Depression by infertility in the twenties

“I was shocked by young, healthy, unexpectedly infertile,” Chi said, recalling the feeling of three years before being diagnosed with polycystic ovary syndrome (PCOS), menstrual disorders, leading to difficulty Natural pregnancy. The couple chose to choose artificial insemination to have children, ie sperm pump into the uterus (IUI), less invasive, low cost, easy to succeed in young people. But they treated 4 times, it cost nearly 100 million.

From the sociable, dynamic girl, Chi gradually closed, afraid to share with both her husband and relatives by guilt. The husband realized that his emotions and behavior were increasingly erratic, so he went to the doctor, the doctor said that Chi showed signs of emotional disorders and depression. Husband and wife decided to postpone the treatment of infertility for half a year to focus on adjusting the psychology until stable.

At the end of 2024, Chi and her husband went to the Department of Reproductive Support, Tam Anh General Hospital – District 8 (IVF Tam Anh District 8) examined.

MSc Huynh Kha said the limb has polycystic ovarian syndrome – a form of hormonal disorders common in women of reproductive age. The disease causes the menstrual cycle to disorder, increase the concentration of male hormones, reduce the chance of pregnancy. At IVF Tam Anh, every year doctors treat about 20% of infertile patients due to this syndrome. Depending on the cause and degree of pathology, women with PCOS can still have children by methods such as artificial insemination (IUI), IVF (IVF), raising young oocytes in test tubes (IVM) For vitro fertilization.

The doctor discovered that Chi was still slightly fluid in two fallopian tubes, making the success rate when IUI decreased. The couple decided to treat IVF. Chi is applied by Dr. Kha’s regimen to stimulate the ovarians with a mild dosage, monitor the growth of the follicle regularly through ultrasound … to control the risk of ovarian excess. The doctor poked 8 mature eggs, 4 young eggs continued to raise in the test tube to the adult phase to help spend a total of 12 eggs. The embryo specialist selects the healthy sperm of the husband, injected into the egg cells, obtained 9 embryos on 5 good quality.

In the beginning of January, Dr. Kha prepared the endometrium that was eligible for the patient, transferred a fresh embryo into the uterus. Early pregnancy, pregnancy is now more than 8 weeks, healthy development. The remaining embryos are stored for the couple to have more children in the future.

According to the Ministry of Health, Vietnam currently has about one million infertile couples, 50% of cases under 30 years old. At IVF Tam Anh, the percentage of female infertile patients in their twenties accounts for 2%, most of them are over 35 years old.

Dr. Kha said the cause of female infertility is very diverse, possibly due to polycystic ovary syndrome, ovary disorders, ovarian reserves, fluid stasis or fallopian tubes, uterine abnormalities, Chromosomal abnormalities … The advantage of this group is to get married early and have an early examination so the doctor promptly detect pathology. Complications of the disease are not complicated, ovarian and good physical reserve, young age to make pregnancy, pregnancy, giving birth more smoothly than older patients.

Therefore, Dr. Kha advises the couple under 30 years of age not to be pregnant, so they should not be too worried, so they should go to the doctor and treat it early. Depending on the age, cause and pathological condition, the doctor appoints appropriate treatment, optimal success rate, cost savings. At IVF Tam Anh, infertility in young people is often easy to treat, costing about 100 million. Couplings under 30 are usually successful at the first time or the second time the embryo transfer of the test tube is in vitro fertilization. The rate of pregnancy in women under 28 years old is up to 85%.