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      不孕不育要做哪些检查

      【导读】现如今,不孕不育已经成为威胁人类健康的第三大疾病,没有什么比不能生孩子更加让人愁肠百结。在疾病面前,当务之急就是及时检查,防患于未然。怎样才算不孕不育?备孕一个月怀不上?半年怀不上?统统都不是,不孕不育的前提是夫妻双方性生活正常,且零距离接触,意思就是没有采取任何避孕措施,长达一年还是没有怀上的话,就属于不孕不育。那么,确认不孕不育要做哪些检查呢?

      如果备孕了很久,女性依然没有怀孕,那就要及时到医院检查,找出不孕不育的病因所在。一般情况下,进行不孕不育检查时,通常需要做以下检查项目:

      男方检查:

      1. 精液常规检查:怀孕需要男方提供精子,首先需要对男性的精液进行全方位检查,比如精子的数目、质量、活性、形态等。

      2. 内分泌检查:男性的性功能受内分泌影响,倘若内分泌系统出现紊乱,会影响男性正常排精。内分泌检查主要测激素T、LH、FSH等,以及激发试验HCG。

      3. 疾病检查:倘若男性患有前列腺炎、睾丸炎、精索静脉曲张等疾病,需要及时进行治疗,同时检查家族遗传病史,排除遗传因素。

      4. 精浆生化检查:通过该检查,能够了解附睾、前列腺、精囊腺的功能,主要针对少精、无精、精子活力低的患者。

      5. 染色体检查:染色体可是遗传物质的载体,要是染色体出现数目或结构异常,会严重影响精子的生成,从而导致不孕不育,所以也需要进行排查。

      女方检查:

      1. 全身检查:首先,医生需要了解女方的所有信息,包括年龄、月经史、手术史、疾病史、家族疾病遗传史、不良嗜好等,同时进行全身检查以及妇科检查,对女性的阴道、子宫、卵巢等生殖器官有个大致了解。

      2. 性激素六项检查:该检查主要确诊女性是否存在内分泌失调现象,主要检查黄体生成激素、孕酮、雌二醇、卵泡生成素、催乳素、睾酮这六项性激素。

      3. B超监测排卵:怀孕离不开精子也离不开卵子,卵巢是分泌卵子的场所,所以需要对卵巢的基本情况以及储备功能有所了解,除了评估卵巢的功能,还要对子宫的大小、内膜的厚度、卵泡的个数以及直径进行测量。

      4. 输卵管检查:输卵管一来摄取卵子输送精子,二来负责将受精卵送回子宫,身上承担着生育重任,只有输卵管保持畅通,怀孕才大有可能。一般的方法就是采用输卵管造影术,在了解输卵管是否堵塞的基础上,查看宫腔是否发生病变。

      5. 宫腹腔镜检查:必要的话,需要对患者进行宫腔镜检查或腹腔镜检查,有利于检测输卵管的畅通程度,以及直接排除宫腔异常等病症,为后续的治疗提供依据。

      6. 其他检查:染色体、免疫学、病毒等检查也不能少。

      不孕不育是困扰女性的一大难题,一旦确诊,会给女性甚至是整个家庭都带来不小压力。临床验证表明,不孕不育通常由以下原因造成:

      一、男性不孕的原因

      对于男性,不孕的因素无外乎性功能障碍、精索静脉曲张、糖尿病、前列腺炎、睾丸炎以及神经系统等疾病造成的少精、死精、弱精、精子活力低。此外,睾丸先天缺失或是受损,也会造成男性不孕。

      二、女性不孕的原因

      1. 妇科常见疾病

      和男性相比,女性不孕的原因数不胜数,主要离不开输卵管堵塞、子宫内膜异位、卵巢早衰或排卵异常、阴道感染、宫颈缺失或畸形或发育不全、骨盆腔粘连、反复人流等因素。

      2. 其他原因

      除了内在因素,不良的生活习惯,比如抽烟酗酒、熬夜晚睡、暴饮暴食、减肥节食、久坐不动、内分泌失调、滥服药物;另外,压力过大、环境污染等外在因素也会导致不孕不育。

      不孕不育怎么办?难道只能坐以待毙吗?放宽心,除了自然受孕,不孕不育患者还可以依靠辅助生殖技术实现生儿育女的梦想。详情可以咨询电话/微信13929558881。

      1. 人工授精

      人工授精其实就是一种非性交式的助孕技术,在获取精液的基础上,运用医疗器械人工将精液送入女方子宫内,促进两者自然结合成受精卵。

      该技术主要适用于不孕男性,因为没有正常精子或者是无法排出精子,从而需要借助人工授精来完成精子和卵子的结合。

      2. 试管婴儿

      虽然人工受精把精子取出体外,由于受精的过程在宫腔内进行,仍属于体内受精,而试管婴儿属于体外受精。

      试管婴儿则是将精子和卵子一并取出,然后在试管内进行自然结合或者人工注入,最后再将胚胎移植入女性宫腔内,让其继续生长发育,所以试管婴儿又称“体外受精—胚胎移植”技术。

      和人工授精相比,试管婴儿的成功率较高,且运用面积广泛,是目前不孕不育患者的不二之选。

      很多女性缺乏自我管理意识,养成了不好的行为习惯。结婚后没有怀孕,到医院体检发现自己患病才后悔莫及。其实,不孕不育是可以预防的,主要做到以下几点:

      1. 按时体检:只有经常做体检才能掌握自身身体的最新状况,有问题及时发现及时治疗,以免病情恶化,耽误了最佳治疗时间。

      2. 养成良好的习惯:饮食应注意均衡,戒烟戒酒,忌食生冷、辛辣等刺激类食物;尽量避免熬夜,早睡早起;多穿宽松的衣裤,保持下半身空气流通;每隔一小时站起来活动活动,切勿让自已一直处于久坐不动的状态。

      3. 做好避孕措施:如果没有要孩子的打算,就得提前做好避孕措施,流产不是意外怀孕的“?;ど ?。流产对女性的伤害不言而喻,特别是多次流产,不要为了追求一时的快感,留下一生遗憾。

      4. 保持心情愉快:很多事情冥冥中早有安排,不能操之过急。很多时候往往越是紧张地想要怀上反而就越怀不上,不如试着保持一颗平常心,顺其自然,孩子自然就会降临到你身边。

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