When is the best time to have children?

When is the best time to have children? Sometimes women and doctors opinions are diametrically opposed.


There is an opinion that a man must do three things: to build a house, plant a tree and raise a son. The main purpose of a woman is to give birth and raise children. In recent years, young people are more passionate about education and career. And, increasingly, women prefer to give birth after 30 years.




However, to conceive at this time far more complicated than it seems at first glance. The thing is that with age the stock of oocytes in the ovaries (called ovarian reserve) has been steadily declining. And the older the woman, the lower her chances of getting pregnant.





Briefly about the main


Ovarian reserve (synonym - ovarian reserve, follicular reserve) - the number of "dormant" follicles in the ovaries of the woman. Speaking the language of sports, it is the bench. In each menstrual cycle of these follicles come into play - start to grow. But only one will eventually begin to dominate and, reaching sizes 18-20 mm, ovulidae. Growing in the egg after ovulation can be fertilized by sperm and when luck is implanted in the uterus, giving rise to a new life. The remaining follicles, before reaching the finish line, subjected to reverse development.





The optimal time to give birth


In the ovaries in girls in the womb, there are 7 million follicles.




But when this girl starts menstruating, they are only 300-400 thousand. Only 1% of the total number of follicles, going a long way natural selection, ovulidae.




After 35 years, the number of follicles in women is declining rapidly. When it cometh to the thousand, comes natural menopause.




Successful pregnancy depends on the natural fertility (ability to conceive). The highest likelihood to conceive a child in healthy women from 20 to 25 years. This is the optimal age for childbearing.




With 25 years the possibility of natural conception is reduced to 40 years is only 5%.





The reasons for the decline of ovarian reserve:


- age;


- hereditary syndrome of premature depletion of ovarian function;


operations on the ovaries.





How to diagnose reduction?


Ultrasonography. The study calculates the volume of the ovaries, count the number of antral follicles.




Determination of the level of blood hormones: follicle-stimulating hormone (FSH) and luteinizing (LH) in the first phase of the cycle ( 2-3 days ).




There is a direct relationship between the level of these hormones and follicular reserve. The high content of FSH - the first sign that the number of follicles at the end.




Determining the concentration of inhibin-In and antimullerian hormone. Unfortunately, in Russia these parameters are determined only experimentally.





What to do if the stock is reduced?


In each case the problem is solved individually. If the indices of follicular reserve allow, is IVF treatment using stimulant drugs. However, the effectiveness of the IVF program in this case is quite small - about 15%.




There is a second option is egg donation. However, to decide it may not each.




Typically the egg donor is a young healthy woman. Subsequently, they are fertilized with the husband's sperm. The resulting embryos are genetically alien, but a pregnancy usually proceeds normally, and the woman-the patient has the biological mother of the child.




In conclusion, I want to advise you better give birth to children up to 30 years. Indeed, in this age of follicular reserve is usually normal and foreign intervention is not required.




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