Yu kin de op fɔ bɔn pikin, ɔ yu kin bi pɔsin we want fɔ no smɔl bɔt aw yu go ebul fɔ bɔn pikin. na da tεm de, yu kin dכn yεri di wכd dεm 'ovarian reserve testing' כ ``(Ovarian Reserve Testing)''. So, yu go mɔs gɛt bɔku kwɛstyɔn bɔt wetin i rili bi, wetin i kin tɛl yu, ɛn udat i impɔtant to. Wi go tɔk bɔt ɔl dat tide, jɔs lɛk aw yu go tɔk to yu padi.
Wetin na di Ovarian Rizav Tɛst?
Fɔ tɔk am simpul wan, dis na tɛst we dɔktɔ dɛn kin yuz fɔ no aw yu go ebul fɔ bɔn pikin , dat min se yu ebul fɔ bɔn pikin. Bɔt yu kin ɔndastand di tin dɛn we kin apin bay we yu kɔmpia dɛn wit ɔda pipul dɛn we yu ej. Dis tɛst kin gɛt fɔ du mɔ wit blɔd tɛst ɛn transvagina ɔltrasɔund . Dɛn tu tin ya kin tray fɔ gɛt wan rɔf aidia bɔt di nɔmba fɔ di eg dɛn we de na yu ovaria.
Tink bɔt am, dɛn bɔn wi ɔl wit ɔl di eg dɛn we wi go gɛt fɔ di res ɔf wi layf. I tan lɛk mɔni we de na bank, yu kin jɔs pul am, dɛn nɔ go mek nyu eg. Dis na wetin wi kɔl di ovarian rizɔv . So, dis eg rizכv de dכn nכmal wan wit di ej. frכm di risal fכ dis tεst, dכkta dεm kin prεdikt bak to sכm tεm aw yu go rεspכnd to fεtiliti tritmεnt lεk `(IVF)` (in vitro fεtilayzεshכn).
כltu, i imכtant fכ mεmba dis : dεn ovarian rεsכv tεst dεm ya nכ kin tεl yu wit 100% sכri if yu go ebul fכ bεlε na nכmal wan . Yu dɔktɔ go jɔs yuz dɛn rizɔlt ya fɔ ɛp fɔ disayd wetin na di nɛks tin dɛn we yu fɔ du fɔ yu tritmɛnt.
Udat i impɔtant fɔ tek dis tɛst fɔ?
Naw yu go mɔs de tink se, ‘Okay, if na so i bi, a fɔ mek dɛn du dis?’ Bɔku rizin dɛn de we mek dɔktɔ kin se dɛn fɔ tɛst di ovarian rizɔv. Si if ɛni wan pan dɛn tin ya apin to yu:
- If yu gɛt wɛlbɔdi prɔblɛm, lɛk kansa , ɛn yu tink se i go dɔn afɛkt yu eg kɔnt.
- If yu de plan fɔ bigin tritmɛnt fɔ bɔn pikin lɛk IVF .
Aw yu go no if yu eg rizɔv smɔl?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. Infakt, di wangren we fɔ no fɔ tru if yu nɔ gɛt bɔku eg ɔ yu nɔ gɛt bɛtɛ eg na fɔ mek dɔktɔ chɛk if yu ebul fɔ bɔn pikin . Dis min se dis nɔto sɔntin we wi kin jɔs fil ɔ no na os. Dɛn rili nid spɛshal dɔktɔ advays.
Aw dɛn kin du dis ovarian rizɔv tɛst?
di ovarian rizev tεst de εp fכ prεdikt aw saksesful fεtiliti tritmεnt dεm go bi.Wan ɔda tin. bכt dis nכ de tεl yu di ``eg kwaliti'' fכ yu eg dεm , dat na aw dεn hεlty, כ εksakכt כl di eg dεm we yu gεt .
Dis tɛst gɛt tri men pat dɛn:
1. Wan blɔd tɛst fɔ no di lɛvɛl we di Follicle-Stimulating Hormone (FSH) de .
2. Wan ɔda blɔd tɛst de mɛzhɔ di lɛvɛl we di Anti - Mullerian Hormone (AMH) .
3. dεn de yuz transvagina ultrasound fכ du antral fכlikul kכnt (AFC) tεst.
Lɛ wi tɔk bɔt ɛni wan pan dɛn tin ya smɔl mɔ .
כmon we de mek di fכlikul dεm (FSH) .
FSH na ɔmon we de kɔntrol di eg dɛn we de gro na yu ovaria. Na di pituitary gland we de na yu bren de pul am. dis kin mek wan fכlikul (sכmכl sak we fulכp wit wata we gεt eg) na di ovary bigin fכ gro. dis fכlikul dεm de mek wan כmon we dεn k כl εstrojen , we in tכn de tεl di pituitary gland כl di FSH fכ prodyuz. Dɔktɔ dɛn kin mɛzhɔ yu FSH lɛvɛl arawnd di tɔd de pan yu mɔnt saykl .
Anti -Mullerian Ɔmɔn (AMH) .
`(AMH)` na כda כmon we di fכlikul dεm na yu ovaria dεm de mek. Mɛmba se di eg dɛn de insay di fɔlikul dɛn. dis min se di hכy `(AMH)` lεvεl, di mכr eg yu gεt . biכs di nכmba fכ eg dεm de dכn wit di ej, di `(AMH)` lεvεl de dכn bak wit di ej. difrεnt frכm `(FSH)`, dεn kin mכsu di `(AMH)` lεvεl εni tεm we di mεnstrual saykl de . if di `(AMH)` lεvεl less dan 1 nanogram pan wan mililita (less dan 1 ng/mL), i kin sho se yu eg saplai de dכn. Bɔt i nɔ go ebul fɔ tɛl yu fɔ tru bɔt aw yu go ebul fɔ gɛt bɛlɛ .
Antral Fɔlikul Kɔnt (AFC) .
Dis na wetin transvaginal ultrasound de du. i de mek yu dכkta luk di nכmba fכ di fכlikul dεm na yu ovaria. mεmba se eg dεm de divεlכp insay dεn fכlikul dεm ya. dεn kin kכnt dεn fכlikul dεm ya insay di fכs fכ de dεm na yu mכnt saykl .
Di impɔtant tin na dat di dɔktɔ de yuz dɛn tɛst rizɔlt ya as wan pan bɔku tin dɛn fɔ disayd bɔt yu ɔl yu bɔn pikin. Dis min se dis nɔto tin we pɔsin kin disayd fɔ insɛf.
Us tin dɛn kin afɛkt di eg we dɛn kin kip?
Bɔku tin dɛn de we kin afɛkt di eg we dɛn kin kip, ɛn di ej na di men tin we kin mek pɔsin ol .
As wi don tok bifo, yu born wit ol di eg dem we yu go eva get fo yu laif. Sɔm pipul dɛn kin bɔn wit mɔ eg pas ɔda wan dɛn. We yu yɔŋ, dat min se we yu bigin fɔ gɛt mɔnt, yu dɔn ɔlrɛdi lɔs bɔku bɔku eg dɛn. insay nכmal mεnstral saykl, sεvεra eg dεm de tray fכ divεlכp, εn wan pan dεm, di men, machכ eg, de kכmכt we di ovuleshכn de kכmכt. So, pan ɔl we yu bɔdi kin pul wan eg ɛvri mɔnt, yu kin lɔs bɔku bɔku eg dɛn ɛvri ia .
Wan ɔda impɔtant tin we dɔktɔ dɛn kin tink bɔt na di eg kwaliti . Dis de tɔk bɔt aw yu eg dɛn gɛt wɛlbɔdi.
Apat frɔm dɛn tin ya, bɔku ɔda rizin dɛn de we kin afɛkt yu eg kɔnt:
- Ɔpreshɔn pan di ovaria ɔ prɔblɛm wit wan ɔ ɔl tu di ovaria.
- Kimotɛrapi ɔ redyushɔn tɛrapi fɔ kansa.
- Fɔ gɛt siriɔs infɛkshɔn na di bɛlɛ .
- If pɔsin na yu famili dɔn gɛt menopause kwik kwik wan (family history).
Ɛni risk de wit dis tɛst?
Nɔ, nɔto so atɔl. Dis ovarian rizɔv tɛst na tɛst we nɔ gɛt wan prɔblɛm . I jɔs nid fɔ tek smɔl blɔd frɔm wan vein na yu an, ɛn di transvaginal ɔltrasɔund we wi bin dɔn tɔk bɔt. So no rizin nɔ de fɔ wɔri bɔt am.
Wetin na di tin dɛn we dis tɛst nɔ ebul fɔ du?
Pan ɔl we dis tɛst kin gi yu sɔm aidia bɔt aw yu go ansa di tritmɛnt dɛn we dɛn kin gi yu fɔ bɔn pikin, i nɔ kin tɛl di wan ol stori . Dis na wetin wi nid fɔ ɔndastand.
Pan ɔl we ovarian rizɔv tɛst kin sho di nɔmba fɔ di eg dɛn, i nɔ go ebul fɔ tɛl yu aw dɛn eg dɛn de gɛt wɛlbɔdi, dat na di kwaliti fɔ di eg dɛn . Fɔ ɛgzampul, sɔmbɔdi kin gɛt nɔmal eg we dɛn kin kip, bɔt dɛn eg kwaliti kin smɔl. If dat apin, dɛn eg dɛn de nɔ go gɛt fɛtilayz we dɛn de du tritmɛnt lɛk IVF. stכdi dεn sho se di eg kwaliti dεn kin bigin dכn bak afta i ol 35 ia .
כda tin dεm de bak we de afekt fεtiliti we nכ de rilet to di eg kwantiti כ kwaliti. di dכkta dεm de du dis ovarian rεsכv tεst as pat pan fεtiliti tεst fכ εp fכ gεt aidia fכ yu כvala fεtiliti.
Aw lɔng i kin tek fɔ gɛt rizɔlt?
Tipikli, yu go gɛt yu rizɔlt insay wan wik afta di tɛst. Dɔn yu dɔktɔ go jɔyn di rizɔlt fɔ di ovarian rizɔv tɛst wit di rizɔlt fɔ ɛni ɔda fɛtiliti tɛst we yu dɔn du ɛn tɔk bɔt wan tritmɛnt plan we rayt fɔ yu.
Wetin di tin dɛn we dɛn dɔn du fɔ dis tɛst rili se?
Frɔm di rizɔlt dɛn fɔ yu ovarian rizɔv tɛstI kin ɛp fɔ no wetin yu go ebul fɔ bɔn pikin ɛn aw yu go ansa di tritmɛnt dɛn we yu go gi yu fɔ bɔn pikin. Bɔt i nɔ go ebul fɔ tɛl yu ustɛm yu go gɛt bɛlɛ ɔ ɔmɔs eg yu dɔn lɛf . Bɔt i kin gi yu sɔm tin fɔ sho if yu eg sapɔt smɔl pas ɔda pipul dɛn we yu ol.
Nɔ wan tɛst fɔ bɔn pikin nɔ go ebul fɔ tɔk kɔrɛkt wan bɔt di chans we yu gɛt fɔ gɛt bɛlɛ ɔ aw yu go du to di tritmɛnt dɛn we yu go gi yu fɔ bɔn pikin . di rizulyt fכ כl yu fεtiliti tεst dεm, inklud yu ovarian rεsεv tεst, dεn de analכz dεm tכgeda. Yu dɔktɔ go tek ɔl dɛn rizɔlt ya togɛda ɛn ɛp yu fɔ mek wan tritmɛnt plan we go woke fayn fɔ yu.
Aw dɛn ovarian rizɔv tɛst ya kɔrɛkt?
Fεtiliti tεst na wan tεst we de fכ no . Dat min se, i nɔ go ebul fɔ tɛl yu ɔmɔs eg yu gɛt, aw lɔng yu lɛf fɔ gɛt bɛlɛ frɔm yu eg, ɔ ustɛm yu go go tru menopause. Bɔt na di kɔrɛkt tin we dɔktɔ dɛn gɛt naw .
εspεshali we i kam pan IVF tritmεnt, ovarian rεsεv tεst imכtant biכs yu eg kכnt εn di rεspכns to כmon mεdikeshכn dεm de riliyt to di sakses fכ ovarian stimulashכn.
Wetin na ‘gud’ eg rizɔv? / I gɛt ‘gud’ lɛvɛl fɔ eg rizɔv?
i at fכ se wetin kכnstכt wan 'gud' lεvεl fכ eg rεsכv. Bikɔs di nɔmal eg rizɔv lɛvɛl kin difrɛn frɔm wan lab to ɔda lab ɛn frɔm wan dɔktɔ to ɔda dɔktɔ , nɔ tray fɔ ɛksplen yu rizɔlt fɔ yusɛf ɔ kɔmpia am to ɔda pipul dɛn rizɔlt if yu dɔktɔ nɔ ɛp yu.
i at fכ gi ovarian rizev tεst ‘gud’ skכ, biכs εvri tεst de mכsu difrεn tin dεm. Bifo dat, yu dɔktɔ go tek ɔl di rizɔlt dɛn frɔm ɔl tu yu blɔd tɛst ɛn di ɔltra saund ɛn si if yu ovarian rizɔv lɛvɛl de insay di nɔmal rɛnj .
We yu tink se we de fɔ mek wi gɛt mɔ eg?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Fɔ tɔk am klia wan, nɔto so. Yu nɔ go ebul fɔ mek di eg dɛn we yu gɛt bɔku . Mɛmba se dɛn bɔn wi wit ɔl di eg dɛn we wi go gɛt insay wi layf. Dɛn nɔ go ebul fɔ mek dɛn gɛt nyu layf.
Bɔt yu kin ebul fɔ afɛkt di kwaliti we yu eg gɛt . Sɔm tin dɛn de we yu kin chenj di we aw yu de liv yu layf we go ɛp yu:
- Fɔ it tin dɛn we gɛt fayn fayn tin dɛn fɔ it ɛn fɔ tek di vaytamɛn dɛn we yu nid.
- Fɔ gɛt bɛtɛ slip.
- Nɔ smok ɛn stɔp ɔ stɔp fɔ drink rɔm.
Yu tink se dɛn kin chɛk di eg kwaliti?
Naw, no patikyula tɛst nɔ de fɔ chɛk di kwaliti fɔ di eg dɛn.. pan ɔl we ovarian rizɔv tɛst kin gi yu wan rɔf aidia bɔt ɔmɔs eg yu dɔn lɛf, dɛn nɔ kin tɛl yu aw gud dɛn eg dɛn de, dat na dɛn kwaliti. Yu go jɔs no di rayt kwaliti fɔ yu eg afta yu bigin fɔ tek IVF tritmɛnt .
Fɔ dɔn, di impɔtant tin dɛn we yu fɔ mɛmba (Take-Home Message) .
Okay, so wi don tok plenti boht dis ovarian reserve testing. A tink se yu gɛt gud aidia bɔt am naw. Mɛmba se dis na jɔs wan tin we dɔktɔ dɛn kin yuz fɔ no bɔt aw yu go ebul fɔ bɔn pikin. Bɔku ɔda tin dɛn de we kin afɛkt di tritmɛnt fɔ bɔn pikin ɛn fɔ gɛt bɛlɛ.
No ‘majik fɔmula’ nɔ de fɔ tɔk bɔt yu tumara bambay, ɔ fɔ tɔk klia wan aw di tritmɛnt dɛn we yu go gɛt fɔ bɔn pikin go wok fayn. Ɛn no we nɔ de fɔ no ustɛm yu eg go go dɔŋ.
Di tin we impɔtant pas ɔl na fɔ tɔk opin wan bɔt ɔl dis to yu dɔktɔ . Tɔk bɔt yu op, wetin yu de wɔri bɔt, yu kwɛstyɔn dɛn, ɔltin wit am. Nɔ fred fɔ aks bɔt di tɛst fɔ bɔn pikin ɛn wetin di rizɔlt se. Dɔn yu dɔktɔ go ebul fɔ disayd fɔ du di bɛst tin fɔ yu. Nɔto yu wan de, ɛn dɔktɔ dɛn de we go ɛp yu fɔ du dis waka.
` Ovarian Rizav Tεst, Fεtiliti, Oocyte Sayz, AMH, FSH, AFC, IVF, Uman dεm hεlth, Fεtiliti
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