Brown, a child vitro (IV F), the world's first and symbolizes the success of medical science. One of the highest hopes of the married couple are having problems, "Infertility."
Past 27 years, "I VF" is not just the only way to complete your family. Assisted Reproductive Technology also has several more that inspires a dream for many married couples and several technology partners that Tech site in this release. infertility
Current spouses of not less difficult problem of some children by both husband and wife outside looks healthy and is the perfect age to give birth to children. But no matter how I tried to not be able to fulfill a wish fulfillment of some old married husbands and wives away from each other a lot. This does not mean that older men will result in old age with the infection always
Works perfect S.npo. BPS sharp Department of Obstetrics - Gynecology. Faculty of Medicine. Mahidol University. Provide information that only the infertility clinic of Siriraj have up to a year ago by more than 5 billion people on the main causes. Men are from about 30-40% of the ovaries approximately 25% and from oviducts about 20%.
The doctor said the cause of infertility is either from the male and female. The male infertility is abnormal sperm. Infection commonly called soft Or no infection. This clearly make it easy. Just go check it out sperm that is why the man or not. infertility
The cause of the female will begin the ovary. Fertility and hormonal function normally me. Fallopian tube obstruction or not. Uterine disorders. Such as tumor Or intrauterine abnormalities. Down to the cervix. During ovulation, the sperm will swim right up to me. Until even the blind vagina, such as vaginal tons since birth. infertility
Other causes are found to be minority It, such as immune disorders. Or the lining of the uterus growth anomalous Or even of some cause not explained why. Generally The problem comes from a male 40% Female 40% 10% and both causes can not be reduced by 10%.
For how to overcome infertility in preliminary It begins with the treatment of the cause we find, for example due to ovulation. Most drug treatment can stimulate egg. Fallopian tube obstruction or if it is not much. Surgery to fix it. But if the cause about a man. A mild infection. Or if the cause is not found. Will begin treatment by taking sperm were isolated out specific strong and then injected into the uterus female known I U I (Intrauterine insemination: IUI) The treatment of the causes can contribute to pregnancy than 50%.
But if the group that I address with the solution 4-6 times and then I have not achieved. Or groups to surgery and then at about 6 months and still not pregnant. Will be considered for Assisted Reproductive Technology to use
Various reproductive technologies help.infertility
Assisted reproductive technologies can be divided into two major groups, including gifts (Gamete intrafallopian transfer: GIFT) with HIV, F (in vitro fertilization: IVF) is fertilized outside the body. Or glass tube called a child. infertility
Teachers told that the two groups is how to keep the same beginning. From hormone injected eggs every day. To get lots of eggs. On average, must be injected approximately 8-12 days depending on the response of each individual. After injection of approximately 5-6 days to medical appointments will come vaginal ultrasound examination. Tracking the growth of the number of eggs that much. And then just how big.
"We are treated egg is fully developed. When they are at least two eggs grow over 18 mm, and then we'll make another hormone injection. This is the final of the egg is stimulated after 36 hours we will make an appointment to penetrate the egg. I have an appointment the same day her husband came with semen collection. Egg penetration ago With the sperm of the husband to finish preparation. I put it back into the night in the oviduct. This is called a gift. " infertility
Own at this point, the 'gift' and 'I VF' differently because of the gift must be made to the operating room anesthesia endoscope to penetrate. And punching two holes. To remove the eggs and sperm to enter into the fallopian tube. While I VF. Will penetrate the egg and sperm prepared to finish. Then remove the party in the oven 37 degrees Celsius with 5% carbon dioxide emissions friendly mix the egg and sperm. Fertilization outside the body. Or do we know that a child vitro.
"We will treat about 2-3 days if the fetus is mixed. Will split into 4-8 cell stage embryos and then put back out of the vagina to the uterus. This does not need two cameras. Do not puncture the stomach. Do not enter the operating room to complete 1-2 hours of sleep went back home, "the doctor added.
If the embryo is initiated during cell division is the 1-cell embryo, and then put it into the fallopian tube. Which may enter through the vaginal or abdominal puncture, it is called 'Sim Lift' (Zygote Intrafollopian Transfer: ZIFT). infertility
Pregnancy rate of the two methods. The first gift is at 30%, while the child is around 15-20% of glass tubes, but later on in the culture solution, because the embryo. Control culture better. Pregnancy, HIV rates began to rise, F and comes close to the gift. Siriraj statistics indicate that During the first gift I VF. To be approximately 7:3 to approximately 1:9, but now part IV F higher. Because no risk of inhaled anesthetic And sure enough the surgery.
About the 'Blast Cisco posts big'.
In addition to gifts and then I VF. Some people may have heard about. 'Blast Cisco posts big' (Blastocyst) extends to the doctor that Steps to keep intact. But now is different in that instead of raising embryos cultured for 2-3 days to 4-8 cell stage and then put back. I will treat you to a period of up to 9 days Bla Stoke City Post. Then put it back in the uterus.
"Pregnancy rates of growth Blast Cisco will post higher than 40-50%, but has limitations that only some embryos that can be cultured to grow to term Blast City Post. 10 means that the embryo may be cultured to term it 5-6 just before a certain death. "
Not surprising that the rate is higher. Because embryonic stage Stoke City Blast posted from time to time embedded. If out of this range already. The embryo would not embedded. But to feed the embryo to term growth Blast City has posted. Depends on a doctor. Because some larvae may not be suitable to feed the next stage until it Girls watched it, it may not be pregnant.
Help the sperm penetrate egg with 'soy Taxi'.infertility
Skip back to see the party that her husband fell into a network semen, some very unusual. This segment will amount to less than 5 million sperm per cc. Movement rate is less than 20% with characteristics typically less than 10% if it means I think VF alone does not work, surely. Because sperm can not penetrate into the egg mixture itself. Must be given to technology 'Ing the agency' (Intracytoplastic sperm injection: ICSI) is the manager instead.
'Ing Taxi' is just one sperm injected into oocytes. The first step of treatment is the same as the other way. Beginning with egg activation. Tracking the growth of the eggs penetrate the egg to run to keep her husband semen. But replacing it with eggs and sperm mixed together and then raising it in the oven. It will be through microscopic procedures. (Micromanipulator) using a small glass needle. Suck one sperm injected into the egg leaves one This sperm were purged, it is not a problem. After injection, it will be done in the culture incubator for 2-3 days or until Stoke City Blast term post.
This method can help men who can not have your own children. The former group will have to rely on someone else's sperm. Is a cause that must be established to support the sperm bank. infertility
But what would not be bad as some of the men had no sperm come out at all. But without the sperm, but sperm Teachers told the house that we find this case to about 5%.
"This group today is help. To remove the sperm from the testicles directly. The motion which we have taken a taxi Ing. Injected into the egg. Remove the sperm to issue two ways. Is to use a small needle. Semen from the tube to suck the beginning or Lisa (Microscopic Epididymal Sperm Aspiration: MESA), but they suck hard, because this small pipe. Castration could be as small lesions. About half a centimeter. Then the meat came from testicular sperm Also known as Jose only (Testicular sperm injection: TESE) ".
Mae Boon hold you problems.
But if the female in the nest without. Found no problems or ovarian function. Viewed because of menopause may be a reasonable age. Egg donation may be requested from others. Which is not as easy as sperm Because people who donate eggs to the hormone injection. Called the exceedingly painful as well. However, to minimize the problem. It is determined that egg donation will have to ask relatives to have children then. To avoid hurting the mother of the child in the future.
The date of the sperm penetrate the egg mixture finish And then a fetus. It will be put back into the womb of his wife. And a baby out on your own. It seems that the problem is less in comparison to the case where the female has ovaries. But no uterus. They want to have children depends on the 'hold merit' instead. infertility
"The merit is to hold others to leave surrogacy. Start with ovarian stimulation. Out enough eggs mixed with sperm. Embryo that was to leave the womb others. Enough labor law issues are delayed. Thailand because the law is written that women giving birth to a mother But then, if our children to DNA. Real parents are people who own sperm and eggs. This is a draft new law to be accepted into a genetic story, "Dr. teachers provide information. And I said in the VF. Ing making the agency will process a lot with only about 30-40%, while those who used donated sperm or eggs. With surrogacy is less.
The rest go soft.
After satisfied customers. Then the rest of the embryo, what would go far. Because normally when stimulated eggs Egg will come out a lot. When the mixture is soft and then put back to use up to 3 cards. infertility
"We are remaining embryos frozen in liquid nitrogen to -196 degrees Celsius, professor doctor to answer. And that can be stored for 5 years with no problems embedding. If you want to use. Just be heated and then put out. If stored longer than this. Quality may be lower. It kept for a long time Great secret warm enough to survive, not to all.
And if not, what would contact the owner to do. Possible solution is that hospitals will require that owners need to contact the young every year. Because the coagulation bath soft costs. Who must sign a consent form to confirm the contact. If the lack of contact, it would be willing to lift the embryo research. But doctors say that in fact. Even without the owner care. Dr. Young will store indefinitely. Not completely destroyed are going to receive
Reproductive technology allows a sequel.
Arrived here already Would relieve the mind of some married couples can do. However, the advancement of technology does not stop with just this. Also has strong technology that many people watch that is being "diagnosed embryos before implantation," or "good putt" (Pre-implantation genetic diagnosis: PGD).
"Some parents who have genetic disorders. In the current pregnancy, before teaming up to remove the amniotic fluid Or blood from the umbilical cord, check. If wrong, it took a child from abortion. Which affect the very spiritual spouse. But with this technology. The diagnosis before pregnancy. Before the embryo is embedded embryos were cultured enough to have two days in the 8-cell stage, we will trigger the shell of the embryo as a hole. Then take out some cells 2-3 cell study before the unusual silk ".
Teachers told that If the abnormal embryos, it means the disease there. But if I put back the normal uterus. Opportunities for children to be born with disabilities will be reduced. By Robert Chr THALAS we are at home and stuff. infertility
In addition, cloned Ning "(Cloning) is another technology is not overlooked. Although the conclusion will not appear. "Should or should not touch," even.
Ning clone were split into two with cloning for reproductive Ning. Is to create a new embryo. By removing the needle to suck out the nucleus from the egg. And removing a cell from anyone. Remove the nucleus of the cell is put back into. Then I went through the material to fuse together and then raising it to a split Then put back into the uterus.
While cloning to treat Ning. This will build up the embryo. To take advantage of stem cells. 
Or stem cells. By using certain substances to control the stem cells to switch to a cell or tissue as needed to remove to replace tissues or organs of the wrong person that. See today Lecturer Dr. Ning for reproductive cloning should not do. It is to know to create a new embryo will have a disability. , And abnormalities have also much to create a new human and not through fertilization of eggs and sperm. Is not acceptable ethical. Even sheep Dolly own. It is a disease we followed the crowd too much death in the end. infertility
But cloning is a hope for therapy to help patients with serious diseases to cure such patients with myocardial infarction. And to heart transplant. Which are not simple. I may use this method developed heart muscle cells from stem cells to replace the.
Ning clone good or not ..?
Doctors believe that less than 5 years should be seen clearly in the use of stem cell therapy. Even now it still can not force the stem cells grow into any organ matter. In some diseases it may be a dream come true.
"Many people feel uncomfortable in terms of ethics. Think how the embryo is destroyed. That it is still a debate. Although not conclusive, but cloning for therapeutic Ning. I think it should be recognized more easily. "
infertilityIn addition, teachers also said that Dr. Ning for reproductive cloning in terms of infertility. It may be true if these methods are acceptable. infertility
"Some eggs and hormone injections. But it is also very small eggs. Enough sperm has to mix with the young leaves only. Chance of pregnancy is low. But if our culture to 4-cell embryo and then remove each of the cells to make clones Ning. Find the egg nucleus, and then pull out. I entered the cell nucleus. It will be a mild form 4 that it will increase his chances of pregnancy. Here is how we should be acceptable. "
Reason is because this method does not create more embryos from adult cells (adult cell) is taken from the embryo cells to expand in a growing embryo. But this is also quite complex. It is currently in medical not sure if the embryo has to be regular
However, the doctor completely. Leave suggestions for older married couples who want children that Should consult a doctor before age 40 years, because if later than this will enter menopause. This is also more difficult with age the quality of the eggs will not be good as well.
For the cost of treatment is divided into two parts: the amount of hormones. And culture of embryos. If the operation of public hospitals, it will 5-6 billion over the private ground of not less than hundred at a time. That range from stimulating egg To enter the embryo stage. But if the embryo is then frozen. The next time it will be down.
Hearing this,. Do not let time slip away Want to be in a hurry there early. Even today, because technology is difficult to accept fantastic to believe. But at that time. You may be happy to exchange large sums disappeared on accumulated throughout life is perhaps
Source. http://www.bangkokbiznews.com/scitech/2005/0301/news.php?news=p1.html.
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