2007年6月3日 星期日

女人四十一枝花,卵巢衰老冷冰冰

女人四十一枝花,卵巢衰老冷冰冰

現代的婦女食物豐富、身體的營養足夠、出門有車代步、不必曬太陽,大小醫院林立健康有保障,又有許多保健食品及保養的化妝品,使她們能夠青春永駐,四十歲了仍然美貌如花,令蜜蜂及蝴蝶仍然不斷地追逐,可是她們雖然能繼續開花,但是要結果就比較困難了。



女人的生育能力與男人不同,男人到六十五歲仍能精氣十足,也能老來得子。 但女人一到四十歲,卵巢的功能就急速下降,所產生出來的卵子品質就較差,受孕能力普遍低落。



據醫學統計指出,女性生育能力的最高峰是在21-25歲之間,過了25歲就開始走下坡,過了30歲之後,懷孕能力明顯地下降至47%,而當年齡到達一枝花時,則只剩下22%的懷孕率了。若是過了五十歲,就鮮有卵巢能生出正常的卵子,因此想懷孕真是難上加難。一枝花的女人雖然可以利用人工協助生殖科技(例如試管嬰兒)來懷孕生子,但因卵巢功能已大大降低,卵子的受孕能力不佳,因此做試管嬰兒的懷孕率仍然很低。



美國生育醫學會在2000年的統計指出,一年中全美的試管嬰兒個案中,年齡在35歲以下婦女成功懷孕生子的機率為34%,而年齡超過40歲的婦女,成功懷孕生子的機率只有9.5%,相差近四倍!而年齡大或卵巢早期衰竭的婦女,在使用(年輕的)他人捐贈的卵子時,懷孕生子的機率竟然高達百分之四十。



由此可見婦女的年齡實在是生育能力的一大關鍵,年齡愈大懷孕率愈低,因此,年輕的婦女朋友應該有這麼一個認知與警惕,在三十歲以前趕快結婚生子,比較容易組織一個甜蜜的家庭,比較不必在婚後憂心不孕的問題。



筆者有幾位學長都在後悔,以前把女兒管得太嚴格,不淮她們在學中交男朋友,現在已經畢業很多年了,仍小姑獨處,年齡愈大嫁人難,生育更難。因此,做父母的也應重新思考對女兒的管教態度與方式了。

3 則留言:

  1. 賴醫師您好:

    I am sorry but my Chinese keyboard skill is not very good. I

    hope you don't mind reading English.



    I am 32 years old and have been trying to conceive for more than

    3 years but still no success. I only have tried Chinese medicine

    in the past 3 years. Until 2 months ago I went to see a

    infertility specialist and I was announced that I have premature

    ovarian failure (POF). My FST was between 40~50 in the past

    month and I have missed my period for 3 months.



    While I was under Chinese medicine treatment, my period was very

    regular and hormone levels were normal too. As soon as I stop

    the treatment, everything goes funny again eg, hot flush,

    irregular period and high FSH reading.



    The infertility specialist suggests that I borrow an egg (from

    my sister) and have IVF. He has not done any other tests for

    investigation and simply basing on my blood test result.

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  2. (continue - sorry, couldn't fit all message in the previous comment)



    After I did a lot of research on Internet, I realised that

    Taiwan's infertility treatments and technologies are miles

    better than New Zealand.



    I would like to have a proper check up and want to know if I am

    still able to produce eggs for IVF instead of borrow someone

    else's. If there is still some hope for me than I will fly back

    to Taiwan to visit you for treatment.



    I know I am running out of time so please contact me as soon as

    you can.



    Thank you very much for your time.



    ps. There is a mistake in my previous email - it should be "FSH"

    not FST.

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  3. Dear Mrs. How are you? It is nice to hear from you. The result of

    your blood test:FSH>40 miu/ml shows that your ovaries are not

    functioning. It should be premature ovarian failure. However, you

    can go to have a test of FSH again sometime to see if the result is

    stil very high. You should not take any medicine in one month

    before you go to have a blood test of FSH. If the result is lower

    than 12 miu/ml, you will have a chance to have your own children.

    If the result is higher than 40, then you donot have to go to

    Taiwan. The only way to have a child is to adopt or to borrow eggs.

    If you have any qestions, please donot hesitate to mail to me.

    Best wishes.

    Yours sincerely,

    Andrew Lai

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