Ten questions about fertility health knowledge

July 11 is the 33rd World Population Day. The National Health and Health Commission has determined the Chinese theme of the World Population Day as "life is supreme, guarding the future". Under the comprehensive opening of the three -child fertility policy, how to prepare for pregnancy, pregnancy, and evaluating reproductive capabilities?

One question: Now, the country has fully liberalized the three -child policy, but the age of some pregnant parents is too old. How should this group of people prepare for pregnancy?

Answer: 1. Do a good pre -pregnancy examination: It is recommended to go to the hospital to do a comprehensive pre -pregnancy examination together to prepare for pregnancy.

2. In the process of preparing for pregnancy, you must have a good mood. Excessive psychological stress will also affect pregnancy.

3. Healthy lifestyle: Go to bed early and rest regularly, do not eat junk food, quit smoking and alcohol, and exercise appropriately. The woman takes folic acid three months in advance to supplement vitamins.

4. Understand your ovulation period: Learn your ovulation period according to your menstrual conditions, and arrange your pregnancy time reasonably.

Second question: What is the fertility of men and women determined?

Answer: 1. Age: The quality of women aged 25 to 28 is relatively high, and hormone secretion levels are in the most stable period, so it is the best birth period. After the age of 35, women's fertility may have a folding effect, that is, the cliff -like decrease.

2. Genetic factors: Some people have poor ovarian or testicular development, or defects of chromosomal abnormalities or genes when they are born, resulting in low fertility.

3. Disease: (1) Virus infection or autoimmune disease, such as "lupus erythematosus", can lead to early decline in fertility. (2) Ovarian tumors, testicular tumors, ovarian chocolate cysts, etc., after surgery and postoperative radiotherapy, have severely damaged fertility. (3) Unclean sexual life may cause infection opportunities to increase egg tube obstruction, adhesion, or obstructive azoospermia, which affects fertility.

4. Bad living habits: bad eating habits (overeating, overeating), alcoholism, smoking, drugs, long -term staying up late or lack of sleep.

5. Social and environmental factors: The stress of modern society and the accelerated pace of life, which can easily lead to low sexual desire, sexual dysfunction, and reproductive ability; women manifest in menstrual disorders and ovulation disorders, which will also make women conceive difficulty. In addition, long -term contact with a large number of electromagnetic radiation, paint, plastic and other chemical chemical industries, high -temperature environment, noise, sedentary and other working environments may have to varying degrees of influence.

Three questions: Is there any free pre -pregnancy examination now?

Answer: In order to improve the quality of birth and reduce birth defects, the Changsha City Health and Health Commission carried out a series of free pre -pregnancy examinations at the maternal and child health hospital (institute) of various districts and counties in Changsha many years ago. At the same time, the Changsha City Health and Health Commission also launched a policies for love assistance. As a assistant unit for love and pregnancy, Changsha Maternal and Child Health Hospital provides free follicle B -ultrasound for couples who are married in Changsha, and prepare for pregnancy. Inspection, semen quality analysis, maternity assessment, expert consultation and other items.

Fourth question: There are more and more infertility couples now. Is it the reason for infertility?

Answer: Female factors include:

1. Ovulation dysfunction: such as polycystic ovary syndrome.

2. Volunteal causes: Fallopianitis causes fallopian tubal adhesion, blocking, or accumulating water. Sperm and eggs cannot be combined to cause infertility.

3. Pelvic inflammation: endometriosis, pelvic tuberculosis, etc. can cause pelvic adhesions, causing pelvic cavity and fallopian tube function and structure.

4. Cervical inflammation: Due to local inflammation of the vagina, a large amount of leukocytes are degraded.

5. Reproductive tract deformity/tumor.

Male factors are:

1. Semen abnormalities: manifested as sperm -free, weak essence, less essence, teratogenia, etc.;

2. Sexual dysfunction: Outer genital dysplasia or erectile disorders, non -ejaculation, retrograde ejaculation, etc., so that sperm cannot be ejected into the vagina normally, male infertility can be completed.

Question: What examinations do I need to do infertility?

Answer: Women need to eliminate pelvic factor to understand the smoothness and pelvic conditions of the fallopian tube through fallopian tubes or laparoscopy. Endocrine examinations, such as sex hormones, are required to eliminate ovulation disorders and decreased ovarian reserve function. Elimination of uterine factors requires improvement of gynecological B -ultrasound, hysteroscopy, etc. Elimination of genetic factors requires improving chromosomal examination. Elimination of immune factors requires improving antiproots and phospholipid antibodies, anti -nuclear antibodies, and so on. Men mainly include semen abnormalities and sexual dysfunction. Sexual dysfunction can be quickly and clear by asking for medical history and physical examination. The semen abnormalities can be found through semen -related examinations, such as routine semen examination, sperm morphological analysis, etc., and can further clarify the causes such as further improvement of sperm biochemistry, prostate B -ultrasound, chromosome examination.

Six questions: How to treat infertility?

Answer: Women's fertility is closely related to age. When treatment, the patient's ovarian physiological age must be fully examined, and a reasonable, safe and efficient individualized solution is selected. For example, for male factors, drugs can be considered to improve sperm activity or sexual dysfunction, and surgical treatment can be considered for spermatogenic veins; for women's fallopian tube lesions, you can choose underclastal laparoscopy tubal plastic surgery, presence, or sync. Women with ovulation disorders can choose multiple drugs to actively perform ovulation treatment or other hormone drugs to adjust abnormal hormone secretion in the whole. At the same time, don't forget that artificial insemination and IVF babies in assisted reproductive technology are also the two major magic weapons for infertility.

Seven questions: Is IVF health healthy? Is it your own child?

Answer: Under natural conditions, essence and eggs are combined in women's fallopian tubes, and IVF is the abbreviation of in vitro fertilization-embryo transplantation. Development forms embryos, and then transplanted in the mother's palace to bred, that is, sperm and eggs are still both patients and couples. Eight Question: How much does IVF spend? How long does it need to do?

Answer: The whole process of IVF is roughly divided into four stages: preoperative examination and preparation stage, drug reduction and discharge stage, surgery stage and postoperative tire protection. It takes about 2 to 3 months for couples who do not require special treatment and treatment for the test results. The cost is about 30,000 yuan.

Nine questions: What should I do if the ovarian function is decreasing, and the premature ovarian failure should I do?

Answer: For most women, ovarian functions will begin to decline around the age of 30, and the decline in the age of 35 will accelerate, and at the age of 48 to 50, they enter the state of ovarian failure. If the ovarian function decreases, it is necessary to maintain good emotions and sufficient sleep, diet, and ensure reasonable intake of protein, appropriate sugar and fat. If the ovarian function is reduced in advance, you need to come to the hospital for treatment and intervene as soon as possible.

Ten Questions: Why does reproductive aging occur?

Answer: 1. Life habits: Women often stay up late and smoke and drink can cause ovarian function to decline. 2. Excessive pressure: stress is likely to cause endocrine disorders and biological clock disorders. Mood becomes depressed and affects ovarian function. 3. Surgical injury: Women's resection on both sides or one side of the ovaries, or other related surgery may cause tissue function such as ovarian to reduce ovarian failure. 4. Premature ovarian failure: Early decline in ovarian is closely related to genetic factors. Nearly 50%of patients have abnormal ovarian dysfunction related genes. Other immunity, mump virus infection, excessive weight loss, etc. can affect ovarian function.

(Source: Hunan Province Health and Health Commission Health Education Propaganda Center)

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