28/10/2020 at 4:14 am #466450
When having a family The need to have children to complete the family It is a matter that many people expect. But many other families suffer from infertility. This is a common problem in modern couples, so it is important to be aware of and planning a marriage when it comes to pregnancy. Because it can be handled properly Don’t be sad about being too late to conceive.
Why is it difficult to have a baby in order to prepare to plan for you to conceive?
Dr. Paphakorn Mingmitphattanakun, MD. slotxo A specialist in fertility and fertility treatment The Center for Infertility Treatment, Bangkok Hospital, said that infertility or infertility (infertility) refers to when the spouse is in a relationship. It is normal for 12 months or more, no pregnancy has occurred, or 6 months or more if the woman is over 35 years old without using any contraception during this time Some people may have had children before. Desires to have new children And tried to stay for more than a year and still failed This group is considered to have symptoms of having difficulty as well. Must consider investigating the cause and correcting and treating
Important factors that make it more difficult for women to conceive
The mechanism for fertilization of germ cells (eggs and sperm)
The key factors that make it difficult for women to conceive as they age Including the chance of conceiving until birth is reduced mainly due to the quality of the eggs. For better understanding We may need to understand The mechanism for fertilization of gametes (eggs and sperm) is as follows:
The body cells are made up of 46 chromosomes, or 23 pairs, and the baby’s eyes open to the world begins with the parent’s gamete. Which this germ cell carries the genetic material of the father and mother together Emerging as a new life
The mechanism for dividing chromosomes from 46 in normal body cells to 23 in that egg Not always perfect
This means that some eggs may divide 23 chromosomes, or 24, or may be missing 22 pieces. Therefore, when an egg has an abnormal number of chromosomes Even mixed with sperm with normal chromosome numbers An embryo has an abnormal number of chromosomes, which can be more or less than 46, causing the embryo to exhibit a number of abnormalities, including
The embryo stops dividing cells since it is not implanted.
The embryo cannot be implanted.
Embryo implantable But unable to create normal organs and tissues or stomach
The embryo can implant but can miscarriage at a later stage.
Or the embryo grows until it is born But there is a physical or intellectual disorder
The rate of chromosomal aberration in the egg increases as women get older each year. Thus making it difficult for older women to conceive Energy in the egg cells is gradually deteriorating. Which is a factor that deteriorates cell division of the embryo Slow cell division Have a higher chance of miscarriage And have a greater chance of giving birth to Down syndrome with age The pregnancy numbers continue to decline.
Check for the cause of infertility
Visiting a doctor to start examining the cause of infertility Your doctor will begin taking a general basic history, such as any contraception used. Frequency of intercourse Menstrual history (This will help tell if the woman has an egg problem or not), a history of surgery, underlying diseases and sexually transmitted diseases. Including the male history that may help tell about the quality of semen, including
History of mumps, smoking, drinking, etc. From the preliminary history taking will be a good way to search for the cause. Remembering or remembering menstruation about 3 – 6 months before seeing a doctor will help in the detection of better.
Then a general blood test is to test for AIDS, syphilis, and hepatitis B. Which these diseases can affect the fetus. It may also detect thalassemia anemia in couples who are suspected to be carriers. All these tests are recommended to be examined together for both husband and wife.
How to help get pregnant as you want
Dr. Papakorn added that Nowadays, there are more ways to help get pregnant as desired, such as
1. In Vitro Fertilization (IVF – In Vitro Fertilization) by mixing the fertile egg and sperm outside or in a glass dish containing the embryo to cause fertilization. Then the embryo is formed in the complete stage. Ready to be put back into the uterus for implantation and growth in the womb Ready to continue to conceive
2. Icing (ICSI – Intracytoplasmic Sperm Injection) from your sperm problem, some men are so abnormal that they can’t penetrate through the eggshell. This is the source of the development of a needle to pierce and deliver the best sperm through the eggshell directly into the egg flesh. There will be hormonal drugs that stimulate multiple eggs.
This method is similar to in vitro fertilization (IVF), but differs in that many IVF eggs and sperm are mixed in a culture dish. The sperm will naturally swim into the egg cell, but ICSI will select only one healthy sperm. Then use a needle to inject directly into the egg cell
Embryo chromosome screening technology
There is also a chromosome screening technology in the embryo. To help spouses with problems, such as those in which the woman is 35 years or older, or has had two or more consecutive miscarriages, or mothers who have given birth to a child with an abnormal chromosome. Or a spouse that has been proven to have abnormal chromosomal translocation (chromosomal translocation), etc.
Because of the abnormal chromosomes in the naturally occurring embryo, It is the cause of miscarriages and congenital malformations in infants. Which is more common in the said population Therefore, embryo chromosomal screening is a method that can help a spouse succeed in conceiving a child. Without having to face the complications and adverse effects of the high rates as in the past
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