According to the classical female eggs are born with a lifetime of use, rather than the construction of new eggs. Some of the results of a study recently published in the counter information from the classical picture of the results of the clinical response to this question will get back to light classical information.
Decreased with increasing age of the eggs in the ovaries of normal physiological process. Even women who had children before, it is difficult to grasp the age of 39-40, and 44 years later, almost impossible. Of course, there can be miracles, but after 44 years do not have the opportunity to excel. In general, where peer programs test tube baby treatment for women over 44 years is not willing to accept. Reduced capacity loss of ovarian function at menopause and reproductive well be considered equivalent. Operation reproductive hormone secretion in women and the separation of the age of 37 exposures. Fell rapidly after the age of reproductive hormone secretion, this function can be seen from the last menstrual cycle will continue until the age of menopause. The answer to why I cannot have children, then it is that I'm rooted in physiological modified.
Premature menopause in women with a family history of ovarian capacity has been used previously. This is the age of menopause in women about 10 years, which is genetically programmed playback can be difficult, for example, 40 years old, children from the age of menopause, which will become a woman problems in 30 starts.
Age, genetic factors, there are other reasons that cause a greater reduction in capacity of the ovary:
1. from the previous ovarian surgery:
ovarian cysts obtain full capacity will decrease significantly reduces the number of eggs. Especially among people known as chocolate cysts, endomorphisms, ovarian cysts can reduce the ability to be on that side. These surgeries qualified surgeons and maximum relative to normal tissues is needed.
2. from the previous radiotherapy and chemotherapy:
Pediatric cancers can be treated, especially young people have become more common problems associated with reproductive life curriculum is seen as the cause.
Reduction of ovarian function in women of reproductive characterized by the following symptoms.
1. Period closer to each other:
In the last 28-30 days, 21-27 days, start bleeding during menstruation. It can sometimes be menstruation periods of 15 days. The amount of bleeding is usually not changed. I wonder if I am alone menopause is usually less bleeding is not true. In some cases, lack of ovulation or menstruation may be delayed by the delay.
2. Pregnancies spontaneously or with treatment, which increases the possibility of low ends:
This is usually a result of the increase of age, or for some other reason ovaries impaired lack remaining eggs genetically normal. Arise as a result of the fertilized egg or abnormal fetus in the womb is an abnormal or low-end early without a Tobacco and smokers items our. Ongoing pregnancies with chromosomal abnormalities (e.g. syndrome down) are an increasing number of infants.
3. Ovarian stimulation as a result of in vitriol fertilization and other treatments to the increasing number of eggs:
Despite treatment regimes high doses of drug administration or substituted and some eggs develop in the ovaries resistant treatment. Is smaller than the number of eggs can be obtained with these treatments significantly reduced the chance of pregnancy. Poor ovarian response repetition, and currently there is no cure for any of the known. Pregnant women with poor ovarian response in IVF after low (empty bag, the loss of the baby in the uterus), the probability is higher.
How is poor ovarian response in advance?
Women with a family history of early menopause, women who have recurrent miscarriages for no reason, no reason you cannot stay pregnant women and women with previous ovarian surgery should be carefully evaluated. 2-piece or 3 days of testing hormone (FSH, LH, radiologist) and information on the ability of the ovary. An indication of the ability of the hormone FSH ovary. Is high (over 10) indicates that in the case of reduced capacity. From measurements with high value, even if subsequent actions, according to the ovaries. Although FSH low radiologist is high (over 65), may also indicate that under ovary.
Hormones, such as inhibit B and AMH measurements provide information about the ability of the ovary. However, the tests are more expensive and gives no contribution to the information obtained from other tests are not recommended because of routine measurements.
It is the most reliable information about the ability of the ovaries with ultrasound. Vaginal ultrasound ovarian eggs develop dynamic structures can be seen and measured. Less 6dan the overall structure of both ovaries of immature egg case is less than the capacity of the ovary may be mentioned.
What can you do?
The eggs were collected from a small number of applications in vitriol and in women is usually a significant advantage to be achieved by changes in drug therapy. Applied to the long protocol in women with previous treatment protocol can be tried soon. Increasing the number of eggs can be achieved by increasing the dose of drug, sometimes the number of embryos transferred and the pregnancy rate is not reflected in the increase. Apply as pills called automatized inhibitor therapy in women with poor response of the ovaries, which are studies showing that increased dramatically the number of eggs. He also published a study on the recovery of ovarian response to acupuncture. As a last resort, drug therapy may be called spontaneous cycle.
New eggs in the ovary can be done?
Studies in the past one year have shown the existence of stem cells in the ovaries of women. Eggs are using stem cells and the use of new egg production in animal studies has begun to gain pregnancy. Provides results of these studies are a very difficult group of patients with low ovarian would open doors for women, a new hope.
· Anti-Müllerian hormone (AMH)
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