Yu kin gɛt smɔl eg bak na yu ovaria? Lɛ wi tɔk bɔt Diminished Ovarian Reserve!

Yu dɔn de tray fɔ gɛt bɛlɛ fɔ lɔng tɛm? Na nɔmal tin fɔ fil sɔri ɛn wɔri we yu nɔr gɛt rizɔlt kwik lɛk aw yu bin de tink. Yu dɔktɔ go dɔn tɛl yu se yu ovaria nɔ gɛt bɔku eg, we na wan sik we dɛn kɔl Diminished Ovarian Reserve . Na dat wi go tok abaut tide. Nɔ wɔri, if yu ɔndastand dis fayn, dat go ɛp yu bɔku.

Wetin na Diminished Ovarian Reserve?

Fɔ tɔk am simpul wan, Diminished Ovarian Reserve na we di nɔmba fɔ di eg dɛn na yu ovaries de go dɔŋ we yu kɔmpia am wit ɔda pipul dɛn we yu ej. sכmtεm dεn kin kכl dis "lכw eg kכnt." yu no se fכ mek yu bεlε, yu nid eg (wit sperm). Nɔmal wan, ɔlman in eg kɔnt kin go dɔŋ as dɛn de ol. Na tin we nɔmal fɔ du. Bɔt fɔ sɔm pipul dɛn, dis kin apin kwik pas aw dɛn bin de tink. Na da tɛm de dis kɔndishɔn kin apin.

Fɔ bɔn pikin kin at smɔl we yu eg rizɔv nɔ bɔku. Yu dɔktɔ kin no fɔ tru if yu gɛt dis sik bay we i du wan tɛst we dɛn kɔl Ovarian Reserve Testing .

Di impɔtant tin na dat dis nɔ min se yu nɔ go ɛva ebul fɔ bɔn pikin. Bɔt i kin at smɔl, ɔ yu kin nid fɔ yuz tritmɛnt fɔ mek yu bɔn pikin.

כl di eg dεm wi fכ nכmal fכ gεt na wi ovaria dεm?

Tink bɔt am, we dɛn bɔn wi gyal pikin dɛn, wi kin gɛt ɔl di eg dɛn we wi nid fɔ wi wan ol layf. Afta dat, dɛn nɔ kin mek ɛni nyu eg. Yu ej na di men tin we de sho ɔmɔs eg yu gɛt. Stɔdi dɛn dɔn sho se afta i dɔn ol 35 ia, di rit we di eg dɛn kin lɔs kin bɔku mɔ ɛn mɔ.

Pan ɔl we dɛn nɔmba ya kin difrɛn frɔm wan pɔsin to ɔda pɔsin, na dis wan aidia bɔt di avrej nɔmba fɔ di eg dɛn we wi gɛt ɔlsay na wi layf:

• We dɛn bɔn am: Bitwin 1 ɛn 2 milyɔn eg dɛn.
• We yu yɔŋ: Bitwin 300,000 ɛn 400,000 eg dɛn.
• Arawnd 40 ia: Na lɛk 25,000 eg dɛn.
• We di uman dɔn pas 18 ia: I nɔ rich 1,000 eg dɛn.

Bɔt na yu dɔktɔ nɔmɔ go ebul fɔ tɛl yu ɔmɔs eg yu gɛt, afta yu dɔn rivyu di rizɔlt fɔ di Ovarian Reserve Testing we wi bin dɔn tɔk bɔt.

Yu tink se i nɔ pɔsibul fɔ bɔn pikin bikɔs yu nɔ gɛt bɛtɛ eg?

Yu nɔ go ebul fɔ se nɔ! Yu kin stil gɛt pikin ilɛksɛf yu nɔ gɛt bɔku eg. Bɔt yu fɔ ɔndastand bak se di chans fɔ gɛt bɛlɛ kin smɔl smɔl bikɔs di eg dɛn nɔ bɔku. Tink bɔt am, ɔl wetin yu nid fɔ mek pikin na gud eg we gɛt wɛlbɔdi, nɔto so?

Dɔn bak, nɔto jɔs di nɔmba fɔ di eg dɛn we de afɛkt di chans we pikin gɛt fɔ gɛt bɛlɛ. Di kwaliti we di eg dɛn gɛtbכku tin dεm de afekt dis, lεk di kwaliti fכ yu patna in sεl dεm, di hεlth fכ yu uterus εn fallopian tubes (כ ovaries).

Wetin na di sayn dɛm fɔ dis sik?

Bɔrku pipul nɔr kin sho ɛni patikyula sayn. di onli tin na dat dεn nכ kin gεt bεlε afta mכnt, maybe ia, we dεn dכn du mami εn dadi biznεs (we dεn nכ yuz εni bכn kכntrכl).

Sɔm uman dɛn kin bigin fɔ gɛt dɛn prɛgnɛshɔn bifo tɛm pas aw dɛn kin gɛt, we min se dɛn saykl kin shɔt ɛn di nɔmba fɔ di de dɛn kin shɔt.

If yu gɛt Primary Ovarian Insufficiency , we na wan sik we di ovaria dɛn nɔ de wok fayn, yu kin gɛt sɔm sayn dɛn we yu de pe yu . Dɛn tin ya na:

• Swet wantɛm wantɛm ɛn fil wam (ɔt flash).
• I nɔ kin gɛt mɔnt ɔltɛm (i kin bigin, i kin let, ɔ i kin mis fɔ sɔm mɔnt).
• di vagina dray, we kin mek yu nɔ fil fayn we yu de du mami ɛn dadi biznɛs.

Wetin mek dis de apin? Wetin na di rizin dɛn we mek dɛn de du dis?

Ol ol na di men εn nכmal tin we de mek di eg rεsכv dכn. I kɔmɔn fɔ ɔlman. Bɔt sɔntɛnde, dɛn nɔ kin ebul fɔ no klia rizin.

Ɔda rizin dɛn de we kin afɛkt dis:

• jεnεtik kכndishכn dεm: jεnεtik prכblεm dεm, spεshal wan dεm we involv di X kromozom.
• Tritmɛnt fɔ kansa: Redyushɔn ɔ kemotɛrapi fɔ kansa kin pwɛl di ovaria ɛn pwɛl di eg dɛn.
• di ɔpreshɔn we dɛn kin du pan di ovaria dɛn: Sɔm ɔpreshɔn dɛn kin nid fɔ pul wan pat pan di ovaria dɛn.
• If dɛn dɔn pul wan ɔ ɔl tu di ovaria dɛn: Dis kin nid fɔ bi bikɔs ɔf wan mɛrɛsin.
• כtoimyun kכndishכn dεm: Dis na we wi bכdi in כwn imyun sistεm de atak wi כwn ovari dεm.

Yu tink se strɛs kin afɛkt dis?

Nɔ, strɛs nɔ de ridyus di eg rizɔv dairekt wan. Bɔku pipul dɛn kin tink di rɔŋ we bɔt dis. Bɔt di American Society of Reproductive Medicine se fɔ smok ɛn yuz tabak tin dɛn (sigrɛt, bidis, ɛn ɔda tin dɛn) na di wangren tin dɛn we dɛn dɔn si se kin mek di eg nɔ bɔku.

Us tɛst dɛn de fɔ no dis?

Dɔktɔ dɛn kin yuz wan grup fɔ tɛst we dɛn kɔl Ovarian Reserve Testing fɔ gɛt wan rɔf aidia bɔt ɔmɔs eg dɛn lɛf na yu ovaria.

Bɔt dɛn tɛst ya nɔ go ebul fɔ tɛl yu ustɛm aw lɔng yu go ebul fɔ bɔn pikin, ɔ if yu go ebul fɔ gɛt bɛlɛ bay aw yu de du am (we yu nɔ gɛt ɛni tritmɛnt). Dɛn tɛst ya men wan de luk pan yuna aw yu ovaria de ansa to di כmon dεm we dεn gi yu we dεn de gi yu fεtiliti tritmεnt lεk IVF (In Vitro Fertilization), כ if yu chans fכ bεlε we yu nכ tritmεnt sכm.

I rili impɔtant fɔ no se ivin if dɛn tɛst ya kɔnfyus se yu gɛt smɔl eg rizɔv, i nɔ min se yu nɔ go ebul fɔ bɔn pikin bay natura. Dɛn tɛst ya nɔ de mɛzhɔ yu natura l fεtiliti.

Di ovarian Rizav Tεst kin inklud:

• Blɔd tɛst: Dis min se yu fɔ tek wan sɛmpul pan yu blɔd ɛn chɛk di lɛvɛl we di ɔmon dɛn we dɛn kɔl (Anti-Mullerian Hormone - AMH) , (Follicle-Stimulating Hormone - FSH) , ɛn (Estradiol) . dis כmon lεvεl dεm kin gi yu dכkta wan aidia fכ aw yu ovary dεm de rεspכnd to fεtiliti dεm.
• di vagina Ultrasound: dis min se yu de put sכm sכm tin we de skan tru di vagina fכ mכsu di sayz fכ di ovaria dεm. i de mכsu bak di nכmba fכ di sכm sכm fכlikul dεm we de insay di ovaria dεm we kin gεt eg. Dɛn kin kɔl dis bak di Antral Fɔlikul Kɔnt (AFC) .
• Wan tɛst de we dɛn kɔl di Klɔmifin Saytrɛt Chalenj . Dis involv fɔ tek wan ɔral fεtiliti drɔg (Clomiphene Citrate) fɔ sɔm dez, dɔn yu fɔ mɛzhɔ di ɔmon lɛvɛl ɛn si aw di bɔdi de ansa am. Bɔt dɛn nɔ de yuz dis tɛst bɔku tɛm igen.

di wan dεm we gεt lכw ovarian rεsεv kin gεt hכy (FSH) כmon lεvεl pas כda wan dεm we dεn ej, lכw (AMH) כmon lεvεl, εn lכw (AFC). bak, dεn tεst dεm ya mεntal wan de mכsu aw yu ovaria dεm de ansa to כmon mεdikeshכn, nכto yu ebul fכ gεt bεlε we yu nכ tek mεdikeshכn.

Wetin dɛn kin du as tritmɛnt?

Dis na di impɔtant tin we wi nid fɔ ɔndastand fɔs: Frɔm di mɛrɛsin sayɛns we de naw, no we nɔ de fɔ rivɛns di we aw di eg dɛn we dɛn de kip dɔn go dɔŋ ɔ fɔ mek nyu eg dɛn na di ovaria dɛn.

If yu dɔktɔ sɔspɛkt dis sik, i go tɔk to yu gud gud wan ɛn ɛp yu fɔ mek wan tritmɛnt plan we go ɛp yu fɔ rich yu drim fɔ bɔn pikin. We yu de mek dis tritmɛnt plan, di dɔktɔ go aks yu kwɛstyɔn dɛn lɛk:

• Aw kwik yu go lɛk fɔ bɔn pikin?
• Ɔmɔs pikin dɛn yu want?
• Aw yu ebul fɔ gɛt mɔni? (Sɔm tritmɛnt dɛn kin dia)
• Yu want pikin we gɛt jɛnɛtiks to yu , ɔ yu rɛdi fɔ tink bɔt ɔda tin dɛn we yu go du?

Dɛn kin no di tritmɛnt we dɛn go pik bay we dɛn tink bɔt ɔl dɛn tin ya. Di men tin dɛn we yu go ebul fɔ du na:

• Friz yu eg fɔ yuz tumara bambay.
• Tray fɔ gɛt bɛlɛ naturally (kin tek sɔm tɛm).
• (IVF - In Vitro Fɛtilayzeshɔn)Di tritmɛnt - Yu kin yuz yu yon eg, ɔ yu kin yuz dona eg (eg we yu gɛt frɔm ɔda pɔsin).

If yu yuz yu own eg...

Fɔ friz eg na fayn we fɔ mek yu nɔ ebul fɔ bɔn pikin. Ɛspɛshali if yu dɔktɔ tink se yu de pan big risk fɔ mek yu nɔ gɛt bɔku eg, dɛn kin se yu fɔ friz yu eg bifo dɛn tu smɔl.

wetin kin apin na, dεn kin gi yu כmon injεkshכn fכ mek yu ovaria dεm fכ mek bכku eg dεm wan tεm. Dɔn, dɛn kin pul dɛn machɔ eg dɛn ya tru wan smɔl ɔpreshɔn ɛn frɔz dɛn spɛshal we fɔ mek dɛn go trit dɛn IVF tumara bambay.

sכmtεm, yu dכkta kin se fכ mek εmbriyo (di fכs sεl dεm we de fכm we eg εn sεl kam togεda). dis min se dεn de tek machכ eg dεm, fεtilayz dεm na lab wit yu patna in sεl dεm כ wit dכna sεl dεm (sεl dεm we kכmכt frכm כda pכsin), εn dεn fכz di εmbriyo dεm we de kכmכt fכ yus fכ fכs. Ɔ, dɛn kin transfa dɛn to yu uterus ɛn put dɛn wantɛm wantɛm.

If yu de yuz donor eg...

If di kwaliti ɛn/ɔ kwantiti fɔ yu eg dɛn rili smɔl, we min se di chans fɔ mek yu gɛt bɛlɛ fayn fayn wan we yu yuz yu yon eg dɛn rili smɔl, yu dɔktɔ kin se yu fɔ yuz eg dɛn we dɛn gi yu (eg dɛn we ɔda uman we gɛt wɛlbɔdi dɔn gi).

insay dis kes, dεn fεtilayz eg frכm wan dכna na labכtכri wit yu patna in sεl (כ di sεl dεm). afta dat dεn kin put di εmbrayo we kכmכt na yu uterus. di pikin we dεn mek dis we nכ go gεt yu jin dεm, bכt i kin gεt yu patna in jin dεm (unles dεn yuz di sεl dεm we dεn gi yu).

Wan ɔda tin we yu kin du na fɔ friz di embryo. dis min se yu fεtilayz yu eg dεm (כ di eg dεm we dεn gi yu) wit sεl dεm, fכ mek εmbriyo, εn friz am fכ yus fכ yus tumara bambay.

Fɔlik asid de mek di eg kwaliti bɛtɛ?

Spɛshal vaytamɛn dɛn de we yu fɔ tek we yu gɛt bɛlɛ (Prenatal vitamins), we gɛt wan vaytamɛn we dɛn kɔl Folic Acid . Dis (Folic Acid) rili impɔtant fɔ mek di eg dɛn gɛt di kwaliti .

If yu de op fɔ bɔn pikin, yu dɔktɔ go mɔs tɛl yu fɔ bigin tek wan vaytamɛn bifo yu bɔn. I bɛtɛ fɔ bigin tek am fɔ lɛk tri mɔnt bifo yu plan fɔ gɛt bɛlɛ . Dis na bikɔs i kin tek lɛk tri mɔnt so fɔ mek eg machɔ ful wan.

Di it we yu de it, ɛksesaiz, ɛn ɔda tin dɛn we yu de du fɔ liv (lɛk fɔ nɔ smok) kin afɛkt di wɛlbɔdi, ɔ kwaliti, fɔ yu eg dɛn. כltu, dεn n כ de afekt di nכmba כf eg dεm we yu gεt כ yu ovarian rεsכv (wan kכndishכn we dεn kכl Diminished Ovarian Reserve).

Wetin wi go du fɔ ridyus dis prɔblɛm?

Fɔ tɔk tru, natin nɔ de we yu go du fɔ mek yu eg sapɔt nɔ go dɔŋ. As wi bin dɔn tɔk bifo tɛm, bɔrku tin de wae kin afɛkt dis, lɛk tin dɛm wae wi nɔr kin ebul fɔ kɔntrol (lɛk fɔ ol ɛn jɛnɛtiks).

Bɔt sɔm tin dɛn de we yu kin du fɔ ɛp fɔ mek yu eg kwaliti fayn as yu ebul. Fɔ ɛgzampul:

• Fɔ mek yu gɛt wɛlbɔdi bɔdi wet.
• Fɔ de fa frɔm tabak tin dɛn lɛk sigrɛt atɔl.

Pan ɔl we dɛn tin ya nɔ go mek di eg dɛn bɔku, dɛn go ɛp fɔ mek di eg dɛn we de de kɔntinyu fɔ gɛt di kwaliti.

Aw di IVF tritmɛnt kin wok fayn fɔ di wan dɛn we nɔ gɛt bɛtɛ eg?

Di sakses fɔ IVF (In Vitro Fertilization) tritmɛnt kin difrɛn bad bad wan frɔm wan pɔsin to ɔda pɔsin. I dipen pan bɔku tin dɛn, lɛk wetin mek yu nɔ gɛt bɔku eg, di nɔmba fɔ di eg dɛn we yu gɛt, di kwaliti we dɛn eg dɛn de gɛt, ɛn aw yu bɔdi de du tin we yu de tek drɔgs fɔ mek yu bɔn pikin.

I at fɔ gi ɛksaktɔl statystik bɔt di sakrifays rɛt fɔ IVF fɔ di wan dɛn we gɛt smɔl eg rizɔv, bikɔs i dipen pan bɔku tin dɛn.

Bɔt di wan dɛn we de stɔdi bɔt dis no se, lɛk di bɛlɛ we pɔsin kin gɛt we i gɛt bɛlɛ, di sakrifays we pɔsin kin gɛt we i de yuz IVF kin go dɔŋ we i de ol. Dis kin apin mɔ fɔ di wan dɛn we nɔ gɛt bɛtɛ eg. Di mɔ yu de ol, na di mɔ yu IVF nɔ go wok fayn.

If tɛst sho se yu eg saplai nɔ bɔku, yu nɔ go ebul fɔ ansa fayn to ɔmon drɔgs (we de mek di ovaria dɛn wok). Dis min se yu nɔ go ebul fɔ gɛda bɔku eg dɛn lɛk aw yu go want we yu de du IVF. Bɔt, IVF kin bi di bɛst tin fɔ yu. Yu fɔ rili tɔk to spɛshal pɔsin we de mɛn pikin (dɔktɔ we de trit pikin we nɔ ebul fɔ bɔn pikin) bɔt dis ɛn disayd wetin bɛtɛ fɔ yu.

di ovarian riziv we de dכn min se di mεnopos de kam nia?

I at fɔ no ustɛm di tɛm we yu kin gɛt bɛlɛ (di tɛm we yu prɛgnɛshɔn kin stɔp kpatakpata) go bigin. lכw ovarian rεsכv כnli min se yu eg saplai de dכn. Pan ɔl we i kin bi sayn fɔ se i dɔn pas 40 ia, i nɔ pɔsibul fɔ tɔk klia wan aw i go apin kwik kwik wan.

Fɔ dɔn, sɔntin fɔ yu fɔ tink bɔt...

We yu yɛri frɔm yu dɔktɔ se yu nɔ gɛt bɛtɛ ovarian rizɔv, yu kin fil bad bad wan, yu kin fil bad, ɛn wɔri bɔt wetin go apin tumara bambay. Dis na tin we rili nɔmal, ɛn yu nɔ nid fɔ fil bad bɔt am.

Bɔt, di tin we impɔtant pas ɔl na fɔ mɛmba se i stil pɔsibul fɔ gɛt bɛlɛ pan ɔl we dis sik de. So nɔ pwɛl at ɔ lɛf fɔ op.

Yu dɔktɔ kin tek tɛm tink bɔt di nɔmba fɔ di eg dɛn we yu dɔn lɛf, yu ej, ɛn yu wɛlbɔdi, ɛn mek di bɛst tritmɛnt plan fɔ ɛp yu fɔ rich yu drim fɔ bɔn pikin. Ɔda tin dɛn de bak we yu kin du, lɛk fɔ trit yu pikin dɛn we yu bɔn pikin ɛn if nid de, yu kin yuz di eg dɛn we pɔsin kin gi.

Nɔ giv ɔp pan yu drim fɔ gɛt pikin jɔs bikɔs yu eg saplai nɔ bɔku - fɔ tru, tritmɛnt ɛn we dɛn de fɔ ɛp yu. Tɔk opin wan wit yu dɔktɔ ɛn pik wetin bɛtɛ fɔ yu.

` Ovaries, eg dεplεshכn, infεtiliti, bεlε, uman dεm hεlth, IVF, fεtiliti