1.Registration problem
First-time patients try to bring their previous visits with them and couples at the same time. Bring your ID card so that you can register at the self-service registration machine on the fifth floor of the outpatient clinic in the reproductive center (the waiting time for registration in the lobby on the first floor is longer). You can preload your magnetic card with a certain amount of fees, which saves you time by eliminating the need to go back and forth to the fee window to pay. You can also pay through the self-registration machine, which is very convenient. For male patients, please register at the front desk and tell the nurse which doctor you want to see. If you need to see a specialist or a special outpatient number, please select the relevant specialist directly and make an appointment to register.
2.What is the most suitable time for the first consultation?
For the first consultation, if you decide to do IVF or IUI, you should arrive early in the morning on an empty stomach so that you can have a physical examination on the same day (you don’t need to have a new physical examination if you have a physical examination report within 1 year). For the first visit, there are more items to be examined and it will take longer, so please be prepared to allow plenty of time. Patients who have done ovulation promotion alone or those who have done routine infertility tests do not need medical checkups.
3.For those who have decided to do IVF or IUI
For the first visit, both spouses should come together and bring all documents (ID card, marriage certificate, original birth certificate and photocopies, military personnel should prepare original officer’s certificate and photocopies), and need to do identity information entry, fingerprint scanning, photo storage, etc.
Ovulation is usually performed on the 2nd-3rd day of menstruation, not on the 2nd-3rd day after menstruation has ended. The 2nd-3rd day of your period is the start time for IVF, normal ovulation promotion or IUI follicular phase ovulation promotion. As long as you come at the right time, you can use the medication on the same day. The process in Changhai is quick and not as complicated as other places. If your ovaries are suitable, you can take the medication on the same day, which will reduce the number of times you have to go back and forth to the hospital and save your time.
4.Patients who have routine infertility tests
If the semen is normal, the woman can have a tubal patency test on the same day, and a treatment plan can be made on the same day according to the test results.
It is very important for the male partner to come to Changhai Hospital for semen examination. The results of semen examination vary greatly from hospital to hospital, and semen examination requires strict quality control, without which the examination report is not reliable. It is quite important because the semen test results determine what type of insemination is used for IVF. Changhai only recognizes its own semen test reports, and our semen test results can accurately guide the choice of insemination method.
5.Clinical procedure
The flow of consultation is as follows: registration ????? Please make full use of this time to communicate with the doctor in charge and listen to the explanation of the doctor in charge and the arrangement of the treatment plan. If you have different opinions about the treatment arrangement of the doctor in charge, please explain to the doctor in charge in time because the treatment plan will be given to you by the assistant after the examination. If you have any disagreement with the treatment plan of the supervisor, please explain it to the supervisor in time. After the ultrasound examination, the doctor in charge will make a judgment on the spot which patients can be treated without the test report results and which patients need to wait for the test report results before they can be treated, and will tell you. Generally most patients can be seen in the morning at the end of the visit. Patients who need to wait for the test report results before making treatment decisions will return to the hospital at the time explained by the doctor in charge, and the doctor in charge will make treatment decisions based on the test results when they are available. Do not throw away the injection certificate. If there is no change in the dose of medication, you can continue to use it.
Please give the ultrasound examination sheet to the doctor when you return to the hospital, and please urinate in advance. Please keep quiet, put your cell phone on silent, and follow the staff’s instructions during the consultation.
6.Frequently asked questions
(1) Some items cannot be checked during menstruation, and can only be checked when menstruation is clean. Urine routine can not be checked during menstruation, cervical smear, chlamydia, mycoplasma and other leucorrhea check-ups can only be checked after menstruation.
(2) The husband of the couple doing IUI and IVF should see a male doctor, not for semen examination, but for the male doctor to examine the husband’s reproductive organs. The male clinic hours are Monday through Friday all day and Saturday and Sunday morning.
(3) Semen freezing is done by the husband in the following cases.
If the husband is often away on business or abroad and cannot be on call, he needs to freeze his sperm in advance so that he will not be able to be present when he needs to provide semen, thus missing the time for egg retrieval.
Patients with “sperm retrieval difficulties” should have their semen frozen early so that their husbands do not “stumble” on the day of egg retrieval! If the sperm is frozen, the man will be free from psychological stress and it will be easier to retrieve the sperm on the day of egg retrieval, and fresh semen will be used if the retrieval is successful.
Patients with very severe oligospermia can have their sperm frozen several times (a little goes a long way) in case there is no sperm available at the time of egg retrieval.
(4) Patients who have IUI can test their own urine LH before coming to the hospital. If the LH is positive and the husband comes to the hospital together, they may have to do IUI on the same day.
(5) Remind everyone that when you encounter a problem in Changhai, you should first ask the nurse at the front desk, if the nurse cannot solve it, she will arrange for you to ask the assistant, who will solve it for you. If the assistant can’t solve the problem, they will ask the doctor in charge. This workflow can maximize the efficiency of the doctor in charge, so I hope you can understand.
(6) Patients who have questions can ask the doctor first. If you must come to the hospital for consultation, come to the hospital after 3pm, only then the doctor will have time to receive you.
(7) Those who do IVF and IUI should usually maintain a normal sex life frequency (2-3 times a week, depending on individual physical quality), and a normal sex life can keep the sperm fresh and strong. The woman should abstain from sex 3-5 days before egg retrieval or IUI to keep the “bullet” for the critical moment! Some friends with low spermatozoa can extend the abstinence time before egg retrieval or artificial insemination, please consult our male specialists for details.
(8) Patients with ovulation and artificial insemination will ovulate at any time, so it is very important to maintain a normal sex life, especially after the vaginal discharge has increased, indicating that the estrogen level has risen, the follicle has grown, and there is the possibility of ovulation at any time, so it is time to work harder and don’t stay idle at night.
(9) For women whose husbands are not strong, if you have been given ovulation-inducing drugs or have spontaneous LH peaks, your doctor will tell you to “have intercourse today and tomorrow”, so don’t tell your husband “the doctor told us to have intercourse today and tomorrow”. Some men can’t get on with this and can’t finish their homework! Please put some thought into the lady concerned and show your charm so that your husband can complete the task given to you by the doctor without your knowledge.