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반복 (습관성) 유산

습관성 반복 (습관성) 유산 (Recurrent Pregnancy Loss, RPL)은 유산을 3회 이상 했을 때를 말합니다. 그러나 유산은 정서적으로나 육체적으로 많은 고통을 받는다는 점을 감안해 2번의 유산 후에 검사를 시작할 수 있습니다. 하지만 반복 (습관성) 유산에 대한 검사 및 치료 옵션은 매우 제한적입니다.

Baby Hand

Miscarriage 증상

  • 경증에서 중증의 통증 및/또는 유산으로 이어지는 허리 통증을 동반한 임신 중 출혈 

  • 초기검사 – 피검사 (Recurrent pregnancy loss panel)

Treatment

  • 배란 유도 후 인공수정 - 하나의 질 좋은 난자를 얻기 위해 과배란을 유도하여 많은 난자를 키운 후 임신을 유도합니다

  • IVF+PGT - 유산의 원인에 대해 자세히 알아보고 유산의 원인이 난소 때문인지 자궁의 문제인지 구분하고 IVF 과정에서 얻은 수정란의 유전자 검사 결과를 바탕으로 맞춤형 치료를 제공할 수 있습니다

Q&A

  • 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.
  • 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.
  • 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.
  • 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.
  • Is fertility testing covered by insurance?
    Some, but not all insurance cover fertility testing.
  • 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.

Have questions?
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소중한 아이를 만나는 순간까지, Dr. Park이 늘 함께합니다.

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