NEWS & KNOWLEDGE

What is infertility?

Infertility can be caused by abnormalities in women or men. Many people may still not know that they have this condition. The majority of people with infertility are in the elderly group. is 35 years of age or older.

How can I know if I have infertility?

You can evaluate yourself initially. Couples who have been married for 1 year have sex consistently 2-3 times a week. without birth control but not yet pregnant.

Causes of infertility

For women, this may be caused by not ovulating. Premature ovarian hormone depletion Menstruation is not normal. abnormal fallopian tubes or people who have had surgery on the uterus or ovaries.

Men are caused by poor quality semen, small quantity, low running sperm. There is a problem with ejaculation. Hormones associated with abnormal spermatogenesis or congenital disease.

What methods can detect infertility?

First, let your spouse come and consult with the doctor. The doctor will begin taking a history. and physical examination whether it is a history of past surgery Women's menstruation History in practice Spouse's daily living behavior Including drinking alcoholic beverages and smoking All of these things can cause infertility. After taking the history The doctor will perform a physical examination for both men and women.

Women

Do an ultrasound This will look at pathology in the uterus, and fallopian tubes, and further diagnose with ovarian hormone (AMH) testing.

Men

Check the quality of semen (Semen Analysis) to see the shape, characteristics, quantity, and number of sperm. If lower than the standard The doctor will have an additional physical examination of the man.

Does the examination take a long time?

The examination takes approximately 1 hour after completing the history and physical examination. If there is a blood test or semen quality test, It will take about 2-3 hours.

Preventing infertility

Preventing infertility is quite difficult. This condition can occur due to many factors. This can be caused by daily living habits, such as not getting enough sleep. Eating is useless. Exposure to chemicals or treating the body with chemotherapy There will only be a way. “Reduce the risk of infertility” by taking care of your health. Get enough sleep. Eat a good, high-protein, nutritious diet and exercise regularly.

What are the medical technology treatment guidelines?

In case the couple does not have many problems Your doctor will advise you to check for ovulation and have sex. Your doctor may prescribe an egg-stimulating medication to help the egg grow. Do an ultrasound to look at the eggs and count the days of ovulation.

Intra Uterine Insemination: IUI or intrauterine insemination The method is to keep the infection out. After that, scientists will spin and select the bacteria to inject them into the uterine cavity on the day the woman ovulates. The IUI method can be performed in cases where the couple does not have severe infertility. a lot which women with normal uterine cavities and normal fallopian tubes Including men who have medium to good quality semen. can do this method.

IVF/ICSI (in vitro fertilization) starts out the same way, that is, it is an injection to stimulate the eggs to produce many eggs. By using egg-stimulating drugs appropriate to that patient, and injecting them until the eggs grow. After that, the eggs are collected while the woman collects the eggs. The man collects sperm The scientists will select the best sperm. to be mixed with the eggs to achieve fertilization and raised to grow into embryos.

The ICSI process is where sperm is placed in a needle and penetrated into the egg to help fertilize it into an embryo. This can solve the problem in men of sperm that cannot penetrate the eggshell by itself. Or solve the problem of women's eggshells being too thick. After fertilization, scientists will raise the embryos until they reach the blastocyst stage.

The doctor will consider the treatment. and the patient's medical history or ovarian hormone deterioration, treatment methods that are appropriate for that patient must be used.

By Assoc.Prof. Matchuporn Sukprasert