yu en yu man/wif don drim foh geht pikin, boht yu stil noh ebul mek dat drim kam tru? Sɔntɛnde, ivin afta dɛn dɔn du ɔl di tɛst dɛn, ivin di dɔktɔ dɛn nɔ kin ebul fɔ tɔk fɔ tru se, "Dis na di rizin." na da tεm de wi de tכk bכt dis kכndyushכn we dεn kכl "unexplained infertility." Dis na rili big lod, bɔt lɛ wi tɔk bɔt am ditayli, okay?
Wetin na Infertility we Nɔ Ɛksplen?
Fɔ tɔk am simpul wan,
we pɔsin nɔ ebul fɔ bɔn pikin we yu nɔ ebul fɔ ɛksplen na we no klia mɛrɛsin nɔ de fɔ mek yu ɛn yu patna nɔ gɛt bɛlɛ. Bifo yu du dis, yu dɔktɔ go du wan ful siriɔs tɛst fɔ no if yu ebul fɔ bɔn pikin. Bɔrku tɛm, dɛn tɛst ya go kɔnfirm dɛn tin ya:
Ivin if ɔl dis de insay ɔda, if yu nɔ rich 35 ia yet ɛn yu nɔ ebul fɔ gɛt bɛlɛ fɔ at le wan ia ɔ siks mɔnt if yu pas 35 ia, den dɔktɔ dɛn kin kɔl dis "unexplained infertility." Tink bɔt am, sɔntɛnde we wi go tek mɛrɛsin fɔ sik, dɔktɔ dɛn kin rɔn bɔku tɛst, nɔto so? Dis na di sem tin. Dɛn kin tray ɔltin, bɔt dɛn nɔ kin ebul fɔ fɛn di rut fɔ di prɔblɛm. I kin mek pɔsin fil bad smɔl, bɔt nɔto di ɛnd fɔ di wɔl.
Aw dis sik kin kɔmɔn?
I at fɔ tɔk klia wan aw dis kin apin. Bikɔs wetin wan dɔktɔ kin tek "kɔmplit" fɔ fɛtiliti tɛst kin difrɛn frɔm wan dɔktɔ to ɔda dɔktɔ. Dat min se difrɛns dɛn de we nɔ klia pan aw dɛn de du tɛst, so di statystik kin ɔf smɔl. Wan ripɔt se lɛk
10% pan di mared pipul dɛn we de tray fɔ gɛt bɛlɛ kin gɛt dis kayn we aw dɛn nɔ kin ebul fɔ bɔn pikin we dɛn nɔ kin ɛksplen. Dat min se ɔl dɛn tɛst dɛn na nɔmal tin. Bɔt ɔda ripɔt dɛn se dis nɔmbaI kin bi lɛk
30% . So, dis nɔto sɔntin we pɔsin nɔ yɛri bɔt.
I pɔsibul fɔ bɔn pikin ivin we i nɔ ebul fɔ bɔn pikin we dɛn nɔ ɛksplen?
Yɛs, yu kin ebul! Dis na di bɛst nyuz we a go gi yu. Jɔs bikɔs dɛn dɔn no se yu gɛt "unexplained infertility" nɔ min se yu fɔ giv ɔp op. Wan stɔdi we di Nashɔnal Instityut fɔ Wɛlbɔdi (NIH) bin du sho se
92% pan di mared pipul dɛn we nɔ ebul fɔ bɔn pikin we dɛn nɔ ɛksplen, kin go bifo fɔ bɔn pikin afta dɛn dɔn du tritmɛnt fɔ bɔn pikin. Dat min se gud chans stil de fɔ mek yu drim kam tru.
"Unexplained infertility " nɔ min se yu nɔ go ebul fɔ bɔn pikin. I jɔs min se yu fɔ tray smɔl difrɛn we.
Fɔ tru, no rizin nɔ de? Wetin na di rizin dɛn we ayd we kin de mek dis apin?
Ivin if dεn se "di kכz nכ klia," sכmtεm i rili de kכz. Bɔt da kɔz de kin bi sɔntin we dɛn nɔ go ebul fɔ mɛzhɔ ɔ no bay di tɛst dɛn we dɛn de du naw. Ɔ, i kin bi sɔntin we nɔ klia sote i nɔ go no. Lɛ wi luk sɔm pan di rizin dɛn we kin mek wi du am:
Wan ɔndalayn, we dɛn nɔ no fayn fɔ no bɔt mɛrɛsin
Risach pipul dɛn stil de lan aw sɔm mɛrɛsin dɛn kin afɛkt di we aw pɔsin kin bɔn pikin. Fɔ ɛgzampul,
di sik we dɛn kɔl Celiac disease (we kin gɛt alɛji fɔ gluten), dayabitis, ɛn di sik we dɛn kin gɛt na di tayroyd, ɔl kin afɛkt di we aw pɔsin kin bɔn pikin. Yu kin gɛt wan pan dɛn sik ya, bɔt dɛn nɔ kin no am gud gud wan.
Di kɔndishɔn we gɛt ɛndometriɔsis
εndometriosis na wan kכndyushכn we di tisu we nכmal fכ gro insay di uterus (εndometrium) de gro ausayd di uterus. Ivin if i nɔ kin izi fɔ bɔn pikin, sɔntɛnde dis kin mek i nɔ ebul fɔ bɔn pikin. Fɔ no fɔ tru if yu gɛt ɛndometriɔsis ɔ nɔ gɛt am, yu nid fɔ du ɔpreshɔn (lɛk laparoskopi). Ivin if yu nɔr gɛt ɛni sayn, dis sik kin afɛkt yu fεtiliti.
Prɔblɛm dɛn we de na di sεvikal mכkus
we di ovuleshכn de
, di sεvikal mכkus de εp di sεl dεm fכ mit di eg. if dis mכkus tik tu, כ if i gεt sכm kכmכpכnεnt dεm, di sεl dεm nכ go ebul fכ pas tru di sεviks insay di uterus.
Di kwaliti fɔ eg
Dɔktɔ dɛn
kin yuz ɔltra saund fɔ luk di fɔlikul dɛn na yu ovaria ɛn mɛzhɔ ɔmɔs eg yu gɛt. Bɔt ɔltra saund nɔ kin ebul fɔ no di kwaliti fɔ dɛn eg dɛn de. Pan ɔl we blɔd tɛst ɛn ɔltra saund kin gi yu sɔm aidia bɔt di kwaliti fɔ yu eg, i at fɔ tɔk fɔ tru.
Kwaliti fɔ di swɛt
Jɔs lɛk aw i kin bi insay eg, .
we yu du di sεmεn analisis kin no bכku prכblεm dεm wit di sεl dεm. Bɔt sɔntɛnde ɔda prɔblɛm dɛn we nɔ klia wit di swɛlin kin mek bak pɔsin nɔ ebul fɔ bɔn pikin we i nɔ ebul fɔ ɛksplen. Prɔblɛm wit di insay layn na di uterus (Endometrium) .
di εndometrium na di layt we de insay yu uterus. fεtilayz eg de implant εn gro to εmbriyo insay dis layεr. di luteal phase defect na di kכndishכn we di εndometrium nכ tik כ nכ pripia inof fכ gεt fεtilayz eg. if dis apin, ivin if dεn fεtilayz eg, i nכ go ebul fכ put insay di uterus. Bɛlɛ nɔ go apin. Di tɛm we pɔsin kin du mami ɛn dadi biznɛs di we aw Gɔd nɔ want
Sɔntɛnde, di frɛkuɛns we yu de du mami ɛn dadi biznɛs, ɔ di tɛm we yu de du mami ɛn dadi biznɛs, nɔ kin gri wit di ovuleshɔn we yu gɛt. Dis kin tan lɛk smɔl tin, bɔt i kin afɛkt di chans we yu gɛt fɔ gɛt bɛlɛ. Sɔntɛnde, e kin apun fɔ no rizin, ɔr kin at fɔ fɛn ɔr trit de kɔz. Bɔku tin dɛn nid fɔ go rayt fɔ mek pikin gɛt bɛlɛ. If ɛni wan smɔl tin nɔ go fayn insay da prɔses de, di wan ol tin kin rɔng. Bɔt di gud nyus na dat, di wan dɛn we de stɔdi bɔt dis kin fɛn nyu we ɔltɛm fɔ no di prɔblɛm dɛn we kin apin we pɔsin kin bɔn pikin we gɛt fɔ du wit tin dɛn lɛk di eg kwaliti, di we aw di ɔgan dɛn we de bɔn pikin kin wok, ɛn di we aw di swɛt kin wok. Aw yu kin no dis sik kɔrɛkt wan?
Nɔto ɔl di prɔblɛm dɛn we kin apin we pɔsin nɔ ebul fɔ bɔn pikin, dɛn kin no am wit wan tɛst. כlso, nכ tεst nכ de 100% akכrd (fכ egzampl, vεri sכft abnכmaliti kin go כndatekt). Di American Society of Reproductive Medicine (ASRM) se di tɛst fɔ no if uman bɔn pikin fɔ gɛt:- Rivyu fɔ kɔmplit mɛdikal ɛn sɛkshɔnal istri .
- Fɔ du wan ɛgzam fɔ yu bɔdi .
- Blɔd tɛst fɔ chɛk di ɔmon lɛvɛl .
- We yu de chɛk yu ɔgan dɛn we yu de bɔn pikin, lɛk yu ovary, fallopian tubes, ɛn uterus . Dis kin involv ɔltra saund ɔ mɔ advans tɛst lɛk hysterosalpingogram ɔ laparoscopy .
- Semen analisis fɔ di patna.
- Ovarian rizɔv tɛst.
- Fɔ chɛk if yu ovuleshɔn de apin fayn fayn wan.
if fεtiliti spεshal כ obstetrician-gynecologist du כl dεn tεst dεm ya bכt i nכ ebul fכ fכn klia kכz, den dεn kכl am "unexplained infertility." Yu fɔ mɛmba se di we aw ɛni dɔktɔ de du di tɛst kin difrɛn smɔl. So, if yu gɛt diagnosis lɛk dis, natin nɔ bad fɔ gɛt ``sɛkɔn opinion'' frɔm ɔda dɔktɔ. Wetin na di tritmɛnt dɛn we dɛn kin gɛt?
Bikɔs yu dɔktɔ nɔ go ebul fɔ no wan rizin we mek yu nɔ ebul fɔ bɔn pikin, i go mɔs bi se i go tɛl yu fɔ gi yu tritmɛnt bay di rizɔlt we yu gɛt fɔ no if yu bɔn pikin ɛn di ɛkspiriɛns we i gɛt fɔ trit mared pipul dɛn we fiba dɛn. Apat frɔm dat, tin dɛn lɛk aw yu want fɔ bigin tritmɛnt kwik ɛn yu ej go ɛp bak. Di tritmɛnt dɛm wae dɛn kin kɔmɛnt bɔrku tɛm kin fɔdɔm pan dɛn kayn tritmɛnt ya: Asist Riprodaktiv Tɛknɔlɔji (ART) .
Assisted Reproductive Technology (ART) na wan kayn fεtiliti tritmεnt usay dεn de du pat pan di fεtilayzεshכn prכsεs na labכtכri. dis inklud tin dεm lεk Intrauterine Insemination (IUI) εn In Vitro Fεtilayzεshכn (IVF) .- insay IUI , dεn kin was di sεl dεm εn kכnsantreyt am na labכtכri εn afta dat dεn kin put am dairekt insay yu uterus arawnd di tεm we yu de ovulate.
- IVF involv fכ mek εmbriyo dεm na di lab we yu de yuz yu eg dεm εn yu patna (כ wan dכna) in sεl dεm, we dεn kin put insay yu uterus fכ gro. Bɔku tɛm, IVF kin gɛt wan tin bak we dɛn kɔl Intracytoplasmic Sperm Injection (ICSI) . Dis min se yu fɔ injekt wan swɛlin dairekt insay di eg. ICSI kin mek di chans fכ bεlε bכku we dεn tink se di kwaliti fכ di sεl na di kכz fכ infεtiliti we dεn nכ εksplen.
Di kayn drɔgs dɛn we dɛn kin yuz
di mεdikeshכn dεm we de mek di ovuleshכn εn ovuleshכn dεm dεn tu bכku yusful. Dɛn kin yuz dɛn tin ya dɛn wan ɔ dɛn kin yuz dɛn wit IUI ɛn IVF tritmɛnt dɛn. Di mɛrɛsin dɛn we dɛn kin yuz mɔ na gonadotropin ɛn klomifen (Clomiphene - Clomid®) . Sɔm dɔktɔ dɛn kin gi dɛn bak wan mɛrɛsin fɔ mek uman bɔn pikin we dɛn kɔl letrozole (Femara®) , bɔt dis na tin we dɛn nɔ kin yuz fɔ bɔn pikin. Gonadotropin dεm gεt כmon dεm we de mek eg prodyuz bכku εn dεn de yuz dεm bak fכ trit di sεl dεm we nכ de kכnt. klomifin de mek di ovaria dεm bak fכ mek mכr eg dεm. Yu dɔktɔ go tɛl yu di rayt we fɔ du am bay aw yu de si yu. Bɔt mɛmba se we yu de yuz dɛn mɛrɛsin ya fɔ mek yu bɔn pikin, i kin kɔmɔt pas wan eg insay wan mɔnt we yu de gɛt. if dat apin, chans de fכ bכn pas wan pikin (lεk twins). Di we aw pipul dɛn de liv dɛn layf kin chenj
Sɔm abit dɛn we pɔsin kin liv in layf kin afɛkt di we aw i kin bɔn pikin. Na sɔm tin dɛn we yu kin du fɔ mek yu gɛt mɔ chans fɔ gɛt bɛlɛ:- Nɔ smok, drink rɔm, ɛn tek drɔgs kpatakpata.
- Mek yu gɛt wɛlbɔdi bɔdi wet.
- It gud it we gɛt balans.
- Tray fɔ ɛksesaiz fɔ at le 30 minit insay di de.
- Limit kafin (ti, kɔfi) we yu de it.
- Tray fɔ ridyus yu strɛs .
Tek tɛm bɔt di tɛm we yu fɔ du mami ɛn dadi biznɛs.
Na wan smɔl winda nɔmɔ de na yu mɔnt saykl we yu kin gɛt bɛlɛ. Yu dɔktɔ kin ɛp yu fɔ no dis winda. dis kin bi bay we yu trak yu basal bכdi tεmprachכ, chכt yu mεnstrual saykl, כ yuz ovulation kit . Sɔm dɔktɔ dɛn kin se bak se, "Jɔs tray fɔ sɔm tɛm mɔ." Dis kin bi wan tritmɛnt plan we at fɔ ɔndastand, mɔ if yu na pɔsin we de drim fɔ bigin famili kwik kwik wan. Bɔt sɔntɛnde, di prɔblɛm kin sɔlv insɛf ɛn i nɔ kin nid fɔ gɛt tritmɛnt. Bɔt, natin nɔ bad fɔ aks ɔda dɔktɔ if yu want, ɔ fɔ bigin fɔ tek di tritmɛnt fɔ mek yu bɔn pikin kwik kwik wan pas fɔ leta. Yu tink se we de fɔ mek dis nɔ apin?
Pan ɔl we tin dɛn de we yu kin du fɔ mek yu gɛt mɔ chans fɔ gɛt bɛlɛ, sɔm tin dɛn de we wi nɔ kin ebul fɔ kɔntrol we kin afɛkt di we aw yu kin bɔn pikin. Sɔm pan di tin dɛn we yu go ebul fɔ kɔntrol na:- Weyt: Mek yu gɛt wɛlbɔdi bɔdi we fit yu.
- Smok ɛn rɔm: Nɔ smok sigrɛt ɛn drink tumɔs rɔm.
- Istri bɔt mami ɛn dadi biznɛs: Yuz kɔndɔm fɔ protɛkt yusɛf frɔm sik dɛn we pɔsin kin gɛt we i du mami ɛn dadi biznɛs (STI) .
Tɔk to yu dɔktɔ bɔt di tin dɛn we de mɔna yu fɔ bɔn pikin so dat i go tɛl yu di nɛks tin dɛn we yu fɔ du fɔ kia fɔ yu. Ɔmɔs mared pipul dɛn we nɔ ebul fɔ bɔn pikin we dɛn nɔ ɛksplen kin gɛt bɛlɛ?
wan stכdi sho se lεk 43% pan dεn pipul ya kin εva bεlε witout εni fεtiliti tritmεnt. Dat min se sɔntɛnde i kin apin fɔ insɛf. Wetin na di impɔtant kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ?
I nɔmal fɔ gɛt bɔku kwɛstyɔn we dɛn no se yu gɛt "unexplained infertility." Di gud nyus na dat, no big prɔblɛm nɔ de we de mek yu nɔ ebul fɔ bɔn pikin. Di bad nyus na dat yu dɔktɔ nɔ ebul fɔ tɛl yu di rayt tin we mek yu nɔ gɛt bɛlɛ. Tɔk to yu dɔktɔ bɔt ɔltin we de na yu maynd. Aks kwɛstyɔn dɛn lɛk dɛn wan ya:- Wetin yu rekomend se a du neks?
- Us we de gi mi di bɛst chans fɔ gɛt bɛlɛ?
- Ɛni blɔd tɛst ɔ imej tɛst de we dɛn stil nid fɔ du?
- Yu tink se wan sik we de mek a nɔ ebul fɔ bɔn pikin?
- A fɔ go to pɔsin we sabi bɔt fɔ bɔn pikin?
Aw lɔng yu dɔn de tray fɔ fɛn dɔktɔ?
Bɔku dɔktɔ dɛn kin se yu fɔ tray fɔ at le 12 mɔnt (wan ia) bifo yu go fɛn tritmɛnt fɔ pɔsin we nɔ ebul fɔ bɔn pikin. Bɔt if yu ol 35 ia ɔ pas dat, go to dɔktɔ afta siks mɔnt . Yu dɔktɔ kin tɛl yu fɔ gi yu tritmɛnt bay aw yu gɛt wɛlbɔdi ɛn aw yu want fɔ bɔn pikin. Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
If yu nɔ ebul fɔ bɔn pikin we yu nɔ ɛksplen, dat kin rili mek yu at pwɛl ɛn kɔnfyus di sik. I min se nɔbɔdi nɔ go ebul fɔ no di rayt tin we mek yu nɔ ebul fɔ gɛt bɛlɛ. Bɔt nɔr wɔri, ɔr pwɛl yu at - tritmɛnt dɛn de fɔ ɛp yu. Sɔm mared pipul dɛn kin gɛt sakrifays wit mɛrɛsin, IUI, ɔ IVF. "Unexplained infertility" nɔ min se yu nɔ go ɛva bɔn pikin. I jɔs min se yu dɔktɔ dɛn go gɛt fɔ tray sɔm difrɛn tin dɛn fɔ ɛp yu fɔ gɛt bɛlɛ.
Fɛn dɔktɔ we ɔndastand aw yu de fil ɛn sɔpɔt yu insay dis tranga tɛm. Nɔ ɛva giv ɔp op. Wi ɔl de wish yu di bɛst lɔk pan yu joyn fɔ mek yu drim kam tru! Infεtiliti, Pikin we de lכs, Infεtiliti we dεn nכ εksplen, fεtiliti, bεlε, IVF, IUI
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt