A “fertility check-up” for all women at Créteil hospital

Alexia has just traveled three hours to get to the medically assisted procreation (AMP) unit of the intercommunal hospital of Créteil. At 25, she graduated with a master’s degree in industrial management, lives with a partner, but does not want to have children before the age of 30. However, she will spend 350 euros, not reimbursed, to do a fertility check-up, hoping ” to be reassured ». « I have a cousin who is trying her fifth in vitro fertilization [FIV], and my best friend had the hardest time getting pregnant, she explains. And then I read the statistics, one in eight couples is sterile! It’s scary! »

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Here, in three hours, Alexia will benefit from an assessment in principle reserved for couples who have failed for at least a year to conceive a child. But Doctor Jean-Marc Levaillant and Professor Nathalie Massin wanted to allow all women, with or without having a child, to access this service. In addition, in the classic course, women take blood tests to assay certain predictive hormones of the ovarian reserve, then an ultrasound to check the quality of the reproductive organs, and finally a hysterosalpingography – often painful -, for the examination of trompes, covered by Social Security. “Here, with a single examination, we study the three functions essential to reproduction: ovulation, uterine capacity and the proper functioning of the tubes, explains Doctor Jean-Marc Levaillant.

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A second patient arrives, Linh, archetypal of these young women whom Professor Nathalie Massin meets more and more often. Without a partner at 34, she is approaching the “dangerous” zone of this mysterious “biological clock” which threatens her fertility. ” Do you know what the ovarian reserve is? I am not sure… “ The endocrinologist is used to it. Many women have little or no knowledge of their reproductive system. ” Unlike men, who produce sperm all their lives, you are born with a constantly shrinking supply of eggs (600,000 to 1 million per ovary). They are stored in follicles, and from puberty until menopause these follicles will release around 500 eggs – called oocytes. at the rate of one per month. »

Relentless curves

On the ultrasound screen, Linh counts the follicles along with the doctor. Slight suspense and real emotion to be able to visualize a dozen of these “little bags” of which the diameter of one (approximately 25 mm), larger than the others, shows that it is ready to release one of these precious oocytes which it has received. would make it possible to be pregnant if a sperm were to appear. “ You see, with eleven follicles at 34, you’re in a low, but normal zone », Explains Doctor Jean-Marc Levaillant. Using a vaginal probe, the doctor injects a completely painless foam to check the quality of the patient’s tubes. In thirty minutes, he eliminated, for Linh, the main causes of female infertility: endometriosis, cysts in the ovaries, blocked tubes, follicular failure.

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A “fertility check-up” for all women at Créteil hospital

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