I ovary-ah pawh egg tlem zawk i nei em? Diminished Ovarian Reserve chungchang hi han sawi ila!

Nau pai i tum rei tawh em? I ngaihtuah anga result i hmuh vat loh chuan lungngaihna leh lungkhamna i neih hi thil pangngai a ni. I doctor chuan i ovary-ah egg reserve a tlem tih a hrilh che a ni mai thei a, chu chu Diminished Ovarian Reserve tih a ni. Chu chu vawiinah kan sawi dawn a ni. Lungngai suh, hei hi uluk taka hriatthiamna chuan nasa takin a pui ang che.

Diminished Ovarian Reserve tih hi eng nge ni?

A awlsam zawngin, Diminished Ovarian Reserve chu i kum rualpui midang nena khaikhin chuan i ovary-a egg awm zat a tlahniam hi a ni. Hei hi "low egg count" an ti \hin. I hria em, naupai tur chuan egg (sperm nen) i mamawh a ni. A tlangpuiin mi zawng zawng hian an upat deuh deuh chuan egg count a tlahniam vek a. A pianphung a ni. Amaherawhchu, mi thenkhat tan chuan hei hi beisei aia rangin a thleng thin. Chutah chuan he dinhmun hi a lo awm ta a ni.

I egg reserve a tlem chuan naute neih hi a harsa deuh thei. I doctor chuan he natna hi i neih leh neih loh chu Ovarian Reserve Testing tih test hmangin a hre chiang thei ang.

A pawimawh ber chu hei hian naute i nei thei ngai lo tihna a ni lo. Mahse, a harsa deuh mai thei a, fertility treatment i hman a ngai mai thei bawk.

Kan ovary-ah hian egg engzat nge kan neih tlangpui ang?

Ngaihtuah teh, keini hmeichhe naupang kan pian hian kan dam chhung zawnga kan mamawh egg zawng zawng kan hmu vek a. Chumi hnuah chuan artui thar siam chhuah a ni lo. I kum hi i egg engzat nge i neih tih tichiangtu ber a ni. Zirna hrang hrangah chuan kum 35 an tlin hnuah chuan egg hloh zat hi a pung lehzual tih hmuhchhuah a ni.

Heng zat hi mi hrang hrangah inang lo thei mah se, kan dam chhunga egg kan neih zat zatve vel ngaihtuahna chu hetiang hi a ni:

• Pian tirh: Egg maktaduai 1 leh maktaduai 2 inkar.
• Puitling hunah: Egg 300,000 leh 400,000 inkar.
• Kum 40 vel: Egg 25,000 vel.
• Menopause-ah: Egg 1,000 aia tlem lo.

Mahse, i doctor chauh hian egg engzat nge i neih tih chiang takin a hrilh thei che a, a chunga kan sawi tak Ovarian Reserve Testing result a enfiah hnuah.

Egg i neih tlem avangin fa neih theih a ni lo em ni?

Ni lo i ti thei lo! Egg count tlem pawh nise naute i la nei thei tho. Mahse, egg count tlem vangin naupai theihna chance a hniam deuh thei tih pawh i hrethiam tur a ni. Ngaihtuah teh, naute siamna atana i mamawh chu egg tha tak, hrisel tak a ni, a dik em?

Tin, naupang naupai theihna tichhe theitu chu egg awm zat chauh a ni lo. Egg quality tha tak a niHei hi thil tam takin a nghawng a, chu chu i kawppui sperm quality, i uterus leh fallopian tube (or ovaries) hriselna te hi a ni.

Hetiang natna lan chhuah dan hi engte nge ni?

Mi tam zawk chuan symptom bik an nei lo. A awm chhun chu thla tam tak, kum tam tak pawh ni thei, sex an hman hnuah (birth control engmah hmang lovin) an rai thei lo.

Hmeichhe thenkhat chu a hma aia hmain an period tan thei a, chu chu an cycle a tawi a, ni zat pawh a tawi tihna a ni.

Primary Ovarian Insufficiency , ovaries hnathawh that lohna i neih chuan perimenopause laiin symptoms i nei thei a ni. Chung zingah chuan:

• Sudden sweating leh hot flashes (hot flashes) a awm.
• Thla tam tak nei lo (thla tam tak, tlai emaw, thla tam tak chhunga awm loh).
• Vaginal dryness, inpawl laiin hrehawmna a thlen thei.

Engvangin nge hetiang hi a lo awm? Hei hi eng chhan nge ni?

Tar hi egg reserve tlahniam chhan ber leh a pianphung a ni. Mi zawng zawng tan chuan thil awmze nei tak a ni. Mahse, a chang chuan a chhan chiang tak hmuh tur a awm lo.

Hei hi nghawng thei chhan dang a awm bawk:

• Genetic conditions: Genetic problem, a bik takin X chromosome nena inzawm.
• Cancer enkawlna: Radiation emaw chemotherapy emaw hmanga cancer enkawlna hian ovary a tichhe thei a, egg a tichhia thei bawk.
• Ovary-a surgery tih: Surgery thenkhatah chuan ovary thenkhat lakchhuah a ngai thin.
• Ovary pakhat emaw pahnih emaw lakchhuah a nih chuan: Damdawi lam thil avang hian hei hi a tul thei.
• Autoimmune conditions: Hei hi kan taksa ngeiin kan Ovary a beih hian a ni.

Stress hian hei hi a nghawng em?

Ni lo, stress hian direct-in egg reserve a tihtlem lo. Hemi chungchangah hian mi tam tak chuan ngaihdan dik lo an nei a. Mahse, American Society of Reproductive Medicine-in a sawi dan chuan meizuk leh zuk leh hmuam thil (cigarette, bidis, etc.) hman hi nunphung lama thil awm chhun a ni tih hmuhchhuah a ni a, egg reserve tihtlem a ni.

Hei hi hriat theih nan eng test nge awm?

Doctor-te chuan Ovarian Reserve Testing tih hming pu test group hmangin i ovary-ah egg engzat nge awm tih chu rough idea an nei thin.

Mahse, heng test te hian eng chen nge fa i neih theih dawn tih chiang takin a hrilh thei lo che a , natural takin (engmah enkawl ngai lovin) i nau pai thei dawn em tih pawh a hrilh thei lo. Heng test te hian a bik takin iIVF (In Vitro Fertilization) ang chi fertility treatment-a hormonal drugs pek te i ovary-te’n an chhan dan tur a ni a, enkawl loha naupai theihna chance a tlem em tih te a ni.

Hriat tur pawimawh tak chu heng test-te hian egg reserve tlem i nei tih a nemnghet a nih pawhin natural takin fa i nei thei lo tihna a ni lo. Heng test te hian i natural fertility a teh lo.

Ovarian Reserve Testing-ah hian a tlangpuiin:

• Thisen test: Hei hian i thisen sample lak a, hormone level (Anti-Mullerian Hormone - AMH) , (Follicle-Stimulating Hormone - FSH) , leh (Estradiol) tih te enfiah a huam a ni. Heng hormone level te hian i doctor hnenah i ovaries te hian fertility drugs an dawn dan tur ngaihtuahna a pe thei a ni.
• Vaginal Ultrasound: Hei hi vagina kaltlangin scanning device te tak te dahin ovary lian leh te tehna a ni. Tin, ovary chhunga follicle te tak te, egg awm thei zat a teh bawk. Hei hi Antral Follicle Count (AFC) an ti bawk.
• Test pakhat a awm a , chu chu Clomiphene Citrate Challenge tih a ni . Hei hian oral fertility drug (Clomiphene Citrate) ni engemaw zat ei a, chumi hnuah hormone level teh a, taksain a chhan dan en a huam a ni. Mahse, he test hi hman a ni tawh lo.

Ovarian reserve hniam zawkte hian an kum upa lam aiin hormone level sang zawk (FSH) an nei tlangpui a, hormone level hniam zawk (AMH) an nei a, hormone level an nei tlem zawk (AFC). Hetah pawh hian heng test-te hian i ovary-te’n hormone damdawi an dawn dan an teh ber a, damdawi tel lova i naupai theihna an teh lo.

Enkawlna atan eng nge tih theih?

Hei hi kan hriatthiam hmasak tur pawimawh ber chu a ni: Tuna medical science-in a sawi dan chuan egg reserve tlahniam hi tihdanglam theih dan tur emaw, ovary-a egg thar siam theihna tur emaw a awm lo.

I doctor-in he natna hi a rinhlelh chuan uluk takin a bia ang che a, fa neih i duhthusam tihhlawhtlinna tur enkawlna ruahmanna siam turin a pui ang che. He treatment plan i siam dawn hian doctor chuan zawhna a zawt ang che:

• Engtiang chiahin nge naute neih i duh ang?
• Fa engzat nge i duh?
• Sum leh pai lama i theihna chu engtin nge a awm? (Enkawlna thenkhat chu a man a to thei)
• Naupang i duh em, i genetically related to you , a nih loh leh duhthlan tur dang ngaihtuah i duh em?

Heng zawng zawng hi enkawl dan tur ngaihtuah hian ngaihtuah vek a ni. A duhthlan tur lian ber berte chu:

• Nakin lawka hman tur atan i egg freeze.
• Natural taka naupai tum (hun rei tak a la ngai thei).
• (IVF - In Vitro Fertilization hmanga tihdam theih) tih a ni.A enkawl dan - Nangmah ngeiin egg i hmang thei a, a nih loh leh donor egg (midang hnen atanga egg lak) i hmang thei bawk.

Nangmah ngeiin egg i hmang a nih chuan...

Egg freezing hi i fertility humhimna tha tak a ni. A bik takin i doctor chuan egg count tlahniam hlauhawmna sang takah a ngai a nih chuan i egg chu a hniam lutuk hmain freeze turin an rawt mai thei.

Thil thleng chu, i ovary te chu vawi khatah egg tam thei ang ber siam chhuah tir turin hormone injection an pe che a ni. Tichuan, heng egg puitlingte hi surgery tenau tak hmangin an la chhuak a, nakin lawka IVF enkawlna atan a bik takin an vawt tir thin.

A châng chuan, i doctor chuan embryo (egg leh sperm inzawmkhawma cell lo awm hmasa ber) siam a rawt thei bawk. Hei hian a awmzia chu egg puitling tak takte chu lak a, lab-ah i kawppui sperm emaw, donor sperm (mi dang atanga sperm) emaw hmangin fertilize a, a chhuak embryo te chu nakin lawka hman tur atan freeze a ni tihna a ni. A nih loh leh, i nausen pum chhungah dahin, dah nghal theih a ni bawk.

Donor egg i hman chuan...

I egg quality leh/ emaw quantity a hniam hle a nih chuan, chu chu nangmah ngeiin egg hmanga naupai hlawhtling theihna chance a hniam hle tihna a nih chuan, i doctor chuan donor egg (hmeichhe hrisel dangin egg a pek) hman a rawt thei ang.

Chutiang a nih chuan donor atanga egg lo chhuak chu i kawppui sperm (or donor sperm) hmangin laboratory-ah fertilized a ni. Chumi hnuah chuan embryo lo chhuak chu i nausen pum chhungah dah a ni. Hetianga naute siam hian i genes a rochun dawn lo a, mahse i partner genes a rochun thei bawk (donor sperm hman a nih loh chuan).

Thil dang chu embryo freezing hi a ni. Hei hian i egg (or donor egg) chu sperm hmanga fertilize a, embryo siam a, nakin lawka hman tur freeze-a dah a huam a ni.

Folic acid hian egg quality a ti tha em?

Naupai laiin vitamin bik ei tur a awm (Prenatal vitamins), chutah chuan vitamin pakhat Folic Acid tih a awm a. Hei (Folic Acid) hi egg quality vawng nung turin a pawimawh hle.

Nau neih i beisei a nih chuan i doctor chuan nau neih hmaa vitamin ei tan turin a hrilh mai thei che. Nau pai i tum hmain thla thum tal ei tan a tha ber . Hei hi a chhan chu egg pakhat a puitlin theih nan thla thum vel a ngai a ni.

I ei leh in, exercise leh nunphung dang (meizial zuk loh ang chi) hian i egg hriselna, a nih loh leh quality, a nghawng thei a ni. Mahse, i egg neih zat leh i ovarian reserve (Diminished Ovarian Reserve an tih condition) erawh an nghawng lo.

He hlauhawmna tihziaawmna turin eng nge kan tih theih ang?

Dik tak chuan i egg supply tlahniam tur venna tur engmah i ti thei lo. Kan sawi tawh ang khan hei hi tichhe thei thil tam tak a awm a, chung zingah chuan kan thunun theih loh thil (tar leh genetics ang chi) te pawh a tel.

Mahse, i egg quality tha thei ang bera awm tir turin thil engemaw i tih theih a awm. Entir nan:

• Taksa rihna hrisel tak vawn reng.
• Cigarette ang chi zuk leh hmuam atanga inthiarfihlim vek.

Heng thilte hian artui a tipung dawn lo nain, artui awmsa quality vawng reng turin a pui dawn a ni.

Egg reserve tlem zawkte tan IVF enkawlna hi engtiang chiahin nge a hlawhtlin?

IVF (In Vitro Fertilization) hmanga enkawlna hlawhtlinna hi mi hrang hrangah a inang lo hle. Thil tam takah a innghat a, chung zingah chuan i egg count tlahniam chhan te, egg i neih zat te, chu egg quality te, leh i taksain fertility drugs a dawn dan te pawh a tel a ni.

Egg reserve hniam nei tan IVF hlawhtlinna rate dik tak sawi a harsa a, thil tam takah a innghat a ni.

Mahse zirchiangtute chuan natural pregnancies ang bawkin IVF hlawhtlinna rate hi kum upat deuhin a tlahniam tih an hria. Hei hi egg reserve tlem zawk nei tan chuan a dik hle. I upa poh leh i IVF chu a hlawhtling lo zawk mai thei.

Test-naah i egg supply a tlem tih a hriat chuan hormonal drugs (ovaries tichaktu) i dawng tha lo zawk. Hei hian IVF neih chhung hian i duh angin egg i khawlkhawm thei lo mai thei tihna a ni. Mahse, IVF hi i tan chuan a tha ber mai thei. Hemi chungchangah hian fertility specialist (nau pai theih lohna enkawltu doctor) nen inbiakna neihpui ngei tur a ni a, i tana tha ber tur chu i rel tur a ni.

Ovarian reserve tlahniam hian menopause a hnai tawh tihna em ni?

Menopause (i period a tawp vek hun) chu engtikah nge a intan dawn tih chiang taka hriat a harsa hle. Ovarian reserve hniam vang chauh hian i egg supply a tlahniam tihna a ni. Menopause chhinchhiahna a nih theih laiin, eng chen nge a lo awm thuai dawn tih erawh sawi chian theih a ni lo.

A tawp berah chuan i ngaihtuah tur thil pakhat...

I doctor hnen atanga ovarian reserve tlahniam i neih thu i hriat chuan i beidawng hle mai thei a, i lungngai hle thei a, i hmalam hun tur chu i ngaihtuah nasa hle thei bawk. Hei hi thil pangngai tak a ni a, pawi tih a ngai lo.

Mahse, a pawimawh ber chu hetiang dinhmun hi karah pawh naupai theih a la ni tih hriat reng hi a ni. Chuvangin beidawng suh la, beiseina pawh bansan suh.

I doctor chuan i egg la awm zat, i kum leh i hriselna a ngaihtuah thei a, fa neih i duhthusam tihhlawhtlinna tur enkawlna ruahmanna tha ber a siam thei bawk. Thil dang pawh a awm a, chu chu fertility treatment leh a tul chuan donor egg hman te hi a ni.

I egg supply a tlem vang mai maia fa neih duhna chu bansan suh - i tanpui thei tur enkawlna leh hmanraw a awm ngei ang. I doctor nen zalen takin inbiakna nei la, i tana tha ber tur chu thlang rawh.

` Ovaries, artui tlakchham, nau pai theih lohna, naupai, hmeichhe hriselna, IVF, nau neih