Not just old! Can women with "1 problem" be infertile? Doctor: 7 ethnic groups should consider artificial reproduction as soon as possible
With the changes in the social environment, the phenomenon of late marriage and late childbearing among Taiwanese women has gradually intensified. Statistics released by the Ministry of the Interior in 2024 show that the age of first marriage for women has reached 31 years old. However, age and time are the biggest enemies on the road to seeking a child, and the challenges faced after the age of 40 are even more severe. Ho Yan-bing, deputy director of the Reproductive Center of TFC Taipei Obstetrics and Gynecology Clinic and secretary-general of the Endometriosis Society, said that reproductive technology is becoming increasingly sophisticated. Even if you are 40 years old, you are not without a chance to have children. However, if a woman has endometriosis, For gynecological diseases, you should seek medical advice as soon as possible and consider taking artificial reproductive treatment after discussing with your doctor.
Can I still get pregnant after a molar pregnancy and an empty egg? Medical technology allowed her to successfully seek a child
Although the age of 40 is already beyond the optimal age for conception, with the continued advancement of artificial reproductive technology, women in their late teens still have the opportunity to successfully conceive through artificial reproductive treatment. Dr. He Yanbing said that he had previously treated a female patient whose AMH test results showed that the ovarian inventory was only 0.143. After the patient underwent IVF treatment, although the embryo successfully implanted in the bed, it did not continue to grow, forming a “void”. “Bao Dan” dilemma.
It was not until Dr. He Yanbing intervened that the patient had a natural pregnancy experience, but the villous cells of the placenta were suspected to have lesions (hydatidiform molar pregnancy). Dr. He Yanbing immediately arranged two egg retrieval surgeries and obtained a total of 16 eggs, and the embryos were successfully implanted. After about 2 years of twists and turns, the patient finally got his wish and succeeded in having a child.
“The development of ‘3rd and 3.5th generation IVF technology’ has reached maturity. Even with such difficult cases as the above-mentioned patients, there is still a chance of pregnancy as long as early intervention is performed.”
Dr. He Yanbing explained that this technology first eliminates abnormal embryos through pre-implantation chromosome testing (PGT-A) to ensure that the implanted embryos are healthy; in addition, the “Embryonic Development Imaging Real-time Monitoring System (Time-Lapse)” " and “AI smart embryo selection” technology can take timely photos of the development of embryos without removing the embryos, helping to select well-developed embryos for implantation, greatly increasing the chance of pregnancy.
Does Endometriosis Decrease Conception Rates? Irregular menstruation and long-term menstrual pain are signs
In addition to those over 40 years old, up to half of women with fertility difficulties have endometriosis, which can be said to be a major culprit of infertility problems. Dr. He Yanbing explained that endometriosis refers to the flow of endometrial tissue outside the uterine cavity during menstruation. Among them, “chocolate cyst” and “adenomyosis” are the two most common types. The two are manifestations of the adhesion of the endometrium to the surface of the ovary and the muscle layer of the uterus respectively.
Chocolate cysts can easily cause menstrual blood and tissue fluid to be unable to be discharged normally, and accumulate to form a cyst-like structure, with a thick liquid similar to chocolate or red bean paste wrapped in the cyst. Dr. He Yanbing pointed out that this problem often causes a chronic inflammatory reaction, leading to abnormal egg development, reduced storage and adhesion in the pelvic cavity. In addition, if chocolate cysts develop on both ovaries, it is more likely to lead to the risk of malignant ovarian cancer and endometrioid cancer, and patients should not be cautious.
The typical symptom of adenomyosis is severe menstrual pain, and as the uterine muscle tissue is destroyed, the menstrual pain will become more intense, and the pain may even occur during non-menstrual periods. Dr. He Yanbing said that once the menstrual blood accumulated in the muscle layer cannot be discharged from the body, the uterus will swell, lose elasticity or deform, and it will be difficult for the embryo to implant in the uterus; even if the implantation is successful, the placenta will easily grow in the muscle. layers, increasing the risk of miscarriage.
Not only “age” is the enemy of fertility! 7 ethnic groups should consider artificial reproduction as soon as possible
In addition, Dr. He Yanbing emphasized that the age of onset of innate immune diseases in women (about 20-40 years old) highly overlaps with the age of pregnancy. Therefore, it is recommended to seek a reproductive doctor early before pregnancy for adequate examination and evaluation; Women aged 40 and planning to have children are strongly recommended to discuss with a reproductive doctor as soon as possible whether to intervene through in vitro fertilization to grasp the golden chance of life.
“The best way to prevent infertility problems is to seize the golden reproductive time as early as possible and thoroughly understand your own fertility status.” Dr. He Yanbing reminded that in addition to advanced age, low AMH values and other factors that are not conducive to pregnancy, there are also unknown factors that are not conducive to pregnancy. Women with pregnancy problems, gynecological diseases, immune diseases or genetic diseases, or even women who have had multiple miscarriages may consider artificial reproductive treatment.
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