1、 Endocrine examination items
With the growth of women's age, the function of endocrine system gradually declines, which may have a certain impact on fertility. Therefore, the elderly women need to carry out relevant endocrine examination items when giving birth.
First, follicle stimulating hormone (FSH) and luteinizing hormone (LH) can be detected. These two hormones play an important role in regulating female ovarian function and ovulation. By detecting the levels of these two hormones, women's ovulation function and ovarian reserve can be evaluated.
Secondly, testosterone (male hormone) can be detected. The proportion of elderly women with polycystic ovary syndrome (PCOS) is high, and the testosterone level of PCOS patients is often high. Therefore, the detection of testosterone level can help diagnose whether there is PCOS, and provide more accurate diagnostic basis for the reproductive problems of elderly women.
In addition, the examination of thyroid function, including the levels of thyroid hormone T3, T4 and thyroid stimulating hormone (TSH), should also be paid attention to in elderly women. Thyroid dysfunction may have a certain impact on fertility, so carrying out relevant thyroid function examination can find and treat problems as soon as possible.
2、 Genetic consultation and inspection items
When women give birth at an advanced age, heredity is one of the important factors to be considered. Therefore, genetic counseling and related inspection are necessary.
First, autosomal karyotype can be checked. This examination can exclude the possibility of chromosomal abnormalities in women, such as Down's syndrome, Edwards syndrome, etc. At the same time, sex chromosome karyotype can also be checked to see whether there are sex chromosome abnormalities.
Secondly, gene testing of common genetic diseases can be carried out. By detecting the gene mutation of some common genetic diseases, we can predict the risk of genetic diseases that older women may face after pregnancy. For example, common genetic diseases such as thalassemia and congenital myasthenia can be screened through gene testing, so as to make relevant prenatal preparations in advance.
In addition, enzymology testing and analysis of metabolic products can also be carried out to exclude women's own metabolic abnormalities or related enzyme defects, and include them into the risk assessment system of elderly childbearing.
3、 Gynecological examination items
A series of gynecological examinations should be carried out when women give birth at an advanced age to assess the health of the female reproductive system and whether it is suitable for pregnancy.
First, endometrial thickness can be checked. The thickness of endometrium is one of the important factors affecting embryo implantation. The thickness and shape of female endometrium can be evaluated by means of ultrasound examination to determine whether it is suitable for embryo implantation.
Secondly, ovarian color ultrasound can be performed. The function and reserve of ovaries are crucial to women's fertility. The number, size and distribution of follicles can be observed by ovarian color ultrasound, and the ovarian reserve of women can be evaluated.
In addition, cervical smear examination and pelvic ultrasound examination are also required. Cervical smear can screen cervicitis, cervical erosion and other problems to ensure the health of the cervix. Pelvic ultrasound can observe the shape and function of uterus, ovary, fallopian tube and other important organs to determine whether there is any abnormality.
4、 Other relevant inspection items
In addition to the above inspection items, other relevant inspections should also be considered for women's elderly childbearing.
First, routine blood tests and coagulation function tests can be carried out. These examinations can comprehensively understand the health status of women, eliminate anemia, infection and other problems, and ensure their physical safety during pregnancy.
Secondly, ECG and chest X-ray examination can also be carried out to assess whether the cardiovascular and pulmonary functions of women are suitable for pregnancy. These tests can help to determine whether women have potential risks in childbirth at an advanced age.
In addition, it is also necessary to screen for infectious diseases such as hepatitis B and AIDS to ensure that women will not infect the fetus during pregnancy. At the same time, appropriate prenatal examination is also required to understand the physical condition of women after pregnancy and the development of the fetus.
Summary
The inspection items needed for women's elderly childbearing mainly include endocrine examination, genetic counseling and inspection, gynecological examination and other related examinations. Endocrine examination helps to assess women's ovarian function and thyroid function, genetic counseling and examination exclude the risk of genetic diseases, gynecological examination assesses the health of the reproductive system, and other relevant examinations focus on women's overall health. Through these inspection items, we can more comprehensively understand women's reproductive conditions and potential risks, and provide more accurate diagnosis and treatment basis for the reproductive problems of elderly women.
