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标题: 冻卵是否有个最佳年龄呢? [打印本页]

作者: 红蔷薇    时间: 2016-11-1 16:16
标题: 冻卵是否有个最佳年龄呢?

  Is there an ideal age to freeze your eggs?

  冻卵是否有个最佳年龄呢?


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  专家们会说越年轻约好。“如果在20岁左右取卵冷冻起来,很可能能取到15-25个好的卵子”,“平均用4或5个卵就能怀孕一次,有一个孩子”

  “但是到了40岁,一般一次最多取到8-10颗卵,而且需要25个卵才能生出一个孩子。”有些卵解冻后不能复苏,有些卵不受精,还有些会遇到其他问题。如果女性可以在35岁之前冻卵,专家说,那会有显著的不同,有更好的结果。

  卵子的健康状态是冻卵时最需要考虑的因素。女性最佳生育年龄是从16岁到28岁,虽然到了38岁还有机会能有好的卵。从39-44岁,女性通常还有卵但是成功受孕的机会低很多。

  是否要在卵子还健康的时候存起来,这是一个非常个人化的决定,决定于患者当时的生活状态。在EFC,我们通常建议女性在30岁到40岁之间冻卵。我们对于42或者44岁的患者并不设置年龄的限制,虽然机会更小但是我们并不会因为成功率之类的考量而拒绝患者。我们愿意针对每个患者的情况给出与她的生活状态匹配的生育建议。

  我们同时建议,考虑做冻卵的女性在每年妇科检查时,应该做基础窦卵泡和女性激素六项的检查。这些重要检查能评估女性的生育状态,从而对于何时建立家庭或者冷冻自己的卵子做出决定。窦卵泡B超检查直接可以看出卵巢储备如何,也告诉医生你的生育时钟走到了什么样的时刻。

  Is there an ideal age to freeze your eggs?

  Younger is better, experts agree. ''If you do egg [harvesting and freezing] on someone in her 20s, you could probably get a good number of eggs, 15 to 25," Doctor says. "Four or five eggs at one time would be enough to produce one pregnancy, one baby."

  "If you look at someone 40, from that person you may only collect 8 to 10 eggs. And perhaps she would need 25 eggs to have one baby." Some eggs don't survive the thawing process, and some eggs that are retrieved won't fertilize, among other problems.

  If women can freeze their eggs before age 35, expert says, ''that will make a big difference,'' with better outcomes.

  The healthiness of an egg is the primary factor that should be considered if one is planning to freeze their eggs. The prime reproductive age range for women is between 16 and 28, although one can usually count on good quality eggs until the age of 38. From 39-44, women may retain viable eggs but have a lower probability for a successful pregnancy. While oocytes should be saved when they are as healthy as possible these decisions should be made on an individual basis, depending on a patient’s life circumstances. While at EFC we recommend that women freeze their eggs in their 30s and 40s, there is no age limit for the procedure and if you are 42 or 44, although your chances are lower, we will not turn you away simply to boost our success rates. On an individual, case-by-case basis we are happy to help patients talk about options and find solutions that match their personal circumstances.

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  We also recommend that anyone who is considering fertility preservation have an antral follicle count and hormonal blood tests with their annual pap smear. These tests will provide an important assessment of your fertility status and will allow you to make informed decisions about when to start a family or freeze your eggs. An antral follicle count is a sonogram that shows how many follicles (eggs) you have in reserve. This will tell us how much time you have left on your fertility clock.






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