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Hello doctor! I've been married for 2 years and when I went to the doctor, the doctor concluded that I have a 22-25mm ESRD, polycystic ovary. After that, I had X-ray tests of the fallopian tubes, the results were normal, the fallopian tubes were not blocked. So let me ask, is the uterus of the fetus, the polycystic ovaries capable of natural pregnancy or IVF?
Le Pham Van Anh (1995)
Reply
Hello! The uterus is the place where the fertilized egg implants, from which it develops into a fetus and is where the fetus is nurtured. During puberty, the body will secrete female hormones to help the reproductive system develop.
The uterus of an adult woman will have a diameter of 35-45mm before and after, for some reason the uterus cannot grow, the size is still the same as that of a girl, it is called a uterus. paternalization. The cause of uterine prolapse may be due to the lack of estrogen and progesterone hormones, or too little, not enough for the uterus to grow. In these women, the uterus usually has an anteroposterior diameter of less than 30 mm, accompanied by amenorrhea or amenorrhea. There are also cases where a girl is born with a uterine defect, no uterus or a very small uterus. These people often have primary amenorrhea.
Uterus is an important organ that determines a woman's fertility. This is the place where the fertilized egg nests, develops into a fetus, and nourishes the fetus during pregnancy. Once the uterus was pediatricized, its functions were not as normal. The possibility of women with uterine ectropion becoming pregnant is very low, in some cases even being infertile. However, although the possibility is low, hope is still not completely extinguished. When detected and treated promptly, there are still cases of women with fetal uterus becoming pregnant and giving birth.
In case of amenorrhea since childhood, very few menstrual periods, irregular or irregular periods, or married for more than 1 year without pregnancy, you need to go to the doctor immediately to check if you have a baby uterus. Usually, in these cases, women still have a uterus but the uterus does not develop, the diameter is less than 30mm before and after, still menstruating at puberty. Only those who do not have a uterus will have primary amenorrhea.
For women who have a uterus, but a small uterus due to reduced estrogen and progesterone levels, the doctor will conduct hormone injections. During the treatment period from 3 to 6 months, the patient will be monitored for the growth of the uterus, menstrual cycle and the function of other organs before conception.
For women who have ovarian failure or have had their ovaries removed and want to get pregnant, they need fertility support and long-term use of hormonal drugs, they will be in vitro fertilization and then implant the zygote into the uterus. supply for fetal development. As for women who are born without a uterus, there is currently no possibility of pregnancy. Therefore, prevention is better than cure. If girls reach puberty but they have not menstruated, they should go to the doctor to know the cause and promptly treat.
If you still have questions about the issue of “uterine fetalization, polycystic ovary is capable of natural pregnancy or IVF? “You can go to the hospitals of Vinmec Health System for more specific advice from doctors.
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Answered by Master, Doctor Le Nhat Nguyen - Doctor of Obstetrics and Gynecology - Department of Obstetrics and Gynecology - Vinmec Danang International General Hospital.
