Naute neih i duhthusam pawh hi i lungawi lo em ni? Infertility chungchang hi han sawi ila.

Nang leh i pasal hian naute neih hi i mumang a rei tawh a ni mai thei. Mahse, a chang chuan engtiang pawhin bei mah la, chu mumang chu tihhlawhtlin nan chuan a tlai deuh thei. Chutiang thil a lo thlen chuan lungngaihna leh lungngaihna awm chu thil pangngai a ni. Mahse, nangmah chauh i ni lo. Hetiang dinhmun hi ``Infertility`` kan ti a. Vawiin hian he thu hi chipchiar takin, awlsam takin kan sawi dawn a ni.

Infertility hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin, nau pai theih lohna chu i reproductive system-a condition pakhat avanga nau pai theih lohna a ni. Hei hian tu pawh a nghawng thei a, chhan tam tak a awm thei bawk. Nau pai hi i ngaihtuah angin a awlsam lo. Step tlemte zawm a ngai a ni.

Hetiang hian han ngaihtuah teh:

• Pakhatnaah chuan, i thluak hian reproductive hormone a siam a ngai a ni . Heng hormone te hian ovary hnathawh dan an thunun a.
• A dawtah chuan, i ovary pakhatah egg chu a puitling tur a ni .
• Chu egg puitling chu ovary atanga chhuah a ngai a ni . Hei hi ovulation kan ti a.
• Tichuan, he egg hi i fallopian tube atang hian i la chhuak tur a ni .
• Chutih laiin, sperm chu vagina kaltlangin uterus kaltlangin fallopian tube chhungah a kal tur a ni .
• Chutah chuan sperm chu egg nen an inzawm khawm (fertilize) a ngai a, chu chuan embryo a siam a ngai a ni .
• A tâwpah chuan, he embryo hi fallopian tube-ah a kal thla a ngai a, nausen pum bangah a insiam a ngai a ni .

Hetiang kawngah hian thil pakhat a kal dik loh chuan naupai a awm lovang.

A tlangpuiin, kum 35 hnuai lam i nih a, kum khat (thla 12) chhung regular, unprotected sex i hman hnua nau i pai loh chuan doctor chuan nau pai theih lohna a ringhlel thei a ni. Kum 35 aia upa i nih a, thla ruk chhung zet i bei tawh a, hlawhtling lo i nih chuan damdawi lam thurawn lak a tha.

Nau pai theih lohna hi i ngaihtuah aiin a tam zawk hle. Mahse chanchin lawmawm tak chu tunlai hian chhungkaw bul tan emaw, tizau emaw beisei mi tam tak tanpui thei tur enkawlna a awm tih hi a ni.

Nau pai theih lohna chi hrang hrangte chu engte nge ni?

Nau pai theih lohna hi chi hrang hrangah then theih a ni:

• Primary infertility: Nau pai ngai lo, kum khat chhung (kum 35 aia upa i nih chuan thla 6) i lo tum tawh a, fa i neih loh chuan he category-ah hian a tel a ni.
• Secondary infertility: Hei hi fa pakhat hlawhtling taka i neih tawh hnua nau pai leh theih loh hun a ni.
• Sawifiah loha nau pai theih lohna: A châng chuan, test ngai zawng zawng neih mah se, nau pai theih lohna chhan chiang tak chu hmuh theih a ni lo.

Nau pai theih lohna hi engtiang chiahin nge a hluar?

Hetiang dinhmun hian hmeichhia leh mipa a nghawng vek a ni. A nihna takah chuan i ngaihtuah aiin a tam zawk. Entirnan, United States-ah chuan kum 15 leh 49 inkar hmeichhia panga zinga pakhat chuan primary infertility an vei a. Tin, hmeichhe 20 zinga pakhat chuan secondary infertility a vei bawk. Khawvel pumah nupa maktaduai 48 vel chu nau pai theih lohna neiin an khawsa a ni. Chuvangin i hmu thei a, hei hi mi tam tak nghawng thei buaina a ni.

Nau pai theih lohna chhinchhiahnate chu engte nge ni?

A lan chhuahna ber chu thla ruk emaw, kum khat emaw chhunga regular, invenna tel lova sex hman hnua naupai theih lohna hi a ni . Symptom dang a awm lo mai thei. Mahse, hmeichhia emaw mipa emaw thenkhat chuan taksa lama natna lan chhuahna an nei thei a, chungte chu:

• Pelvic emaw pum na emaw .
• Vaginal bleeding mumal lo, thlasik mumal lo, emaw, thlasik hloh vek .
• Mipa zingah penile disorder emaw ejaculation chungchanga buaina emaw .

Nau pai theih lohna chhante chu engte nge ni?

Nau pai theih lohna chhan tam tak a awm thei. A châng chuan, naute i neih theih loh chhan chhanna awlsam tak hmuh a harsa ṭhin. Doctor chauhvin a chhan dik tak a hre thei a, i tana enkawlna tha ber tur a ruat thei bawk.

A chhan chu eng pawh ni se, zirchianna atanga a lan dan chuan:

• Nau pai theih lohna chhan 33% chu hmeichhia atanga lo chhuak a ni.
• Nau pai theih lohna chhan 33% chu mipa atanga lo chhuak a ni.
• Nau pai thei lo zinga 33% dang chu a sir lehlamah harsatna awm vang emaw, a chhan hriat chian loh vang emaw a ni.

Nupa \henkhatah chuan nau pai theih lohna hi chhan pakhat aia tam vang a ni thei.

Nau pai theih lohna atana risk factor tlangpui

A chhan thenkhat chuan mi pakhat chauh a nghawng a, thenkhat erawh chuan a pahnih hian a nghawng thei thung. Nau pai theih lohna thlentu risk factor tlanglawn thenkhat chu hetiang hi a ni:

• Kum : A bik takin hmeichhia kum 30 hnuai lam emaw 40 hnuai lam tan. Kum 50 an hnaih chuan mipa nau neihna a nghawng tan a.
• Ei leh in lama harsatna : `(Anorexia nervosa)` leh `(bulimia)` ang chi natna.
• Zu in tam lutuk .
• Environment toxins nena inzawmna : Chemical, lead, pesticides ang chi thil.
• Exercise tam lutuk hi .
• Radiation therapy emaw chemotherapy emaw dawng .
• Mipat hmeichhiatna hmanga kai theih natna (STI) .
• Meizial zu leh zuk leh hmuam hman : Hetiang tih dan hian nau pai theih lohna 13% leh 15% inkar a huam a ni.
• Ruihhlo hman dan .
• Thau lutuk emaw, thau lutuk emaw .
• Thluak hormone siamtu hmun (hypothalamus emaw pituitary gland)-a thil dik lo awm .
• Natna rei tak nei te .

Hmeichhia nau pai theih lohna chhan

Hmeichhia nau pai theih lohna chhan ber chu ovulation disorder vang a ni . Ovulation chu i ovary atanga egg chhuakin sperm hmanga fertilized a nih dan a ni.

Heng thilte hian hmeichhe naupai theih lohna a thlen thei a ni:

• Endometriosis : Nausen pum pawn lama nausen chhungril (endometrium) line-a awm tissue lo thang lian.
• Vagina, uterus, emaw fallopian tube-a structure dik lo .
• Immune system natna : `(Celiac disease)` emaw `(Lupus)` ang chi natna.
• Kidney natna a ni .
• Pelvic Inflammatory Disease (PID) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
• Hypothalamus leh pituitary gland lama harsatna awm thei .
• A rilru a buai em em a, a rilru a hah em em bawk a . .
• Primary ovarian insufficiency emaw egg quality tha lo emaw .
• Sickle cell atanga thisen tlakchhamna .
• Uterine fibroids emaw uterine polyps emaw a awm thei .
• Thyroid natna a awm thin .
• A hmaa operation (infertility surgery - `(tubal ligation)` emaw `(salpingectomy)`) avanga fallopian tubes block .
• Genetic emaw chromosomal emaw a awm lo .
• Sexual function lama harsatna awm thei .
• Operation emaw nau neih emaw avanga ovary awm lohna .
• Menstruation hi a tlem hle emaw a tlem hle emaw .

Mipa nau pai theih lohna chhan

Mipa nau pai theih lohna chhan ber chu sperm pianzia, motility, emaw sperm count hniam lama harsatna a ni .

A chhan dangte chu:

• Testicles vel veins (testicles vawntu sac-a) te lian zel `(varicocele)` .
• Genetic natna : `(Cystic fibrosis)` ang chi te.
• Chromosomal dik lo : `(Klinefelter syndrome)` ang chi te.
• Thawmhnaw tight hak avanga testicles lum lutuk avanga awm te, hot tub leh sauna hman fo te, leh laptop emaw heating pad emaw testicles-a dah emaw a bula dah te
• Testicles emaw scrotum emaw a hliam .
• Testosterone level hniam (hypogonadism) .
• Anabolic steroid hmansualna .
• Sexual function lama harsatna : erectile dysfunction, anejaculation, a hun hmaa ejaculation, emaw retrograde ejaculation ang chi te.
• Testicles hnuai lam lo .
• Tun hmaa cancer natna avanga radiation emaw chemotherapy emaw dawng tawh .
• Operation emaw nau neih emaw avanga testicles awm lohna .
• Tun hmaa surgery tih tawh, spermatic cord block (vasectomy) .

Hmeichhia nau pai theih lohna hi engtin nge kan hriat theih ang?

A hmasa berin i doctor chuan medical history kimchang leh i sex life chungchang chipchiar takin a zawt ang che.

Hmeichhia nau neih theihna chu ovulation hrisel takah a innghat a ni. Chumi awmzia chu i thluak hian ovary-ah hormone signal a thawn a, chu chuan egg a chhuah a, fallopian tube hnuaiah a kal a, nausen pum bang a thleng tihna a ni. Fertility test-ah hian heng process-a harsatna awmte an zawng thin.

Heng test-te hian harsatna awmte hriatchhuah emaw, chutiang harsatna a awm lohzia finfiah emaw a pui thei a ni:

• Pelvic exam : Doctor hian he exam hi structural problem emaw symptoms emaw a awm leh awm loh enfiah nan a ti thin.
• Thisen test : Hormone level te chu hormone imbalance a awm em tih leh ovulation a awm tha em tih enfiah theih a ni.
• Transvaginal ultrasound : Doctor chuan ultrasound device chu vagina chhungah a dah lut a, reproductive system-a harsatna a awm leh awm loh a enfiah thin.
• Hysteroscopy : Doctor chuan tube te tak te, lighted tube (hysteroscope) chu vagina chhungah a dah a, nausen pum chu a enfiah thin.
• Saline sonohysterogram (SIS) : Doctor chuan i uterus chu saline (sterilized salt water) in a khat a, i vagina kaltlangin ultrasound examination a ti thin.
• Sonohysterosalpingogram (HSG) : (SIS) test neih chhung hian doctor chuan fallopian tube-ah saline leh air bubble a khat a, blockage a awm leh awm loh a enfiah thin.
• X-ray hysterosalpingogram (HSG) : Fallopian tube hmanga dye inject a, blockage awm leh awm loh enfiah nan X-ray image lak a ni.
• Laparoscopy : Doctor chuan pum chhungah incision te tak te a siam a, chuta tang chuan laparoscope (tube te tak te, camera nei) a thun a. Hei hian endometriosis, uterine fibroids, leh scar tissue ang chi harsatna te hriatchhuahna kawngah a pui thin.

Mipa nau pai theih lohna hi engtin nge kan hriat theih ang?

Mipa nau pai theih lohna hi sperm hrisel tak an chhuah leh chhuah loh enin an hre tlangpui. Fertility test tam takah chuan sperm chungchanga harsatna awmte an zawng thin.

Heng test-te hian a pui thei ang:

• Semen analysis : Hei hian sperm count hniam leh sperm motility tha lo a enfiah thin. Mipa thenkhat chuan test nan testicles atanga sperm lakchhuah nan needle biopsy an neih a ngai mai thei.
• Thisen test : Hengte hian thyroid leh hormone dang level a check thei. Genetic blood test hian chromosomal abnormalities a enfiah thin.
• Scrotal ultrasound: Scrotum ultrasound hmangin varicoceles emaw testicular problem dang emaw a awm thei.

Nau pai theih lohna hi engtin nge enkawl a nih?

Nau pai theih lohna enkawlna chu a chhan leh i beisei danah a innghat nasa hle. I kum, nau neih i tum rei zawng leh i mimal duh dan zawng zawng hian eng damdawi nge i hman tur tih relnaah hian chanvo a nei vek ang. A chang chuan kawppui pakhat chauhin enkawlna an mamawh a, a chang chuan kawppui pahnihte hian enkawl an mamawh thung.

Thil tam takah chuan hmeichhia leh nupa nau pai thei lote hian nau neih theihna chance an nei sang hle. Damdawi, surgery, assisted reproductive technology (ART) ang chi thilah tanpuina an dawng thei a ni. Thil tam takah chuan nunphung tihdanglam emaw, mipat hmeichhiatna hman hun leh hun hman dan siamrem emaw hian nau neih theihna a tipung thei a ni. A châng chuan, heng zînga pakhat aia tam hi a inzawm khâwmin hman a ni.

Hmeichhia tan nau pai theih lohna enkawlna

Hmeichhia enkawlnaah hian:

• Nunphung thlak danglam : I taksa rihna tihtlem emaw, tihpun emaw, meizuk emaw ruihhlo hman tawh loh emaw, hriselna lama harsatna dangte thunun emaw hian naute neih theihna a tipung thei a ni.
• Damdawi : Fertility drugs hian ovary te chu egg tam zawk chhuah tir turin a tichak a, chu chuan naute neih theihna a tipung a ni.
• Surgery : Surgery hi fallopian tube blocked hawn nan te, polyp, fibroids, scar tissue te lakchhuah nan tih theih a ni.

Doctor-te pawhin nau pai theihna tihpun dan tur an rawn rawt thei bawk. Entir nan:

• I ovulate hun tur chu i basal body temperature tehna hmangin, fertility tracking app hmangin, i cervical mucus record hmangin i hre thei ang.
• Home ovulation kit hman hian, damdawi dawr emaw online-ah emaw a awm a, engtikah nge ovulation a awm dawn tih hriat theih a ni.

Mipa tan nau pai theih lohna enkawlna

Mipa tan enkawlna hrang hrang chu:

• Damdawi : Testosterone emaw hormone dang level tihsan nan damdawi pek theih a ni. Sex hman laiin penis ding reng tura puitu erectile dysfunction damdawi a awm bawk.
• Surgery : Mipa thenkhat chuan sperm phur tube-a blockage awmte hawn nan emaw, structural problem siamthat nan emaw operation an mamawh thin. Varicocele surgery hian sperm hriselna a ti tha thei a, nau pai theihna a tipung thei bawk.

Nau neih theihna tura enkawlna hman tlanglawn tak takte chu engte nge ni?

Nupa ṭhenkhat chuan assisted reproductive technology (ART) hmangin naute neih theih nân ṭanpuina dang an mamawh a ni. ART hi fertility treatment eng pawh, doctor-in sperm emaw egg emaw a tihdanglamna a ni. Nau neih theihna chance tihpun nan heng zinga pakhat i tih hmain ovulation tichaktu damdawi i ei thei ang.

• In vitro fertilization (IVF) : Hei hian i ovary atanga egg lak a, laboratory-a sperm nena inzawmkhawm a ni. Chumi hnuah chuan sperm chuan egg chu a fertilize leh thin. Chumi hnuah doctor chuan heng fertilized egg (embryos) pakhat atanga pathum vel chu i uterus-ah a transfer leh thin.
• Intracytoplasmic sperm injection (ICSI) : Hetiang hi IVF neih laiin tih theih a ni. Embryologist chuan sperm pakhat chu direct-in egg-ah a inject a. Chumi hnuah embryo pakhat atanga pathum vel chu nausen pum chhungah an transfer leh thin.
• Intrauterine insemination (IUI): Doctor chuan tube sei tak, te tak te hmangin i nausen pum chhungah sperm chu direct-in a dah lut thin . IUI hi artificial insemination an ti \hin.
• Assisted hatching : Embryo pawn lam layer hawnsaktu, uterine wall-a implant awlsam zawkna a ni.
• Third-party ART : Nupa thenkhat chuan donor egg, donor sperm emaw donor embryo emaw an hmang thin. Nupa thenkhat chuan naute phur tur hian gestational carrier emaw surrogate emaw an mamawh thin.

Enkawlna avanga harsatna awm thei te chu engte nge ni?

Naupai theih lohna enkawlna hian harsatna a thlen thei a, chungte chu:

• Nau neih tam theihna (twins, triplets, emaw a aia tam) : Egg tam tak siam chhuah leh embryo pakhat aia tam transfer hian naupai tam theihna a tipung a ni. Nau pai, nau piang hma, nau piang rit lo, nau piang thi, leh hun rei tak chhunga hriselna lama harsatna nei te hi hmeichhe multiples kengte zingah hian a tam hle.
• Ovarian hyperstimulation syndrome (OHSS) : Nau neih theihna damdawi avanga ovary na taka a lo hring chhuak thin. Hei hi a pawi thei hle a, damdawi lam pan vat a ngai a ni.
• Ectopic pregnancy: IVF enkawl lai hian ectopic pregnancy a awm theihna a sang hle.
• Failed cycles : Enkawlna cycle khat zawh hnua naupai theih lohna.

Nau pai theih lohna hi tihdam theih a ni em?

Ni e, mahse a chhanah a innghat. In between 85% and 90% of cases , hmeichhia chuan nau pai theih lohna chu nunphung thlak danglam, damdawi, ART, emaw, operation hmanga enkawlin nau a pai thei a ni.

Hriat reng tur: Nau pai theih lohna hi khawvel tawpna a ni lo. Tunlai damdawi lam thiamna changkang tak nen hian mi tam takin he harsatna chinfel dan tur an zawng chhuak thei ta a ni.

Nau pai theih lohna tur ven nan eng nge ka tih theih ang?

I nau neih theihna humhim nan, a bik takin nau pai tum hian hengte hi i ti thei ang:

• Ei leh in inthlau tak ei la , i taksa rihna hrisel tak, i duh ang ang vawng reng rawh.
• Meizial zu suh, ruihhlo hmang sual suh, zu in pawh in suh .
• Mipat hmeichhiatna hmanga kai theih natna (STI) enkawlna dawng rawh .
• Environment toxins te nena inzawmna tihtlem .
• Taksa chak takin awm la, mahse tih lutuk suh .
• I puitlin hma chuan fa neih hun sawn suh .
• Naupai theihna humhalh dan tur (egg emaw sperm freezing) ngaihtuah rawh .

Nau pai theih lohna ka neih chuan eng nge ka beisei ang?

Nupa 10 zinga 9 velin fertility treatment an nei dawn a ni. Hlawhtlinna rate hi nau pai theih lohna chhan, nupa kum leh thil dang a zirin a inang lo.

Nau pai theih lohna hian rilru, taksa, sum leh pai leh rilru lam a tibuaitu a ni thei. Hemi chhung zawng hian nangmah leh i kawppui chu enkawl vek tur a ni tih hre reng la, dawhthei takin awm rawh . Nau pai theih lohna hi thil awlsam a ni lo. Chuvangin, i thlawptu mite nen in hual vel la, a nih loh leh online support group-ah tel ve rawh. A châng chuan, i thil tawn hrethiamtu hnêna i rilru put hmang sawi chu a ṭangkai hle thei a ni.

Naupai theih lohna enkawlna atan insurance coverage a awm em?

Health insurance policy hi a inang lo va, chuvangin i insurance company hnenah i zawt fo tur a ni. Hei hi Sri Lanka ramah chuan a danglam thei. Mahse, entirnan, United States ang ramah chuan insurance company tam tak chuan endometriosis leh uterine fibroids enkawlna atana surgery ang chi damdawi lama thil tul hrang hrangte coverage an pe a ni. Policy thenkhatah chuan ``IUI'' ang chi fertility procedure te pawh a huam thei a, mahse ``In vitro fertilization'' emaw ``IVF'' emaw pawh a huam lo thei.

US-a state ṭhenkhatah chuan dan a awm a, hnathawhna hmun neitute chuan an hnathawkte health insurance policy-a tel ve turin nau pai theih lohna coverage an pe tur a ni. Kum 2022 June thla thleng khan National Infertility Association (Resolve) chuan hetiang hian a sawi:

• State 20 chuan nau neih theihna tur insurance coverage dan an siam tawh a; Chu dan zinga 14-ah chuan IVF coverage a tel a; leh state 12-ah chuan damdawi lam avanga nau pai theih lohna (iatrogenic infertility) tan nau neih theihna humhalh dan an nei bawk.

He thu hi Sri Lanka-ah a hman loh mai thei a, mahse khawvel hmun thenkhatah chuan hetiang hmun hi a awm tih hriat a pawimawh hle. I insurance policy hian heng thilte hi a huam em tih enfiah ngei ngei tur a ni.

Engtikah nge nau pai theih lohna avanga tanpuina i zawn ang?

Hmeichhia kum 35 hnuai lam kum khat chhung beih tawh, nau pai lote chu Doctor pan tur a ni. Kum 35 leh 39 inkar i nih chuan thla ruk chhung i beih hnuah a rang thei ang bera tanpuina i zawng tur a ni. Kum 40 aia upa i nih chuan thla ruk aia rei lo i tih hnuah doctor thurawn i la tur a ni. Kum upat deuh deuh hian nau pai theihna chance a tlahniam thin . Entirnan, hmeichhe kum 25 mi chuan thlasik chhung zawngin nau a pai theihna chance 25% atanga 30% vel a nei a. Kum 40 i tlin meuh chuan chu chance chu cycle khatah 5% aia tlem lovah a tlahniam thin.

Mipa leh hmeichhia eng pawh ni se, i nau neih theihna tichhe thei risk factor emaw, damdawi lam dinhmun emaw i neih chuan tanpuina i zawng nghal tur a ni. Ovarian failure hma lutuk, endometriosis na tak, uterine/fallopian tube natna i neih i hriat emaw, i rinhlelh emaw chuan medical test ti nghal rawh.

Chhungkaw doctor leh gynecologist-te chuan nau neih theih lohna hriat leh enkawl nân nau neih thiamna lama mithiam, urologist, a nih loh leh reproductive endocrinologist hmu turin an rawt thei a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hnenah hetiang zawhna hi i zawt thei ang:

• Fertility specialist ka hmuh a ngai em?
• Ka kawppui nen hian nau neih lama harsatna kan nei ve ve em tih test ka nei tur em ni?
• Kan kum a zirin eng chen nge fertility test kan neih thuai ang?
• Kan tan eng inenkawlna tha ber nge ni ang?
• Enkawlnate hlawhtlinna rate chu engzat nge ni?
• Enkawlnate hian eng side effect nge a neih emaw, a hlauhawmna emaw?
• Complication symptoms te hi ka hriat chian tur em ni?

Zawhna tenau tlemte dang...

Chlamydia hian nau pai theih lohna a thlen thei em?

Chlamydia hi mipat hmeichhiatna hmanga kai theih natna tlanglawn tak a ni. Chlamydia hi enkawl loh chuan pelvic inflammatory disease (PID) a thlen thei a ni. PID hi natna hrik a ni a, i fallopian tubes, uterus emaw ovaries emaw a tichhe vek thei a ni. Chuvangin, a ni, chlamydia hi nau pai theih lohna tur risk factor a ni.

Naupai venna hmanrua hian nau pai theih lohna a thlen thei em?

No. Zirna hrang hrangah chuan naupai venna hman hian nakin lawka nau neih theihna a tichhe lo tih a tarlang.

Endometriosis hi nau pai theih lohna chhan a ni em?

Ni e, endometriosis hi nau pai theih lohna tur risk factor a ni. Endometriosis vei hmeichhia 30% leh 50% inkar chuan nau pai theih lohna an nei thin.

A tawp berah chuan hei hi ngaihtuah la (Take-Home Message) .

Naupai theih lohna tawn hi a harsa hle. Chhungkaw din emaw, tihpun emaw tumtu tan chuan phurrit lian tak a ni thei. I inlaichinna leh rilru hriselna a nghawng thei a ni. Chu bâkah, nau pai theih lohna enkawlna chu a man a to thei a, sum leh pai lamah pawh a buaithlâk thei bawk.

I theihtawp chhuah chung pawha nau pai harsatna i la nei a nih chuan doctor pan a hun tawh mai thei. A chhan bulpui a awm leh awm loh an hre thei a, i tana ṭha thei tur enkawlna kawng hrang hrang an sawipui thei bawk.

A pawimawh ber chu beiseina bansan loh hi a ni. Nupa tam zawk chuan a tawpah fa an nei ta a ni. Ṭhenkhat chuan assisted reproductive technology lam an hawi a, ṭhenkhat chuan naupangte chu an adopt bawk. Nang pawhin i tana tha tur kawng chu i hmu ang.

He zinkawngah hian chakna leh huaisenna kan duhsak che u a ni!

` Nau pai theih lohna, nau neih theih lohna, naupai, nau neih dan, IVF, IUI, hmeichhe hriselna