Izimo zokuthola ukukhulelwa nge-IUI kuma-20s, 30s, no-40 wakho
Izinga lokuphumelela kwe-IUI lilungile, futhi amazinga okuphumelela abikiwe ahluka kakhulu phakathi kwezifundo. Ucwaningo oluthile lubonisa kuphela izinga lokuphumelela elingamaphesenti angu-8 (uma usebenzisa izidakamizwa zokuzala kanye ne-IUI), kuyilapho abanye bebeka izinga lokuphumelela eduze namaphesenti angu-20.
Ngemijikelezo ye-IUI ngaphandle kwemithi yokuzala , amazinga okuphumelela aphansi kakhulu-amaphesenti angu-4 kuphela abesifazane abakhulelwe, esifundweni esisodwa.
IUI ne- Clomid ayiphumelelanga ngaphansi kwe-IUI nge- gonadotropins (njenge-Gonal-F ne-Follistim.)
Izinga lakho lokuphumelela kwe-IUI lizoxhomeka eziningana eziguquguqukayo, kusukela eminyakeni yakho , imbangela yokungabi namntwana wakho, nokuthi uke wazama ukukhulelwa isikhathi esingakanani.
Ukuphumelela kwe-Age kanye ne-IUI
Ubudala budlala ingxenye enkulu ekuphumeleleni kwe-IUI.
Ucwaningo olulodwa lwahlaziya imijikelezo engu-2,019 ye-IUI futhi yazama ukunquma ukuthi yini eyabikezela umphumela we-IUI umhlabeleli. Babebheka ukuthi iminyaka imithinta kanjani amazinga okuphumelela.
Babika izinga lokukhulelwa kanye namanani okudiliva. (Izinga lokuletha lizobe liphansi, ngenxa yokulahlekelwa kokukhulelwa.)
Yilokho abathola:
- Abesifazane abaneminyaka engu-20 kuya ku-30: 17.6% yokukhulelwa kwesilinganiso, isilinganiso sezindleko zokudiliva ezingamaphesenti angu-13
- Abesifazane abaneminyaka engu-31 kuya ku-35: izinga lokukhulelwa kwezingu-13.3, amaphesenti angu-10 okulethwa kwezidingo
- Abesifazane abaneminyaka engu-36 kuya ku-38: isilinganiso se-13,4% sokukhulelwa, isilinganiso sezinga lokudiliva esingu-9%
- Abesifazane abaneminyaka yobudala engama-39 kuya ku-40: 10,6 wamaphesenti wokukhulelwa, isilinganiso sezinga lokudiliva esingu-7%
- Abesifazane abaneminyaka engama-40: ama-5.4% wezinga lokukhulelwa, isilinganiso sezinga lesikhukhula se-3%
Qaphela izinga eliphansi kakhulu lokuphumelela kweqembu elingaphezu kuka-40. Ngenxa yalesi sizathu, odokotela abaningi bokuzala bayancoma ukuba bathuthele ngqo ku-IVF kulaba besifazane.
Ngamaphi ama-cycles okufanele uzame IUI Ngaphambi Kokuqhubeka?
Kuzincomo ezingaphansi kweminyaka engama-40, izincomo ziyimigqa emithathu ye-IUI, ngaphambi kokuthuthela ekwelapheni kwe-IVF .
Ucwaningo olulodwa lwathola ukuthi ama-IUI amazinga aphumelela angu-16,4 amaphesenti ngomjikelezo wezinyathelo ezintathu zokuqala noma amaphesenti angu-39.2 uma bebuka zonke izilingo ezintathu.
Kodwa-ke, ngenxa yokwelashwa kwe-IUI imijikelezo engu-4 kuya ku-6, izinga lokuphumelela liye lahla ngokuphawulekayo kuma-5.6% kuphela. Lokhu kwehla okukhulu ngemuva kwezinyathelo ezintathu ezingaphumelelanga ku-IUI yingakho ukunyuka kwi-IVF kunconywa ngalesi sigaba.
Abacwaningi batusa ukuthi uma i-IUI isetshenziselwa owesifazane ongaphezu kuka-40, lowo mjikelezo owodwa kuphela kufanele uzame. Uma lowo mjikelezo uhluleka, ukuthuthela kwi-IVF kunganconywa .
Nakuba kunesilinganiso esiphansi sempumelelo, kungcono kakhulu ukuhamba ngqo ku- IVF kwabesifazane abaningi abangaphezu kuka-40.
Abesifazane abanomthelela ekupheleni kwe-endometriosis abaneminyaka engama-35 noma ngaphezulu bangase badlule i-IUI futhi baqonde ngqo ku-IVF yokwelapha.
Yiqiniso, kufanele uxoxe nodokotela wakho konke ongakhetha kukho ngaphambi kokwenza isinqumo.
Ngabe Izimo Zakho Zingakanani Ngempumelelo Ye-IUI?
IUI inezinga eliphumelelayo lempumelelo yokunciphisa abesilisa abancanyana ukulinganisa ukwedlula ukuhlukumezeka kwabantu besilisa. Ukwelashwa okunzima kwabantu besilisa, ukwelashwa kwe-IVF kungaba yinto engcono kakhulu.
Uma kusetshenziswa i-sperm donor, i-IUI ingaba yinto enhle, ikakhulukazi uma kunezinkinga zokungabi nabesifazane ezincane noma ezingekho.
Ukwelashwa kwe-IUi kuyisinqumo esihle uma umuthi ovuthayo wesibeletho ungumphumela wokungabikho.
Kucatshangwa ukuthi ezinye izimbangela ze- infertility ezingachazwanga ziyinkinga yomlomo wesibeletho.
(Yiqiniso, ezinye izici kufanele futhi zicatshangelwe, njengokungabi namuntu wesilisa kanye nobudala besifazane.)
Futhi, ngokusho kwabanye abacwaningi, uma uzama ukukhulelwa iminyaka emine noma ngaphansi, izinkinga zakho zokuphumelela kwe-IUI ziphakeme.
Ucwaningo olulodwa lwabika ukuthi imibhangqwana ezama iminyaka engaphansi kwengu-6 yayingamaphesenti ayi-14,2 ekhulwini lokuphumelela kokukhulelwa, uma kuqhathaniswa nesilinganiso samaphesenti angu-6.1 sempumelelo kulabo abazama isikhathi eside.
Noma kunjalo, akuwona wonke ucwaningo olutholile lo mthelela.
Ingabe I-IUI ilahlekile ngempela kune-IVF esikhathini eside?
Kuyiqiniso ukuthi i-IUI ingabizi kakhulu kune-IVF , futhi izindleko zayo eziphansi ziyingxenye yalokho okwenza i-IUI ikhangise.
Kodwa-ke, uma ucabangela amathuba akho okuphumelela, kungase kube ukukhetha okungcono kwezezimali ukuya ngqo ku-IVF ezimweni ezithile.
Omunye umjikelezo we-IUI ubiza, ngokwesilinganiso, u-$ 3,000. Uma uzama kathathu ukuthi awuphumelelanga, usuvele usebenzise u-$ 9,000 kakade.
Esikhundleni salokho, u-$ 12,000-nje u-$ 3,000 nje-ungase uzame umjikelezo owodwa we-IVF futhi ube nethuba elingcono lokuthola izibalo zokukhulelwa.
Ungase futhi uthande ukucabangela i- micro-IVF , efana ne-IVF evamile kuphela ngemithi ephansi yezidakamizwa. Izindleko eziphelele zingabizi kakhulu kune-IVF egcwele, kodwa uthole amazinga angcono okuphumelela kune-IUI.
Imithombo:
U-Aboulghar M, uMansour R, uSerour G, u-Abdrazek A, u-Amin Y, uRode C. Ukuguqulwa kwe-ovarian okulawulwayo kanye nokwelashwa kwe-intrauterine ukwelashwa kokungazalwa okungahlongozwanga kufanele kube nokulinganiselwa kwezilingo ezintathu. Ukuzala nokuhlunga . 2001 Jan; 75 (1): 88-91.
Cohlen BJ, Vandekerckhove P, uVelde ER, uHabbema JD. Ukuqeda ubulili obukhathaniswa ne-intra-uterine insemination noma ngaphandle kwe-ovarian hyperstimulation ye-subfertility emadodeni. I-Cochrane Database yezibuyekezo ezihleliwe. 2000; (2): i-CD000360.
> Dinelli L1, Courbière B2, Achard V3, Jouve E4, Deveze C1, Gnisci A1, Grillo JM3, Paulmyer-Lacroix O5. "Izibikezelo zokukhulelwa ngemuva kokungena ngaphakathi kwe-intrauterine nge-sperm yomyeni: iziphetho zokuhlaziywa kwamabhayisikili angu-2,019. " Fertil Steril. 2014 Ngo-Apr; 101 (4): 994-1000. doi: 10.1016 / j.fertnstert.2014.01.009. Epub 2014 Feb 15.
I-Harris ID, Missmer SA, i-Hornstein MD. Impumelelo embi ye-gonadotropin elawulwa yi-ovarian hyperstimulation kanye ne-intrauterine ekusakazeni abesifazane asebekhulile. Ukuzala nokuhlunga . 2009 Apr 24. [Epub ngaphambi kokuphrinta].