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Wednesday at 2pm(PT), July 1, 2020
Learn from MSK experts on how to masterfully handle every step of a MSK case
What to expect
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생리 시작 후 2~3일 이내의 질 초음파 검사를 합니다.
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배란 촉진제를 복용합니다.
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질 초음파 및 혈액 검사를 통해 난포 발달을 모니터링 한 후 자연임신 또는 인공수정을 위해 배란 시기를 결정합니다.
Who needs this?
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다낭성 난포 증후군(Polycystic Ovarian Syndrome)
생리가 불규칙하거나 없는 경우(Irregular or absent ovulation)
- 인공수정 (IUI)
- 시험관 아기 시술(IVF)
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난자 은행(Egg Bank)
Advantages
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비침습적이며 상대적으로 저렴한 비용입니다.
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배란기에 맞춰 자연임신 시도, 인공수정 (IUI) 및 시험관 아기 시술 (IVF)과 함께 효과적인 치료가 될 수 있습니다.
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IUI의 성공률은 약 10%입니다. 특정 나이 또는 특정 달에 자연 임신을 시도하는 커플의 임신 성공 확률은 20%입니다. 1년 동안 임신을 시도했지만, 임신하지 못하는 경우의 성공 확률은 2%로 떨어지고 2년 후에는 1%로 떨어집니다.
More info
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난임 치료에 주로 쓰는 배란유도제는 Clomiphene (Clomid), Letrozole (Femara), Gonadotropins, HCG, Lupron 등이 있습니다.
Q&A
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What is ovarian reserve?Ovarian reserve is the number of eggs left in the female. A woman makes all the eggs she will ever have before she is born, about 6 million eggs. Then at birth only 1 million is left because the eggs have already died. By puberty only 500,000 eggs are left. The egg count is constantly decreasing until menopause around age 52 when there are no more eggs left.
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What are fallopian tubes?Fallopian tubes are where the sperm and the egg meet. If the tubes are blocked, the eggs are on one side and the sperm on the other side. They cannot meet and pregnancy cannot occur.
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What is third party reproduction?Third party reproduction is when an outside person is involved to help build your family by either donating sperm, egg, or uterus to carry the pregnancy.
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How long does fertility testing take?Basic fertility testing for the woman will take 2 visits over 7-10 days at the beginning of the menstrual cycle.
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Is fertility testing covered by insurance?Some, but not all insurance cover fertility testing.
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Is it a painful process?Egg count testing is a vaginal ultrasound and blood draw. Patient’s experience minimal discomfort with both procedures. Uterine testing requires insertion of a catheter into the uterine cavity and the uterine cavity is distended with fluid. Insertion of the catheter and uterine distension can cause some cramping equivalent to menstrual cramping. Fallopian tube testing requires insertion of the catheter into the uterine cavity, distension of the uterus with fluid, then the filling and spilling of the fluid from the fallopian tubes. This procedure is usually quick with minimal pain if the fallopian tubes are open, but can also cause significant cramping and discomfort if the tubes are blocked.