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Testosterone Therapy in Men With Hypogonadism. J Clin Endocrinol Metab. 2018;103(5):1715-1744. PMID: 29562364.\",\n        \"Saad F et al. Long-term treatment of hypogonadal men with testosterone produces substantial and sustained weight loss. JCEM. 2011. PMID: 21646372.\",\n        \"Amanat M et al. Testosterone replacement therapy and depression. CNS Drugs. 2018;32(12):1047-1065. PMID: 30155759.\",\n        \"Araujo AB et al. Prevalence of symptomatic androgen deficiency in men. JCEM. 2007. PMID: 17148562.\",\n        \"Perelman MA. Delayed ejaculation. J Sex Med. 2014;11(5):1110-1121. PMID: 23445500.\",\n        \"Montejo AL et al. Prevalence of sexual dysfunction related to antidepressants. CNS Drugs. 2015. PMID: 25636135.\",\n        \"FDA Drug Approval: Vyleesi (bremelanotide injection). NDA 210557. 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Tek bir test ya da \u00f6\u011fleden sonra al\u0131nm\u0131\u015f sonu\u00e7 tan\u0131 i\u00e7in yeterli de\u011fildir.\",\n            \"author\": {\n              \"@id\": \"https:\/\/drterziler.com\/#dr-dogukan-sokmen\"\n            }\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Testosteron replasman tedavisi nas\u0131l \u00e7al\u0131\u015f\u0131r?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Testosteron replasman tedavisi (TRT), hipogonadizm tan\u0131s\u0131 alan erkeklerde testosteron d\u00fczeylerini fizyolojik aral\u0131\u011fa getirmeyi hedefler. Enjeksiyon, topikal jel, implant pellet ve nazal jel gibi y\u00f6ntemler kullan\u0131labilir. 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Gelecekte \u00e7ocuk sahibi olmak isteyen erkeklerde hCG veya klomifen gibi alternatifler tedavi ba\u015flamadan \u00f6nce konu\u015fulmal\u0131d\u0131r. \u00dcreme hedefleri TRT \u00f6ncesinde mutlaka de\u011ferlendirilmelidir.\",\n            \"author\": {\n              \"@id\": \"https:\/\/drterziler.com\/#dr-dogukan-sokmen\"\n            }\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Peptitler erkeklerde cinsel sa\u011fl\u0131\u011f\u0131 nas\u0131l destekler?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"PT-141 (bremelanotide) beyindeki melanokortin-4 resept\u00f6rlerini aktive ederek cinsel istek ve ereksiyon yan\u0131t\u0131n\u0131 destekler. Bu mekanizma PDE5 inhibit\u00f6rlerinden farkl\u0131d\u0131r. BPC-157 ise doku onar\u0131m\u0131 ve hormonal reg\u00fclasyonla ili\u015fkilendirilen bir peptittir. Her ikisi de Dr. Terziler\u2019de yap\u0131land\u0131r\u0131lm\u0131\u015f protokoller i\u00e7inde de\u011ferlendirilir.\",\n            \"author\": {\n              \"@id\": \"https:\/\/drterziler.com\/#dr-dogukan-sokmen\"\n            }\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Ge\u00e7 bo\u015falma nas\u0131l tedavi edilir?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Ge\u00e7 bo\u015falma tedavisi altta yatan nedene g\u00f6re planlan\u0131r. Davran\u0131\u015f\u00e7\u0131 terapi, ila\u00e7 d\u00fczenlemesi, SSRI kaynakl\u0131 durumlarda antidepresan de\u011fi\u015fikli\u011fi ve baz\u0131 off-label farmakolojik se\u00e7enekler de\u011ferlendirilebilir. \u00d6nce neden belirlenir, ard\u0131ndan tedavi plan\u0131 olu\u015fturulur.\",\n            \"author\": {\n              \"@id\": \"https:\/\/drterziler.com\/#dr-dogukan-sokmen\"\n            }\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"T\u00fcrkiye\u2019de penil protez fiyat\u0131 ne kadar?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Dr. Terziler Clinic\u2019te penil protez ameliyat\u0131 yakla\u015f\u0131k 8.000-12.000 EUR aral\u0131\u011f\u0131ndad\u0131r. Bu rakam \u0130ngiltere ve ABD fiyatlar\u0131na g\u00f6re genellikle daha avantajl\u0131d\u0131r. \u00c7o\u011fu hasta \u0130stanbul\u2019da 3-4 g\u00fcn kal\u0131r ve i\u015flem AAACI akreditasyonlu klinik ortam\u0131nda planlan\u0131r.\",\n            \"author\": {\n              \"@id\": \"https:\/\/drterziler.com\/#dr-dogukan-sokmen\"\n            }\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Do\u011fal testosteron art\u0131r\u0131c\u0131lar etkili mi?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"\u00c7inko, D vitamini veya ashwagandha gibi destekler beslenme eksikli\u011fi olan erkeklerde s\u0131n\u0131rl\u0131 fayda sa\u011flayabilir; ancak do\u011frulanm\u0131\u015f hipogonadizmde medikal TRT\u2019nin yerine ge\u00e7mez. Borderline seviyelerde ya\u015fam tarz\u0131 optimizasyonu mant\u0131kl\u0131 olabilir, fakat tan\u0131 konmu\u015f d\u00fc\u015f\u00fck testosteronda kan\u0131ta dayal\u0131 standart TRT\u2019dir.\",\n            \"author\": {\n              \"@id\": \"https:\/\/drterziler.com\/#dr-dogukan-sokmen\"\n            }\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"TRT ne kadar s\u00fcrede etki eder?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Enerji, ruh hali ve libido genellikle 3-6 hafta i\u00e7inde iyile\u015fmeye ba\u015flar. Kas k\u00fctlesi \u00fc\u00e7\u00fcnc\u00fc aydan sonra artabilir, v\u00fccut ya\u011f oran\u0131 3-6 ay i\u00e7inde de\u011fi\u015febilir, kemik yo\u011funlu\u011fu ise 6-12 ayda yan\u0131t verir. Tam etki \u00e7o\u011fu hastada 12 ayl\u0131k d\u00fczenli tedaviyle oturur.\",\n            \"author\": {\n              \"@id\": \"https:\/\/drterziler.com\/#dr-dogukan-sokmen\"\n            }\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"T\u00fcrkiye\u2019de cinsel sa\u011fl\u0131k tedavisi g\u00fcvenli mi?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"AAACI akreditasyonlu kliniklerde evet. AAACI; cerrahi g\u00fcvenlik, enfeksiyon kontrol\u00fc, anestezi ve klinik sonu\u00e7 takibi i\u00e7in uluslararas\u0131 standartlar gerektirir. Dr. Terziler Exclusive Clinic, AAACI akreditasyonlu bir medikal klinik olarak uluslararas\u0131 klinik standartlarda hizmet verir.\",\n            \"author\": {\n              \"@id\": \"https:\/\/drterziler.com\/#dr-dogukan-sokmen\"\n            }\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"TRT uyku apnesini k\u00f6t\u00fcle\u015ftirebilir mi?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Evet. Testosteron hematokriti y\u00fckseltebilir ve yatk\u0131n erkeklerde obstr\u00fcktif uyku apnesini k\u00f6t\u00fcle\u015ftirebilir. Fazla kilolu olan ya da k\u00f6t\u00fc uyku bildiren erkeklerde TRT \u00f6ncesi uyku taramas\u0131 \u00f6nerilir. Tedavi s\u0131ras\u0131nda hematokrit d\u00fczenli takip edilmeli ve y\u00fczde 54\u2019\u00fcn alt\u0131nda tutulmal\u0131d\u0131r.\",\n            \"author\": {\n              \"@id\": \"https:\/\/drterziler.com\/#dr-dogukan-sokmen\"\n            }\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Testosteron-estradiol oran\u0131 nedir ve neden \u00f6nemlidir?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"\u0130deal testosteron-estradiol (T:E2) oran\u0131 \u00e7o\u011fu hastada 10:1 ile 20:1 aral\u0131\u011f\u0131nda de\u011ferlendirilir. Testosteronun fazla aromatize olup estradiole d\u00f6n\u00fc\u015fmesi TRT etkinli\u011fini d\u00fc\u015f\u00fcrebilir ve jinekomasti riskini art\u0131rabilir. Bu y\u00fczden estradiol takibi testosteron takibi kadar \u00f6nemlidir.\",\n            \"author\": {\n              \"@id\": \"https:\/\/drterziler.com\/#dr-dogukan-sokmen\"\n            }\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Penis dolgusu ereksiyon kalitesini etkiler mi?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Do\u011fru teknikle uyguland\u0131\u011f\u0131nda hay\u0131r. Penis kal\u0131nla\u015ft\u0131rma i\u00e7in dermal dolgu subkutan tabakaya yerle\u015ftirilir; korpus kavernozum ya da erektil doku i\u00e7ine yap\u0131lmaz. Bu nedenle ereksiyon fonksiyonunu veya penis hissini etkilemesi beklenmez. Deneyimli hekim se\u00e7imi \u00f6nemlidir.\",\n            \"author\": {\n              \"@id\": \"https:\/\/drterziler.com\/#dr-dogukan-sokmen\"\n            }\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"D\u00fc\u015f\u00fck testosteron depresyona neden olabilir mi?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Evet. Testosteron beyindeki serotonin ve dopamin yollar\u0131yla ili\u015fkilidir. Hipogonadizm depresif belirtilere katk\u0131da bulunabilir ve TRT\u2019nin hipogonadal erkeklerde ruh hali skorlar\u0131n\u0131 iyile\u015ftirebildi\u011fi g\u00f6sterilmi\u015ftir. Depresyon tedavisi alan erkeklerde testosteron hi\u00e7 kontrol edilmemi\u015fse hormonal neden atlanm\u0131\u015f olabilir.\",\n            \"author\": {\n              \"@id\": \"https:\/\/drterziler.com\/#dr-dogukan-sokmen\"\n            }\n          }\n        }\n      ]\n    }\n  ]\n}\n<\/script><\/p>\n<style>\n    .content-paragraph { width: 100% !important; }\n    #mensSexualHealthPage { --navy:#001e6e; --ink:#232323; --muted:#62666d; --line:#d9e2ef; --soft:#f5f8fc; --blue:#ABCCEB; --wa:#25D366; }\n    #mensSexualHealthPage .content-title { max-width: 1140px; }\n    #mensSexualHealthPage .content-paragraph { max-width: 1080px; }\n    #mensSexualHealthPage .msh-section { margin: 46px 0; }\n    #mensSexualHealthPage .h2-header { margin-bottom: 18px; }\n    #mensSexualHealthPage .h3-header { margin: 24px 0 14px !important; }\n    #mensSexualHealthPage .p-text a, #mensSexualHealthPage .msh-table a, #mensSexualHealthPage .msh-source-title a { color: var(--navy); text-decoration: underline; 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}\n        #mensSexualHealthPage .msh-table { min-width: 640px; }\n        #mensSexualHealthPage #innerPageAbout { padding: 30px 22px; }\n        #mensSexualHealthPage .speech-bubble { width: 260px; left: auto; right: 0; transform: translateY(10px); }\n        #mensSexualHealthPage .custom-info-container:hover .speech-bubble { transform: translateY(0); }\n    }\n<\/style>\n<div class=\"page-content category-page\">\n<div id=\"header-area\">\n<div class=\"container\" id=\"firstContent\">\n<div class=\"header-content d-flex flex-column\">\n<h1 class=\"content-title\">Erkek Cinsel Sa\u011fl\u0131\u011f\u0131 Klini\u011fi: Testosteron, Sertle\u015fme Sorunu ve Tedaviler<\/h1>\n<div class=\"content-paragraph\">\n<p>Erkek cinsel sa\u011fl\u0131\u011f\u0131; hormon dengesi, damar yap\u0131s\u0131, psikolojik durum ve ya\u015fam tarz\u0131 gibi bir\u00e7ok fakt\u00f6rden etkilenir. Klini\u011fimizde sertle\u015fme sorunu, erken bo\u015falma, penis b\u00fcy\u00fctme ve d\u00fc\u015f\u00fck testosteron gibi farkl\u0131 alanlarda b\u00fct\u00fcnc\u00fcl \u00e7\u00f6z\u00fcmler sunuyoruz. Amac\u0131m\u0131z ki\u015fiye \u00f6zel yakla\u015f\u0131mlarla cinsel fonksiyonu iyile\u015ftirmek ve ya\u015fam kalitesini art\u0131rmakt\u0131r.<\/p>\n<\/p><\/div>\n<nav aria-label=\"breadcrumb\" class=\"breadcrumbs\">\n<ul class=\"d-flex align-items-center mb-0\">\n<li><a class=\"link\" href=\"https:\/\/drterziler.com\/tr\/\"><span>Dr. Terziler<\/span><\/a><\/li>\n<li class=\"separator\">\u00bb<\/li>\n<li class=\"current-page\"><span>Cinsel Sa\u011fl\u0131k<\/span><\/li>\n<\/ul>\n<\/nav><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\n<section class=\"svc-section\">\n<div class=\"container\">\n<div class=\"svc-item right-card\">\n<div class=\"svc-media\">\n                <img decoding=\"async\" src=\"https:\/\/drterziler.com\/wp-content\/uploads\/2026\/03\/penil-protez.webp\" alt=\"Erkek cinsel sa\u011fl\u0131\u011f\u0131 penil protez uygulamas\u0131\" loading=\"lazy\" class=\"cat-img\">\n            <\/div>\n<div class=\"svc-card\">\n<h2 class=\"svc-title gilda\">Penil Protez<\/h2>\n<p class=\"svc-text barlow\">\n                    Penil protez uygulamalar\u0131, ileri d\u00fczey sertle\u015fme sorununun (ED) tedavisinde kal\u0131c\u0131 ve hasta memnuniyeti y\u00fcksek cerrahi \u00e7\u00f6z\u00fcmler aras\u0131ndad\u0131r. Modern implant teknolojileri ve ileri cerrahi teknikler do\u011fal sonu\u00e7lara ula\u015fmay\u0131 m\u00fcmk\u00fcn k\u0131larken, hedef ki\u015fiye \u00f6zel planlamayla cinsel ya\u015fam kalitesini yeniden yap\u0131land\u0131rmakt\u0131r.\n                <\/p>\n<p>                <a class=\"btn-details barlow-condensed\" href=\"https:\/\/drterziler.com\/tr\/cinsel-saglik\/penil-protez\/\">DETAYLAR<\/a>\n            <\/div>\n<\/p><\/div>\n<div class=\"svc-item left-card\">\n<div class=\"svc-media\">\n                <img decoding=\"async\" src=\"https:\/\/drterziler.com\/wp-content\/uploads\/2026\/03\/ereksiyon-bozukluklari.webp\" alt=\"Erkek cinsel sa\u011fl\u0131\u011f\u0131 sertle\u015fme sorunu tedavisi\" loading=\"lazy\" class=\"cat-img\">\n            <\/div>\n<div class=\"svc-card\">\n<h2 class=\"svc-title gilda\">Ereksiyon Bozukluklar\u0131<\/h2>\n<p class=\"svc-text barlow\">\n                    Ereksiyon bozuklu\u011fu (ED), ileri ameliyats\u0131z rejeneratif tedavilerle etkili \u015fekilde y\u00f6netilebilir. ESWT, eksozom, k\u00f6k h\u00fccre (SVF) ve PRP (P-Shot) uygulamalar\u0131yla penis dokusundaki do\u011fal onar\u0131m s\u00fcre\u00e7leri uyar\u0131l\u0131r, damar olu\u015fumu desteklenir ve fonksiyonel toparlanma hedeflenir.\n                <\/p>\n<p>                <a class=\"btn-details barlow-condensed\" href=\"https:\/\/drterziler.com\/tr\/cinsel-saglik\/ereksiyon-bozukluklari\/\">DETAYLAR<\/a>\n            <\/div>\n<\/p><\/div>\n<div class=\"svc-item right-card\">\n<div class=\"svc-media\">\n                <img decoding=\"async\" src=\"https:\/\/drterziler.com\/wp-content\/uploads\/2026\/03\/penis-buyutme.webp\" alt=\"Erkek cinsel sa\u011fl\u0131\u011f\u0131 ameliyats\u0131z penis b\u00fcy\u00fctme\" loading=\"lazy\" class=\"cat-img\">\n            <\/div>\n<div class=\"svc-card\">\n<h2 class=\"svc-title gilda\">Ameliyats\u0131z Penis B\u00fcy\u00fctme<\/h2>\n<p class=\"svc-text barlow\">\n                    Cerrahi s\u00fcrece gerek kalmadan penis kal\u0131nla\u015ft\u0131rma ve \u015fekillendirme olana\u011f\u0131 sunan bu yenilik\u00e7i yakla\u015f\u0131m, g\u00fcnl\u00fck rutinden kopmadan do\u011fal ve ki\u015fiye \u00f6zel bir yenilenme avantaj\u0131 sa\u011flar.\n                <\/p>\n<p>                <a class=\"btn-details barlow-condensed\" href=\"https:\/\/drterziler.com\/tr\/cinsel-saglik\/ameliyatsiz-penis-buyutme\/\">DETAYLAR<\/a>\n            <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<div class=\"page-content\" id=\"mensSexualHealthPage\">\n<section id=\"content-area\">\n<div class=\"container my-5\">\n<div class=\"row align-items-start\">\n<div class=\"col-md-6 order-2 order-md-1\">\n<div class=\"custom-toc-box\">\n<div id=\"toc-header\">\n<div style=\"margin: 0; font-family: &#x27;Gilda Display&#x27;, serif; font-size: 25px; line-height: 30px; color: #333; font-weight: 500;\">\u0130\u00e7indekiler<\/div>\n<div class=\"toc-toggle-icon\"><\/div>\n<\/div>\n<div class=\"toc-full-divider\"><\/div>\n<div id=\"toc-body\">\n<div id=\"toc-container\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"col-md-6 order-1 order-md-2\" id=\"jForm\"><script type=\"text\/javascript\" src=\"https:\/\/form.jotform.com\/jsform\/242882264736970\"><\/script><button id=\"hidden-form-button\" style=\"display:none;\">Formu A\u00e7<\/button><\/div>\n<\/div>\n<\/div>\n<div class=\"container msh-content\">\n<div class=\"content-paragraph\">\n<p class=\"p-text\">D\u00fcnya genelinde 200 milyondan fazla erkek sertle\u015fme sorunu ile ya\u015f\u0131yor ve vakalar\u0131n 10\u2019da 8\u2019inde tedavi edilebilir fiziksel bir neden bulunuyor (WHO, 2023). Erkek cinsel sa\u011fl\u0131\u011f\u0131 yaln\u0131zca ED\u2019den ibaret de\u011fildir: testosteron eksikli\u011fi, bo\u015falma bozukluklar\u0131 ve penisin yap\u0131sal sorunlar\u0131 farkl\u0131 de\u011ferlendirme ve uzmanl\u0131k gerektirir. Dr. Terziler Exclusive Clinic \u0130stanbul\u2019da penil protez cerrahisinden testosteron replasman tedavisine ve peptit protokollerine kadar erkek cinsel sa\u011fl\u0131\u011f\u0131 alan\u0131nda AAACI akreditasyonlu tan\u0131 ve tedavi sunar.<\/p>\n<\/div>\n<div>\n<div class=\"row\" id=\"medically-reviewed\">\n<div class=\"col-12\">\n<div class=\"d-flex flex-column flex-md-row align-items-start\">\n<div class=\"me-4 mb-3 mb-md-0\"><img decoding=\"async\" src=\"https:\/\/drterziler.com\/wp-content\/uploads\/2026\/04\/dogukan-hoca.webp\" alt=\"Op. Dr. Do\u011fukan S\u00f6kmen erkek cinsel sa\u011fl\u0131\u011f\u0131 ve \u00fcroloji uzman\u0131\" class=\"profile-img\" loading=\"lazy\" width=\"140\" height=\"140\"><\/div>\n<div class=\"flex-grow-1\">\n<p class=\"review-label\">MED\u0130KAL OLARAK \u0130NCELEYEN<\/p>\n<p class=\"doctor-name\"><strong>Op. Dr. Do\u011fukan S\u00f6kmen<\/strong><\/p>\n<p class=\"doctor-desc\">Erkek Cinsel Sa\u011fl\u0131\u011f\u0131 ve \u00dcroloji Uzman\u0131 | Dr. Terziler Exclusive Clinic, \u0130stanbul<\/p>\n<div class=\"d-flex align-items-center mt-2\">\n<p class=\"update-date mb-0 me-2\">Haziran 2026\u2019da g\u00fcncellendi<\/p>\n<div class=\"custom-info-container\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"18\" height=\"18\" fill=\"currentColor\" viewBox=\"0 0 16 16\" class=\"info-svg\"><path d=\"M8 15A7 7 0 1 1 8 1a7 7 0 0 1 0 14m0 1A8 8 0 1 0 8 0a8 8 0 0 0 0 16\"\/><path d=\"m8.93 6.588-2.29.287-.082.38.45.083c.294.07.352.176.288.469l-.738 3.468c-.194.897.105 1.319.808 1.319.545 0 1.178-.252 1.465-.598l.088-.416c-.2.176-.492.246-.686.246-.275 0-.375-.193-.304-.533zM9 4.5a1 1 0 1 1-2 0 1 1 0 0 1 2 0\"\/><\/svg><\/p>\n<div class=\"speech-bubble\">Bu i\u00e7erik; klinik do\u011fruluk, erkek cinsel sa\u011fl\u0131\u011f\u0131 tan\u0131lar\u0131, testosteron tedavisi uygunlu\u011fu, \u00fcroloji protokolleri ve hasta g\u00fcvenli\u011fi a\u00e7\u0131s\u0131ndan Op. Dr. Do\u011fukan S\u00f6kmen taraf\u0131ndan incelenmi\u015ftir.<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"msh-cta msh-cta-form\">\n<p class=\"msh-cta-question\">Testosteron, sertle\u015fme sorunu veya penisle ilgili kayg\u0131lar\u0131n\u0131z i\u00e7in \u00f6zel plan ister misiniz?<\/p>\n<p class=\"p-text\">Belirtilerinizi gizlilik i\u00e7inde payla\u015f\u0131n; hedeflerinize en uygun erkek cinsel sa\u011fl\u0131\u011f\u0131 yol haritas\u0131 i\u00e7in y\u00f6nlendirme al\u0131n.<\/p>\n<p><a href=\"javascript:void(0)\" class=\"msh-btn btn-form\" data-target=\"hidden-form-button\"><svg viewBox=\"0 0 24 24\" height=\"20\" width=\"20\" aria-hidden=\"true\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M14 2H6a2 2 0 0 0-2 2v16a2 2 0 0 0 2 2h12a2 2 0 0 0 2-2V8z\"\/><path d=\"M14 2v6h6\"\/><path d=\"M8 13h8\"\/><path d=\"M8 17h6\"\/><\/svg><span>\u00d6zel De\u011ferlendirmemi Ba\u015flat<\/span><\/a><\/div>\n<section class=\"msh-section\" id=\"how-trt-works\">\n<h2 class=\"h2-header\">Testosteron Replasman Tedavisi Nas\u0131l \u00c7al\u0131\u015f\u0131r?<\/h2>\n<p class=\"p-text\">Testosteron replasman tedavisi (TRT), hipogonadizm tan\u0131s\u0131 alan erkeklerde fizyolojik testosteron d\u00fczeylerini geri kazand\u0131rmay\u0131 hedefler; tan\u0131, farkl\u0131 g\u00fcnlerde yap\u0131lan iki ayr\u0131 sabah kan testinde total testosteronun 300 ng\/dL alt\u0131nda olmas\u0131yla de\u011ferlendirilir. <em>(Endocrine Society, 2018)<\/em><\/p>\n<p class=\"p-text\">TRT, d\u0131\u015far\u0131dan testosteronu d\u00f6rt farkl\u0131 y\u00f6ntemle verebilir. \u0130ntram\u00fcsk\u00fcler enjeksiyonlar (testosteron sipionat veya enantat, 1-2 haftada bir) en s\u0131k kullan\u0131lan y\u00f6ntemdir; doz ayar\u0131 nettir ve kan d\u00fczeyleri \u00f6ng\u00f6r\u00fclebilir \u015fekilde takip edilir. Topikal jeller g\u00fcnl\u00fck uygulan\u0131r ve daha dengeli serum d\u00fczeyleri sa\u011flayabilir. Cilt alt\u0131na 3-6 ayda bir yerle\u015ftirilen testosteron pelletleri uzun s\u00fcreli ve stabil sal\u0131n\u0131m sunar. G\u00fcnde iki kez kullan\u0131lan nazal jel ise partner veya \u00e7ocuklara cilt temas\u0131yla testosteron transferi riskini ortadan kald\u0131r\u0131r.<\/p>\n<div class=\"msh-table-wrap\">\n<table class=\"msh-table\">\n<thead>\n<tr>\n<th scope=\"col\"><strong class=\"barlow\">Y\u00f6ntem<\/strong><\/th>\n<th scope=\"col\"><strong class=\"barlow\">S\u0131kl\u0131k<\/strong><\/th>\n<th scope=\"col\"><strong class=\"barlow\">Temel avantaj<\/strong><\/th>\n<th scope=\"col\"><strong class=\"barlow\">Kimler i\u00e7in?<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Enjeksiyonlar (sipionat \/ enantat)<\/td>\n<td>1-2 haftada bir<\/td>\n<td>En \u00e7ok \u00e7al\u0131\u015f\u0131lan y\u00f6ntem, doz ayar\u0131 kolay<\/td>\n<td>Kan\u0131tl\u0131 y\u00f6ntem ve daha d\u00fc\u015f\u00fck maliyet isteyen erkekler<\/td>\n<\/tr>\n<tr>\n<td>Topikal jeller<\/td>\n<td>G\u00fcnl\u00fck<\/td>\n<td>Daha stabil serum d\u00fczeyi, enjeksiyon yok<\/td>\n<td>\u0130nvaziv olmayan uygulama isteyen erkekler<\/td>\n<\/tr>\n<tr>\n<td>Testosteron pelletleri<\/td>\n<td>3-6 ayda bir<\/td>\n<td>En d\u00fczenli sal\u0131n\u0131m, g\u00fcnl\u00fck uygulama yok<\/td>\n<td>Minimum takip y\u00fck\u00fc isteyen erkekler<\/td>\n<\/tr>\n<tr>\n<td>Nazal jel<\/td>\n<td>G\u00fcnde iki kez<\/td>\n<td>Cilt temas\u0131yla transfer riski yok<\/td>\n<td>Evde \u00e7ocuk veya kad\u0131n partner bulunan erkekler<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p class=\"p-text\">Sonu\u00e7lar genellikle \u00f6ng\u00f6r\u00fclebilir bir klinik zaman \u00e7izelgesi izler. Enerji ve ruh hali 3-6 hafta i\u00e7inde, libido ayn\u0131 d\u00f6nemde iyile\u015fmeye ba\u015flayabilir. Kas k\u00fctlesi yakla\u015f\u0131k \u00fc\u00e7\u00fcnc\u00fc aydan itibaren artar, v\u00fccut ya\u011f oran\u0131 3-6 ay aras\u0131nda azalabilir, kemik yo\u011funlu\u011fu ise 6-12 ayda yan\u0131t verir. Tam fayda \u00e7o\u011fu hastada 12 ayl\u0131k d\u00fczenli tedaviyle oturur (Saad F et al., JCEM 2011). Yan\u0131t s\u00fcresi ba\u015flang\u0131\u00e7 testosteron d\u00fczeyi, uygulama y\u00f6ntemi ve tedaviye uyuma g\u00f6re de\u011fi\u015fir.<\/p>\n<div class=\"msh-note-box\"><span class=\"msh-note-icon\">\u00dcREME<\/span><\/p>\n<div>\n<p class=\"msh-note-label\">TRT ve \u00fcreme<\/p>\n<p class=\"p-text\">D\u0131\u015far\u0131dan verilen testosteron, sperm \u00fcretimini y\u00f6neten hipofiz sinyalleri olan LH ve FSH\u2019yi bask\u0131lar. TRT kullanan bir\u00e7ok erkekte aylar i\u00e7inde sperm say\u0131s\u0131nda belirgin azalma veya azoospermi g\u00f6r\u00fclebilir. Gelecekte biyolojik \u00e7ocuk sahibi olmak isteyen erkekler, herhangi bir testosteron protokol\u00fcne ba\u015flamadan \u00f6nce hCG veya klomifen alternatiflerini konu\u015fmal\u0131d\u0131r. Tedavi b\u0131rak\u0131ld\u0131ktan sonra sperm \u00fcretimi \u00e7o\u011funlukla 6-18 ay i\u00e7inde toparlan\u0131r; ancak bu garanti de\u011fildir.<\/p>\n<\/div>\n<\/div>\n<div class=\"msh-note-box\"><span class=\"msh-note-icon\">K<\/span><\/p>\n<div>\n<p class=\"msh-note-label\">Hormon notu<\/p>\n<p class=\"p-text\">Testosteron tedavisi yaln\u0131zca erkeklere \u00f6zg\u00fc de\u011fildir. Kad\u0131nlarda da \u00f6zellikle menopoz sonras\u0131 d\u00fc\u015f\u00fck libido, yorgunluk ve hormonal dengesizlik i\u00e7in testosteron de\u011ferlendirilebilir. Dr. Terziler Clinic <a href=\"https:\/\/drterziler.com\/tr\/kadin-cinsel-sagligi\/\" target=\"_blank\" rel=\"noopener noreferrer\">kad\u0131n hormon sa\u011fl\u0131\u011f\u0131 programlar\u0131<\/a> da sunar.<\/p>\n<\/div>\n<\/div>\n<p class=\"p-text\">Testosteron optimizasyonu ayn\u0131 zamanda <a href=\"https:\/\/drterziler.com\/tr\/longevity\/reset-program-longevity\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong class=\"barlow\">Youngevity Reset program\u0131n\u0131n<\/strong><\/a> temel katmanlar\u0131ndan biridir: Dr. Terziler\u2019in uzun vadeli performans ve healthspan oda\u011f\u0131yla hormon tan\u0131lar\u0131, h\u00fccresel sa\u011fl\u0131k ve peptit tedavisini birle\u015ftiren kapsaml\u0131 longevity protokol\u00fc.<\/p>\n<div class=\"msh-cta msh-cta-wa\">\n<p class=\"msh-cta-question\">Hormon ve longevity se\u00e7eneklerini sormak ister misiniz?<\/p>\n<p class=\"p-text\">Klinik ekibine gizlilik i\u00e7inde yaz\u0131n; testosteron, peptit tedavisi ve Youngevity Reset tan\u0131lar\u0131n\u0131n hedeflerinize nas\u0131l uyabilece\u011fini sorun.<\/p>\n<p><a href=\"https:\/\/wa.me\/902129637758?text=Merhaba%2C%20erkek%20cinsel%20sa%C4%9Fl%C4%B1%C4%9F%C4%B1%20i%C3%A7in%20hormon%20optimizasyonu%2C%20peptit%20tedavisi%20ve%20Youngevity%20Reset%20hakk%C4%B1nda%20bilgi%20almak%20istiyorum.\" class=\"msh-btn msh-wa-btn\" target=\"_blank\" rel=\"noopener noreferrer\"><svg viewBox=\"0 0 448 512\" height=\"20\" width=\"20\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M380.9 97.1C339 55.1 283.2 32 223.9 32c-122.4 0-222 99.6-222 222 0 39.1 10.2 77.3 29.6 111L0 480l117.7-30.9c32.4 17.7 68.9 27 106.1 27h.1c122.3 0 224.1-99.6 224.1-222 0-59.3-25.2-115-67.1-157zm-157 341.6c-33.2 0-65.7-8.9-94-25.7l-6.7-4-69.8 18.3L72 359.2l-4.4-7c-18.5-29.4-28.2-63.3-28.2-98.2 0-101.7 82.8-184.5 184.6-184.5 49.3 0 95.6 19.2 130.4 54.1 34.8 34.9 56.2 81.2 56.1 130.5 0 101.8-84.9 184.6-186.6 184.6zm101.2-138.2c-5.5-2.8-32.8-16.2-37.9-18-5.1-1.9-8.8-2.8-12.5 2.8-3.7 5.6-14.3 18-17.6 21.8-3.2 3.7-6.5 4.2-12 1.4-32.6-16.3-54-29.1-75.5-66-5.7-9.8 5.7-9.1 16.3-30.3 1.8-3.7.9-6.9-.5-9.7-1.4-2.8-12.5-30.1-17.1-41.2-4.5-10.8-9.1-9.3-12.5-9.5-3.2-.2-6.9-.2-10.6-.2-3.7 0-9.7 1.4-14.8 6.9-5.1 5.6-19.4 19-19.4 46.3 0 27.3 19.9 53.7 22.6 57.4 2.8 3.7 39.1 59.7 94.8 83.8 35.2 15.2 49 16.5 66.6 13.9 10.7-1.6 32.8-13.4 37.4-26.4 4.6-13 4.6-24.1 3.2-26.4-1.3-2.5-5-3.9-10.5-6.6z\"><\/path><\/svg><span>Hormon ve Longevity Plan\u0131n\u0131 Sor<\/span><\/a><\/div>\n<h3 class=\"h3-header\" id=\"low-testosterone-causes\">Erkeklerde D\u00fc\u015f\u00fck Testosteron Neden Olur?<\/h3>\n<p class=\"p-text\">Hipogonadizm d\u00fcnya genelinde erkeklerin yakla\u015f\u0131k y\u00fczde 2-6\u2019s\u0131n\u0131 etkiler; 60 ya\u015f \u00fczerindeki erkeklerde bu oran y\u00fczde 20-30\u2019a kadar \u00e7\u0131kabilir. <em>(Mulligan T et al., JCEM 2006)<\/em><\/p>\n<p class=\"p-text\">\u0130ki ana tip vard\u0131r ve aralar\u0131ndaki fark tedavi yolunu tamamen de\u011fi\u015ftirir. Primer hipogonadizm testis kaynakl\u0131d\u0131r; Klinefelter sendromu gibi genetik durumlar, kemoterapi, radyasyon veya fiziksel travma testik\u00fcler yetmezli\u011fe yol a\u00e7abilir. Sekonder hipogonadizm ise hipofiz veya hipotalamustan yeterli LH ve FSH sinyali g\u00f6nderilememesiyle olu\u015fur. Sekonder nedenler \u00e7o\u011fu zaman geri d\u00f6nd\u00fcr\u00fclebilir: obezite, obstr\u00fcktif uyku apnesi, kronik stres ve hiperprolaktinemi s\u0131k g\u00f6r\u00fclen fakt\u00f6rlerdir. Baz\u0131 sekonder vakalarda k\u00f6k neden tedavi edildi\u011finde testosteron TRT olmadan normale d\u00f6nebilir.<\/p>\n<div class=\"msh-note-box\"><span class=\"msh-note-icon\">T<\/span><\/p>\n<div>\n<p class=\"msh-note-label\">Atlanan tan\u0131<\/p>\n<p class=\"p-text\">Free T ve Total T fark\u0131: Bir erkekte total testosteron \u201cnormal\u201d g\u00f6r\u00fcnebilir; ancak SHBG (sex hormone-binding globulin) y\u00fcksekse serbest testosteron d\u00fc\u015f\u00fck olabilir. SHBG testosteronu ba\u011flayarak biyolojik olarak kullan\u0131labilir k\u0131sm\u0131 azalt\u0131r. Sadece total T\u2019ye bakmak bu tabloyu tamamen ka\u00e7\u0131rabilir. Do\u011fru tan\u0131 i\u00e7in SHBG ve Free Testosterone dahil tam panel gerekir.<\/p>\n<\/div>\n<\/div>\n<div class=\"msh-cta msh-cta-form\">\n<p class=\"msh-cta-question\">Ger\u00e7ek nedenin d\u00fc\u015f\u00fck testosteron olup olmad\u0131\u011f\u0131ndan emin de\u011fil misiniz?<\/p>\n<p class=\"p-text\">Belirtilerinizi gizlilik i\u00e7inde g\u00f6nderin. Klinik ekibi hormon testi, sertle\u015fme sorunu tan\u0131s\u0131 veya ikisinin birlikte gerekip gerekmedi\u011fini a\u00e7\u0131klayabilir.<\/p>\n<p><a href=\"javascript:void(0)\" class=\"msh-btn btn-form\" data-target=\"hidden-form-button\"><svg viewBox=\"0 0 24 24\" height=\"20\" width=\"20\" aria-hidden=\"true\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M14 2H6a2 2 0 0 0-2 2v16a2 2 0 0 0 2 2h12a2 2 0 0 0 2-2V8z\"\/><path d=\"M14 2v6h6\"\/><path d=\"M8 13h8\"\/><path d=\"M8 17h6\"\/><\/svg><span>Hormon Yol Haritam\u0131 Kontrol Et<\/span><\/a><\/div>\n<h3 class=\"h3-header\" id=\"testosterone-testing\">Testosteron Testi Nas\u0131l Yap\u0131l\u0131r?<\/h3>\n<p class=\"p-text\">Testosteron testi farkl\u0131 g\u00fcnlerde, sabah a\u00e7 karn\u0131na al\u0131nan iki kan \u00f6rne\u011fiyle yap\u0131lmal\u0131d\u0131r; testosteron 07.00-10.00 aras\u0131nda en y\u00fcksek d\u00fczeydedir ve \u00f6\u011fleden sonra y\u00fczde 30-40 azalabilir. \u00d6\u011fleden sonra yap\u0131lan tek test tan\u0131 i\u00e7in yeterli de\u011fildir.<\/p>\n<p class=\"p-text\">Dr. Terziler Clinic\u2019te tam tan\u0131 paneli, kons\u00fcltasyon g\u00fcn\u00fc klinik i\u00e7inde \u00e7al\u0131\u015f\u0131lan sekiz belirteci i\u00e7erir:<\/p>\n<div class=\"msh-table-wrap\">\n<table class=\"msh-table\">\n<thead>\n<tr>\n<th scope=\"col\"><strong class=\"barlow\">Test<\/strong><\/th>\n<th scope=\"col\"><strong class=\"barlow\">Neden \u00f6nemli?<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong class=\"barlow\">Total Testosteron<\/strong><\/td>\n<td>Birincil tarama belirtecidir. Tan\u0131 e\u015fi\u011fi: 300 ng\/dL alt\u0131.<\/td>\n<\/tr>\n<tr>\n<td><strong class=\"barlow\">Serbest Testosteron<\/strong><\/td>\n<td>Biyolojik olarak aktif fraksiyondur. Normal Total T ile d\u00fc\u015f\u00fck Free T, SHBG sorununa i\u015faret edebilir.<\/td>\n<\/tr>\n<tr>\n<td><strong class=\"barlow\">LH (Luteinize Edici Hormon)<\/strong><\/td>\n<td>Primer ve sekonder hipogonadizmi ay\u0131r\u0131r.<\/td>\n<\/tr>\n<tr>\n<td><strong class=\"barlow\">FSH (Folik\u00fcl Uyar\u0131c\u0131 Hormon)<\/strong><\/td>\n<td>Testis fonksiyonunu ve mevcut fertilite durumunu de\u011ferlendirir.<\/td>\n<\/tr>\n<tr>\n<td><strong class=\"barlow\">SHBG<\/strong><\/td>\n<td>SHBG y\u00fcksekli\u011fi, Total T normal olsa bile biyoyararlanabilir testosteronu d\u00fc\u015f\u00fcr\u00fcr.<\/td>\n<\/tr>\n<tr>\n<td><strong class=\"barlow\">Estradiol (E2)<\/strong><\/td>\n<td>Aromatizasyonu takip eder. Fazla E2 TRT etkinli\u011fini d\u00fc\u015f\u00fcrebilir ve jinekomastiye yol a\u00e7abilir.<\/td>\n<\/tr>\n<tr>\n<td><strong class=\"barlow\">PSA (40 ya\u015f \u00fcst\u00fc erkekler)<\/strong><\/td>\n<td>TRT \u00f6ncesi bazal de\u011ferdir. Testosteron prostat b\u00fcy\u00fcmesini etkileyebilir.<\/td>\n<\/tr>\n<tr>\n<td><strong class=\"barlow\">Hematokrit<\/strong><\/td>\n<td>TRT k\u0131rm\u0131z\u0131 kan h\u00fccresi say\u0131s\u0131n\u0131 art\u0131rabilir. Tedavi boyunca hedef y\u00fczde 54 alt\u0131d\u0131r.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p class=\"p-text\">Evde yap\u0131lan testosteron test kitleri parmak ucundan al\u0131nan \u00f6rnekle genellikle yaln\u0131zca Total T\u2019yi \u00f6l\u00e7er. Free T, LH, FSH, SHBG ve estradiol\u00fc ka\u00e7\u0131r\u0131r. Test kiti sonucu tan\u0131 de\u011fildir ve TRT karar\u0131 i\u00e7in tek ba\u015f\u0131na kullan\u0131lmamal\u0131d\u0131r. Tam klinik panel gerekir.<\/p>\n<p class=\"p-text msh-source\"><em>Bhasin S et al. Testosterone Therapy in Men With Hypogonadism. J Clin Endocrinol Metab. 2018;103(5):1715-1744. PMID: 29562364.<\/em><\/p>\n<p class=\"p-text msh-source\"><em>Saad F et al. Long-term treatment of hypogonadal men with testosterone produces substantial and sustained weight loss. JCEM. 2011. PMID: 21646372.<\/em><\/p>\n<div class=\"msh-cta msh-cta-wa\">\n<p class=\"msh-cta-question\">Testosteron testini gizlilik i\u00e7inde sormak ister misiniz?<\/p>\n<p class=\"p-text\">Klinik ekibine yaz\u0131n ve belirtileriniz i\u00e7in tam hormon panelinin uygun olup olmad\u0131\u011f\u0131n\u0131 sorun.<\/p>\n<p><a href=\"https:\/\/wa.me\/902129637758?text=Merhaba%2C%20testosteron%20testi%20ve%20erkek%20cinsel%20sa%C4%9Fl%C4%B1%C4%9F%C4%B1%20hakk%C4%B1nda%20gizli%20%C3%B6n%20bilgilendirme%20almak%20istiyorum.\" class=\"msh-btn msh-wa-btn\" target=\"_blank\" rel=\"noopener noreferrer\"><svg viewBox=\"0 0 448 512\" height=\"20\" width=\"20\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M380.9 97.1C339 55.1 283.2 32 223.9 32c-122.4 0-222 99.6-222 222 0 39.1 10.2 77.3 29.6 111L0 480l117.7-30.9c32.4 17.7 68.9 27 106.1 27h.1c122.3 0 224.1-99.6 224.1-222 0-59.3-25.2-115-67.1-157zm-157 341.6c-33.2 0-65.7-8.9-94-25.7l-6.7-4-69.8 18.3L72 359.2l-4.4-7c-18.5-29.4-28.2-63.3-28.2-98.2 0-101.7 82.8-184.5 184.6-184.5 49.3 0 95.6 19.2 130.4 54.1 34.8 34.9 56.2 81.2 56.1 130.5 0 101.8-84.9 184.6-186.6 184.6zm101.2-138.2c-5.5-2.8-32.8-16.2-37.9-18-5.1-1.9-8.8-2.8-12.5 2.8-3.7 5.6-14.3 18-17.6 21.8-3.2 3.7-6.5 4.2-12 1.4-32.6-16.3-54-29.1-75.5-66-5.7-9.8 5.7-9.1 16.3-30.3 1.8-3.7.9-6.9-.5-9.7-1.4-2.8-12.5-30.1-17.1-41.2-4.5-10.8-9.1-9.3-12.5-9.5-3.2-.2-6.9-.2-10.6-.2-3.7 0-9.7 1.4-14.8 6.9-5.1 5.6-19.4 19-19.4 46.3 0 27.3 19.9 53.7 22.6 57.4 2.8 3.7 39.1 59.7 94.8 83.8 35.2 15.2 49 16.5 66.6 13.9 10.7-1.6 32.8-13.4 37.4-26.4 4.6-13 4.6-24.1 3.2-26.4-1.3-2.5-5-3.9-10.5-6.6z\"><\/path><\/svg><span>Erkek Sa\u011fl\u0131\u011f\u0131 Ekibine Sor<\/span><\/a><\/div>\n<\/section>\n<section class=\"msh-section\" id=\"low-testosterone-symptoms\">\n<h2 class=\"h2-header\">D\u00fc\u015f\u00fck Testosteron Belirtileri Nelerdir?<\/h2>\n<p class=\"p-text\">D\u00fc\u015f\u00fck testosteron; enerji, cinsel fonksiyon, v\u00fccut kompozisyonu ve ruh halini etkileyen belirgin bir tablo olu\u015fturur ve \u00e7o\u011fu zaman t\u00fckenmi\u015flik, depresyon veya normal ya\u015flanma san\u0131l\u0131r. Bir\u00e7ok erkek hormonlar\u0131 kontrol edilmeden y\u0131llarca bu tabloyla ya\u015far.<\/p>\n<div class=\"msh-table-wrap\">\n<table class=\"msh-table\">\n<thead>\n<tr>\n<th scope=\"col\"><strong class=\"barlow\">Belirti<\/strong><\/th>\n<th scope=\"col\"><strong class=\"barlow\">Nas\u0131l g\u00f6r\u00fcl\u00fcr?<\/strong><\/th>\n<th scope=\"col\"><strong class=\"barlow\">S\u0131kl\u0131kla neyle kar\u0131\u015f\u0131r?<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Kal\u0131c\u0131 yorgunluk<\/td>\n<td>Yeterli uykuya ra\u011fmen s\u00fcrer, i\u015f y\u00fck\u00fcnden ba\u011f\u0131ms\u0131zd\u0131r<\/td>\n<td>T\u00fckenmi\u015flik, anemi, tiroid<\/td>\n<\/tr>\n<tr>\n<td>D\u00fc\u015f\u00fck libido<\/td>\n<td>Duruma veya ili\u015fkiye ba\u011fl\u0131 olmayan istek azalmas\u0131<\/td>\n<td>Depresyon, stres<\/td>\n<\/tr>\n<tr>\n<td>Sertle\u015fme sorunu<\/td>\n<td>\u00d6zellikle iste\u011fe ba\u011fl\u0131 ED ile d\u00fc\u015f\u00fck T birlikte g\u00f6r\u00fclebilir<\/td>\n<td>Damar kaynakl\u0131 ED, kayg\u0131<\/td>\n<\/tr>\n<tr>\n<td>Kas k\u00fctlesinde azalma<\/td>\n<td>Egzersiz ve protein al\u0131m\u0131na ra\u011fmen kas kayb\u0131<\/td>\n<td>Ya\u015flanma, yetersiz antrenman<\/td>\n<\/tr>\n<tr>\n<td>V\u00fccut ya\u011f\u0131nda art\u0131\u015f<\/td>\n<td>\u00d6zellikle kar\u0131n b\u00f6lgesinde; metabolik k\u00f6kenli olabilir.<\/td>\n<td>Beslenme de\u011fi\u015fimi, hareketsizlik<\/td>\n<\/tr>\n<tr>\n<td>Beyin sisi<\/td>\n<td>Odaklanma g\u00fc\u00e7l\u00fc\u011f\u00fc, \u00e7al\u0131\u015fma belle\u011finde azalma<\/td>\n<td>ADHD, uyku eksikli\u011fi<\/td>\n<\/tr>\n<tr>\n<td>D\u00fc\u015f\u00fck ruh hali<\/td>\n<td>Testosteron serotonin ve dopamin yollar\u0131 \u00fczerinde etkilidir (Amanat M, 2018)<\/td>\n<td>Depresyon, anksiyete bozuklu\u011fu<\/td>\n<\/tr>\n<tr>\n<td>Sabah ereksiyonlar\u0131nda azalma<\/td>\n<td>Testosteron d\u00fc\u015f\u00fc\u015f\u00fcn\u00fcn erken klinik g\u00f6stergesi olabilir<\/td>\n<td>Normal de\u011fi\u015fkenlik<\/td>\n<\/tr>\n<tr>\n<td>K\u00f6t\u00fc uyku kalitesi<\/td>\n<td>B\u00f6l\u00fcnm\u00fc\u015f uyku, \u00e7o\u011fu zaman uyku apnesiyle birlikte<\/td>\n<td>Uykusuzluk, stres<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p class=\"p-text\">Bu belirtiler depresyon, tiroid bozukluklar\u0131 ve uyku apnesiyle ciddi \u015fekilde \u00f6rt\u00fc\u015f\u00fcr; ayr\u0131m\u0131 yapman\u0131n tek yolu kan testidir. Borderline testosteron d\u00fczeyleri (300-400 ng\/dL) olan ve belirgin semptom ya\u015fayan erkekler de TRT\u2019den fayda g\u00f6rebilir. Karar yaln\u0131zca laboratuvar say\u0131s\u0131na de\u011fil, t\u00fcm klinik tabloya g\u00f6re verilir.<\/p>\n<p class=\"p-text\">Kronik d\u00fc\u015f\u00fck testosteron; metabolik sendrom, tip 2 diyabet ve kardiyovask\u00fcler olay riskindeki art\u0131\u015fla da ili\u015fkilidir. Hipogonadizmi tedavi etmek yaln\u0131zca ya\u015fam kalitesi karar\u0131 de\u011fildir.<\/p>\n<p class=\"p-text msh-source\"><em>Amanat M et al. Testosterone replacement therapy and depression. CNS Drugs. 2018;32(12):1047-1065. PMID: 30155759.<\/em><\/p>\n<p class=\"p-text msh-source\"><em>Araujo AB et al. Prevalence of symptomatic androgen deficiency in men. JCEM. 2007. PMID: 17148562.<\/em><\/p>\n<div class=\"msh-cta msh-cta-form\">\n<p class=\"msh-cta-question\">Bu belirtiler sizin ya\u015fad\u0131klar\u0131n\u0131za benziyor mu?<\/p>\n<p class=\"p-text\">Libido, enerji, ereksiyon, ruh hali, uyku veya v\u00fccut kompozisyonunda neyin de\u011fi\u015fti\u011fini payla\u015f\u0131n. Uzman bir sonraki ad\u0131m\u0131 y\u00f6nlendirebilir.<\/p>\n<p><a href=\"javascript:void(0)\" class=\"msh-btn btn-form\" data-target=\"hidden-form-button\"><svg viewBox=\"0 0 24 24\" height=\"20\" width=\"20\" aria-hidden=\"true\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M14 2H6a2 2 0 0 0-2 2v16a2 2 0 0 0 2 2h12a2 2 0 0 0 2-2V8z\"\/><path d=\"M14 2v6h6\"\/><path d=\"M8 13h8\"\/><path d=\"M8 17h6\"\/><\/svg><span>Erkek Sa\u011fl\u0131\u011f\u0131 De\u011ferlendirmemi \u0130ste<\/span><\/a><\/div>\n<\/section>\n<section class=\"msh-section\" id=\"peptides-sexual-health\">\n<h2 class=\"h2-header\">Peptitler Erkek Cinsel Sa\u011fl\u0131\u011f\u0131n\u0131 \u0130yile\u015ftirebilir mi?<\/h2>\n<p class=\"p-text\">PT-141 (bremelanotide), beyindeki melanokortin-4 resept\u00f6rlerini aktive ederek ereksiyon fonksiyonunu ve cinsel iste\u011fi destekleyen FDA onayl\u0131 bir peptittir; bu mekanizma sildenafil gibi PDE5 inhibit\u00f6rlerinden tamamen farkl\u0131d\u0131r. <em>(FDA NDA 210557, 2019)<\/em><\/p>\n<p class=\"p-text\">PDE5 inhibit\u00f6rleri (sildenafil, tadalafil) penis damarlar\u0131ndaki d\u00fcz kaslar\u0131 gev\u015fetir; yani damar temelli bir mekanizmayla \u00e7al\u0131\u015f\u0131r. ED\u2019nin n\u00f6rolojik veya istek kaynakl\u0131 oldu\u011fu erkeklerde ya da kan ak\u0131m\u0131n\u0131n yeterince toparlanamad\u0131\u011f\u0131 a\u011f\u0131r damar hasar\u0131nda yetersiz kalabilir. PT-141 damar yollar\u0131n\u0131 tamamen bypass eder. Cinsel uyar\u0131lmay\u0131 y\u00f6neten beyin resept\u00f6rleri \u00fczerinde merkezi etki g\u00f6sterir; bu nedenle a\u011f\u0131zdan ED ilac\u0131yla sonu\u00e7 alamayan baz\u0131 hasta gruplar\u0131nda de\u011ferlendirilebilir. Cinsel aktiviteden yakla\u015f\u0131k 45 dakika \u00f6nce subkutan enjeksiyon olarak uygulan\u0131r.<\/p>\n<p class=\"p-text\">BPC-157 (Body Protection Compound-157), anti-inflamatuvar ve doku onar\u0131m \u00f6zellikleriyle bilinen 15 amino asitli bir peptittir. \u00d6zellikle testosteron eksikli\u011fine sistemik inflamasyonun e\u015flik etti\u011fi erkeklerde hormonal dengeyi ve libidoyu destekleyebilece\u011fine dair yeni veriler vard\u0131r. FDA onayl\u0131 de\u011fildir; dikkatle tasarlanm\u0131\u015f klinik protokoller i\u00e7inde de\u011ferlendirilir.<\/p>\n<div class=\"msh-note-box\"><span class=\"msh-note-icon\">NEDEN<\/span><\/p>\n<div>\n<p class=\"msh-note-label\">Peptitler cinsel sa\u011fl\u0131kta neden \u00f6nemlidir?<\/p>\n<p class=\"p-text\">Peptitler altta yatan nedeni te\u015fhis etmenin yerine ge\u00e7mez. Testosteron d\u00fczeyi ve damar sa\u011fl\u0131\u011f\u0131 de\u011ferlendirilmi\u015f olmas\u0131na ra\u011fmen sorun ya\u015fayan erkeklerde peptitler, ba\u015fka tedavi s\u0131n\u0131flar\u0131n\u0131n sunmad\u0131\u011f\u0131 merkezi n\u00f6rolojik bir mekanizma sa\u011flayabilir. Bu y\u00fczden kapsaml\u0131 cinsel sa\u011fl\u0131k protokollerine giderek daha fazla dahil edilmektedir.<\/p>\n<\/div>\n<\/div>\n<p class=\"p-text\">Peptit tedavisi ayn\u0131 zamanda <a href=\"https:\/\/drterziler.com\/tr\/longevity\/reset-program-longevity\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong class=\"barlow\">Youngevity Reset program\u0131<\/strong><\/a> i\u00e7inde temel bir katmand\u0131r; h\u00fccresel sa\u011fl\u0131k, hormonal optimizasyon ve longevity tan\u0131lar\u0131n\u0131 tek protokolde birle\u015ftirir.<\/p>\n<p class=\"p-text msh-source\"><em>Clayton AH et al. Bremelanotide for female sexual dysfunction. J Sex Med. 2016. PMID: 27498217.<\/em><\/p>\n<p class=\"p-text msh-source\"><em>FDA Drug Approval: Vyleesi (bremelanotide injection). NDA 210557. June 2019.<\/em><\/p>\n<div class=\"msh-cta msh-cta-wa\">\n<p class=\"msh-cta-question\">Peptitlerin sizin durumunuza uygun olup olmad\u0131\u011f\u0131n\u0131 merak ediyor musunuz?<\/p>\n<p class=\"p-text\">Gizlilik i\u00e7inde mesaj g\u00f6nderin; testosteron ve damar kaynakl\u0131 nedenler de\u011ferlendirildikten sonra hangi protokol\u00fcn mant\u0131kl\u0131 oldu\u011funu sorun.<\/p>\n<p><a href=\"https:\/\/wa.me\/902129637758?text=Merhaba%2C%20erkek%20cinsel%20sa%C4%9Fl%C4%B1%C4%9F%C4%B1%20i%C3%A7in%20peptit%20protokolleri%20hakk%C4%B1nda%20bilgi%20almak%20istiyorum.\" class=\"msh-btn msh-wa-btn\" target=\"_blank\" rel=\"noopener noreferrer\"><svg viewBox=\"0 0 448 512\" height=\"20\" width=\"20\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M380.9 97.1C339 55.1 283.2 32 223.9 32c-122.4 0-222 99.6-222 222 0 39.1 10.2 77.3 29.6 111L0 480l117.7-30.9c32.4 17.7 68.9 27 106.1 27h.1c122.3 0 224.1-99.6 224.1-222 0-59.3-25.2-115-67.1-157zm-157 341.6c-33.2 0-65.7-8.9-94-25.7l-6.7-4-69.8 18.3L72 359.2l-4.4-7c-18.5-29.4-28.2-63.3-28.2-98.2 0-101.7 82.8-184.5 184.6-184.5 49.3 0 95.6 19.2 130.4 54.1 34.8 34.9 56.2 81.2 56.1 130.5 0 101.8-84.9 184.6-186.6 184.6zm101.2-138.2c-5.5-2.8-32.8-16.2-37.9-18-5.1-1.9-8.8-2.8-12.5 2.8-3.7 5.6-14.3 18-17.6 21.8-3.2 3.7-6.5 4.2-12 1.4-32.6-16.3-54-29.1-75.5-66-5.7-9.8 5.7-9.1 16.3-30.3 1.8-3.7.9-6.9-.5-9.7-1.4-2.8-12.5-30.1-17.1-41.2-4.5-10.8-9.1-9.3-12.5-9.5-3.2-.2-6.9-.2-10.6-.2-3.7 0-9.7 1.4-14.8 6.9-5.1 5.6-19.4 19-19.4 46.3 0 27.3 19.9 53.7 22.6 57.4 2.8 3.7 39.1 59.7 94.8 83.8 35.2 15.2 49 16.5 66.6 13.9 10.7-1.6 32.8-13.4 37.4-26.4 4.6-13 4.6-24.1 3.2-26.4-1.3-2.5-5-3.9-10.5-6.6z\"><\/path><\/svg><span>Peptit Protokollerini Sor<\/span><\/a><\/div>\n<\/section>\n<section class=\"msh-section\" id=\"why-turkey\">\n<h2 class=\"h2-header\">Erkekler Cinsel Sa\u011fl\u0131k Tedavisi \u0130\u00e7in Neden T\u00fcrkiye\u2019yi Se\u00e7iyor?<\/h2>\n<p class=\"p-text\">Dr. Terziler Exclusive Clinic; cerrahi g\u00fcvenlik, enfeksiyon kontrol\u00fc, anestezi protokolleri ve klinik sonu\u00e7 takibini kapsayan AAACI akreditasyonuna sahiptir. Bu sertifikaya T\u00fcrkiye\u2019deki \u00f6zel kliniklerin y\u00fczde 5\u2019inden az\u0131 sahiptir.<\/p>\n<p class=\"p-text\">Cinsel sa\u011fl\u0131k hem klinik g\u00fcvenilirlik hem de ger\u00e7ek hasta mahremiyeti gerektiren bir aland\u0131r. \u0130stanbul\u2019daki \u00f6nde gelen uzman klinikler art\u0131k bu iki beklentiyi Bat\u0131 Avrupa ve Kuzey Amerika\u2019daki ayaktan cerrahi merkezlerle benzer standartta kar\u015f\u0131layabiliyor. Erkekler Londra, Amsterdam, Riyad ve New York\u2019tan yaln\u0131zca maliyet avantaj\u0131 i\u00e7in de\u011fil; uzman d\u00fczeyinde tan\u0131 ve i\u015flemlere tek koordine ziyarette ula\u015fabildikleri i\u00e7in geliyor. Bu s\u00fcre\u00e7 NHS sevk yollar\u0131nda veya ABD sigorta sisteminde haftalar s\u00fcrebilir.<\/p>\n<p class=\"p-text\">Op. Dr. Do\u011fukan S\u00f6kmen, Dr. Terziler Clinic\u2019te \u00fcroloji ve erkek cinsel t\u0131bb\u0131 alan\u0131na odaklanan erkek cinsel sa\u011fl\u0131\u011f\u0131 uzman\u0131d\u0131r; genel pratisyen de\u011ferlendirmesi ya da farkl\u0131 departmanlar\u0131 y\u00f6neten ayn\u0131 hekim modeli de\u011fildir. Tam tan\u0131sal hormon paneli kons\u00fcltasyon g\u00fcn\u00fc klinik i\u00e7inde \u00e7al\u0131\u015f\u0131l\u0131r. Sevk s\u00fcreci, d\u0131\u015f laboratuvar sonucu i\u00e7in iki hafta bekleme veya sonu\u00e7 almak i\u00e7in ikinci randevu gerekmez.<\/p>\n<div class=\"msh-table-wrap\">\n<table class=\"msh-table\">\n<thead>\n<tr>\n<th scope=\"col\"><strong class=\"barlow\">Neden Dr. Terziler?<\/strong><\/th>\n<th scope=\"col\"><strong class=\"barlow\">Detay<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>AAACI akreditasyonu<\/td>\n<td>Uluslararas\u0131 cerrahi g\u00fcvenlik sertifikasyonu. T\u00fcrkiye\u2019deki \u00f6zel kliniklerin y\u00fczde 5\u2019inden az\u0131nda bulunur.<\/td>\n<\/tr>\n<tr>\n<td>Odakl\u0131 uzmanl\u0131k<\/td>\n<td>Op. Dr. Do\u011fukan S\u00f6kmen; \u00fcroloji ve erkek cinsel t\u0131bb\u0131 oda\u011f\u0131yla.<\/td>\n<\/tr>\n<tr>\n<td>Ayn\u0131 g\u00fcn tam hormon paneli<\/td>\n<td>8 tan\u0131sal belirtecin tamam\u0131 kons\u00fcltasyon g\u00fcn\u00fc klinik i\u00e7inde \u00e7al\u0131\u015f\u0131l\u0131r.<\/td>\n<\/tr>\n<tr>\n<td>Mahrem klinik ortam\u0131<\/td>\n<td>\u00d6zel ve mahrem ortam; hastane koridoru veya ortak poliklinik alan\u0131 de\u011fil.<\/td>\n<\/tr>\n<tr>\n<td>\u0130stanbul ula\u015f\u0131labilirli\u011fi<\/td>\n<td>Direkt u\u00e7u\u015flar: Londra (3 saat), Amsterdam (3,5 saat), Dubai (4 saat), New York (10 saat).<\/td>\n<\/tr>\n<tr>\n<td>\u00dccretsiz kons\u00fcltasyon<\/td>\n<td>Tam kons\u00fcltasyon + kan paneli dahil; \u0130ngiltere\/ABD kliniklerinde standart \u00fccret: 200-400 GBP.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div class=\"msh-cta msh-cta-form\">\n<p class=\"msh-cta-question\">Op. Dr. S\u00f6kmen\u2019in ekibiyle g\u00f6r\u00fc\u015fmeye haz\u0131r m\u0131s\u0131n\u0131z?<\/p>\n<p class=\"p-text\">\u00dccretsiz kons\u00fcltasyon planlay\u0131n ve tek bir \u00f6zel \u0130stanbul ziyaretinde nelerin tan\u0131lanabilece\u011fini sorun.<\/p>\n<p><a href=\"javascript:void(0)\" class=\"msh-btn btn-form\" data-target=\"hidden-form-button\"><svg viewBox=\"0 0 24 24\" height=\"20\" width=\"20\" aria-hidden=\"true\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M14 2H6a2 2 0 0 0-2 2v16a2 2 0 0 0 2 2h12a2 2 0 0 0 2-2V8z\"\/><path d=\"M14 2v6h6\"\/><path d=\"M8 13h8\"\/><path d=\"M8 17h6\"\/><\/svg><span>\u00dccretsiz Kons\u00fcltasyon Planla<\/span><\/a><\/div>\n<\/section>\n<section class=\"msh-section\" id=\"sexual-health-cost-turkey\">\n<h2 class=\"h2-header\">T\u00fcrkiye\u2019de Cinsel Sa\u011fl\u0131k Tedavisi Fiyatlar\u0131 Ne Kadar?<\/h2>\n<p class=\"p-text\">T\u00fcrkiye\u2019de cinsel sa\u011fl\u0131k i\u015flemleri, \u0130ngiltere veya ABD\u2019deki e\u015fde\u011fer tedavilere g\u00f6re y\u00fczde 50-70 daha avantajl\u0131 olabilir; cerrahi sonu\u00e7, komplikasyon oran\u0131 veya ameliyat sonras\u0131 bak\u0131m standartlar\u0131ndan \u00f6d\u00fcn verilmez.<\/p>\n<div class=\"msh-table-wrap\">\n<table class=\"msh-table\">\n<thead>\n<tr>\n<th scope=\"col\"><strong class=\"barlow\">Tedavi<\/strong><\/th>\n<th scope=\"col\"><strong class=\"barlow\">Dr. Terziler T\u00fcrkiye<\/strong><\/th>\n<th scope=\"col\"><strong class=\"barlow\">\u0130ngiltere klinikleri<\/strong><\/th>\n<th scope=\"col\"><strong class=\"barlow\">ABD klinikleri<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Penil protez (\u015fi\u015firilebilir)<\/td>\n<td>\u20ac8,000-12,000<\/td>\n<td>\u00a320,000+<\/td>\n<td>$25,000+<\/td>\n<\/tr>\n<tr>\n<td>TRT program\u0131 (3 ayl\u0131k protokol)<\/td>\n<td>\u20ac600-900<\/td>\n<td>\u00a31,500+<\/td>\n<td>$2,500+<\/td>\n<\/tr>\n<tr>\n<td>Ameliyats\u0131z Penis B\u00fcy\u00fctme<\/td>\n<td>\u20ac1,200-1,800<\/td>\n<td>\u00a33,000+<\/td>\n<td>$4,000+<\/td>\n<\/tr>\n<tr>\n<td>Ge\u00e7 bo\u015falma de\u011ferlendirmesi ve tedavisi<\/td>\n<td>Kons\u00fcltasyonda<\/td>\n<td>\u00a3300-500<\/td>\n<td>$400-600+<\/td>\n<\/tr>\n<tr>\n<td>\u0130lk kons\u00fcltasyon + tam hormon paneli<\/td>\n<td>\u00dccretsiz<\/td>\n<td>\u00a3200-400<\/td>\n<td>$300-500<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p class=\"p-text\">Bu aral\u0131klar yakla\u015f\u0131k de\u011ferlerdir. Ki\u015fisel maliyet i\u015flem detay\u0131na ve protokole g\u00f6re de\u011fi\u015fir. T\u00fcm fiyatlar kons\u00fcltasyonda netle\u015ftirilir. Dr. Terziler\u2019de tam hormon paneli \u00fccretsizdir; \u0130ngiltere ve ABD\u2019deki bir\u00e7ok uzman klinikte ayn\u0131 kan paneli tedavi konu\u015fulmadan \u00f6nce 200-400 GBP tutabilir.<\/p>\n<div class=\"msh-cta msh-cta-wa\">\n<p class=\"msh-cta-question\">Seyahat etmeden \u00f6nce net fiyat aral\u0131\u011f\u0131 ister misiniz?<\/p>\n<p class=\"p-text\">Hedefinizi gizlilik i\u00e7inde g\u00f6nderin; TRT, penil protez, dolgu veya ge\u00e7 bo\u015falma tedavisi i\u00e7in olas\u0131 fiyat aral\u0131\u011f\u0131n\u0131 sorun.<\/p>\n<p><a href=\"https:\/\/wa.me\/902129637758?text=Merhaba%2C%20T%C3%BCrkiye%E2%80%99de%20erkek%20cinsel%20sa%C4%9Fl%C4%B1%C4%9F%C4%B1%20tedavisi%20i%C3%A7in%20net%20fiyat%20aral%C4%B1%C4%9F%C4%B1%20hakk%C4%B1nda%20bilgi%20almak%20istiyorum.\" class=\"msh-btn msh-wa-btn\" target=\"_blank\" rel=\"noopener noreferrer\"><svg viewBox=\"0 0 448 512\" height=\"20\" width=\"20\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M380.9 97.1C339 55.1 283.2 32 223.9 32c-122.4 0-222 99.6-222 222 0 39.1 10.2 77.3 29.6 111L0 480l117.7-30.9c32.4 17.7 68.9 27 106.1 27h.1c122.3 0 224.1-99.6 224.1-222 0-59.3-25.2-115-67.1-157zm-157 341.6c-33.2 0-65.7-8.9-94-25.7l-6.7-4-69.8 18.3L72 359.2l-4.4-7c-18.5-29.4-28.2-63.3-28.2-98.2 0-101.7 82.8-184.5 184.6-184.5 49.3 0 95.6 19.2 130.4 54.1 34.8 34.9 56.2 81.2 56.1 130.5 0 101.8-84.9 184.6-186.6 184.6zm101.2-138.2c-5.5-2.8-32.8-16.2-37.9-18-5.1-1.9-8.8-2.8-12.5 2.8-3.7 5.6-14.3 18-17.6 21.8-3.2 3.7-6.5 4.2-12 1.4-32.6-16.3-54-29.1-75.5-66-5.7-9.8 5.7-9.1 16.3-30.3 1.8-3.7.9-6.9-.5-9.7-1.4-2.8-12.5-30.1-17.1-41.2-4.5-10.8-9.1-9.3-12.5-9.5-3.2-.2-6.9-.2-10.6-.2-3.7 0-9.7 1.4-14.8 6.9-5.1 5.6-19.4 19-19.4 46.3 0 27.3 19.9 53.7 22.6 57.4 2.8 3.7 39.1 59.7 94.8 83.8 35.2 15.2 49 16.5 66.6 13.9 10.7-1.6 32.8-13.4 37.4-26.4 4.6-13 4.6-24.1 3.2-26.4-1.3-2.5-5-3.9-10.5-6.6z\"><\/path><\/svg><span>Fiyat Bilgisi Sor<\/span><\/a><\/div>\n<\/section>\n<section class=\"msh-section\" id=\"delayed-ejaculation-treatment\">\n<h2 class=\"h2-header\">Ge\u00e7 Bo\u015falma Nas\u0131l Tedavi Edilir?<\/h2>\n<p class=\"p-text\">Ge\u00e7 bo\u015falma, yeterli cinsel uyarana ra\u011fmen orgazma ula\u015fmada kal\u0131c\u0131 g\u00fc\u00e7l\u00fck ya\u015fanmas\u0131d\u0131r. Erkek cinsel i\u015flev bozukluklar\u0131 aras\u0131nda en az konu\u015fulan durumlardan biridir; erkeklerin y\u00fczde 1-4\u2019\u00fcn\u00fc etkiler ve altta yatan neden do\u011fru belirlendi\u011finde vakalar\u0131n y\u00fczde 70\u2019inden fazlas\u0131nda iyile\u015fme sa\u011flanabilir. <em>(International Society for Sexual Medicine)<\/em><\/p>\n<p class=\"p-text\">Erkekler \u00e7o\u011fu zaman ge\u00e7 bo\u015falma i\u00e7in y\u0131llarca yard\u0131m aramaz; bunun bir nedeni \u201cyap\u0131lacak bir \u015fey yok\u201d d\u00fc\u015f\u00fcncesi, bir nedeni de durumun genel hekimler taraf\u0131ndan bile yeterince anla\u015f\u0131lmamas\u0131d\u0131r. Nedenler d\u00f6rt ana gruba ayr\u0131l\u0131r:<\/p>\n<div class=\"msh-table-wrap\">\n<table class=\"msh-table\">\n<thead>\n<tr>\n<th scope=\"col\"><strong class=\"barlow\">Neden<\/strong><\/th>\n<th scope=\"col\"><strong class=\"barlow\">Yayg\u0131n \u00f6rnekler<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>N\u00f6rolojik<\/td>\n<td>Diyabetik n\u00f6ropati, omurilik yaralanmas\u0131, multipl skleroz, pelvik cerrahi sonras\u0131<\/td>\n<\/tr>\n<tr>\n<td>Hormonal<\/td>\n<td>D\u00fc\u015f\u00fck testosteron, hipotiroidi<\/td>\n<\/tr>\n<tr>\n<td>Psikolojik<\/td>\n<td>Performans kayg\u0131s\u0131, ili\u015fki \u00e7at\u0131\u015fmas\u0131, travma \u00f6yk\u00fcs\u00fc<\/td>\n<\/tr>\n<tr>\n<td>\u0130la\u00e7 kaynakl\u0131<\/td>\n<td>SSRI\u2019lar, antihipertansifler, antipsikotikler, opioidler<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p class=\"p-text\">SSRI kaynakl\u0131 ge\u00e7 bo\u015falma \u00f6zellikle \u00f6nemlidir. SSRI\u2019lar d\u00fcnya genelinde en s\u0131k re\u00e7ete edilen ila\u00e7lar aras\u0131ndad\u0131r ve bu ila\u00e7lar\u0131 kullanan erkeklerin y\u00fczde 58\u2019ine kadar\u0131nda bo\u015falma gecikmesi g\u00f6r\u00fclebilir (Montejo AL et al., CNS Drugs 2015). \u00c7o\u011fu hastaya bunun bir ila\u00e7 yan etkisi oldu\u011fu s\u00f6ylenmez. Farkl\u0131 bir antidepresana ge\u00e7i\u015f (bupropion veya mirtazapin gibi) \u00e7o\u011fu zaman ek cinsel sa\u011fl\u0131k m\u00fcdahalesi olmadan bo\u015falma sorununu d\u00fczeltebilir. Bu, online i\u00e7eriklerde nadiren anlat\u0131lan klinik bir ger\u00e7ektir.<\/p>\n<p class=\"p-text\">Dr. Terziler Clinic\u2019te tedavi se\u00e7enekleri aras\u0131nda davran\u0131\u015f\u00e7\u0131 terapi (sensate focus, desensitizasyon), farmakolojik yakla\u015f\u0131mlar (kabergolin, siproheptadin off-label) ve kombine protokoller bulunur. Kombine tedavi hastalar\u0131n y\u00fczde 70\u2019inden fazlas\u0131nda \u00e7\u00f6z\u00fcm sa\u011flayabilir (ISSM). \u00d6nce neden belirlenir, ard\u0131ndan tedavi planlan\u0131r.<\/p>\n<div class=\"msh-cta msh-cta-form\">\n<p class=\"msh-cta-question\">Ge\u00e7 bo\u015falma i\u00e7in destek ister misiniz?<\/p>\n<p class=\"p-text\">\u0130la\u00e7 ge\u00e7mi\u015finizi, zamanlamay\u0131 ve belirtilerinizi gizlilik i\u00e7inde payla\u015f\u0131n. Do\u011fru tedavi nedene ba\u011fl\u0131d\u0131r.<\/p>\n<p><a href=\"javascript:void(0)\" class=\"msh-btn btn-form\" data-target=\"hidden-form-button\"><svg viewBox=\"0 0 24 24\" height=\"20\" width=\"20\" aria-hidden=\"true\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M14 2H6a2 2 0 0 0-2 2v16a2 2 0 0 0 2 2h12a2 2 0 0 0 2-2V8z\"\/><path d=\"M14 2v6h6\"\/><path d=\"M8 13h8\"\/><path d=\"M8 17h6\"\/><\/svg><span>Ge\u00e7 Bo\u015falma De\u011ferlendirmesi \u0130ste<\/span><\/a><\/div>\n<p class=\"p-text msh-source\"><em>Perelman MA. Delayed ejaculation. J Sex Med. 2014;11(5):1110-1121. PMID: 23445500.<\/em><\/p>\n<p class=\"p-text msh-source\"><em>Montejo AL et al. Prevalence of sexual dysfunction related to antidepressants. CNS Drugs. 2015. PMID: 25636135.<\/em><\/p>\n<\/section>\n<section class=\"msh-section\" id=\"hair-loss-sexual-confidence\">\n<h2 class=\"h2-header\">Sa\u00e7 D\u00f6k\u00fclmesi Erkeklerde Cinsel \u00d6zg\u00fcveni Etkiler mi?<\/h2>\n<p class=\"p-text\">Evet, sa\u00e7 d\u00f6k\u00fclmesi erkeklerde cinsel \u00f6zg\u00fcveni dolayl\u0131 olarak etkileyebilir ve bunun biyolojik bir a\u00e7\u0131klamas\u0131 vard\u0131r.<\/p>\n<p class=\"p-text\">DHT (dihidrotestosteron), erkek tipi sa\u00e7 d\u00f6k\u00fclmesinden sorumlu hormondur ve testosteronun a\u015fa\u011f\u0131 ak\u0131\u015f metabolitlerinden biridir. TRT\u2019ye ba\u015flayan erkekler tedavinin sa\u00e7 d\u00f6k\u00fclmesini h\u0131zland\u0131r\u0131p h\u0131zland\u0131rmayaca\u011f\u0131n\u0131 s\u0131k\u00e7a sorar; bu hakl\u0131 bir kayg\u0131d\u0131r \u00e7\u00fcnk\u00fc y\u00fcksek DHT, genetik yatk\u0131nl\u0131\u011f\u0131 olan erkeklerde androgenetik alopesiyi h\u0131zland\u0131rabilir. Testosteron-DHT d\u00f6n\u00fc\u015f\u00fcm\u00fcn\u00fcn y\u00f6netimi iyi takip edilen her TRT protokol\u00fcn\u00fcn par\u00e7as\u0131d\u0131r.<\/p>\n<p class=\"p-text\">Hormonlar\u0131n \u00f6tesinde psikolojik ba\u011f da iyi belgelenmi\u015ftir. Androgenetik alopesi ya\u015fayan erkeklerin cinsel \u00f6zg\u00fcven ve beden imaj\u0131 skorlar\u0131, ya\u015f ve ili\u015fki durumundan ba\u011f\u0131ms\u0131z olarak kontrol grubuna g\u00f6re daha d\u00fc\u015f\u00fck bulunmu\u015ftur (Molina-Leyva A et al., Acta Dermatovenerologica Croatica). Sa\u00e7 d\u00f6k\u00fclmesi do\u011frudan sertle\u015fme sorununa neden olmaz; ancak benlik alg\u0131s\u0131, \u00e7ekicilik hissi ve yak\u0131nl\u0131k anlar\u0131ndaki \u00f6zg\u00fcven gibi ayn\u0131 psikolojik alana katk\u0131da bulunur.<\/p>\n<p class=\"p-text\">Her iki alan\u0131 birlikte ele alan erkekler \u00e7o\u011fu zaman birbirini g\u00fc\u00e7lendiren bir etki tarif eder. Hormonal sa\u011fl\u0131\u011f\u0131n toparlanmas\u0131 enerji, libido ve ruh halini destekler. Sa\u00e7 restorasyonu ise erke\u011fin aynada kendini nas\u0131l g\u00f6rd\u00fc\u011f\u00fcn\u00fc de\u011fi\u015ftirir. Biri di\u011ferini \u00e7\u00f6zmez; ancak birlikte erkek \u00f6zg\u00fcvenini hem biyolojik hem psikolojik d\u00fczeyde ele al\u0131r.<\/p>\n<p class=\"p-text\">Dr. Terziler Exclusive Clinic her iki alan\u0131 da tedavi eder. Erkek cinsel sa\u011fl\u0131\u011f\u0131na Op. Dr. Do\u011fukan S\u00f6kmen liderlik eder. Dr. Servet Terziler ve di\u011fer hekimler, Dr. Servet Terziler\u2019in geli\u015ftirdi\u011fi Robotic DHI tekni\u011fini ve ileri DHI y\u00f6ntemlerini <a href=\"https:\/\/drterziler.com\/tr\/sac-ekimi\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong class=\"barlow\">T\u00fcrkiye\u2019nin en iyi sa\u00e7 ekimi kliniklerinden birinde<\/strong><\/a> y\u00fczde 95\u2019in \u00fczerinde greft sa\u011fkal\u0131m\u0131yla do\u011fal sa\u00e7 \u00e7izgisi sonu\u00e7lar\u0131 i\u00e7in uygular.<\/p>\n<div class=\"msh-cta msh-cta-form\">\n<p class=\"msh-cta-question\">Cinsel sa\u011fl\u0131k ve sa\u00e7 \u00f6zg\u00fcvenini birlikte planlamak ister misiniz?<\/p>\n<p class=\"p-text\">Hormon takibi, DHT y\u00f6netimi ve sa\u00e7 restorasyonunun birlikte nas\u0131l planlanabilece\u011fini sorun.<\/p>\n<p><a href=\"javascript:void(0)\" class=\"msh-btn btn-form\" data-target=\"hidden-form-button\"><svg viewBox=\"0 0 24 24\" height=\"20\" width=\"20\" aria-hidden=\"true\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M14 2H6a2 2 0 0 0-2 2v16a2 2 0 0 0 2 2h12a2 2 0 0 0 2-2V8z\"\/><path d=\"M14 2v6h6\"\/><path d=\"M8 13h8\"\/><path d=\"M8 17h6\"\/><\/svg><span>\u00d6zg\u00fcven Plan\u0131m\u0131 Olu\u015ftur<\/span><\/a><\/div>\n<\/section>\n<section class=\"msh-section yr-faq-section\" id=\"mens-sexual-health-faq\">\n<h2 class=\"h2-header\">S\u0131k Sorulan Sorular<\/h2>\n<div class=\"faq-container\" style=\"margin: 0 !important; max-width: 100% !important;\">\n<div class=\"faq-item active\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\" aria-hidden=\"true\">&#8211;<\/span> Erkeklerde sertle\u015fme sorunu nas\u0131l tedavi edilir?<\/button><\/h3>\n<div class=\"faq-answer\" style=\"display: block;\">\n<p>Sertle\u015fme sorunu tedavisi nedene g\u00f6re planlan\u0131r. Oral PDE5 inhibit\u00f6rleri (sildenafil, tadalafil) bir\u00e7ok hastada etkilidir. Enjeksiyon tedavileri, rejeneratif uygulamalar, hormon kaynakl\u0131 durumlarda testosteron tedavisi ve ileri vakalarda penil protez se\u00e7enekleri de\u011ferlendirilir. Dr. Terziler\u2019de uzman de\u011ferlendirmesi do\u011fru tedavi yolunu belirler.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\" aria-hidden=\"true\">+<\/span> D\u00fc\u015f\u00fck testosteron nas\u0131l te\u015fhis edilir?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p>Tan\u0131 i\u00e7in farkl\u0131 g\u00fcnlerde yap\u0131lan iki a\u00e7l\u0131k sabah kan testinde total testosteronun 300 ng\/dL alt\u0131nda olmas\u0131 gerekir. Tam panelde Total T, Free T, LH, FSH, SHBG, estradiol, PSA ve hematokrit yer al\u0131r. Tek bir test ya da \u00f6\u011fleden sonra al\u0131nm\u0131\u015f sonu\u00e7 tan\u0131 i\u00e7in yeterli de\u011fildir.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\" aria-hidden=\"true\">+<\/span> Testosteron replasman tedavisi nas\u0131l \u00e7al\u0131\u015f\u0131r?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p>Testosteron replasman tedavisi (TRT), hipogonadizm tan\u0131s\u0131 alan erkeklerde testosteron d\u00fczeylerini fizyolojik aral\u0131\u011fa getirmeyi hedefler. Enjeksiyon, topikal jel, implant pellet ve nazal jel gibi y\u00f6ntemler kullan\u0131labilir. Enerji ve libido genellikle 3-6 hafta i\u00e7inde, kas k\u00fctlesi ise \u00fc\u00e7\u00fcnc\u00fc aydan itibaren yan\u0131t vermeye ba\u015flar.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\" aria-hidden=\"true\">+<\/span> Testosteron tedavisi k\u0131s\u0131rl\u0131\u011fa neden olabilir mi?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p>Evet. D\u0131\u015far\u0131dan verilen testosteron LH ve FSH sinyallerini bask\u0131layarak sperm \u00fcretimini azaltabilir. Gelecekte \u00e7ocuk sahibi olmak isteyen erkeklerde hCG veya klomifen gibi alternatifler tedavi ba\u015flamadan \u00f6nce konu\u015fulmal\u0131d\u0131r. \u00dcreme hedefleri TRT \u00f6ncesinde mutlaka de\u011ferlendirilmelidir.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\" aria-hidden=\"true\">+<\/span> Peptitler erkeklerde cinsel sa\u011fl\u0131\u011f\u0131 nas\u0131l destekler?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p>PT-141 (bremelanotide) beyindeki melanokortin-4 resept\u00f6rlerini aktive ederek cinsel istek ve ereksiyon yan\u0131t\u0131n\u0131 destekler. Bu mekanizma PDE5 inhibit\u00f6rlerinden farkl\u0131d\u0131r. BPC-157 ise doku onar\u0131m\u0131 ve hormonal reg\u00fclasyonla ili\u015fkilendirilen bir peptittir. Her ikisi de Dr. Terziler\u2019de yap\u0131land\u0131r\u0131lm\u0131\u015f protokoller i\u00e7inde de\u011ferlendirilir.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\" aria-hidden=\"true\">+<\/span> Ge\u00e7 bo\u015falma nas\u0131l tedavi edilir?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p>Ge\u00e7 bo\u015falma tedavisi altta yatan nedene g\u00f6re planlan\u0131r. Davran\u0131\u015f\u00e7\u0131 terapi, ila\u00e7 d\u00fczenlemesi, SSRI kaynakl\u0131 durumlarda antidepresan de\u011fi\u015fikli\u011fi ve baz\u0131 off-label farmakolojik se\u00e7enekler de\u011ferlendirilebilir. \u00d6nce neden belirlenir, ard\u0131ndan tedavi plan\u0131 olu\u015fturulur.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\" aria-hidden=\"true\">+<\/span> T\u00fcrkiye\u2019de penil protez fiyat\u0131 ne kadar?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p>Dr. Terziler Clinic\u2019te penil protez ameliyat\u0131 yakla\u015f\u0131k 8.000-12.000 EUR aral\u0131\u011f\u0131ndad\u0131r. Bu rakam \u0130ngiltere ve ABD fiyatlar\u0131na g\u00f6re genellikle daha avantajl\u0131d\u0131r. \u00c7o\u011fu hasta \u0130stanbul\u2019da 3-4 g\u00fcn kal\u0131r ve i\u015flem AAACI akreditasyonlu klinik ortam\u0131nda planlan\u0131r.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\" aria-hidden=\"true\">+<\/span> Do\u011fal testosteron art\u0131r\u0131c\u0131lar etkili mi?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p>\u00c7inko, D vitamini veya ashwagandha gibi destekler beslenme eksikli\u011fi olan erkeklerde s\u0131n\u0131rl\u0131 fayda sa\u011flayabilir; ancak do\u011frulanm\u0131\u015f hipogonadizmde medikal TRT\u2019nin yerine ge\u00e7mez. Borderline seviyelerde ya\u015fam tarz\u0131 optimizasyonu mant\u0131kl\u0131 olabilir, fakat tan\u0131 konmu\u015f d\u00fc\u015f\u00fck testosteronda kan\u0131ta dayal\u0131 standart TRT\u2019dir.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\" aria-hidden=\"true\">+<\/span> TRT ne kadar s\u00fcrede etki eder?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p>Enerji, ruh hali ve libido genellikle 3-6 hafta i\u00e7inde iyile\u015fmeye ba\u015flar. Kas k\u00fctlesi \u00fc\u00e7\u00fcnc\u00fc aydan sonra artabilir, v\u00fccut ya\u011f oran\u0131 3-6 ay i\u00e7inde de\u011fi\u015febilir, kemik yo\u011funlu\u011fu ise 6-12 ayda yan\u0131t verir. Tam etki \u00e7o\u011fu hastada 12 ayl\u0131k d\u00fczenli tedaviyle oturur.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\" aria-hidden=\"true\">+<\/span> T\u00fcrkiye\u2019de cinsel sa\u011fl\u0131k tedavisi g\u00fcvenli mi?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p>AAACI akreditasyonlu kliniklerde evet. AAACI; cerrahi g\u00fcvenlik, enfeksiyon kontrol\u00fc, anestezi ve klinik sonu\u00e7 takibi i\u00e7in uluslararas\u0131 standartlar gerektirir. Dr. Terziler Exclusive Clinic, AAACI akreditasyonlu bir medikal klinik olarak uluslararas\u0131 klinik standartlarda hizmet verir.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\" aria-hidden=\"true\">+<\/span> TRT uyku apnesini k\u00f6t\u00fcle\u015ftirebilir mi?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p>Evet. Testosteron hematokriti y\u00fckseltebilir ve yatk\u0131n erkeklerde obstr\u00fcktif uyku apnesini k\u00f6t\u00fcle\u015ftirebilir. Fazla kilolu olan ya da k\u00f6t\u00fc uyku bildiren erkeklerde TRT \u00f6ncesi uyku taramas\u0131 \u00f6nerilir. Tedavi s\u0131ras\u0131nda hematokrit d\u00fczenli takip edilmeli ve y\u00fczde 54\u2019\u00fcn alt\u0131nda tutulmal\u0131d\u0131r.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\" aria-hidden=\"true\">+<\/span> Testosteron-estradiol oran\u0131 nedir ve neden \u00f6nemlidir?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p>\u0130deal testosteron-estradiol (T:E2) oran\u0131 \u00e7o\u011fu hastada 10:1 ile 20:1 aral\u0131\u011f\u0131nda de\u011ferlendirilir. Testosteronun fazla aromatize olup estradiole d\u00f6n\u00fc\u015fmesi TRT etkinli\u011fini d\u00fc\u015f\u00fcrebilir ve jinekomasti riskini art\u0131rabilir. Bu y\u00fczden estradiol takibi testosteron takibi kadar \u00f6nemlidir.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\" aria-hidden=\"true\">+<\/span> Penis dolgusu ereksiyon kalitesini etkiler mi?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p>Do\u011fru teknikle uyguland\u0131\u011f\u0131nda hay\u0131r. Penis kal\u0131nla\u015ft\u0131rma i\u00e7in dermal dolgu subkutan tabakaya yerle\u015ftirilir; korpus kavernozum ya da erektil doku i\u00e7ine yap\u0131lmaz. Bu nedenle ereksiyon fonksiyonunu veya penis hissini etkilemesi beklenmez. Deneyimli hekim se\u00e7imi \u00f6nemlidir.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\" aria-hidden=\"true\">+<\/span> D\u00fc\u015f\u00fck testosteron depresyona neden olabilir mi?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p>Evet. Testosteron beyindeki serotonin ve dopamin yollar\u0131yla ili\u015fkilidir. Hipogonadizm depresif belirtilere katk\u0131da bulunabilir ve TRT\u2019nin hipogonadal erkeklerde ruh hali skorlar\u0131n\u0131 iyile\u015ftirebildi\u011fi g\u00f6sterilmi\u015ftir. Depresyon tedavisi alan erkeklerde testosteron hi\u00e7 kontrol edilmemi\u015fse hormonal neden atlanm\u0131\u015f olabilir.<\/p>\n<\/div>\n<\/div>\n<div class=\"msh-cta msh-cta-form\">\n<p class=\"msh-cta-question\">Gizlilik i\u00e7inde ba\u015flamak ister misiniz?<\/p>\n<p class=\"p-text\">\u015eik\u00e2yetinizi g\u00fcvenli form \u00fczerinden g\u00f6nderin; ekip sizi do\u011fru uzmanl\u0131k yoluna y\u00f6nlendirsin.<\/p>\n<p><a href=\"javascript:void(0)\" class=\"msh-btn btn-form\" data-target=\"hidden-form-button\"><svg viewBox=\"0 0 24 24\" height=\"20\" width=\"20\" aria-hidden=\"true\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M14 2H6a2 2 0 0 0-2 2v16a2 2 0 0 0 2 2h12a2 2 0 0 0 2-2V8z\"\/><path d=\"M14 2v6h6\"\/><path d=\"M8 13h8\"\/><path d=\"M8 17h6\"\/><\/svg><span>Erkek Sa\u011fl\u0131\u011f\u0131 Kons\u00fcltasyonumu Planla<\/span><\/a><\/div>\n<\/div>\n<\/section>\n<div>\n<div class=\"row\" id=\"innerPageAbout\">\n<div class=\"col-12\"><strong class=\"about-title gilda\">Dr. Terziler Clinic Hakk\u0131nda<\/strong><\/p>\n<p class=\"about-text mt-3 p-text\">\u0130stanbul, T\u00fcrkiye\u2019de bulunan <a href=\"https:\/\/drterziler.com\/tr\/\" class=\"about-link\">Dr. Terziler<\/a> Exclusive Clinic; uluslararas\u0131 hastalar i\u00e7in erkek cinsel sa\u011fl\u0131\u011f\u0131, longevity, rejeneratif \u00fcroloji, medikal estetik ve sa\u00e7 restorasyonu tedavileri sunan AAACI akreditasyonlu bir medikal kliniktir.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<p><script>\n(function(){\n  var root = document.getElementById('mensSexualHealthPage');\n  if (!root || root.__mshInteractionsReady) return;\n  root.__mshInteractionsReady = true;<\/p>\n<p>  var formButtons = root.querySelectorAll('.btn-form[data-target]');\n  formButtons.forEach(function(btn) {\n    btn.addEventListener('click', function(e) {\n      e.preventDefault();\n      var scrollX = window.pageXOffset || document.documentElement.scrollLeft || document.body.scrollLeft || 0;\n      var scrollY = window.pageYOffset || document.documentElement.scrollTop || document.body.scrollTop || 0;\n      var keepPosition = function() { window.scrollTo(scrollX, scrollY); };\n      var hidden = document.getElementById(btn.getAttribute('data-target'));\n      if (hidden) {\n        hidden.click();\n        [0, 80, 250, 700].forEach(function(delay) {\n          setTimeout(keepPosition, delay);\n        });\n      }\n    });\n  });<\/p>\n<p>  root.addEventListener('click', function(event){\n    var question = event.target.closest('.faq-question');\n    if (question) {\n      event.preventDefault();\n      event.stopPropagation();\n      if (event.stopImmediatePropagation) event.stopImmediatePropagation();\n      var current = question.closest('.faq-item');\n      var container = question.closest('.faq-container');\n      if (!current || !container) return;\n      Array.prototype.forEach.call(container.querySelectorAll('.faq-item'), function(item){\n        var answer = item.querySelector('.faq-answer');\n        var icon = item.querySelector('.icon');\n        var open = item === current;\n        item.classList.toggle('active', open);\n        if (answer) answer.style.display = open ? 'block' : 'none';\n        if (icon) icon.textContent = open ? '-' : '+';\n      });\n    }\n  }, true);\n})();\n<\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Erkek Cinsel Sa\u011fl\u0131\u011f\u0131 Klini\u011fi: Testosteron, Sertle\u015fme Sorunu ve Tedaviler Erkek cinsel sa\u011fl\u0131\u011f\u0131; hormon dengesi, damar yap\u0131s\u0131, psikolojik durum ve ya\u015fam tarz\u0131 gibi bir\u00e7ok fakt\u00f6rden etkilenir. Klini\u011fimizde sertle\u015fme sorunu, erken bo\u015falma, penis b\u00fcy\u00fctme ve d\u00fc\u015f\u00fck testosteron gibi farkl\u0131 alanlarda b\u00fct\u00fcnc\u00fcl \u00e7\u00f6z\u00fcmler sunuyoruz. Amac\u0131m\u0131z ki\u015fiye \u00f6zel yakla\u015f\u0131mlarla cinsel fonksiyonu iyile\u015ftirmek ve ya\u015fam kalitesini art\u0131rmakt\u0131r. Dr. Terziler \u00bb [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-41002","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/pages\/41002","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/comments?post=41002"}],"version-history":[{"count":54,"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/pages\/41002\/revisions"}],"predecessor-version":[{"id":64590,"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/pages\/41002\/revisions\/64590"}],"wp:attachment":[{"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/media?parent=41002"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}