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    誰需要**?Who needs an egg donor?

    時間:2021-01-08 22:31:34  來源:育嬰網

    Who Needs An Egg Donor?

    誰需要**?

    TRANSCRIPT

    I am Dr. John Norian.?I am a board certified reproductive endocrinologist from Southern California.

    我是John Norian博士。我是來自南加州的美國生殖醫學學會董事會認證的生殖內分泌學家。

    誰需要**?

    Slide 1: Who needs donor eggs??Older women with age related fertility decline are the main group of patients who need donor eggs.?Some younger women have early ovarian failure or ovarian insufficiency where both their number of eggs and ovarian function are greatly diminished.?Same sex male couples or single males also require donor eggs as part of fertility treatments.?Lastly, certain rare genetic conditions may require donor eggs.

    1、誰需要**?年齡相關的卵子生育率下降的老年婦女是需要**的主要群體。一些年輕女性患有早期卵巢功能衰竭或卵巢功能不全,其卵子數量和卵巢功能均**減少。同性男性夫婦或單身男性也需要**作為生育治療的一部分。最后,某些罕見的遺傳可能需要**。

    Slide 2: We believe that women are born with a set number of eggs.?Over time this number decreases each month.?As women age the quality of the remaining eggs declines and is most notable between the ages of 33 to 35 years old.

    2、女性天生就有一定數量的卵子。隨著時間的推移,這個數字每月減少 隨著女性年齡的增長,剩余卵子的質量下降,并且在33至35歲之間最為顯著。

    Slide 3: The decline in fertility corresponds with the loss of eggs as females age.?At birth this number declines to from 6 to 7 million eggs to approximately 1 to 2 million.?When you enter puberty, you have on average 400,000 eggs.?Each month, whether a woman is using hormonal contraception or not, a given number of eggs will be absorbed.?By menopause, on average only 1,000 eggs remain, most all of poor quality.

    3、 隨著女性年齡的增長,生育率的下降與卵子的減少相對應。出生時,這個數字從600萬到700萬個減少到大約100萬到200萬個。當你進入青春期時,你平均有400,000個卵子。每個月,無論女性是否使用激素避孕藥,都會吸收一定數量的卵子。更年期,平均只剩下1000個卵子,并且大部分質量都很差。

    Slide 4: There are different screening tests to assess a woman’s response to fertility medications.?These test do not assess the quality of her eggs.?The eggs live in the resting antral follicles.?Having more than 12 resting follicles on ultrasound predicts a favorable response to medications.?Women with fewer than 5 resting follicles will not respond well to medications and may need Donor Eggs as part of their fertility treatments.?In addition to an ultrasound assessment, blood tests for AMH (anti-mullerian hormone), and/or cycle day 3 FSH (follicle stimulating hormone) and estradiol levels also predict a woman’s response to stimulation medications.?Different cut-off values are used and you are encouraged to speak to your doctor about the results.

    4、有不同的篩查測試來評估女性對生育藥物的反應。這些測試評估她的卵子的質量。卵子生活在靜止的竇卵泡中。在超聲檢查中有超過12個卵泡預示著對藥物的有利反應。少于5個卵泡的婦女對藥物反應不佳,可能需要**作為其生育治療的一部分。除了超聲評估,AMH(抗穆勒氏管激素)和/或周期第3天FSH(卵泡刺激素)和雌二醇水平的血液檢測也預示了女性對藥物刺激的反應。使用不同的截止值,鼓勵您與醫生討論結果。

    Slide 5:?As you age, fertility declines.?Around the ages of 33 to 34 to 35 years old, your likelihood of livebirth decreases.?This is true for all women whether they have had a child before or not.

    5、隨著年齡的增長,生育率下降。在33至34歲至35歲之間,您的生育可能性會降低。對于所有女性來說,無論她們之前是否生過孩子,都是如此。

    Slide 6:?As women age, they are still able to have successful live births; however, this may include using a Donor Egg from a younger woman.?The live birth rate for a woman using Donor Eggs in her forties is similar to a woman who is in her late twenties.

    6、隨著女性年齡的增長,她們仍然能夠成功地生育。 然而,這可能需要年輕女性**。在四十多歲時使用捐的女性的成功分娩率與二十多歲時的女性相似。

    Slide 7: Premature ovarian insufficiency is a rare condition that affects certain young women in their teenage years to their early thirties.?There are many different causes for this.?Certain chromosomal conditions such as Turner Syndrome or rare genetic conditions may cause this.?It is important for women with premature insufficiency to beware of their condition and how it may impact other important body systems including their bone health and other organ functions.?Women with this condition can have children with the use of Donor Eggs.?

    7、卵巢功能不全是一種少見的疾病,會影響到青少年時期至三十出頭的年輕女性。卵巢功能不全有很多不同的原因,例如某些染色體曲線特納綜合征或罕見的遺傳病可能會導致這種情況。對于早產的女性來說,要注意她們的病情,以及它如何影響其他重要的身體系統,包括骨骼健康和其他器官功能,這很重要?;加羞@種疾病的婦女可以讓使用**。?

    Slide 8: What should you consider when selecting an Egg Donor??It is often favorable to select an egg donor in her twenties who is healthy herself without any significant family history.?Intended parents often will learn about the egg donors personal traits including her hair color, eye color, height and weight.?Egg donors will often write essays describing their personalities and why they would like to be an Egg Donor.?

    8、選擇卵子捐贈者時應該考慮什么?選擇二十多歲的卵子捐贈者通常是有利的,她自己是健康的,沒有任何重要的家族遺傳病史。需要了解**者的個人特征,包括她的頭發顏色,眼睛顏色,身高和體重。**者通常需要文字說明自己的性格以及為什么要成為**者育嬰網。

    Slide 9: Same sex male couples or single males who want to conceive need donor eggs and a gestational carrier, a different woman who will carry the pregnancy but not have a direct biologic link to the child.?State regulations and laws differ, so you are encouraged to work with a local agency and reproductive specialist.?In these situations, extra steps need to be taken in order to ensure the health and safety of everyone involved, including the developing fetus.?This is overseen by the FDA.

    9、想要懷孕的同性男性伴侶或單身男性需要**(男同性和單身男性想要生育則需要------91喜來寶注),助孕媽媽也需要**。助孕媽媽懷孕但與孩子沒有直接的生物學遺傳聯系。不同的州法規和法律有所不同,因此您需要與當地機構以及生殖專家合作。在這些情況下,需要采取額外措施,以確保所涉及的每個人以及發育中的胎兒的健康和安全。這是由FDA負責監督。

    Slide 10: Many different people require the use of an Egg Donor, particularly women with age related fertiltiy decline.?Several screening tests, can assess a woman’s ovarian reserve and her response to fertility stimulation medications. Premature ovarian insufficiency is rare and often requires the use of an egg donor to assist with a woman’s fertility.?There are many different factors to consider when selecting an Egg Donor including her age, personal health history, and family history.

    10、許多不同的人需要**,特別是與年齡相關的生育力下降的女性。幾項篩查測試,可以評估女性的卵巢儲備和她對生育刺激藥物的反應。卵巢早衰是不常見的,通常需要使用卵子捐贈來幫助卵巢早衰的女性生育。選擇**者時需要考慮許多不同的因素,包括她的年齡,個人健康史和家族史。


    本篇文章來源:美國生殖醫學學會,原文鏈接Who Needs An Egg Donor?

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