Zingaki Izikhathi Zamavivinyo Nalokho Okulandelayo Ngemva Kokuhluleka Kwe-Clomid, IUI, ne-IVF
Kungakhathaliseki ukuthi umjikelezo wakho wokuqala we- Clomid noma i- IUI yakho yesine , umjikelezo wezokwelapha ohlulekile ukwelashwa uzizwa ukhululekile. Noma yimuphi umjikelezo ongaholela ekukhulelweni ungazizwa ungalungile. Lokho kusho ukuthi uma usubeke amandla emzimbeni, isikhathi, nemali, ithemba lakho liphakeme. Amathemba aphezulu asho ukukhungatheka okukhulu uma izinto zingahambi njengoba kuhlelwe.
Izindaba ezinhle ukuthi ngokuphikelela nokuhlelwa kwesilungiso, imibhangqwana eminingi ingagcina ithola umntwana.
Izindaba ezimbi cishe kuzothatha isikhathi ... futhi zingabiza.
Ungakwazi yini ukukhulelwa ku-test yakho yokuqala? Yebo, ngezinye izikhathi. Nokho, khumbula ukuthi ngisho nabantu abanokuzala okunemvelo abaqinisekisiwe ukukhulelwa ngokushesha . Kuye ngokuphakanyiswa kwakho nokuthi yiziphi izinqubo zokwelapha eziphakanyisiwe, ukuhamba ngemijikelezo eminingana kungadingeka.
Yini okufanele uyenze ngemuva komjikelezo wezokwelapha ohlulekile ukwelashwa? Uyazi kanjani ukuthi kufanele uthuthelele kwenye imithi noma uma uqhubeka uzama nge-protocol efanayo? Nakhu okushiwo ucwaningo.
Ubuciko + Isayensi: Ukwelashwa Kwesizalo Akuyona Yindlela Efanayo Yomuntu Wonke
Uma ukhuluma ngokuphathwa kokwelashwa, kuvame ukucatshangwa ukuthi indlela yomuthi yokwelashwa komuntu wonke ibukeka kanje: i- Clomid yokuqala, bese i- IUI enezinjectject , bese i-IVF . Noma kunjalo, kunzima kakhulu kunalokho.
Okokuqala, cishe zonke izindlela zokwelashwa "zengeze" ezingalungiswa noma zengeziwe.
Isibonelo, i-Clomid ingahlolwa kuphela. Noma, ingasetshenziswa kanye ne-metformin , i- aspirin yengane , i- progesterone , IUI, noma i-trigger shot of hCG. Noma udokotela wakho angakushintsha kusuka ku-Clomid ukuya ku- letrozole . Lezi zinguquko noma izengezo zingasetshenziswa kusukela ekuqaleni, noma udokotela wakho angalungisa izinhlelo kamuva.
Okwesibili, akuwona wonke umuntu okufanele aqale eComomid.
Kwabanye, ukuya ngqo ku-IUI noma ngisho ne-IVF kuyindlela engcono kakhulu. Uma, isibonelo, uvimbele amashubhu we-fallopian noma isifo esibi se-male factor , i-IVF ingase ibe yindlela yakho kuphela. "Ukuzama" I-Clomid yokuqala ingase ingabi nhlobo nhlobo.
Okwesithathu, ngezinye izikhathi ukwelashwa kuvivinywa okungenakwenzeka ukuphumelela-kodwa unquma njengethimba ukuzama izikhathi ezimbalwa noma kunjalo. Isibonelo, ake sithi owesifazane une- insufficiency eyisisekelo yama-ovari. Ake sithi udokotela wakhe uyazi ukuthi i-IUI enezijocavozi zinenkinga encane yokuphumelela esimweni sakhe, kodwa lo mbhangqwana ufuna ukuzama izikhathi ezimbalwa ngaphambi kwe-IVF. Bangase banqume lokhu ngoba abanakho izimali ze-IVF (ngakho-ke i-IUI iyindlela yabo ewusizo kuphela), noma mhlawumbe ukukhokhelwa komshuwalense wabo kudinga ukuzama i-IUI kuqala. Inombolo yemigqa yokuqeda ukuzama ukuzama ukuhamba phambili ingase ihluke ngokuphelele kunombhangqwana lapho i-IUI ifika khona ngokubikezelwa okungcono.
Gcina konke lokhu engqondweni njengoba ubukeza iziqondiso ngezansi.
Lapho i-Clomid (noma i-Letrozole) Ukwelashwa ihluleka
I-Clomid, eyaziwa nangokuthi i-clomiphene citrate , iyisidakamizwa esivame kakhulu sokuzala. I-Letrozole ayiyona imithi yokuzala ngokuklama (empeleni imithi yomdlavuza), kodwa isebenza okuningi njenge-Clomid. I-Letrozole ingcono kangcono kwabesifazane abangahambisani ne-Clomid noma yabesifazane abane-PCOS .
Ngenkinga yezinkinga zokubeletha kwezinsikazi ezinenkinga yokuvuthwa okuncane kuya ekunciphiseni, i-Clomid ingaphumelela. Lapho izinkinga ze-ovulation ziwukuphela kobunzima, izinga lokuphumelela lokukhulelwa lifinyelela kuma-60% emva kwemijikelezo eyisithupha.
Kulabo abazokhulelwa ku-Clomid, abaningi bazokhulelwa ezinyangeni ezintathu zokuqala. Amaphesenti angaba ngu-71 kuya kwangu-87 okukhulelwa akhulelwe nge-Clomid eyenzeka nge-try inombolo yesithathu.
Kufanele uzame kangaki imijikelezo ngaphambi kokuhambisa? Phakathi kwemijikelezo emithathu kuya kweyisithupha kubonakala sengathi uhla oluphakanyisiwe. Ngaphandle komjikelezo wesithupha, ukukhulelwa okumbalwa kwenzeka.
Eqinisweni, nge-Clomid, ukuba nemikhakha engaphezu kwengu-6 idangele. Ezinye izifundo zithole ingozi eyengeziwe yokwelapha uma i-Clomid isetshenziswa izikhathi ezingaphezu kwesithupha ngaphandle kokuphumelela kokukhulelwa.
Kuthiwani uma i-Clomid (noma i-Letrozole) ingasebenzi ngemva kwemijikelezo emithathu kuya kweyisithupha? Injectables ene-IUI ivame ukulandela.
Lapho Injectables / Gonadotropins noma i-IUI Yehluleka
I-Gonadotropin imithi yokuzala inzalo. Kungase kusetshenziswe yedwa ukukhuthaza ukuvuthwa, bese umbhangqwana ulala ocansini isikhathi sokuvuna ukukhulelwa. Noma, zingasetshenziswa kanye ne- intrauterine insemination (IUI) . Ngenxa yokuthi i-gonadotropin isivele ibiza, futhi i-IUI ingeza imali encane kakhulu kulezi zindleko ngenkathi iqinisa kancane amathuba okukhulelwa, odokotela abaningi bahlanganisa i-IUI ne-gonadotropins therapy.
IUI ingase iphinde iphakanyiswe ezimweni zobuncane bokungabi nabantwana. Kulesi simo, izidakamizwa zokuzala kungenzeka noma zingasetshenziswanga nazo. I-IUI ene-gonadotropin ingasetshenziswa futhi ezimweni zokungabonakali okungaqondakali . Kuncike ekubambeni kokungazalwa, amazinga okuphumelela we-IUI ahluka kakhulu, kusukela kumaphesenti angu-7 aphansi ngomjikelezo ngamunye kuya kumaphesenti angu-20.
Kuthiwani uma i-IUI ihluleka? Kufanele uzame kangaki imijikelezo?
Ngokuvamile kuthiwa ukuzama imijikelezo emithathu kuyisivivinyo esihle ngokwanele, futhi ukuzama ezine noma ngaphezulu akufanele. Noma kunjalo, lokhu kungase kungabi njalo. Ucwaningo olukhulu, olwenziwe ucwaningo lubheka izinga lokuphumelela le-IUI eliqhubekayo nangamjikelezo ngamunye wama-3 700 imibhangqwana. Kwakuhlanganisa imijikelezo ye-IUI engaphezu kuka-15 000, futhi imibhangqwana yayithola ukwelashwa ngenxa yokungasebenzi komuntu wesilisa, isici somlomo wesibeletho, noma ukungasebenzi okungaqondakali.
Izijikelezo ezintathu, amaphesenti angu-18 akhulelwe. Ngemuva kwemijikelezo eyisikhombisa, isilinganiso sokukhulelwa esiqhubekayo sasingamaphesenti angu-30. Ngemuva kweminyaka eyisishiyagalolunye, kwafika ama-41%. Ucwaningo lubuthole ukuthi izinga lokuphumelela lomjikelezo ngamunye lilinganiselwa kuma-5.6%. Umjikelezo ngamunye wezinga lokuphumelela kwenombolo yezinombolo eziyisikhombisa, eziyisishiyagalombili nesishiyagalolunye yayiseduze nesilinganiso-5.1, 6.7, nesilinganiso esingu-4.6% ngokulandelana. Lokhu kusho ukuthi amazinga okuphumelela awazange ahle kakhulu ngemva kokuzama okuthathu.
Baphetha ngokuthi ukuzama ukufika ku-IUI imijikelezo eyisishiyagalolunye nge-stimulating mildness ovarian kuyinto enengqondo. Uma i-IUI ingaphumeli, i-IVF ngokuvamile isinyathelo esilandelayo. Kodwa-ke, umbhangqwana ungase uthathe isinqumo ngemuva kokuhluleka kwe-IUI ezintathu ukuqhubeka. Nakhu.
Okokuqala, wonke umjikelezo wezokwelapha ohlulekayo uletha umonakalo ongokomzwelo. Ukujikeleza okungaphezulu kwehlulekile okuhlangenwe nakho okubambisana, cishe kungenzeka ukuthi banquma ukuyeka ukuzama konke. Umjikelezo ngamunye wezinga lokuphumelela liphakeme kune-IVF kune-IUI. Uma izimali zitholakala, futhi IVF isinyathelo esilandelayo esilandelayo, ukuhamba phambili kungase kube nengqondo.
Okwesibili, i-IUI ingabizi kakhulu kuno-IVF, kodwa akusizi kakhulu nganoma iyiphi indlela. Kungabiza phakathi kwamakhulu amaningana kuya kuma-dollar ayizinkulungwane ezimbalwa ngama-try, kuye ngokuthi kutholakala yini umshuwalense nokuthi zingaki izidakamizwa zokuzala ezidingekayo ukuze kukhuthazwe ukuvuthwa kwe-ovulation.
Ukuhamba ngemijikelezo eminingi ye-IUI kungase kusho imali engaphansi noma engatholakali ye-IVF.
Okubalulekile: Uma i-IVF ingafinyeleleka, futhi ufuna ukuqhubeka ukusuka ku-IUI ngemuva kwemijikelezo emithathu, okungenzeka kube yinto enhle. Uma i-IVF engeyona inketho ngenxa yemali, noma uthanda nje ukuhlala ne-IUI ngaphambi kokuba uqhubekele phambili, ukuzama ukufika ku-IUI imijikelezo eyisishiyagalolunye kunengqondo.
Uma IVF ihluleka
Ukwelashwa kwe-IVF kungase kunconywe uma izigubhu ze-fallopian zivinjelwe, kwezinye izimo zesifo esingenasifo somuntu, noma uma ukwelashwa kwangaphambilini kokuzala kungaphumeleli. Ukwelashwa kwe-IVF kuyingozi futhi kuyabiza. Ngokwesinye isifundo, izindleko ezingaphandle kwe-pocket zomjikelezo owodwa we-IVF zizungeze u-$ 19,000 .
Phakathi ne-IVF evamile, izidakamizwa zokuzala zisetshenziselwa ukudlula ama-ovari, ngakho zivuthwa ama-oocyte amaningi, noma amaqanda. Khona-ke, la maqanda abuyiselwa ngenaliti eqondiswa yi-ultrasound ngokusebenzisa udonga lwesisu. Amaqanda ahlanganiswa kanye nesidoda (esitholwa kumuntu wesilisa wesilisa noma umlingani wesilisa uveza isampula yesidakamizwa ngokuzivuselela.) Ngethemba ukuthi amanye amaqanda ayokhulelwa ngesidoda, kanye nemibungu enempilo enomphumela. Emva kwezinsuku ezintathu ukuya kwezinhlanu, imibungu eyodwa noma emibili idluliselwa esibelethweni sowesifazane.
Ungafunda mayelana nokuphathwa kwe-IVF ngokuningiliziwe lapha.
Ngezinye izikhathi, umjikelezo we-IVF awukwazi ngisho nokufinyelela ukudluliswa kombungu. Lokhu kwaziwa ngokuthi ukukhanselwa kwe-IVF . Lesi simo esihluke kakhulu kusukela lapho umjikelezo we-IVF ufinyelela ekudlulisweni kombungu kodwa akubanga ukukhulelwa. Ungafunda kabanzi ngalokho okulandelayo ngemuva kokukhanselwa kwe-IVF lapha .
Uma umjikelezo we-IVF uhluleka, kungaba yingozi, ngokomzwelo nangokwezimali. Noma kunjalo, umjikelezo we-IVF wehlulekile akusho ukuthi ngeke uphumelele esikhathini esizayo.
Eqinisweni, emibhangqwaneni ekhulelwa, kuthatha isilinganiso semikhawulo engu-2.7 ukufeza ukukhulelwa.
Amanani okuphumelela angcono kwabesifazane abasebasha, kodwa ngisho nangaleso sikhathi, kungadingeka imijikelezo eminingana. Ucwaningo olulodwa lwezingqikithi ezingaphezu kuka-178,000 ezixhunyanisiwe zathola ukuthi inani lokuzalwa eliphilayo livela emva kwemijikelezo emithathu kwakungamaphesenti angu-42.3. Ngemuva kwemijikelezo eyisishiyagalombili, inani lokuzalwa lokuzalwa elikhona lalingamaphesenti angama-82.4.
Kwenzekani uma i-IVF ingabangeli ukukhulelwa?
"Ngeshwa, kungakhathaliseki ukuthi uneminyaka yesiguli, imijikelezo eminingi ye-IVF ayiphumelelanga," kusho uDkt. Michael C. Edelstein waseVirginia Fertility Associates.
"Ngemuva komjikelezo onjalo, ngikholelwa ukuthi kubalulekile ukuthi udokotela abuyekeze nesiguli ngemicimbi yomjikelezo ongaphumeleli ukubona ukuthi yikuphi ukulungiswa okungenziwa emzamweni olandelayo," kuchaza uDkt. Edelstein. "Ngokufanelekile, ezimweni eziningi, akukho izinguquko eziboniswayo, futhi okukhethwa kukho ukuqhubeka futhi. Odokotela bayaqonda ukuthi ngokuvamile imizamo eminingi ingadingeka. "
Luhlobo luni lwezinguquko olungenziwa? Imithi ye-IVF ingashintshwa noma ithuthukiswe ngezobuchwepheshe ezihlukahlukene ezisiza ekuzaleni. Izikhathi eziningi uzama futhi nge-protocol efanayo inengqondo. Kodwa ngezinye izikhathi, ubuchwepheshe obengeziwe noma ukulungiswa kwezokwelapha kufanele kwenziwe.
Izibonelo zifaka:
- Imikhakha ehlukene yemithi
- Ukuhlolwa kwe-Genetic njengo-PGD / PGS
- Immunotherapy
- Ukwengeza ku- ICSI (okungasiza ekukhuliseni amaqanda)
- Ukuhlanza okusiziwe (okungasiza ekufakweni)
Zingaki imijikelezo ye-IVF okufanele uvuleke ukuzama? Ucwaningo luye lwathola ukuthi ukuzama izikhathi eziyisithupha kungabaluleka. Ucwaningo olulodwa luthole ukuthi izinga lokuzalwa lokuphila elilandelanayo ngemva kwemijikelezo eyisithupha kwakungu-65.3%.
Nokho, imijikelezo eyisithupha ingaba yindleko enqabela abantu abaningi. Yingakho imitholampilo eminye yokuzala ihlinzeka izinhlelo zokubuyiselwa imali noma okwabelwana ngazo izinkinga emibhangqwana enezibikezelo ezinhle. Yilapho ukhokhela imali yangaphambili ngaphambi kwemijikelezo eminingana. Uma ungakhulelwa, ubuyisa imali yakho.
UDkt. Edelstein uchaza ukuthi lokhu kusebenza kanjani emtholampilo wakhe. "Esikhathini Sokubambisana Kwabambisene / Imali Yokubuyiswa Kwemali Yesikhungo sami se-IVF, ngeziguli zethu ezinhle zokugulisa ukuthi sivumela imijikelezo eyisithupha emisha kanye nemigqa engenamkhawulo eqinile, futhi uma umntwana engabuyiswanga ekhaya, isiguli sithola imali eyi-100 yemali yonke yokubuyisela imali ikhokhwe ohlelweni lwe-IVF. "
Uma i-Egg Donor Treatment ihluleka
Ama-egg donor IVF anganconywa ezimweni zokungasebenzi kahle kwe-ovarian (ukuhluleka kwe-ovarian ngaphambi kwesikhathi) , izindawo zokugcina ama-ovarian (okuvame kakhulu kwabesifazane abaneminyaka engaphezu kuka-38 ), noma izinga elimnandi lamaqanda ngesikhathi semivuthwandaba ye- IVF ehlulekile noma ekhanseliwe .
I-egg donor IVF iyabiza kakhulu, ibiza imali engaba ngu-25 000 kuya ku-30,000 ngomjikelezo weqanda lokubuyisela amaqanda . Kodwa-ke, inezinga elihle kakhulu lokuphumelela, lingcono kune-IVF evamile ngisho nemibhangqwana enezibikezelo ezinhle kakhulu.
Ukwaziswa kukaDkt. Edelstein uthi: "Idatha yokuqala yombiko ka-2015 weNhlangano Yezobuchwepheshe Bokusiza Ngokubeletha (SART) inikeza izinga lokuzalwa lokuphila elilinganiselwa ku-50.4% emzamweni ngamunye kusuka kumjikelezo angu-6000.
Lokho kusho ukuthi amaphesenti angu-50 awawona amaphesenti angu-100.
Uchaza uDkt. Edelstein, "Ngisho nangalomphumelelo omuhle kakhulu, owesifazane oyedwa kwabayisishiyagalombili uzoba nokuhluleka kokulandelana kokubili, kanti oyedwa kwabayisishiyagalolunye uzoba nesithathu. Ngokuvamile, ngemva kokuhluleka kokubili noma kathathu, kungase kube umqondo ukuphinda noma wenze ukuhlolwa okwengeziwe kumamukeli. "
Ukuhlola kungabandakanya ukuphindaphinda noma ukuqhubeka kwegazi le-hormonal (ikakhulukazi ukuhlola amazinga we-thyroid kanye ne-prolactin) nokuhlolwa kwe-uterine, njenge-saline sonohysterogram noma i-hysteroscopy.
"Kunobunye ubufakazi bokuqala bokuthi i-biopsy ekhethekile ye- uterine yangaphandle ebizwa ngokuthi i-Endometrial Receptivity Assay (ERA) ingakwazi ukubona iziguli ezingaba nemibungu yazo idluliselwe ngosuku lapho isibeletho singatholi lutho, futhi ukulungiswa ngosuku lokudlulisela usizo, "kusho uDkt. Edelstein. "Ngezinye izikhathi i-biopsy yesigcawu se-uterine ingaveza ukutheleleka okungapheli (endometritis) engaphathwa."
Ukuhlola, kodwa, akulethi ukuletha izimpendulo ukuthi kungani ukwelashwa kwehlulekile.
"Ngeshwa, ezimweni eziningi, asikho isizathu esingaziwa ngenxa yokuhluleka okuphindaphindiwe, futhi okukhethwa kukho okungcono kungaba enye ukudluliselwa kombungu-futhi iziguli eziningi zikhulelwa emjikelezweni wazo wesine noma wesihlanu wokudlulisela."
Lapho i-egg donor IVF ihluleka, ingabe i- grogational surrogacy isinyathelo esilandelayo? Akunjalo ngempela.
Ngokubhekiselwe ekungeneni kwe-surrogacy ngemuva kokuhluleka kweqanda le-IVF, uDkt. Edelstein uthi, "Lokhu kuyindlela ebiza kakhulu futhi eyinkimbinkimbi ehilela izinkinga eziningi ezingokomzwelo, ezezimali, nezomthetho. Imibhangqwana eminingi ayifinyeleli masinyane kule nketho ngaphandle uma kukhona ubufakazi obucacile bokuthi umama ohloselwe umama unenkinga enkulu ebonakalayo eyimbangela yokuhluleka okuphindaphindiwe ngokudluliselwa kwemibungu eyenziwe ngama-oocyte abanikeli. "
Kwenzekani Ngemuva Kwesiphequluli Esihlulekile: Kungakhathaliseki ukuthi ukwelashwa Option
Noma yikuphi ukwelashwa onakho, ungalindela ukuthi udokotela wakho uzoxoxa nawe ...
- Okungahambanga kahle : Ngezinye izikhathi kuyindaba nje yokuzama futhi. Kodwa ezimweni zokwelashwa okunzima kakhulu, njenge-IVF, ukukhomba lapho izinto eziwela khona kungasiza ekukhuliseni izinkinga zakho zokuphumelela esikhathini esizayo.
- Yiziphi izinkinga zakho zokuphumelela uma uzama futhi : Ngezinye izikhathi, zifana nesikhathi sokuqala. Ngezinye izikhathi, ikakhulukazi emva kwemijikelezo embalwa kuya eminingana, izinkinga zempumelelo ziyancipha kakhulu kulokhu kuzama okulandelayo.
- Noma yiziphi izingozi ezingenzeka zokunamathela ngokufanayo : Ngokwesibonelo, i-Clomid akufanele isetshenziselwe imijikelezo engaphezu kweyisithupha. Noma, esinye isibonelo, ukwenza i-IUI ephindaphinda kungase kukhishe amandla izimpahla zakho ezingokomzwelo nezomnotho.
- Yikuphi ukuhlolwa okungeziwe okungase kunconywe, uma kukhona : Ngezinye izikhathi kuhlolwa ukuthi ube nakho ngaphambilini; ngezinye izikhathi kuyinto entsha. Isibonelo, ukuhlolwa kwezakhi zofuzo, i- karyotyping , ukuhlolwa kwezinkinga zokukhulelwa kwe-immunology, noma ukuhlaziywa kwe-uterine okuphambili.
- Yiziphi izinguquko okufanele zenziwe, uma zikhona : Ukuxoxa ngezingozi ezengeziwe, izindleko, kanye nezinga lokuphumelela uma ufaka kulezi zinguquko kufanele zichazwe.
- Lokho isinyathelo esilandelayo siyoba khona uma uqhubeka .
Kwezinye izimo, ungase ufune ukuthola umbono wesibili.
UDkt. Edelstein uthi: "Iziguli zidinga ukukhululeka nodokotela wabo kanye nomtholampilo we-IVF." "Kufanele baphendule yonke imibuzo yabo, baqonde kahle izinqubo ezenziwayo, nolwazi lwezinga eliphumelelayo lemiphumela."
"Kodwa-ke, kufika iphuzu kaningi-emva kwemijikelezo emithathu noma emine engaphumeleli-lapho umbhangqwana ungase uzibuze ukuthi inqubo izosebenza nini," kusho uDkt. Edelstein. "Lokhu kuyaqondakala."
"Ngezinye izikhathi umbhangqwana ungase ucele omunye umdokotela umbono wesibili. Mina ngokwami anginayo inkinga ngalesi sicelo futhi ngiyakwamukela. Amacala amaningi aqinisekisa lokho esikwenzayo futhi ngezinye izikhathi kusisiza ukuba sifunde okuthile okungasiza emzamweni olandelayo we-IVF. Ukuvuleka nokwethembeka kuphela ngodokotela nesiguli, singaba nethuba elihle lokuphumelela. "
Izwi elivela ku-Verywell
Ukubhekana nomjikelezo wezokwelapha ongahluleki akulula. Ukuhluleka kwezokwelapha kuthatha umonakalo ngokomzwelo nangokwezimali. Kuvamile ukuzwa ukukhungatheka nokudabuka.
Lokho kusho ukuthi bambalwa abantu abaphumelele ekuzameni kwabo kokuqala noma kwesibili. Khumbula ukuthi umjikelezo owodwa noma amabili wehlulekile awusho ukuthi izinto ngeke ziphumelele. Ungase udinge isikhathi esengeziwe noma uhlelo oluhlukile lokulashwa.
Lokho kusho, ungesabi ukusho ukuthi "okwanele ngokwanele" uma usufinyelele lelo phuzu. Kulula kulabo abangaphandle ukuthi bathi, "Ungalokothi ushiye." Kodwa ukukhetha ukuqhubeka "akushiyi."
Ukukhetha ukuphila okungenayo ingane emva kokungabi namntwana noma ukuphishekela ukutholwa kungaba yindlela engcono yokuqhubeka nokwelapha. Awudingi ukuzama yonke imithi etholakalayo ngaphambi kokunquma ukuqhubeka.
Qinisekisa ukuthi ufuna usizo oluvela ochwepheshe bezincomo , iqembu lokusekela , noma abangane bakho nomndeni ngenkathi uhamba ngesiteji sokunakekelwa kokuzala, ikakhulukazi uma ekugcineni uhamba ngaphandle kokuphumelela. Awudingi ukwenza lokhu wedwa, futhi akufanele. Ukwesekwa okwengeziwe, kuncono.
> Imithombo:
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> Homburg R1. "I-Clomiphene-citrate-end of era? Ukubuyekeza okuncane. "Uhlehlisiwe. 2005 Aug; 20 (8): 2043-51. I-Epub ka-2005 Meyi 5.
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