Nang pawhin chhan hriat lohvin i nau neih theihna i hloh tawh em? (Unexplained Infertility) Hemi chungchang hi han sawi ila!

I pasal/nupui nen hian naute neih hi i mumang a, mahse chu duhthusam chu i la tihlawhtling thei lo em ni? A châng chuan test zawng zawng an tih zawh hnuah pawh doctor-te pawhin, "Hei hi a chhan a ni," an ti chiang thei lo. Chutih lai chuan he "unexplained infertility" an tih hi kan sawi a ni. Hei hi phurrit lian tak a ni tak zet a, mahse chipchiar takin sawi ila, a tha em?

Unexplained Infertility chu eng nge ni?

A awlsam zawngin, sawifiah theih loh nau pai theih lohna chu nang leh i kawppui in naupai harsat chhan damdawi lam chhan chiang tak a awm loh vang a ni. Chutianga i tih hma chuan i doctor chuan i nau neih theih dan tur test kimchang tak a kalpui ang. A tam zawkah chuan heng test te hian a hnuaia mite hi a nemnghet ang:

• I uterus ah hian thil danglam leh structural problem a awm lo .
• Ovulation hi a hun takah a awm thin .
• I fallopian tubes chu a block lo va , a inhawng bawk .
• I ovarian reserve a tha a .
• Reproduction atana hormone mamawh te hi i thluak ah a lo piang chhuak thin a ni .
• I kawppui semen analysis ( sperm count , size, movement, leh shape) hi a pangngai vek a ni .

Heng zawng zawng hi a dik vek a nih pawhin, kum 35 hnuai lam i nih a, kum 35 aia upa i nih chuan kum khat emaw thla ruk tal nau i pai thei lo a nih chuan doctor-te chuan hei hi "unexplained infertility" an ti a ni. Ngaihtuah teh, a chang chuan natna pakhat damdawi la tura kan kal hian doctor-te chuan test tam tak an kalpui thin a ni lawm ni? Hei pawh hi chutiang bawk chu a ni. Engkim an tum a, buaina bul chu an hmu thei lo. Tlem chuan a lungchhiatthlak viau nain khawvel tawp a ni lo.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hei hi engtiang chiahin nge a awm tih chiang taka sawi a harsa khawp mai. A chhan chu doctor pakhatin fertility test atana "complete" a tih chu doctor hrang hrangah a inang lo thei a ni. Chumi awmzia chu test tih danah hian danglamna fiah lo tak tak a awm tihna a ni a, chuvangin statistics pawh a off deuh thei. Report pakhat chuan nau pai tum nupa zinga 10% vel chuan hetiang chi hi sawifiah theih loha nau pai theih lohna hi an nei thei niin a sawi. Chu chu an test zawng zawng chu a pangngai vek tihna a ni. Mahse, report dang chuan he number hi an sawi30% thleng pawh a sang thei . Chuvangin, hei hi hriat loh thil a ni lo.

Sawifiah loha nau pai theih lohna nei pawhin naute neih theih a ni em?

Ni e, i ti thei! Hei hi chanchin tha ber ka pek theih che u a ni. "Unexplained infertility" i vei tih hmuhchhuah a nih vang mai mai chuan beiseina i bansan tur a ni lo. National Institute of Health (NIH)-in zirchianna a neihah chuan nupa, chhan hriat loha nau pai theih lohna nei zinga 92% chuan nau neih theihna tura enkawlna an neih hnuah naute an nei zui ta a ni. Chu chu i duhthusam a thlen theihna chance tha tak a la awm tihna a ni.

"Sawifiah loha nau pai theih lohna " tih hian naute i nei thei lo tihna a ni lo. Tlem a danglam deuhin i tum tihna chauh a ni.

Chhan a awm tak tak lo em ni? Hei hi eng chhan thup nge ni thei?

"A chhan chu a chiang lo" tia sawi ni mah se, a châng chuan a chhan a awm tak zet a ni. Mahse, chu chhan chu tuna test-na hmanga teh theih loh emaw, hriat theih loh emaw a ni thei. A nih loh leh, thil fiah lo tak, hriat lohvin a awm thei bawk. A chhan awm thei thenkhat han thlir ila:

A hnuaia awm, damdawi lam dinhmun hriat chian loh

Zirchiangtute chuan damdawi lam thil ṭhenkhatin nau neih theihna a nghawng dan an la zir chhunzawm zel a ni. Entirnan, Celiac natna (gluten allergy), zunthlum, leh thyroid natna te hian nau neih theihna a nghawng vek a ni. Heng dinhmun zinga pakhat hi i nei thei a, mahse hriat chian a ni lo mai thei.

Endometriosis natna a awm

Endometriosis hi nausen pum chhunga tissue lo thang tlangpui (endometrium) chu nausen pum pawnah a lo thang lian thin a ni . A tlem lutuk pawhin hei hian a chang chuan nau pai theih lohna a thlen thei a ni. Endometriosis i neih leh neih loh chiang taka hriat theih nan operation (laparoscopy ang chi) i neih a ngai a ni. Symptoms nei lo mah la, he natna hian i fertility a nghawng thei a ni.

Cervical mucus lama harsatna awm thei

During ovulation , cervical mucus hian sperm chu egg nena inhmu turin a pui thin. He mucus hi a thim lutuk a, a nih loh leh component thenkhat a awm chuan sperm chu cervix kaltlangin nausen pum chhungah a kal thei lo mai thei.

Egg quality tha tak a ni

Doctor-te chuan ultrasound hmangin i ovary-a follicle awmte chu an en thei a, i egg engzat nge i neih tih an teh thei bawk. Mahse, ultrasound hmangin chu egg quality chu a hre thei lo. Thisen test leh ultrasound hmangin i egg quality chu hriat chian theih a nih laiin, chiang taka sawi a harsa hle.

Sperm quality tha tak a ni

Egg-a awm ang bawkin, .Semen analysis hian sperm chungchangah harsatna tam tak a hmuchhuak thei a ni. Mahse, a chang chuan sperm chungchanga harsatna fiah lo dang pawh hian sawifiah theih loha nau pai theih lohna a thlen thei bawk.

Nausen pum chhung (Endometrium) chhunga harsatna awm .

Endometrium hi i nausen chhungril ber a ni. Fertilized egg hian he layer-ah hian a implant a, embryo-ah a lo thang lian ta a ni. Luteal phase defect chu endometrium a thim tawk loh emaw, fertilized egg dawng thei tura inpeih tawk lo emaw a ni. Chutiang a nih chuan egg chu fertilized ni mahse, uterus-ah a implant thei dawn lo. Naupai a awm lovang.

Mipat hmeichhiatna hman hun inang lo

A châng chuan, sex hman tam dan emaw, sex hman hun emaw hi i ovulation nen a inmil lo thei. Hei hi thil tenawm tak angin a lang thei a, mahse naupai theihna chance a nghawng thei a ni. A châng chuan chhan hriat lohvin a thleng thei a, a chhan chu hmuh emaw, enkawl emaw a harsa thei bawk. Naute rai tur chuan thil tam tak a kal dik a ngai a ni. Chutiang kawngah chuan thil tenawm pakhat pawh a dik lo a nih chuan a pum pui chu a dik lo thei a ni. Mahse thu lawmawm tak chu zirchiangtute chuan egg quality, reproductive organ function, leh sperm function ang chi thil nena inzawm fertility problems te hriat theihna tur kawng thar an zawng fo thin a ni.

Engtin nge he dinhmun hi dik taka i hriat theih?

Nau pai theih lohna zawng zawng hi test pakhat chauh hmanga hriat theih a ni lo. Tin, test engmah hi 100% a dik lo (entir nan, thil dik lo fiah lo tak takte chu hmuhchhuah lohvin a awm thei). American Society of Reproductive Medicine (ASRM) sawi dan chuan nau neih dan enfiahnaah hian hetiang hi a tel tur a ni:

• Medical leh sexual history kimchang thlirletna .
• Taksa enfiahna tih .
• Thisen test hmanga hormone level enfiah thin .
• I chi thlahtute, i ovary, fallopian tube, leh uterus te enfiah . Hei hian ultrasound emaw test hmasawn zawk hysterosalpingogram emaw laparoscopy emaw te a huam thei a ni .
• Semen analysis hmanga kawppui te.
• Ovarian reserve test neih a ni.
• I ovulation a thleng tha em tih enfiah.

Fertility specialist emaw obstetrician-gynecologist emaw chuan heng test zawng zawng hi ti mahse a chhan chiang tak a hmu thei lo a nih chuan "unexplained infertility" an ti a ni. Doctor tinte test dan hi a inang lo deuh thei tih hre reng ang che. Chuvangin hetiang hian diagnosis i dawng a nih chuan doctor dang hnen atanga ``second opinion'' lak hi thil dik lo a ni lo.

Eng enkawlna nge awm?

I doctor chuan i nau pai theih lohna chhan pakhat mah a hriat chian theih loh avângin, i naupai test result leh nupa in ang chi enkawl a nih dân a zirin enkawlna a rawt ngei ang. Chu bakah, eng chen nge enkawlna i tan thuai duh tih leh i kum te pawh hian hmun a chang ve bawk ang. Enkawlna atana rawt fo thinte hi heng zingah hian a tel a ni:

Assisted Reproductive Technology (ART) hmanga nau neih theihna tur technology (ART) .

Assisted Reproductive Technology (ART) hi nau neih theihna tur enkawlna chi khat a ni a, nau neih dan thenkhat chu laboratory-ah tih a ni. Hei hian Intrauterine Insemination (IUI) leh In Vitro Fertilization (IVF) ang chi te a huam a ni.

• IUI -ah chuan sperm chu silfai a ni a, laboratory-ah concentrate a ni a, chutah chuan i ovulate lai vel khan i uterus-ah direct-in dah a ni.
• IVF-ah hian i egg leh i kawppui (or donor) sperm hmangin laboratory-ah embryo siam a ni a, chu chu i uterus-ah dahin a lo thang lian thei a ni. Vawi tam tak chu IVF-ah hian Intracytoplasmic Sperm Injection (ICSI) tih pawh a tel a ni. Hei hian egg chhungah sperm direct inject a huam a ni. ICSI hian naupai theihna a tipung thei a, chu chu sperm quality hi sawifiah theih loha nau pai theih lohna chhan nia ngaih a nih chuan a ni.

Damdawi chi hrang hrang

Ovulation leh ovulation tichaktu damdawi te pawh a tangkai hle. Hengte hi a mah chauhin emaw, IUI leh IVF enkawlna nena hman dun theih a ni. Damdawi hman tam ber chu gonadotropins leh clomiphene (Clomiphene - Clomid®) te an ni. Doctor thenkhat chuan nau neih theihna tur damdawi letrozole (Femara®) an pe bawk a, mahse hei hi off-label hmanna a ni. Gonadotropins hian egg siam chhuah tipungtu hormone a pai a, sperm count hniam enkawlna atan pawh hman a ni. Clomiphene hian ovary te chu egg tam zawk siam turin a tichak bawk. I doctor chuan i dinhmun a zirin a hman dan tur dik tak a rawn rawt ang che. Mahse, heng nau neihna damdawi hman hian thlasik hun khatah egg pakhat aia tam a chhuak thei tih hre reng ang che. Chutiang a nih chuan naute pakhat aia tam (twins ang chi) neih theihna chance a sang zawk.

Nunphung a inthlak danglam thin

Nunphung ṭhenkhat chuan nau neih theihna a nghawng thei a ni. Nau pai theihna tur i tih theih tur thenkhat chu hetiang hi a ni:

• Meizial zu te, zu in te, ruihhlo hman te chu pumpelh vek rawh.
• Taksa rihna hrisel tak vawng reng rawh.
• Ei leh in tha leh inthlau tak ei rawh.
• Ni khatah minute 30 tal exercise lak tum ang che.
• Caffeine (tea, coffee) ei tlem rawh.
• I stress tihziaawm tum ang che .

Mipat hmeichhiatna hman hun tur hi fimkhur rawh.

I thlasik lai hian nau pai theih hun chhung window tlemte chauh a awm. I doctor chuan he window hi a hriat theih nan a pui thei che a ni. Hei hi i basal body temperature tracking hmangin, i menstrual cycle charting hmangin, ovulation kits hmangin tih theih a ni. Doctor thenkhat chuan, "Rei vak lo chu han tum leh mai rawh," an ti mai thei bawk. Hei hi enkawlna ruahmanna hriatthiam harsa tak a ni thei a, a bik takin chhungkaw din thuai tumtu i nih chuan. Mahse, a chang chuan buaina chu a reh mai a, enkawl a ngai lo mai thei. Mahse, doctor dang zawh duh leh duh loh zawh emaw, fertility treatment te chu a tlai zawk ni lovin a hmaa tan emaw chu thil dik lo a ni lo.

Hei hi ven dan tur a awm em?

Nau pai theihna tihpunna tur thil i tih theih a awm laiin, nau neih theihna tichhe thei kan thunun theih loh thil engemaw zat a awm bawk. I thunun theih ṭhenkhat chu:

• Taksa rihna: I taksa rihna hrisel tak, i duh angin vawng reng ang che.
• Meizial leh zu in: Meizial zu leh zu in tam lutuk loh tur.
• Sexual history: Mipat hmeichhiatna hmanga kai theih natna (STI) laka invenna atan condom hmang rawh .

I doctor nen i nau neih chungchanga harsatna awmte chu sawipui la, chutiang chuan i enkawlna kawnga hmalakna tur dang a rawn rawt thei ang.

Naupai theih lohna chhan hriat loh nei nupa engzat nge naupai?

Zirchianna pakhatah chuan heng zinga 43% vel chuan a tawpah chuan nau neih theihna tur enkawlna engmah nei lovin an naupai tih hmuhchhuah a ni. Chu chu a chang chuan a mah chauhin a thleng thei tihna a ni.

I doctor zawh tur zawhna pawimawh tak takte chu engte nge ni?

"Unexplained infertility" i nei tih hmuhchhuah a nih chuan zawhna tam tak neih hi thil pangngai a ni. Thu lawmawm tak chu i nau pai theih lohna thlentu harsatna lian tham a awm lo. Thu tha lo tak chu i doctor in naupai loh chhan chiang takin a hrilh thei lo che a ni. I rilru a thil awm zawng zawng chu i doctor nen sawiho rawh. Hetiang zawhna hi zawt rawh:

• Eng nge ka tih leh tur i rawt?
• Eng method nge naupai theihna chance tha ber min pe?
• Thisen test emaw imaging test emaw tih ngai a la awm em?
• Damdawi lam dinhmun hnuaia awm hian ka nau pai theih lohna a thlen thei em?
• Fertility specialist ka hmuh tur em ni?

Eng chen nge doctor zawn i tum tawh?

Doctor tam zawk chuan nau pai theih lohna enkawlna zawn hmain thla 12 (kum khat) tal enchhin hmasak an rawt a ni. Mahse, kum 35 aia upa i nih chuan thla ruk hnuah doctor pan rawh . I doctor chuan i hriselna chanchin leh fa neih i duhna a zirin enkawlna a rawt thei ang.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Sawifiah loha nau pai theih lohna hi diagnosis lungchhiatthlak tak leh buaithlak tak a ni thei. I nau pai theih loh chhan chiang takin tumahin an hre thei lo tihna a ni. Mahse lungngai suh, a nih loh leh beidawng suh - i tanpui thei tur enkawlna a awm. Nupa ṭhenkhat chuan damdawi, IUI, a nih loh leh IVF hmangin hlawhtlinna an nei ṭhin.

"Sawifiah loha nau pai theih lohna" tih hian naute i nei ngai lovang tihna a ni lo. I doctor-te chuan naupai theihna tura pui turin duhthlan tur hrang hrang tlemte an lo enchhin a ngai dawn tihna chauh a ni.

He hun harsa tak karah hian i rilru put hmang hrethiam leh thlawptu doctor zawng rawh. Beiseina chu bansan ngai suh. I duhthusam tihlawhtling tura i zinkawngah vanneihna kan duhsak vek a ni! Nau pai theih lohna, Naupang hloh, Sawifiah loha nau pai theih lohna, Naupai theih lohna, Naupai, IVF, IUI