In medicine, pregnant women over the age of 35 are called advanced pregnant women.
But nowadays, with the increase of work and life pressure, more and more people have to accept this fate, not long ago, "about 300,000 IVF babies were born in China every year" The topic has been on the hot search list, which has aroused widespread concern and discussion from all walks of life.
According to the National Bureau of Statistics, among the age ratio of women who are married and registered in China, the proportion of women aged 35 and above who are not the best childbearing age is increasing year by year, and the trend of late marriage and late childbearing and the increase in infertility is also highly overlapping.
At present, the infertility rate of couples of childbearing age in China has climbed to about 12%-18%.
Experts told reporters that in the various technologies of assisted reproduction, at present, the most mainstream one of the "in vitro fertilization" methods, that is, what everyone often calls "IVF", about 300,000 IVF babies are born in China every year.
According to relevant experts, in addition to the faction that "does not want to give birth" and "does not dare to have children", "not being able to have children" is also a practical problem faced by many families. Among these women who cannot give birth, those who marry late and have children are the first to bear the brunt. Especially with the liberalization of the three-child policy, the preparation for pregnancy at an advanced age has set off a wave of enthusiasm, and for those elderly couples who cannot conceive for a long time, IVF can be described as the last hope of fertility. However, Olive Tree life assisted reproduction experts said that the success rate of IVF is closely related to the age of the woman, and with the increase of age, the ovarian function continues to decline, and the success rate of the test tube is also reduced. Some young patients can succeed in a transplant, while some elderly patients will have increased difficulties.
What are the challenges of childbearing at an advanced age?
1. The chance of pregnancy is reduced
The negative effects of advanced age on fertility have been confirmed by a large body of evidence.
Generally speaking, the older a person is, the more problems his body definitely has. Over time, different people will develop different diseases, which can cause difficulties in getting pregnant and may also significantly increase the risk of the pregnancy process.
2, the body burden is large
The outcome of pregnancy is also affected by age, the physical condition deteriorates, the risk is more for the mother, and the chance of miscarriage is higher.
3. High miscarriage rate
Studies have found that when a woman is 20 years old, 70-80% of the oocyte chromosomes are normal, but by the age of 40, in turn, 70-80% of the oocyte chromosomes are abnormal. After the oocytes of these abnormal chromosomes combine with the sperm, the embryos formed are abnormal.
Therefore, advanced age is not only a physical condition may be a challenge, the chance of pregnancy is a challenge, at the same time, the miscarriage rate is higher, and after advanced age, due to the decline in physical condition, indirectly affect the health of the child.
We generally encourage the best ability to resolve fertility issues before the age of 35.
So what do you need to pay attention to in advanced childbirth and IVF?
1. Complete and precise pre-pregnancy examination and diagnosis
We all know that the success of IVF is inextricably linked to the patient's physical condition. The success of surgery for older women also depends on the condition of their ovaries, uterus, and other aspects of their body.
Therefore, if you want to choose TOF surgery, you first need to make a complete and scientific assessment of your body, so preconception testing is inevitable.
In addition to routine preconception tests, older women also need to conduct a more accurate physical assessment, such as the diagnosis of ovarian function, whether the endometrium is suitable for embryo implantation, and a series of problems caused by caesarean section.
After a complete and precise diagnosis, IVF surgery can be put on the agenda, so when your doctor asks you to do various tests, don't get bored, these are to be able to conceive a healthy baby, but also for the safety of patients.
2. Follow the doctor's instructions and patiently complete the egg retrieval plan
The number of eggs in a woman is a constant amount, and as she ages, the menstrual cycle begins to be irregular and the menstrual period shortens, which is the early sign that ovarian function begins to decline, and as ovarian function declines, the number of eggs will slowly decrease, and the quality of the eggs will gradually decline.
If a patient encounters this condition, doctors will generally recommend a natural cycle of egg retrieval without using some ovulation-stimulating medications. Natural cycle egg retrieval is a lengthy process that requires patient and doctor patient cooperation. If the patient's eggs are of high quality, then ovulation-stimulating drugs can be used to stimulate egg retrieval.
3. The physical condition before embryo transfer also needs to meet the standard
If the egg is successfully obtained and the embryo is bred, the patient also needs to adjust the physical state to the standard suitable for the embryo to implant and grow before it is officially implanted.
For example, some patients' uterine condition may not be suitable for embryo implantation in the short term, so she needs to cooperate with the doctor, freeze the embryo first, use drugs and other means to adjust the body, and then consider the transfer when the physical condition is up to standard.
4. Maintain a good attitude
In terms of daily life, there is no need to be overly nervous, because the emotional factor itself is also a negative factor affecting pregnancy. Therefore, we maintain a regular life and avoid some harmful factors, such as overwork, such as tobacco, alcohol, paint, exposure to X-rays, etc.
In fact, these problems are the same for all couples who are about to become pregnant. And because of the greater difficulty of (pregnancy), it deserves our more attention.
Fertility for elderly women has always been a difficult point and hot spot in the field of reproductive medicine, on the one hand, we encourage women to get pregnant at the best time; if you have to delay to the advanced age and cannot get pregnant, you should actively seek fertility and strive for the opportunity to be a mother; if you try artificial fertility without results, you need to correctly and clearly understand the difficulties of advanced childbirth, do your best, and finally the doctor will also put forward other fertility suggestions for you.