Which examinations are necessary for the evaluation of elderly childbearing?
With the progress of society and the development of medical technology, more and more couples choose to postpone childbearing, but the elderly childbearing will also bring some risks. In order to ensure the health of mothers and infants, the elderly birth assessment has become particularly important. The following will elaborate on the necessary inspection of the elderly birth assessment from four aspects.
1. Physical examination
Physical examination is a routine examination that must be carried out by elderly women before they plan to become pregnant. Through physical examination, doctors can understand women's physical conditions, including height, weight, blood pressure and other indicators. The doctor will also check the breast, thyroid, neck and other parts of women to rule out diseases that may affect fertility.
In addition, physical examination also includes pelvic examination. By examining a woman's uterus, ovaries and other organs, doctors can assess whether a woman's reproductive system is normal. If problems are found, the doctor may further check to determine whether treatment is needed.
2. Gynecological examination
Gynecological examination is one of the necessary fertility assessment examinations for elderly women, including colposcopy, hysteroscopy and salpingography. These examinations can help doctors understand whether the female reproductive organs are normal, whether there are structural abnormalities or other potential problems.
Colposcopy is to observe the condition of the vagina and cervix by inserting a microscope into the vagina. Hysteroscopy is to observe the condition of endometrium and uterine cavity by inserting a microscope into the uterine cavity. Salpingography is to observe whether the fallopian tube is unobstructed by injecting special contrast agent.
Through these examinations, doctors can know whether the female reproductive system is normal and whether there are reasons for infertility. If there is a problem, doctors can formulate a targeted treatment plan to improve the possibility of successful pregnancy.
3. Andrology examination
In addition to women, the elderly birth assessment also needs to examine men. Andrological examination mainly includes semen analysis, testicular ultrasound and sperm DNA fragmentation detection.
Semen analysis is to evaluate male fertility by detecting the number, vitality and morphology of sperm in semen. Testicular ultrasound can observe the structure and size of male testes to exclude diseases that may affect fertility. Sperm DNA fragmentation detection can detect whether there is fragmentation in sperm DNA, so as to evaluate the quality of sperm.
Through andrology examination, doctors can judge the fertility and sperm quality of men, providing basis for couples to jointly decide whether to postpone childbirth.
4. Gene testing
There is a high genetic risk in elderly childbearing, so gene detection is one of the important means to assess the risk of elderly childbearing. Gene testing can assess whether there are risks related to chromosome abnormalities and genetic diseases by checking the genes of both spouses.
Gene detection includes autosomal genetic diseases, sex linked genetic diseases and common single gene genetic diseases. Through gene testing, couples can understand the risk of their children's illness, and then make decisions to reduce the incidence of adverse outcomes.
Summary
Physical examination, gynaecological examination, andrology examination and gene testing are necessary items in the evaluation of elderly childbearing. Through these examinations, we can comprehensively assess the reproductive capacity and genetic risks of both spouses, and provide scientific basis for the reproductive decision-making of elderly couples. Therefore, couples should take the initiative to accept these examinations to ensure the health of mothers and babies before they plan to give birth to the elderly.
