Can infertility in the elderly be solved by surgery?
Elderly childbearing infertility refers to the situation that a woman over 35 years old fails to conceive after trying for a period of time. With the development of society and the delay of people's childbearing age, the problem of infertility in the elderly is becoming more and more common. Many couples hope to solve this problem through surgery, but can surgery effectively improve the condition of infertility in the elderly? This article will elaborate from four aspects.
1. Surgical treatment method
For the elderly infertility, the commonly used surgical treatment methods in the medical community at present mainly include test tube baby technology, hysteroscopic surgery, endometriosis stripping and so on. IVF technology is a relatively mature assisted reproductive technology, which can increase the chance of pregnancy by transplanting the fertilized eggs into the uterus. Hysteroscopic surgery can check and repair female reproductive system problems, such as repairing fallopian tube blockage, clearing endometriosis, etc. Endometriosis dissection is a surgical treatment of endometriosis, which can reduce the impact of endometriosis on pregnancy.
Although these surgical treatments can improve the condition of infertility in the elderly to some extent, they do not guarantee 100% success. The operation itself also has certain risks. Therefore, before choosing surgical treatment, both husband and wife should fully communicate with the doctor to assess the applicability and risks of the operation.
2. Indications for surgical treatment
The indications for surgical treatment of infertility in the elderly mainly include fallopian tube blockage, endometriosis, polycystic ovary syndrome, etc. Obstruction of fallopian tube is one of the common causes of infertility, which can be dredged or repaired by hysteroscopic surgery. Endometriosis refers to the growth of endometrium outside the uterus, which will lead to difficulty in the implantation of endometrium fertilized eggs. It can be treated by endometriosis stripping surgery. Polycystic ovary syndrome can lead to ovulation disorder, which can be regulated by hormone therapy or assisted reproductive technology.
3. Success rate of surgical treatment
The success rate of surgical treatment of elderly infertility is related to a variety of factors, including patient age, etiology, surgical techniques, hospital level, etc. In general, surgical treatment can improve the chances of pregnancy for elderly women, but the success rate is relatively low. According to actual data, the probability of successful pregnancy of elderly women through IVF technology is usually between 20% and 30%, while the success rate of other surgical treatments is also in a similar range.
In addition, surgical treatment may also have some risk of complications, such as ectopic pregnancy, endometrial adhesions, etc. Therefore, before deciding on surgical treatment, couples should fully understand the operational risks and choose a formal hospital with rich experience for surgery.
4. Preparation before childbirth
Before surgical treatment, both husband and wife need to make a series of preparations before childbirth. First, women need to undergo a comprehensive physical examination, including uterus, ovary, fallopian tube and estrogen levels, to determine the cause of infertility. Next, according to the examination results, the doctor will develop a personalized surgical treatment plan.
In addition to physical examination, both husband and wife also need psychological preparation. Elderly childbearing and infertility often bring great psychological pressure, and couples need to support, understand and encourage each other. At the same time, you can also seek the help of psychological counselors or professional institutions to make full psychological preparation for surgical treatment.
Summary:
The surgical treatment of elderly infertility can have certain effect, and the commonly used methods include test tube baby technology, hysteroscopic surgery and endometriosis stripping. However, surgical treatment can not guarantee 100% success rate, and may bring certain risks and complications. Before choosing surgical treatment, both husband and wife need to carry out comprehensive physical examination and psychological preparation, and choose an experienced hospital for surgery. In addition, infertility in the elderly can be solved by other means, such as assisted reproductive technology and drug treatment. To sum up, surgical treatment is an option, but it needs to consider individual conditions and risk factors, and make a decision after comprehensive weighing.
