dANA STEPANOV<\/a><a href=\"https:\/\/n1info.rs\/tag\/muski-sterilitet\/\" rel=\"tag\">MU\u0160KI STERILITET<\/a><a href=\"https:\/\/n1info.rs\/tag\/vantelesna-oplodnja\/\" rel=\"tag\">VANTELESNA OPLODNJA<\/a><\/div>\n<\/footer>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u0160ta sve mo\u017ee da izazove mu\u0161ki sterilitet i koja je najbolja prevencija ZDRAVLJE\u00a0Autor\u00a0Lidija Rov\u010danin\u00a006. maj 202321:2 Shutterstock\/tommaso79 Kada \u017eele da<\/p>\n","protected":false},"author":2,"featured_media":20578,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[25,14,30],"tags":[],"_links":{"self":[{"href":"https:\/\/vestionline.com\/wp-json\/wp\/v2\/posts\/20577"}],"collection":[{"href":"https:\/\/vestionline.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vestionline.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vestionline.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/vestionline.com\/wp-json\/wp\/v2\/comments?post=20577"}],"version-history":[{"count":1,"href":"https:\/\/vestionline.com\/wp-json\/wp\/v2\/posts\/20577\/revisions"}],"predecessor-version":[{"id":20579,"href":"https:\/\/vestionline.com\/wp-json\/wp\/v2\/posts\/20577\/revisions\/20579"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vestionline.com\/wp-json\/wp\/v2\/media\/20578"}],"wp:attachment":[{"href":"https:\/\/vestionline.com\/wp-json\/wp\/v2\/media?parent=20577"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vestionline.com\/wp-json\/wp\/v2\/categories?post=20577"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vestionline.com\/wp-json\/wp\/v2\/tags?post=20577"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}