วันพุธที่ 19 มกราคม พ.ศ. 2554

40 is also nice.

MD. Theerapong free.



Women age begins with the number 4 is not who they are, or have a very beautiful how. Continue to vigorously and felt my heart smile, to some Perhaps exclaimed softly. Similar to encourage yourself.
"All people need to People we all have to defeat the last time. "
Some older women look good, then sign up But many people see and melancholy dignity. Face even more serious rebuke to I suggest that
"Let the fact that Today, unlike the old days. Leave sad that Was pretty behind. Smiled the day. You will see bright. Younger more ".
She is one actress factor in the past 45 years of age burned was a girl. But now Seongkhar wilt Plays only factor She is the muse Rampan friends with that offense.
"What a good girl. In addition to the face and age. Lure viewers to wait for a short period Comments on factors like I've been through a girl I know pretty well now, although not the same. But with many great experiences. The show is at fault and never came late for work. Flowers are beautiful. Be attributed to lack of leaves or There are no leaves on the branches. Help raise beautiful flowers to look outstanding. Flowers have the word love. Why factor income of the girl and to have different love with this land.
Medically Women are something else. Similar to the words of the stars this factor. What it is. "eggs". This is the most important women's reproductive cells. If older than 40 years of "eggs" made out to be greatly reduced as "Income". 's heroine who became a star with the factor. Therefore, we do not always see the women older than 40 years, however, if the pregnancy as long as there are "egg" lies and "egg" has enough quality women aged over 40 years, it can set the womb.
On the nature of human pregnancy. There is a strange one is not that much to get married for a long time but never pregnant. Then one day the pregnancy is done. Are naturally or use a scientific approach to help Whether the pregnancy will end soon. Or continue until delivery. Pregnancy time is female, he made the pregnancy the next time easier for example.

You are nursing a 34-year-old married for 9 years to treat infertility too much disappointment. One day the good fortune of pregnancy up naturally. She felt very glad I was not. But only 9-10 weeks of pregnancy is detected. Pregnancy is not a child. (BLIGHTEDOVUM) She has been scraping the uterus. To make pregnancy termination.
Given the situation with the hope of encouragement from the first pregnancy. Her return to the new treatment. Over time, not long. You can set a successful pregnancy ways. "Copy infection and injection, normal does not do" gift "or" basin, software, and later giving birth to maturity with The son of her great strength. Weight standards and develop normally.
Several years ago, has one female patient. Saraburi is home. Organized as a wealthy one. When treated with infertility, I married her 40 years of age up to 20 years, never pregnant or abortion. This female patient with her husband. Age: same age, which is not be relaxed Treatment with a doctor who spent many famous persons. Time to several years. But few have succeeded at one time. The last time a "gift" (21 April 2535), which now represents a process that is very popular, but it failed.
I have started to treat couple this with a "gift," unique to re-do "Gift" was certainly in a period of time away from a "gift" the first 6 months of the experience. the success of pregnancy up But a successful short period of time. Only 8 weeks pregnant is only the abortion issue. "A gift from heaven", which were promptly decay becomes instantly worthless. Female patient who has been scraping the uterus and hospital stays for 2-3 days, it returned to the countryside.
8 months later in August 2536 this couple back for treatment again. This time I am asked to choose the best method of treatment used. I select "Software basin," a process similar to the "Gift" but only when endoscopic puncture. (LAPAROSCOPE) into the stomach and then drops rather than "reproductive cells (eggs and sperm) into the oviducts, we'll drop" fetus "instead of into it to better outcomes. But ... the sky did not favor this time. Women patients are not pregnant.
However, I am encouraged by the couple said.
"Maybe not ... next Pregnant women may own. It was already pregnant. Although the abortion matter. In theory, pregnancy occurred before. To change the environment within the oviduct and uterus into a suitable environment for pregnancy, so do not discouraged . "
Over time, 3 months encouraging words from me is reality. This female patient who was pregnant came naturally. Lack of time is the month to month over I would like to check with ultrasound through the vagina and see the shadow of the baby. With heartbeat I say congratulations and said that
"It is now 7 weeks pregnant want abortion to inject a little bit different to prevent repeat abortion."
Women patients follow the instructions. To get pregnant and make the appointments of all time. Paul was 16 weeks pregnant, I have to educate the analysis suggests.
"Normally, pregnant women over the age of 35 years to pose a risk to state mental retardation (DOWN 'S SYNDROME) of the fetus rather than younger women. Penetrate the amniotic fluid specimen chromosome Is one way which is generally accepted. However, depends on voluntary patient with. "
This female patient who said that
"I do not want to do. A man's house because I was pregnant four months to process like that. Has become the abortion done. I fear it is. "
I do not force mental patients because of the amniotic fluid puncture bags are not at risk. Although caution is made under such as amniotic fluid leak from the holes. The time of infection within the uterus. Needle puncture or pierce the amniotic fluid your baby's organs, etc.
When the patient was willing to bear risk it took. After receiving Tgynten explained. I did not force statistics from the state's mentally retarded babies in pregnant women aged 40 years or more will be found anomalies in the rate. 1:360. which I am unfortunate that she would not.
Pregnancy progresses without problems. I can use ultrasound to monitor growth. , And abnormalities of the baby from time to time. Including drilling with diabetes with blood.
When the patient was 38 weeks pregnant, I do surgery to children born out in the month of July 2537 show that infant weight 3755 g healthy male good postpartum women patients undergoing this examination. It does not appear to have any abnormality, and she did not care about birth control because they are older then.
Just kidding, I speak with patients that
"Maybe next year ... I might be pregnant again also. Because of pregnancy to 2 times to get pregnant very easily. "
Patients say.
"Married with children for over 20 years this man alone is considered lucky. If someone is pregnant again, it does not matter. But think that 's not likely to happen because right now I am 42 years old age, this would not be easy. "
I replied.
"When the student doctor at Siriraj Hospital. 've Seen old women giving birth to 53 years, which is considered a woman to have children naturally the oldest. As far as I've ever seen. 42 years old, so it is possible to have a chance. "
When the first son was 8 months old female patient who is pregnant again really was. She and her husband let go far from Saraburi Province. For antenatal care in Bangkok. Reason that
"Other provinces do not trust doctors. And the distance is not too far Neu, "I explained to listen to this couple.
"The birth of abdominal surgery is not difficult. Do not need to hard journey, however, about two couples who are concerned over the distance.
"This latest pregnancy. Arising from the last time eight months is a problem or not. "
I ensure that
"Never mind of course. But what should pay attention is when a pregnancy of 16 weeks would penetrate the amniotic fluid to detect chromosomal baby. "
Female patient who is strongly confirmed. "Not a woman," she obtained prenatal care appointments every time. Pregnancy progresses without problems as well as pregnant and then. Patients received surgery on maternity leave to pregnant due This time, the baby girl healthy weight 3350 g was no problem on a complete moron status.
After the inspection and after delivery. I still say the banter with the patient that this woman.
"Maybe not aware of the good. Next year might be pregnant again. "
Female patient and her husband entertain laugh.
"Such an event would not have anymore. This time, the greater would be careful eh! He said doctors have heard of women aged 40 years and over who to treat infertility is very unlikely. To be successful or not. "
I answered.
"Yeah ... in a foreign country. Many institutions will not allow treatment to women over the age of 42 years, if not use the "egg" donation because women never pregnant at all over the age of 42 years to stimulate eggs to many drugs. Eggs less likely to be very And pregnancy rate is less than 10 per cent less when setting up and pregnant. Have the opportunity to abortion up to 50 percent. "
"This marks a nice that my wife is right? Offline," laughed her husband entertain patients before they go bye.


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
[Source .. book magazine close to a doctor. Year 23 No. 1 January 2542].

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