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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 your marriage when it comes to pregnancy. Because it can be handled properly Don't be sad about being too late to conceive.
Dr. Paphakorn Mingmitphattanakun, MD. 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
The key factors that make it more difficult for women to conceive as they age Including the chance of pregnancy until birth is reduced mainly from the quality of the eggs. For a better understanding, we may need to understand the fertilization mechanism of gametes (eggs and sperm): The body cells are made up of 46 chromosomes, or 23 pairs. The baby's eyes open to the world begins with the parent's gamete.
This germ cell brings together the genetic material of the father and mother together to create 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 split 23 chromosomes, or 24, or 22 may be missing.
Therefore, when an egg with an abnormal number of chromosomes Even mixed with sperm with normal chromosome numbers An embryo has an abnormal number of chromosomes, possibly more or less than 46, causing the embryo to exhibit a number of abnormalities: the embryo stopped dividing the cells before implantation. The embryo cannot be implanted. The embryo can implant but cannot form normal organs and tissues or the 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.
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, congenital diseases and sexually transmitted diseases. Including the history of the male side 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 be tested for AIDS, syphilis, and hepatitis B. Which these diseases can affect the fetus. As well as may detect thalassemia anemia in couples suspected of being carriers All these tests are recommended to be examined together for both husband and wife.
Dr. Papakorn added that There are currently more ways to help conceive as desired, such as 1. In Vitro Fertilization (IVF - In Vitro Fertilization) by bringing the fertile egg and sperm mixed outside or in a glass dish containing substances. Feed the embryo, causing fertilization. ทางเข้าslotxo 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 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 cells, but ICSI will select only one healthy sperm. Then use a needle to inject directly into the egg cell
In addition, embryo chromosomal screening technology is available to help couples with problems such as those in which a woman is 35 years or older, or has had two or more miscarriages or mothers who have given birth With abnormal chromosomes Or couples who have been proven to have abnormal chromosomal orientation (Chromosomal translocation), for example, because abnormal chromosomes in naturally occurring embryos are the cause of miscarriages and congenital malformations in infants, which is more common in these populations. Therefore, embryo chromosomal screening is a method that can help couples achieve successful fertility without the complications and adverse effects of the high rates of the past.
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