mois-ci,<\/a> il a rejoint Dara Byrne de Fertility Wellbeing Ireland pour une discussion Instagram Live sur sa cha\u00eene, @fertilitywellbeingireland pour expliquer pourquoi il conseille toujours aux couples ou aux individus de faire des investigations avant de subir une FIV.<\/p>\n\u00ab Commencer un traitement de fertilit\u00e9 peut \u00eatre un processus intimidant pour n\u2019importe qui – d\u2019un point de vue \u00e9motionnel et financier – cela peut aussi \u00eatre assez effrayant. La gestion des attentes est donc tr\u00e8s importante d\u00e8s le d\u00e9but.<\/p>\n
G\u00e9rer les attentes<\/h3>\n
\u00ab Je crois que recommander un traitement sans entreprendre une enqu\u00eate est compl\u00e8tement faux parce que dans certains cas, cela peut ajouter plus de pression – \u00e0 la fois financi\u00e8rement et en termes de temps. Dans d\u2019autres, cela cr\u00e9e de fausses attentes.<\/p>\n
\u00ab Le couple peut se lancer dans un traitement en pensant: \u00bb J\u2019ai une FIV maintenant, je vais tomber enceinte \u00ab , mais ce n\u2019est peut-\u00eatre pas le cas \u00e0 cause d\u2019un probl\u00e8me sous-jacent. Cela pourrait signifier qu\u2019ils sont aussi infertiles avec la FIV que d\u2019essayer de concevoir naturellement.<\/p>\n
Le professeur Nardo a d\u00e9clar\u00e9 qu\u2019il y avait eu des occasions o\u00f9 il avait d\u00fb d\u00e9courager les patients de commencer un traitement de fertilit\u00e9. \u00ab Je ne croyais pas que c\u2019\u00e9tait dans leur meilleur int\u00e9r\u00eat, et je pensais qu\u2019\u00e0 long terme, cela aurait caus\u00e9 plus de d\u00e9g\u00e2ts \u00bb, a-t-il d\u00e9clar\u00e9, ajoutant que m\u00eame si ce n\u2019\u00e9tait peut-\u00eatre pas la nouvelle que les patients veulent ou attendent, il est important de ne pas recommander de traitement si les chances de r\u00e9ussite d\u2019une grossesse par procr\u00e9ation assist\u00e9e sont les m\u00eames ou inf\u00e9rieures \u00e0 celles d\u2019essayer de concevoir naturellement.<\/p>\n
\u00ab Il y a eu des cas o\u00f9 les couples ont \u00e9t\u00e9 invit\u00e9s \u00e0 suivre un traitement de fertilit\u00e9, mais ils ne voulaient pas subir d\u2019investigations, mais voulaient avoir le traitement de FIV comme un \u00ab test \u00bb. Et pour \u00eatre honn\u00eate, ce n\u2019est pas si inhabituel; nous voyons de plus en plus de couples qui disent: \u00ab Nous pensons que nous allons absolument bien. Nous n\u2019avons aucun probl\u00e8me. Mon partenaire, mon mari, a l\u2019analyse du sperme, ce qui est bien. J\u2019ai eu un scan, ce qui est bien. Alors, passons \u00e0 la FIV et voyons ce qui se passe \u00bb. Et puis ils peuvent souffrir d\u2019une fausse couche ou d\u2019une mauvaise r\u00e9ponse \u00e0 la stimulation ou les ovules peuvent ne pas f\u00e9conder.<\/p>\n
\u00ab Ce n\u2019est qu\u2019apr\u00e8s avoir d\u00e9pens\u00e9 de l\u2019argent et du temps pour construire leurs attentes, et peut-\u00eatre en avoir subi le r\u00e9sultat, qu\u2019ils acceptent une enqu\u00eate. \u00bb<\/p>\n
Le professeur Nardo a d\u00e9clar\u00e9 qu\u2019il pr\u00e9f\u00e9rait discuter de toutes les options avec les patients lors de sa premi\u00e8re consultation avec eux, en mettant au point un protocole de diagnostic pour aider \u00e0 identifier la ou les causes de l\u2019\u00e9chec de la conception et comment il pourrait \u00eatre trait\u00e9.<\/p>\n
Dara Byrne a demand\u00e9 si les patientes qui avaient d\u00e9j\u00e0 eu plusieurs s\u00e9ries de FIV \u00e9chou\u00e9es lui \u00e9taient parfois r\u00e9f\u00e9r\u00e9es pour plus de traitement en utilisant des ovules, du sperme ou des embryons de donneurs, mais toujours sans id\u00e9e claire de la raison pour laquelle les grossesses pr\u00e9c\u00e9dentes avaient \u00e9chou\u00e9.<\/p>\n
Trouver la cause du probl\u00e8me<\/h3>\n
\u00ab Cela arrive assez fr\u00e9quemment… mais le transfert d\u2019un embryon de donneur ou d\u2019un embryon avec sperme de donneur peut ne pas r\u00e9soudre le probl\u00e8me s\u2019il y a un probl\u00e8me sous-jacent avec la partenaire f\u00e9minine.<\/p>\n
\u00ab J\u2019ai r\u00e9cemment eu un couple jeune, en forme et en bonne sant\u00e9 qui avait eu des cycles r\u00e9p\u00e9t\u00e9s d\u2019\u00e9chec de FIV, mais on m\u2019avait recommand\u00e9 de continuer, ce qui leur mettait beaucoup de pression.<\/p>\n
\u00ab La partenaire f\u00e9minine \u00e9tait connue pour avoir une maladie de la thyro\u00efde. La thyro\u00efde est une glande importante contr\u00f4lant le syst\u00e8me immunitaire, mais elle n\u2019avait jamais subi d\u2019investigations pour des troubles li\u00e9s \u00e0 la thyro\u00efde.<\/p>\n
\u00ab Il n\u2019y a aucun avantage \u00e0 se lancer dans un traitement de FIV – un voyage \u00e9motionnel, qui faisait d\u00e9j\u00e0 des ravages, si des investigations plus approfondies et un traitement appropri\u00e9 pour un probl\u00e8me thyro\u00efdien sous-jacent, pouvaient signifier qu\u2019ils obtiendraient une grossesse naturellement. \u00bb<\/p>\n","protected":false},"excerpt":{"rendered":"
Comprendre pourquoi il est difficile de tomber enceinte ou de porter un b\u00e9b\u00e9 \u00e0 terme devrait \u00eatre un facteur cl\u00e9 pour d\u00e9cider d\u2019aller de l\u2019avant ou non avec la procr\u00e9ation assist\u00e9e, ou de quel traitement particulier une patiente pourrait avoir besoin, explique le professeur Luciano Nardo, fondateur de NOW-fertility. Ce mois-ci, il a rejoint Dara […]<\/p>\n","protected":false},"author":1,"featured_media":3130,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"enabled","header-above-stick-meta":"on","header-main-stick-meta":"on","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[33,71],"tags":[],"class_list":["post-3134","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-fr","category-enquetes"],"yoast_head":"\n
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