Post Date December, 03 2023
Many follicles without large follicles are mostly polycystic ovary syndrome
Q: In the past year or so, my menstrual cycle has been very irregular, sometimes the amount is small, and my weight has also been increasing. I cannot conceive if I want to be pregnant. B ultrasound examination showed that there were many small follicles, but no large follicles.
Answer: From what you said, it can be preliminarily determined that you have polycystic ovary syndrome. You can first check whether you have these characteristics: irregular menstruation has lasted for about half a year; B-ultrasound showed that the number of small follicles was greater than 12, without large follicles; Blood sampling showed that male hormones were high, with symptoms such as heavy beards, obesity, and acne on the face. "As long as two of the above three conditions are met, polycystic ovary syndrome can be diagnosed.".
Obese patients first need to control their weight and exercise more regularly. Clinical investigations have shown that 80% of patients with polycystic ovary syndrome are prone to obesity. By reducing weight, the treatment effect will be very significant. Secondly, if there are fertility requirements, it is necessary to regulate the endocrine system and use ovulation promoting drugs.
Diagnosis of tubal adhesions requires laparoscopy or salpingography
Q: My daughter is 3 years old this year, and has not had contraception since giving birth to her, but she is still not pregnant. To do tubal drainage, it is said to be tubal adhesions. How should I treat it?
A: I suggest you do another fallopian tube radiography. The accuracy of tubal drainage is relatively low, and can only be used as an auxiliary treatment and judgment test. Angiography will be more intuitive and can be seen more clearly. Salpingography should be done 3 to 5 days after the menstrual cycle is clean, which will be more accurate. It is also recommended that the man undergo a semen test.
Low sperm count, the success rate of IVF is the same as that of normal people
Q: I am a patient with azoospermia, and a testicular biopsy says I have sperm, but it is very rare. Now I want to be a test tube baby, I wonder if it's okay?
Answer: As long as there is sperm, you can become a test-tube baby. Low sperm count and obstructed vas deferens are one of the indications for test-tube babies. Moreover, because sperm is artificially selected, the success rate is the same as that of normal people doing test-tube babies. The sooner you treat a situation like this, the better the effect. Do not treat blindly or randomly to avoid delaying the best opportunity for treatment.
Chef suffers from oligozoospermia, high temperature environment may be the culprit
Q: I am a chef and have always wanted children, but my wife has been unable to conceive. Later, she went to the hospital for an examination and said that I had oligozoospermia. How can the treatment effect be better?
Answer: Your situation has a lot to do with your work environment. High temperature and oil smoke are both inducing factors. If it's just found out, you can first improve your lifestyle to recuperate, exercise more, ensure adequate sleep, avoid exposure to high-temperature environments, and especially avoid taking a sauna. The examination will be conducted after one month. If it does not work, medication intervention should be taken for 3-6 months. If it still has no effect, it is necessary to consider becoming a test tube baby and try not to delay the time.
After ectopic pregnancy, if you want to have a child removed from the fallopian tube, you can only be a test tube baby
Q: I am 33 years old this year and have had three ectopic pregnancies. Both fallopian tubes have been removed. Can I be a test tube baby? What preparations need to be made before doing it? How long does it take?
A: In a situation like yours, being a test tube baby is the only option. "Because creating a human being is a large systematic project, it is necessary for both spouses to undergo a series of checks to ensure that they are in good health before starting a test tube baby.". These include basic examinations, including liver and kidney function, electrocardiogram, blood routine, and women's leucorrhea routine; In addition, there are reproductive tests, including male sperm, female uterus, fallopian tubes, cervix, and endocrine conditions, as well as chromosome and infectious disease tests. Endocrine tests are required on the second or third day of a woman's menstrual cycle, and sperm tests are required when a couple has not slept together for 5 days.
In addition, ectopic pregnancy may be life-threatening, and reasons such as obstructed or obstructed fallopian tubes can lead to the implantation of fertilized eggs in the fallopian tubes, resulting in ectopic pregnancy. Therefore, if ectopic pregnancy has occurred before, it is necessary to thoroughly examine the causes and try to avoid recurrence.
Polycystic ovary syndrome is not a patent for fat people, and thin people can also get it
Q: I am 30 years old this year, and I have been married for 6 years without being pregnant. The examination indicates that the follicles are bad, the radiography indicates that the fallopian tubes are open, and the man's sperm is normal. My menstrual cycle is not regular, and it is always delayed for more than 20 days. What should be the problem? What kind of examination should I do?
Answer: Based on the four main factors of infertility: ovulation, sperm, endometrium, and fallopian tube, it is inferred that you have ovulation problems because you have sparse menstruation. It is recommended that you take an endocrine test.
In addition, it is recommended that women who have been diagnosed with polycystic ovary syndrome must control their weight and take some contraceptives under the guidance of a doctor to adjust their treatment. If their weight is well controlled, the likelihood of the disease being cured is still high. But if the control is not good, it will not only affect pregnancy, but also many middle-aged and elderly people suffer from diabetes. Moreover, it should be mentioned that although obesity is a manifestation of polycystic ovary syndrome, it does not necessarily mean that being thin is not. It also requires a vaginal B-ultrasound to diagnose it.
Check and trace the quality of sperm and eggs after the occurrence of abortion
Q: I have had two abortions before, and the last one was in February this year. Now that I want to have a child, what kind of examination do I need?
Answer: If there has been a situation of abortion, it is necessary to trace the source and examine the causes from the aspects of sperm, egg, and embryo quality. First, take a look at the work and living environment of both spouses and see if there are any stimulating external factors, such as the newly renovated house, or the man smoking and drinking heavily. There was a case where a couple who were selling pesticides always had abortions, but later stopped selling and became pregnant with a healthy baby.
To do an examination, first of all, you should check whether the man's sperm has any problems. The woman should check her endocrine system, ovarian function, and egg growth and development. In addition, blood should be drawn to check for chromosomes, genetics, antibodies, and other aspects.
