Many women still have difficulty getting pregnant these days. What many do not know is that some simple tests such as FSH and ultrasound can turn these attempts into concrete possibilities. Ultrasound is the most efficient, affordable and affordable way to view the ovaries. The ovaries are the organs responsible for ovulation and in them are concentrated the amount of eggs that the woman manufactures during the training still in the womb. Yes, women are born with their ovarian reserve ready. Unlike men who manufacture during their lifetime, ovarian limitation can be a problem for women who leave to become pregnant late.
However, not all cases of late pregnancy are problematic. It all depends on the health of the ovaries and the amount of antral follicles that exist. Antral follicles? These are the encapsulated eggs, as if they were compressed in the ovaries. They start to be stimulated from the age of active puberty of the adolescent woman. There they will stay until the FSH stimulus arrives . With this hormonal stimulus, the follicles start to grow and develop to an exact size to be released and then fertilized. The woman is born with an ovarian reserve of approximately 1 million capsules of antral follicles , but only a small portion of this quantity can actually be released by the eggs in a mature format enough to fertilize.
How many eggs are available to fertilize throughout life?
During the woman’s reproductive life, only 400 eggs are actually used. Therefore, ultrasonography, in addition to checking the health of the ovaries, also makes the diagnosis of development. In addition, ultrasound can also measure the existence of antral follicles in the ovaries. The less the woman has, the lower her ovarian reserve. Consequently you may have trouble getting pregnant due to this low hormone.
The problem is that this ovarian reserve may have a sudden drop. In addition, it can also be harmedhormonally due to diseases like SOMP (polycystic ovary syndrome) and getting “stuck” in the ovaries. It is also possible that a young woman has problems with low reserve of antral follicles and therefore has more difficulty in becoming pregnant than a woman over 40 who is considered a bad candidate for motherhood. Theoretically, the older the woman is, the lower her chances are. However, there are women over 38 who may have more follicles than a 25-year-old.
The ultrasound will determine the amount of eggs she still has and then the doctor will work according to the amount of ovarian reserve. If too low, he can opt for more complex resources such as IVF for example. If the follicular amount is still satisfactory, the material to work with will be more abundant, this will allow simpler procedures.
The reliability of ultrasound exams to check antral follicles must be done using a 2D ultrasound. However, 3D ultrasound will bring more accurate results. Consult your doctor and make a complete evaluation. Verification of the follicles by ultrasound and also a hormonal examination based on FSH to check the ovarian reserve and determine their reproductive health.
On June 19, Dr. Silvana Chedid will give an online lecture on fertility. To subscribe, access this site and subscribe. You can also find more information on sites participating in the June Month of Infertility campaign. Among them are:
Mother to the Skin
Almanac dos Pais
My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.
Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.