What are the causes of infertility?
Which infertile people can have IVF?
How to effectively prevent infertility?
18.2% of couples are troubled
Early diagnosis is important
According to the latest statistics from The Lancet, there will be about 182% of couples experience infertility during the birth process.
InfertilityRefers to couplesIn the absence of any contraceptive measures、PassedAfter a year or more of regular sexual activityStill not able to get pregnantInfertilityRefers to:The couple had been pregnant, butInability to maintain pregnancy or reach term delivery。Causes of infertility may include recurrent miscarriage, difficulty implanting embryos, abnormal embryo development, etc.
It is important to note that infertility and infertility are not mutually exclusive concepts, and some couples may have both infertility and infertility problems.
Luo Xiangmin, Administrative Director and Chief Physician of the Reproductive Medicine Center of the Second Affiliated Hospital of Fujian Medical University.
What are the factors that cause infertility?Luo Xiangmin said that infertility may be affected by multiple risk factors, and the common risk factors mainly include:yearsage,** surgery and pelvic inflammatory disease, as well as smoking, alcohol consumption, drug abuse, immune system problems, genetic factorsWait.
In general, infertility is a relatively common health problem in China, which has a certain impact on the physical and mental health of couples and family happiness. So, for couples who are experiencing infertility issues,It is important to seek help and guidance from a medical professional as early as possible
How is polycystic ovary syndrome detected?
How to diagnose and prepare for pregnancy?
Clinically,Polycystic ovary syndrome(PCOS) is a common endocrine and metabolic disease, tooIt is a very important disease that causes infertility。Patients present with irregular menstruation caused by anovulation, such as menstruation that does not come for a long time, or has been dragging unclean, infertility, obesity, acne, hirsutism, etc. Worldwide, the incidence ranges from 10% to 13%.
Luo Xiangmin said that the diagnosis of polycystic ovary syndrome: the first condition is irregular menstruationNormal menstruation occurs once every 23-35 days, menstruation in generalLasts 2-8 days cleanLess than or longer than this range is menstrual irregularity.
She introduced, satisfiedIrregular menstruationThis requisite, along with one of the following three, makes PCOS suspected:
Hirsutism or acneClinical manifestations of hyperandrogenism;
2. Blood testElevated androgen levels;
3. B ultrasound is seen belowPolycystic changes in at least one ovary, polycystic changes are 12 small follicles of 2-8mm on one ovary.
Huang Xiaolan reminded that the management of PCOS runs through the whole life cycle of women before, during and after pregnancy. Patients are advised to pay attention to factors such as weight, diet, exercise, blood sugar, blood pressure, smoking, alcohol consumption, sleep, and emotional mental healthLearn to adjust lifestyle, standardize weight management, and improve endocrine and metabolic disorders.
Who can do IVF?
What is the success rate?
There are many people who have fertility problems and want to do IVF, but they don't know if they are suitable for it. So who can do IVF?
Huang Xiaolan, deputy director of administration and deputy chief physician of the Reproductive Medicine Center of the Second Affiliated Hospital of Fujian Medical University.
Huang Xiaolan introduced that those who have the following conditions can consider IVF:
1. The woman has difficulty in meeting the sperm and egg due to fallopian tube factors, such as fallopian tube obstruction, adhesion, effusion, tubal ligation or excision, etc.
2. The woman suffers from ovulation disorders and infertility-related diseases, such as polycystic ovary syndrome (PCOS) and has not been conceived after 2 to 3 times of artificial insemination, or has not been able to ovulate after 2 to 3 times of artificial insemination or unruptured follicle luteinization syndrome (LUFS).
3. The woman suffers from mild endometriosis and is not pregnant after 2 to 3 cycles of artificial inseminationThe woman suffers from moderate to severe endometriosis and is still unable to conceive after trying other fertility methods.
4. The man suffers from mild to moderate oligospermia, weakness and teratospermia, and fails to conceive after artificial insemination.
5. Patients with severe oligospermia, weakness, teratospermia or azoospermia.
6. Those who are infertile for unknown reasons and fail to conceive after 2 to 3 times of artificial insemination.
7. The man suffers from irreversible obstructive azoospermia or spermatogenic dysfunction (excluded from genetic defects).
8. High-risk groups of single-gene related genetic diseases, chromosomal diseases, sex-linked genetic diseases and children with possible birth abnormalities.
She said that if either spouseHave acute inflammatory infections or sexually transmitted diseases of the urinary or reproductive systems, or either of the partiesPresence of bad habits such as alcoholismNot suitable for IVF
It is worth reminding,The overall success rate of IVF is around 50%.The success rate has a lot to do with age. The success rate is 60% at the age of 35, 20% at the age of 40 and above, and 0% at the age of 46.
Prevention of infertility,
Don't miss out on the best age to have children
Huang Xiaolan said that the most important thing to prevent infertility is ageWomen are best born between the ages of 20 and 35Women in this age group are physically mature, have high egg quality, good fetal growth and development, and have a low incidence of premature birth and malformed babies.
If35 years old, belonging to the advanced age,Egg quality decreases and is prone to aberrationThe incidence of fetal malformations and certain genetic diseases is also relatively high, and the pelvic and ligament function of elderly pregnant women is degenerated, the elasticity of soft birth canal tissue is small, and the uterine contractility is correspondingly weakenedIt is easy to cause dystocia and fetal birth injury
Pregnancy and childbirth before the age of 20 have a higher risk of gestational hypertension, birth canal laceration, and fetal dysplasia because the body organs are not yet fully mature.
The best age for males to have children is 25 to 35 years old。Men of this age group have high sperm motility, good physical fitness, stable careers, generally have economic income, and have the conditions to raise children.
Wu Ruiyun, director and deputy chief midwife of the Reproductive Medicine Center of the Second Affiliated Hospital of Fujian Medical University.
Multiple abortionsIt will cause adhesions in the uterine cavity, which is not conducive to embryo implantation. Unclean sex, or tuberculosis or gonorrhoea** infection of the pelvic cavity leads to pelvic inflammatory disease, which can also cause adhesions, twisting, and narrowing of the fallopian tubes, which can lead to infertility or ectopic pregnancy.
"At the right time
Do the right thing
Take care of your body
It's the best
Methods to prevent infertility. ”
Infertility affects the relationship between husband and wife, how should family members give psychological support?
Wu Ruiyun reminded everyone not to blame themselves or blame each other.
Return to the original intention of having children, "the crystallization of love". When we encounter a problem, we will find a way to solve it, and blame is just an emotional catharsis, which will not only not solve the problem, but also increase the estrangement between the two.
Many conflicts start from misunderstandings, and in the face of pregnancy preparation, or other problems in life, couples must be honest with their opinions and do itTimely, adequate and effective communication between husband and wife。If both husband and wife are presentIf you are unable to adjust emotionally independently, you can consider seeking a psychological counselor and receiving professional psychological counseling.
*: Fujian Health News.
Star. We were able to see each other on time every day.
Walk by and give it a thumbs up