Čakáme na miminko z krajiny zázrakov. Pridajte sa
Wolfi, prali, moze byt?🙂
Stručné zhrnutie
- Folikulometria sa používa na sledovanie rastu folikulov pred ovuláciou a pri folikule 21 mm sa v diskusii podáva injekcia Pregnyl a odporúča pohlavný styk v deň injekcie a deň po nej.
- Endometrium menšie než 7 mm (v diskusii konkrétne 6 mm) sa považuje za nedostatočné a v diskusii boli nasadzované tabletky na zväčšenie sliznice pred pokračovaním liečby.
- Pri poruchách spermiogramu (spg) účastníčky najskôr opakovane skúšajú IUI a v prípade pretrvávajúcich problémov podávajú žiadosť o IVF; v diskusii sa tiež spomínalo využitie darcovských spermií.
Najčastejšie otázky
Q: Ako prebieha folikulometria a čo znamená folikul 21 mm?
A: Folikulometria je ultrazvukové sledovanie rastu folikulov; folikul 21 mm v diskusii znamenal blížiacu sa ovuláciu, po ktorej bola podaná injekcia Pregnyl a odporučený pohlavný styk v deň injekcie a nasledujúci deň.
Q: Čo robiť, ak je sliznica maternice 6 mm?
A: V diskusii uviedli, že sliznica 6 mm je pod terapeutickým minimom 7 mm, preto pacientke nasadili tabletky na zväčšenie sliznice a plánovali ďalšie kroky podľa odpovede sliznice.
Q: Kedy zvážiť IVF namiesto ďalšej IUI pri zlých výsledkoch spermiogramu?
A: Účastníčky diskutovali, že pri "horšom" spermiograme (spg) sa často skúša ešte jedna IUI, ale odporúča sa podať žiadosť na IVF ako ďalší krok, ak opakované IUI zlyhajú.
Q: Ako funguje schvaľovací proces žiadosti na IVF cez poisťovňu podľa diskusie?
A: V diskusii popísali, že klinika (Helios) posiela dokumenty do pobočky v Nových Zámkoch, interná pošta medzi oddeleniami sa posiela raz týždenne a revízne lekárky údajne schvaľujú "maximálne do týždňa"; odporúčali volať na poisťovňu v stredu alebo štvrtok pre aktuálny stav.
Q: Aký význam majú v liečbe pojmy Pregnyl, Utrogestan a KET?
A: Pregnyl v diskusii slúži ako injekcia na spustenie ovulácie, Utrogestan bol spomenutý ako medikácia, ktorú pacientka užívala, a "ketko" (KET) sa v diskusii uvádzal v súvislosti s transferom embryí s odhadovanou úspešnosťou okolo 25–30 % podľa jednej účastníčky.
Q: Ako často by mal byť sex počas ovulácie podľa účastníčok diskusie?
A: V diskusii boli protichodné názory: jedna osoba cituje článok, že častý sex počas ovulácie môže znižovať šancu, iná tvrdí, že spermie „dozrievajú každých 72 dní“ a častejší sex prináša čerstvejšie spermie; tieto tvrdenia v diskusii zostali nevysporiadané.
Závery z diskusie
Zhoda
- Folikulometria, sledovanie sliznice a podanie Pregnylu sú v praxi používané na načasovanie ovulácie.
- IUI sa bežne skúša pred prechodom na IVF pri problémoch s plodnosťou.
- Schvaľovanie liečby prebieha cez poisťovňu a revízne lekárky; administratívne presuny (interna pošta medzi oddeleniami) môžu proces predĺžiť.
Sporné názory
- Častý sex počas ovulácie znižuje šancu na otehotnenie vs. častý sex zabezpečuje „čerstvé“ spermie a zvyšuje šancu.
- Ísť rovno na IVF pri zlých výsledkoch spermiogramu vs. skúsiť ešte jednu alebo viac IUI pred IVF.
Otvorené otázky
- Ako dlho presne trvá schválenie žiadosti na IVF v konkrétnej poisťovni a aké sú štandardné lehoty v praxi?
- Aký je optimálny protokol (lieky, dávkovanie, časovanie) na zvýšenie sliznice maternice pod 7 mm pred cyklom asistovanej reprodukcie?
Spomenuté značky a firmy
Helios, Sol Melia (Sol Rio de Luna y Mares), Všeobecná zdravotná poisťovňa
Spomenuté produkty a metódy
Pregnyl,Utrogestan,folikulometria,IUI,IVF,spermiogram (SPG),KET (transfer embryí),darcovské spermie,sliznica (endometrium) 6 mm/7 mm,bunjeelano
Miesta a osoby
Nové Zámky,Kremnica,Holguín,Santiago de Cuba,Varadero,Kuba,Egypt,Žilina,Pezinok,Kežmarok,Fidel,Slota,Dežo,Vasuta
ja tiez posielam TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
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🙂
kati jasne ze cikat mne zle nebolo vobec ani raz
ďakujem
alicka aj si niečo cítila na začiatku? bolesti v brušku, alebo niečo? ja necítim absolutne nič, ani bolesť, ani mrchu, ani nič, viem, že tehu príznaky cítiť nemôžem, to ani nečakám, ale zase ani nič nečakám 😀 😀 😀 chápeš ako to myslím
katti na priznaky je skoro, jedine co sa mi sem tam stalo ale len mozno raz dva krat do dna ma pichlo v brusku ako spedlikom, ale to som nevedela ci od stimulky ci co, ale teraz viem ze to boli babmulky lebo mi to robia doteraz🙂
tie bolesti na mrchu som mala az mozno 10ty den po transfere, skor nie
tak si ma ukludnila, aj mňa včera tak pichlo, ale skôr sa mi zdalo, že to bolo na vaječníkoch, ale čo by tam pichalo, že? 😀 😀 😀 😀 😀 😀 😀
no nič nebudem sa pozorovať, lebo ma je...lalalala
ty máš čo dnes na pláne?
musim ist na postu odoslat pohladnice, do lekarne do prace na obed do ppotravin
posielam len kamoske do australie lebo ona vzdy posiela a jednej starsej pani rodinnej znamej do svajciarska.
V lekarni potrebujem kvapky do mojho nestastneho frnaka
katti TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
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prali ahoj , som sa motala po byte cosi upratovala a tak a teraz chcem ist za 20 minut mi zacina vychadzka tak kupit nejake ozdoby na stromcek cokoladove, lebo nemam este nic a nejake ovocie
katti nemas za co aj nabuduce hlavne nech pomoze
no ja idem az teraz, kedze do 10,00 kazdy den spim ... s vynimkou zajtrajska, to idem do heliku rano, neviem ako vstanem
ja tiez chcem buduci tyzden asi, mozno zajtra upeciem medvedie labky alebo mozno este aj dnes podvecer
ja mam upecene len medovniky ale viac asi ani piect nebudem. Naco potom sa len prejedame
prali ja medovniky nejdem piect a medvedie labky mam rada a to je rychlo urobene
len sa mi akosi teraz nechce ked som sa vratila z mesta
prali blbne mi skype, som ho vypla uz aj tak sa blizi drahy idem mu zohriat veceru, tak zajtra papa! a mixuj tisko, ale neboj, je to isto ok, cmuk! 😲
katti, dnesna povinna davka
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