Infertility Treated with medical innovation

• Infertility refers to couples who have regular sex without birth control. but unable to have children within 1 year or within 6 months if the woman is over 35 years old
• Treatment of infertility depends on the cause detected. They try to achieve a natural pregnancy. However, there are many causes that cannot be fixed. It is necessary to use assisted reproductive technology, such as injecting sperm directly into the uterus. or in vitro fertilization Help couples have children
• Gene testing before pregnancy Able to screen and diagnose abnormalities in more than 400 recessive genes, helping to reduce the risk of disease for children who will be born. In the case of detecting a genetic disease risk And the married couple still wants to have children. Doctors will screen embryos that do not have abnormal genes. The healthy embryo is then placed back into the uterus. Helping infertile couples There is a chance of being pregnant. that is not an abnormal gene

With the Year of the Dragon or Dragon in Chinese belief being the most auspicious year. And it is believed that children born in the year of the Golden Dragon will be successful. Both fame and money Many parents plan their pregnancy in order to give birth in time for the Year of the Golden Dragon.

But planning to have a child may not be easy for everyone. Because in addition to planning the pregnancy properly and health examinations to prepare before having children You may encounter unexpected hidden problems. That is infertility.

Infertility

Infertility refers to couples who have regular sex without birth control. but unable to have children within 1 year or within 6 months in the case that the woman is over 35 years old

Causes of infertility

Infertility can be caused by abnormalities in men or women. or both parties together

Common causes of infertility in women

• hormonal abnormalities Affects ovulation
• abnormal fallopian tubes It may be caused by a pelvic infection. Endometriosis or from pelvic surgery
• Abnormalities of the uterus and cervix result in sperm being unable to fertilize the egg.
• premature menopause
• Health problems, congenital diseases
• stress anxiety

Common causes of infertility in men

• low sperm count and other problems About sperm, such as low motility Clogged semen ducts
• Having problems ejaculating semen or sexual dysfunction
• genetic disease which affects sperm production
• Dilated veins within the scrotum can affect the quality of semen.
• hormonal abnormalities
• congenital disease
• hard work stress

Infertility treatment

Treatment of infertility depends on the cause that is detected and treated according to the steps. By trying to cause pregnancy naturally, such as giving medicine to stimulate the testicles. Look for hormonal abnormalities related to ovarian function and consider surgery for uterine tumors.

However, there are many causes that cannot be fixed. It is necessary to use assisted reproductive technology. Helping married couples to have children includes:

• Injecting sperm directly into the uterine cavity. Intrauterine insemination (IUI)  is a treatment for those who do not have many problems. By injecting selected semen into the female’s body with eggs that are stimulated to ovulate. This method takes approximately 2 weeks to heal.
• In vitro fertilization (IVF) is a treatment for infertility whose causes are ineffective or cannot be determined. It takes approximately 3 weeks to heal.

The pregnancy rate from assisted reproductive technology is approximately 30%. However, the pregnancy rate depends on the age of the woman. Including the chance of pregnancy increases with the number of treatment cycles.

Health check before pregnancy

Health check before pregnancy This is to prevent disease being passed on to children. The basic examination of men and women was not different. However, there may be additional examinations in detail as follows:

Additional examinations in women

• Cervical cancer screening (HPV+Thin Prep)
• Lower abdominal ultrasound examination To evaluate the uterus and ovaries (TVS – Transvaginal Ultrasound)
• Measure hormone levels Ovarian Integrity AMH – Anti-Mullerian Hormone
• Examine the fallopian tubes

Additional examinations in men

• Check sperm integrity (Semen Analysis)
• Testosterone test (Testosterone)
• Check PSA values ​​to analyze prostate cancer (Prostate cancer)
• Adrenal hormone test (DHEA-S)

(Read more information:   https://www.samitivejhospitals.com/th/package/detail/pre-marital-screening-svh )

Gene testing before pregnancy

In addition to basic health checks before pregnancy To prevent infectious diseases Screening for carriers of recessive genes found in certain diseases that are caused by abnormalities from the father or mother that affects the child. There is a 25% chance of having a child with a severe recessive genetic disease.

Gene testing before pregnancy Able to screen and diagnose abnormalities in more than 400 recessive genes, which helps children to be born at a lower risk of disease. In the case of detecting a genetic disease risk And the married couple still wants to have children. Doctors will screen embryos that do not have abnormal genes. The healthy embryo is then placed back into the uterus. Helping infertile couples There is a chance of being pregnant. which is not an abnormal gene from the aforementioned embryo selection screening

In the case of abnormalities in the embryo implantation There is also technology to detect the cause. in order to further solve this problem. (Read more information: https://www.samitivejhospitals.com/th/page/preconception-screening )

Who is genetic testing before pregnancy suitable for?

• People with genetic diseases or have a family history of genetic diseases
• People with infertility Want to prevent genetic diseases that are passed on from parents to children.

Personalized prenatal care

Mothers should hurry to go to prenatal care as soon as they know they are pregnant. The first pregnancy check should not be later than 12 weeks of pregnancy and be checked every 1-2 months until delivery or as considered by the doctor.

Currently, medicine has developed knowledge and technology. Taking into account differences in genes, environment and lifestyle of each person. Coming to Precision Medicine to take care of health, prevent and treat disease on a personalized basis. The same is true for family planning and personalized prenatal care. (Personalized Obstetrics) that focuses on individualized pregnancy care From the beginning of planning the pregnancy Preventing complications during pregnancy until the birth of a healthy child

Personalized prenatal care To prevent, diagnose and correct from the beginning of treatment such as premature birth. and preeclampsia Personalized prenatal care can also help pregnant mothers who are over 35 years old by using the mother’s blood test. instead of amniocentesis To reduce genetic problems in the unborn child

Parents who want to have children You should take care of your health and be ready for pregnancy. In case of having irregular menstrual problems, stress or anxiety May undergo testing for infertility Including health check before pregnancy and genetic testing before pregnancy To plan to have a healthy child