Can a woman aware of her potential fertility out of any medical necessity? At the Centre hôpital intercommunal de Créteil (CHIC), and we put it into practice, since last month, the women who wish to have the opportunity to make an appointment for a “fertility check-up”
A unique initiative in France, but which could well make them small. “Fifteen women, aged 25 to 46 years of age, have already made their balance sheets, and thirty others have taken an appointment,” says the Pr Nathalie Massin, head of the Center of medically assisted procreation of CHIC, who adds: “At the end of the balance sheet, we may tell the woman if she is in the average, above or below, and deliver him then the right advice.
” “Fifteen women, aged 25 to 46 years of age, have already made their balance sheets, and thirty others have taken appointment” Pr Nathalie Massin, head of the Center of medically assisted procreation, the CHIC that is because it supports the last fifteen years, women who have difficulty having a child that the Pr Nathalie Massin had the idea to offer this balance to the women who want them, regardless of their age. “It’s important to not mix everything,” she says to the Figaro.
It is not in the support of infertility, which is the subject of a specific history (reimbursed by the social Security, editor’s NOTE). Here, it is more of a prevention approach and counseling for the women who wonder about their fertility, for professional or personal reasons. “Moreover, examination, and specialized consultation are not supported by the community, and the women who decide to make this record have to spend 350 euros.
For the moment, in any case, because it is not excluded that the question of reimbursement arises on a day in the light of the human cost, medical, and economic of infertility in France. ” READ ALSO – doctors in favour of a “check-up fertility” for women was 33 years, What are the women who opt for a “fertility check-up”? “Some have a direct project of pregnancy, but may not claim a infertility checkup because they just want to know if they do not have a problem being understood.
Others on the contrary want to know if they can wait because it is not the right time for them, for reasons that belong to them,” says the specialist.
A lot of women are still unaware that, despite the progress of medicine and the health in general the decline in fertility began as early as 30 years ago, today as in the Seventeenth century . “The chances of conceiving start to decline at 35 years of age, shade the Pr Massin, and then they are decreasing to 38 years, and it gets really difficult in 40 years. “This is not really surprising, since, unlike the sperm, which is replenished in two and a half months, the women were, from birth, a stock of oocytes, which will only diminish over the years. “The eggs age along with the women, note the Pr Massin, but we also see more and more women of 30 years with the ovaries, which have the appearance of those of women 40 years of age, which is troubling. “A woman’s fertility is based, roughly, on the functioning of three components: the ovaries, for the manufacture of the egg, the fallopian tubes, which must be permeable to allow the journey of the oocyte to the uterine cavity, and finally the uterus, so that implantation of the egg. School of formationLe only examination of the balance sheet of fertility is carried out in the momentum of the prior interview. It is to examine the ovaries (as well as the uterus and fallopian tubes) through a transvaginal scanning of a duration of approximately 30 minutes. “This gives information on the state of the ovarian reserve, which reflects the ability to procreate to come, but also on the ability to ovulate, because, if the ovaries are functioning well, you should see a follicle growing”, explains the Pr Massin. This is also why the date of the appointment for a “fertility check-up” is determined according to the rules. “There is no marker of fertility indisputable” Pr Michael Grynberg, head of the department of reproductive medicine at the hôpital Antoine-Béclère The Fertiliscan, the review developed at the CHIC by Dr. . Jean-Marc Levaillant, one of the pioneers of transvaginal scanning and 3D in France, is not a simple ultrasound. The visualization of the uterus in 3D with a camera of high resolution enables you to check that nothing will get in the pregnancy (polyp, fibroid, etc), but also to verify the patency of the fallopian tubes with a gel particular introduced gently into the uterine cavity. “This assessment, called HyFoSy (hystérosalpingo-foam sonography), seems to be as powerful, but much better tolerated and without the need of x-ray that the classic hysterosalpingogram”, explains the Pr Massin.
It is still too early to know the extent to which women will adopt this new service, but, backed by its centre of AMP, the CHIC has already opened a training school of ultrasound of the female fertility (school E3F) to disseminate his expertise. Head of the department of reproductive medicine at the hôpital Antoine-Béclère, professor Michael Grynberg “is important as it raises the awareness of women and that there is a comprehensive support”, but cautions: “There is no marker of fertility is indisputable. I am afraid that they may not be fully reassuring or alarmist, whatever the results. .” .