Qianjiang Evening News Hourly News Correspondent Deng Yueyue Jiang Jiesi Reporter He Lina
Many women feel that they are still young, staying up late, working overtime, and having three irregular meals are harmless, but they do not know that these behaviors are silently harming the ovaries. There is no panacea for “one-click recovery” for injured ovaries.
Ms. Zhang, who is less than 30 years old, almost lost her chance to have children because her ovaries entered “menopause” ahead of schedule because of the phrase “I’m still young”.
Young online shop owner turns busy day and night upside down
Premature ovarian failure found to be close to menopause
Ms. Zhang, 28, who runs an online clothing store, often turns the day and night upside down, with supper as dinner.
Due to the intensity and pressure of work, Ms. Zhang’s weight is difficult to control, and her menstruation has been irregular. But she always felt that she was still young and her body had a good ability to self-regulate. She could just drink some traditional Chinese medicine for conditioning, and she didn’t take it too seriously.
Until last year, the menstrual irregularities intensified. She only came once every two or three months. She had to take progesterone frequently. , came to the Reproductive Medicine Center of Hangzhou Obstetrics and Gynecology Hospital for treatment. On examination, her anti-Mullerian hormone (AMH) value was only 0.12 ng/ml.
What is this concept?
The ovarian function is actually the same as that of a 48-year-old woman, that is, premature ovarian failure, and it may enter menopause early in 1-2 years.
“Menopause? I haven’t even reached my 30s, and I haven’t given birth to a baby yet…” In addition to irregular menstruation, Ms. Zhang has been married for 3 years and has not conceived. She wanted to start her career first. , but because he was busy with work, he did not carry out systematic treatment. He did not expect this delay to cause such serious consequences.
“Is there no chance of getting pregnant?” Considering that Ms. Zhang had plans to give birth, the outpatient doctor immediately contacted Fei Xiaoyang, director of the reproductive medicine center.
After asking the medical history for further diagnosis, Fei Xiaoyang told Ms. Zhang: No matter how hard you work, you should pay attention to your body. In your case, theoretically, there is almost no chance of pregnancy, but if you really want to have a baby, you can only perform assisted reproduction as soon as possible. If you miss this opportunity, your chances of getting pregnant are extremely low.
In order not to leave any regrets, Ms. Zhang finally decided to give it a try.
Accurately determine emergency egg retrieval
Seize the last chance of pregnancy
Fei Xiaoyang and After discussion, the team quickly formulated a treatment plan. Fortunately, Fei Xiaoyang found a suspected follicle in Ms. Zhang’s right ovary during the ultrasound examination.
Ms. Zhang’s ovarian function is almost exhausted, the number of follicles is very small, and there is not a clear ovulation period like healthy women, and the ovulation time is relatively short, so find the remaining follicles, determine whether the follicles are mature and not. Determining the timing of egg retrieval needs to be fast and accurate, which is very difficult.
After finding the suspected follicle, the experienced Fei Xiaoyang immediately checked and analyzed various indicators, and quickly confirmed that it was a follicle with a diameter of about 19mm.
It was judged that the follicle had matured ahead of time, so an emergency procedure was initiated. After obtaining the consent of Ms. Zhang and her family, the egg was collected for her the next day.
The egg retrieval went very smoothly. Fei Xiaoyang seized this precious opportunity during Ms. Zhang’s natural cycle. After embryo culture and transplantation, Ms. Zhang successfully conceived in one go, saving a lot of treatment time.
Now, Ms. Zhang has given birth to a healthy and lovely daughter, and the whole family is very happy.
“Director Fei, thank you very much. If you hadn’t woken me up at the time, I might have relied on my youth to not pay attention to my body, and I would have regretted it until I had gone through menopause early.” Ms. Zhang was full of gratitude .
Irreversible ovarian age
Be aware of these symptoms
In my country, women with premature ovarian failure are increasing and decreasing.
In addition to genetics, autoimmune diseases, viral infections and iatrogenic injury factors, young patients with premature ovarian failure are generally stressed, stay up late, work hard, and have long-term bad living habits in common.
At present, there is still no effective treatment for premature ovarian failure. Therefore, doctors remind women to pay attention to ovarian function. If the following symptoms occur, no matter how young they are, they should not be ignored:
1. Amenorrhea, oligomenorrhea or frequent menstruation under 40 years old p>
4. Accompanied by hot flashes, night sweats, insomnia, etc.
If you have the above conditions, it is recommended to seek a specialist to evaluate the ovarian function. During the evaluation, it was found that there is no need to worry too much about the low AMH value. Through the means of assisted reproduction and the technical help of the professional doctor team, there is still a chance of pregnancy, and the success rate of young women is high.
“Young women with low AMH values generally have high quality follicles, although the number of follicles is low.” Fei Xiaoyang explained, therefore under the age of 35 Women with fertility plans should be aware of their ovarian health. If they find that their ovarian reserve begins to decline, they should prepare for pregnancy as soon as possible. If they fail in half a year, it is very advantageous to have assisted reproduction as soon as possible. If you wait until you are over 45 years old, even if the AMH value is at the same level, the success rate is definitely not as good as the former.
Actually, the body is not as tossed as imagined. If you have the above symptoms of premature ovarian failure, it is best to go to the hospital for a detailed diagnosis as soon as possible, and don’t miss the best “rescue” period.