Q: As the menstrual flow, obstetrics and gynecology doctors want me to take contraceptive pills. Two years ago, wants to pregnancy, so I stopped taking, but it can not be pregnant. My husband and I checked no cause had been. Is not caused by the pill before I infertility services? (28 years old, infertility treatment calendar year)
A: pill does not cause infertility, but the oral contraceptive pill, the menstrual flow will be temporary phenomenon. But almost in the menstrual period of instability with the young, then naturally there will be such a menstrual abnormalities, that is, even without taking the contraceptive pill may also occur.
Oral contraceptive pill because you are after, and no abnormal menstrual problems, and should therefore belong to unexplained infertility it!
Friday, December 23, 2011
Abortion Cause Infertility It?
Q: 17 years of age had abortions, moving, as it has been entered for 16 weeks, the use of analgesics to promote abortion later period smoothly, but has been married five years, not pregnant, because of abortion's sake do? (30 years old , infertility treatment calendar year)
A: No, because of abortion led to increased risk of infertility, but the post-abortion complications after surgery may lead to infection or inflammation of the endometrium paste, or tubal inflammation or occlusion. Liezi relatively few such .
Modern abortion is not pain, as long as the open mouth of the uterus, using a safe method to attract, or cast after surgery with antibiotics and anti-inflammatory agent after abortion rarely causes infertility even larger in the fetus during abortion, will use the method appropriate to their number of weeks, and there is no risk of causing infertility.
I have served so many ovulation drugs, behind so many eggs, or do not conceive why?
Pregnancy ovulation just to know the four conditions: sperm meets egg, channel, and the environment one. Row of more eggs, no sperm with tubal ovum is not, or is accompanied by endometriosis, or can not successfully conceive.
In general, the use of ovulation drugs before these four conditions are necessary for a complete understanding. In addition, ovulation excellent condition, other tests are no problem, why can not conceive it? In fact, we now all infertility tests, not able to completely clear up the reasons. Sperm activity, the number is good, but whether they can successfully enter the uterus, fallopian tube? And whether there is fertilization capacity?
Fallopian tube is smooth, but is sticking outside the tube, trumpet (fimbria) eggs can not crawl it? Whether within the abdominal cavity outside the uterus endometriosis in bugging them? Everything is perfect but if fertilization of the embryo implantation in the womb do not? Today, no matter how artificial reproductive technologies can not be more than 50%, which represents everything we are more ignorant of the physiology of pregnancy.
Eggs Will Ovulate Every Month Or So Interactive It?
Q: Will ovaries around ovulation each month, it interactive? I am in ovulation period, often feel a slight pain in lower abdomen. 6 years ago by a doctor to determine ovarian cyst, which will become the reason of infertility?
A: the egg is not necessarily turn around the development. Egg development, ovulation before, there are some mature eggs, wrap the egg follicle becomes large. One (the protagonist follicle) will ovulate.
In the end to the egg from which side, in the period to 10 days after the first to know. If one side of the tube there is a problem for ultrasound in this period, the survey from the follicle in the end is about the development side out.
Although about one each ovary, but some people frequently unilateral ovarian ovulation. This situation is bad in the side of the state occurs when the ovaries, the column such as ovarian endometriosis after surgery or the case will appear.
How Does a Short Menstrual Cycle Affect Getting Pregnant?
Q: What is a very small period, short period is relatively short, then the pregnancy will cause problems?
A: menstruation is formed by the endometrium, if the lining is too thin, too little may be the reason, this may affect the pregnancy, like farming, like a thin layer of land is a kind of no crops.
Normal menstrual cycle, significantly reduced by the amount, or shorten the menstrual period less than two days, called after a few months. Generally believed that after less than 30 ml, equivalent to Western medicine menstruation in menstrual scarce. The disease is often a precursor to the performance of amenorrhea.
In the case of oral contraceptives or intramuscular injectable contraceptives lead after a few months, should be discontinued.
After a few months of diagnosis, generally refers to the continuous occurrence of two or more. If menstruation has always been normal, suddenly after a few months, should pay attention to whether a sign of early pregnancy miscarriage, ectopic pregnancy, or the performance of a small amount of vaginal bleeding, the examination must be done to identify further.
What are Estrogen and Progesterone?
Estrogen
The mature female reproductive organs and secondary sexual characteristics and maintain their normal function of a class of hormones. Mainly secreted by the ovaries. Is a steroid compound, there are two types of estrogen and progesterone. Mainly by the estrogen produced follicle and corpus luteum, the main role is to stimulate the adolescent female external genitalia, vagina, fallopian tubes and uterus development and growth, stimulate the emergence of female secondary sexual characteristics, can affect the metabolism of adolescent development and growth play a catalytic role . Can be used in clinical treatment of uterine hypoplasia, estrogen treatment caused by lack of functional uterine bleeding and other diseases.
Menstrual Cycle and Fertility
Q: menstruation and birth on it?
A: In adolescence, the egg begins to mature, the ovary to the uterus regular ovulation. Will protect the back layer of the uterus gave birth to the endometrial lining of the uterus. Each month, when the eggs mature in the ovaries to prepare, it will start thickening of the endometrium, to prepare for a possible fertilized egg. It will generate new blood vessels, once the implantation of the fertilized egg on it, they provide a lot of blood. Blood vessels around the sponge-like pad is a body responsible for the secretion of nutrients to help the fertilized egg to grow. Fertilized egg turns into an embryo, nine months after the baby was born.
Often Faced With The Computer Work Will Affect Fertility It?
Q: are often faced with the computer do the work will affect fertility?
A: Previous older computers can radiate a strong, new LCD screen computers generally have little effect. Medical experts indicate that long-term electromagnetic radiation harmful to human reproductive system, nervous system and cause direct harm to the immune system, cardiovascular disease, diabetes, cancer, mutation of the primary factors causing miscarriage, infertility, birth defects and other diseases predisposing factors can directly affect the minor's body tissues and bones, causing vision, memory loss and decreased liver hematopoiesis.
Therefore, the electromagnetic radiation has been following the World Health Organization as water, air, noise, the fourth largest source of environmental pollution, a hazard to human health of the invisible "killer", electromagnetic radiation protection has become a priority.
IVF Treatment Should Pay Attention To What Diet?
Q: IVF treatment daily diet?
Embryo transfer Embryo Transfer stand up when walking, feel out the liquid from the vagina, is not it just go into the embryo to flow out?
Q: I have done stand up and embryo transfer Embryo Transfer walking, feel the flow of liquid from the vagina, is not it just go into the embryo to flow out? Should I not immediately go urinate? Not be lying in bed the first few hours, until the embryo in the womb and we have to stick to stand up to walk?
A: This is an almost acceptable embryo transfer Embryo Transfer all the women will ask the question, the answer is: you can immediately go to urinate, you can immediately stand up and walk, you do not need to be in bed for several hours. Why? The following reasons:
a. before the normal uterine cavity, posterior wall usually is naturally stick together, and the uterus is generally also slightly tilted forward, forward flexion, not like the reverse to put the gourd, as something which will fall directly of.
In Vitro Fertilization Success Rate Of IVF How Many?
Q: IVF success rate of IVF how many?
A: IVF IVF success rates is that we are very concerned about. Under normal circumstances, the normal monthly natural couples of reproductive age less than 20% chance of pregnancy. Popular point. That month, every couple wants a baby can not easily get. Similarly, the "test-tube baby IVF" per cycle can not be successful. International IVF success rate of IVF is about 30%, on the whole country will be lower than the success rate, but a very small number of technical maturity and the center of specification, the success rate will be higher than 30%.
Decided to "test-tube baby IVF" success rate is very complex level of many factors, most of the factors is the living center of reproductive technology and extent of serious and responsible, and for patients themselves, the most important thing is the woman's age. Patients under the age of 30, the first treatment cycle, clinical pregnancy rate as high as 55%, and greater than 36-year-old patient. The first cycle pregnancy rate is only 30% more.
What Is Best Season To Do IVF?
Q: What is the best season to do IVF?
A: IVF is the fertilization and embryo development in vitro of this part of the move were cultured in vitro conditions such as temperature, humidity, oxygen, carbon dioxide partial pressure, nitrogen pressure is constant even in the most suitable conditions of embryo survival carried out. So no matter what season do IVF are the same.
Your Pain, Dysmenorrhea And To What Extent?
1. Of the menstrual cycle of primary dysmenorrhea almost always have ovulation; dysmenorrhea mostly in the beginning of the menstrual period for several hours, and in 2 to 3 days the pain disappeared.
Primary dysmenorrhea often part of the lower abdominal pain above the pubic symphysis region, paroxysmal pain or spasm of pain.
2. In non-pathological dysmenorrhea have pelvic pain, menstrual period, and increased menstrual period, pain has nothing to do with the menstrual cycle.
The persistence of primary dysmenorrhea dysmenorrhea may develop pathological, then merge the incidence of infertility is very high. If you have repeated episodes of pelvic inflammatory disease, chronic progressive dysmenorrhea, irregular menstrual cycle, menorrhagia, infertility and other medical history should be as soon as possible to the hospital, can be found in some of the leading causes of dysmenorrhea, primary disease for different treatment.
IVF Ectopic Pregnancy It May Occur?
Q: Why do not need to go through the fallopian tubes for fertilization IVF IVF ectopic pregnancy may occur?
A: According to statistics, the incidence of ectopic pregnancy in vitro fertilization rate of IVF is about 5-8%. Because the embryo is inside the uterus to go into the third day, in the process of moving home is moved through a catheter into the uterine cavity, this examination of tubal patency and uterine tubal fluid through angiography and has the same truth , when the embryonic tissue is very small, very easy to embryo into the fallopian tubes, and even after the embryo transfer is set to stay three to four days to find the implantation point, if this period of time to go inside the fallopian tubes can cause ectopic pregnancy, and now IVF is still no way to prevent ectopic pregnancy does not occur. The only way is to cut bilateral fallopian tubes, but if the fallopian tubes removed before IVF, which will undoubtedly increase, and letting patients take a new surgical trauma and medical risks, but also increase the patient's economic and psychological burden.
IVF Is Easy To Premature?
Q: Is it easy to test-tube baby premature? IVF and naturally conceived children a congenital condition which would be better?
A: IVF with normal pregnancy, there are also problems of preterm birth abortion. Of IVF itself, and no high frequency of premature birth, IVF is done under laboratory conditions the embryo, according to the patient's condition, not only put an embryo, to transplant two or three. If all three have grown into, that is, triplets, it is easy premature, because multiple pregnancy, premature birth itself easy. Twins, too, are easy to premature. This is why we should try to prevent the occurrence of twins and multiple births causes.
IVF children and normal pregnancy, as no difference in intelligence. Children are smart, in addition to their genetic factors, but also depends on acquired environment and education.
How To Choose Maternal Milk Milk Powder For Pregnant Women?
Q: pregnant women to drink milk, but also with folic acid do?
A: Almost all contain folic acid in pregnant women milk ingredients, but the number of different, and some to meet the pre-pregnancy for three months one day in early pregnancy 400 micrograms requirements, and some is not enough, pregnant mothers can calculate their own, enough words, you do not additional folic acid supplement, and if not, you can fill the missing.
Q: maternal milk on the market a wide range of nutrients contained in the nutrient content of various types are different, how to choose?
A: Select to add more comprehensive and balanced nutritional content of milk; if iron, calcium and other nutrient deficiencies, you can focus on selecting the appropriate nutrient content of more milk; if elevated blood lipids during pregnancy, you can choose low-fat milk.
Q: pregnant women to drink milk will not get fat?
A: Now child obesity, excessive maternal weight gain is very common, but obesity is not caused by maternal milk, mainly related to excessive intake of diet, lack of activities. Remember, pregnant women to drink milk do not need to drink milk. In addition, should be based on their physical fitness at least 30 minutes of daily low-intensity physical activity, preferably 1 to 2 hours of outdoor activities.
Why Do Not Ovulate?
Q: Since the endometrioma removed after my period has stopped about four months, why not to menstruation? Why do not ovulate? And other issues have been on my mind. No ovulation to menstruation is not it?
A: No ovulation is any cause of ovarian dysfunction and a series of amenorrhea caused the syndrome.
Women before puberty, pregnancy, lactation and after menopause rational living ovulation. Pathological anovulation following reasons:
1. Systemic diseases, such as psychological factors, malnutrition, anemia, tuberculosis, diabetes, sex chromosome abnormalities.
2. The hypothalamus - pituitary diseases, such as anterior pituitary insufficiency, pituitary abnormalities and cancer, and oral contraceptives do not cause ovulation.
When Should I Give Infertility Treatment?
Some letters asked me, when pregnant with the child will give up the dream? Really I do not seriously thought about it, maybe I still hold a glimmer of hope now! I also have not tried in vitro treatment of the way, if I give up now, it seems a bit unwilling.
Infertility treatment in the end that when to stop? There are no criteria for termination of treatment? I think a lot of infertility, including my friends would like to know. Knot down is a very famous Japanese test tube baby maternity and medical termination of Odawara Jing mentioned treatment standards, we can be a reference!
Q: Is life can not have children? Ever since the idea began after an instant has been 13 years. For the five hospitals, saw more than 20 doctors, for numerous tube babies and IUI, desperate efforts. But hopes were dashed each time, have no interest has been to accept treatment. Pregnant with a child less than, spent a lot of money. Is there any better suggestions?
(42 years old, 13 years of infertility treatment)
I've heard, the use of oral contraceptives may cause excessive inhibition, leading to ovarian no response. Why do some women still in the test tube baby treatment using oral contraceptives before IVF?
Some patients taking oral contraceptives is intended to adjust the menstrual cycle. It does not cause excessive suppression, because once you start using ovulation drugs, follicle will begin to grow. Oral contraceptives will only slow down the reaction time.
In addition, to help in the treatment of oral contraceptives suppress ovulation cycle before, so that the common follicle development, which is used in the pre-ovulatory follicles did not mature and the other, only to produce a high-quality follicles. Egg development and ovulation in the ovary, is a hormone to stimulate the brain regions (hypothalamus, hormone responsible for controlling the signal). Through the use of contraceptives with estrogen cut off the (brain it passed to the development of ovarian eggs and ovulation) signal. Without these signals, the egg will not mature and ovulation, and thus will not be pregnant.
In addition to progesterone in birth control pills and tubal mucosal thickening of the cervix, making it difficult the sperm and egg into the uterus into the fallopian tube difficult.
Psychological Factors On The Impact Of IVF
Q: the impact of psychological factors on IVF?
A: In recent years, the study of neuroendocrine formal, long-term anxiety, depression or fear, anxiety and other adverse psychological factors stimulation, nerve passing through the brain, affecting the brain, the hypothalamus and pituitary function, hindering the secretion of gonadal hormones, the ovaries have been ovulation, while emotional factors can cause fallopian tube spasm, obstruction can not be combined with sperm and egg meet; abnormal cervical mucus so that sperm can not be the uterine cavity, and is difficult to conceive. Therefore, both infertile women in the routine work, or in treatment, maintaining psychological balance, optimistic, to avoid haste makes waste, anti-victim.
IVF Cause Spontaneous Abortion?
Pregnancy, no one hopes to successfully give birth to a healthy child, but about 10% of pregnant women to miscarriage, which is the result of survival of the fittest. In addition to about 50% of the embryo itself, abortion is the result of chromosomal abnormalities, miscarriage with immune abnormalities, uterine anatomic abnormalities, some special virus infection, exposure to chemical toxins and certain rare metabolic diseases.
Too Fat Or Too Thin Can Cause Infertility It?
Obesity or weight loss are the cause of abnormal menstruation. Obesity continues, with added fat also increases blood sugar regulating hormone insulin increase, and cause menstrual abnormalities.
Stored fat cells have the role of hormones. When fat cells increase, follicle-stimulating hormone (estrogen) metabolites estrone rise.
Insulin rises, the ovaries of a DHEA will increase.
These hormones cause abnormal secretion of pituitary LH (luteinizing hormone) hypersecretion, causing menstrual flow. Even if the period of such hormonal abnormalities returned to normal, will hinder the development and maturation of eggs, a cause of infertility.
Obesity not only causes menstrual abnormalities, but also become a cause of hyperlipidemia causes of adult disease. Therefore, health management, to properly manage their weight.
Uterine Shape Abnormalities Affect Pregnant?
Q: I heard that double horn difficult pregnancy, the doctor advised me to undergo an operation, but there is pregnancy possible? How to move kind of surgery?
A: uterine malformations, 80% of all people to have babies, so not all causes of infertility. I will do first once infertility examination, if no other anomalies, it is generally for one year of infertility treatment. If you still can not be pregnant, and then suggested surgery.
Surgery is part of the uterus above the V-shaped depression cut, stitched from left, into the general shape of the uterus. As long as by experienced doctors, there would be no side effects, but also not very difficult pregnancy.
In addition, with the double uterine horn of the same disease, that is the womb in the central compartment with the uterine wall, when Hou's abortion rate is very high and required surgery. Uterine septum hysteroscopic surgery to use, can be carried out without cutting the abdomen.
What Are The Causes For Miscarriage? (A)
Abortion can be said that the psychological experience of incomprehensible pain, so women often blame themselves, not their own poor health, poor diet, work fatigue. . . In the end is what makes losing baby? Next pregnancy, abortion can not avoid the invasion of it? Be divided into two factors lead to abortion, habitual abortion and spontaneous abortion.
The factors leading to habitual abortion
Genetic factors - factors that account for habitual abortion, 6%
Habitual abortion is a genetic abnormality genetic factors, causes that the couple may carry the abnormal gene, but carriers will not normally show, but after pregnancy, sperm-egg binding, the presence of abnormal gene can cause fetal abnormalities caused the miscarriage. Abnormal gene can not be eradicated, but the opportunity for normal sperm-egg binding genes may be trying to get pregnant, pregnancy after genetic diagnosis.
What Are The Causes For Miscarriage? (B)
The factors leading to spontaneous abortion
Genetic defects
Couples can be either passed as a generation of chromosomal abnormalities, chromosomal abnormalities in embryos of 50% to 60% with early spontaneous abortion. Chromosomal abnormalities, including:
① The number of exceptions: common trisomy, X monomer, triploid and so on.
② structural abnormalities: mostly chromosome breaks, inversions, deletions and translocations. Even a small number of chromosomal abnormalities in the embryo pregnancy to term, birth deformities occur after or functional defects.
Maternal factors
Systemic disease: risk of systemic infection during pregnancy, high fever can cause uterine contractions leading to abortion. Bacterial toxins and viruses through the placenta into the fetal blood circulation, leading to fetal death, abortion; pregnant women suffering from severe anemia or heart failure, chronic nephritis, or hypertension, may also cause miscarriage.
When The Wife Of Anti-sperm Antibodies Appear How To Do?
If the infertility examination found that anti-sperm antibodies, the first antigen stimulation should be avoided. Partial isolation method is often used condoms, or sexual intercourse or coitus interrupt method of contraception for six months, to avoid contact with sperm and female reproductive tract, the female body to stimulate the continued production of anti-sperm antibodies. Review of antibody-negative, after ovulation sex, pregnancy rate was 50%. Such as continuous positive anti-sperm antibodies, pregnancy rate was only about 10%. Can be combined with other treatments. Immunosuppressive agents can include local therapy, continuous low-dose therapy and high-dose intermittent administration of law.
Presence of cervical mucus anti-sperm antibodies in patients with localized therapy, hydrocortisone vaginal suppositories home; serum anti-sperm antibody-positive patients and patients with oligozoospermia can be applied to low-dose therapy, daily Prednisone * 5mg, 3 ~ 12 δΈͺ months, increased the number of sperm have a role. High-dose intermittent therapy of more serious side effects for husbands sperm count and other indicators to determine the normal and wife have normal ovulation, the application of Methylprednisolone * 32mg, 3 times a day, 7 days (wife of the menstrual cycle, 21 to 28 days or 1 to 7 days after application), can be 6 months. The pregnancy rate of treatment in 10% to 30%, and no significant difference.
Failure Of The First Test Tube Baby How To Do?
IVF success rate is generally 35-45%, the highest energy up to 60%. IVF is now in the role of ovulation induction drugs get more eggs, so can form multiple embryos, only one transplant 2-3 IVF embryos, the remaining embryos can be frozen, refrigerated shelf life of up to several years, frozen embryos recovery after transplantation in 25-30% success rate, so one failure after another frozen embryo transplants, so that the cumulative success rate can increase, but also save a lot of costs.
If the first number of eggs and embryos in vitro the quality is not so good or no remaining can be stored, it should start a new course of treatment.
How To Protect The Tube?
In the event of tubal obstruction, even if the egg has been fertilized, it can not enter the uterus, can not conceive, if the stay in the fallopian tube development, it may become a dangerous ectopic pregnancy. Fallopian tube is so important, how to protect the fallopian tube it?
Infertility caused by tubal blockage, the rise in recent years. Because sexually transmitted diseases, intrauterine infection, endometriosis and other localized tissue inflammation caused by tubal adhesions and thus blocked very common occurrence, but in the event of tubal obstruction, even if the egg has been fertilized, it can not enter the uterus, can not conceive If the stay in the fallopian tube development, it may become a dangerous ectopic pregnancy. Fallopian tube is so important, how to protect the fallopian tube it?
Embryo Transplant To Note What?
First of all, do not hold back after the transplant, urinate in time to relieve themselves. Bladder is located in front of the uterus, there are a lot of urine when the bladder when it will force the uterus, may cause uterine contractions, the female urethra is very short, and the vagina from the past, easy to urinary tract infections in the surgical operation. Drink plenty of water, more urination will flush the urethra, to reduce the chance of urinary tract infection.
Second, the general post-transplant bed rest for 2-3 hours on it, the older you can lie down for a while. Rest is mainly to allow the uterus transplant surgery in the state of relaxation, body relaxation conducive to quiet the uterus. How best to relax comfortably on how to lie, do not think that kind of position would be beneficial, hands and legs do not know how to put fear that embryos will fall out, and made himself very nervous but not good.
How To Overcome The Emotional Problems Of Infertility Treatment?
Emotional problems, to overcome the program
Divided into three stages:
• Courses on the eve of
• Treatment of them
• After treatment
Treatment on the eve of
Think they may have infertility?
• The woman is usually first suspected infertility problems.
• This man is more passive situation.
• Angry, escape, guilt, condemnation, jealousy. . .
Methods to overcome
• Read the relevant information.
• Time.
• Spiritual preparation.
• Plan your course of treatment.
• Communication.
• Understand your emotions.
• Financial aspects.
Divided into three stages:
• Courses on the eve of
• Treatment of them
• After treatment
Treatment on the eve of
Think they may have infertility?
• The woman is usually first suspected infertility problems.
• This man is more passive situation.
• Angry, escape, guilt, condemnation, jealousy. . .
Methods to overcome
• Read the relevant information.
• Time.
• Spiritual preparation.
• Plan your course of treatment.
• Communication.
• Understand your emotions.
• Financial aspects.
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