Chen Zhiqin, Center for Reproductive Medicine, Shanghai First Maternal and Child Health Hospital.
For each relationship, have you ever visited my clinic?
Shanghai First Maternal and Child Health Center Reproductive Medicine Center Chen Zhiqin.
Have you visited my clinic for every relationship?
Patient: I am 39 years old, I had a natural pregnancy in March, but the fetus stopped at 6 weeks. Fortunately, I was inseminated and had 7 cells on the third morning. Now it’s been 2 days since the transfer, I don’t think I have much hope and I’m not lying down all the time because my back will break after lying down for a long time, but I’m not working either. I’m wondering if the low number of eggs means that my ovaries are not functioning well, but I’ve had gynecological exams and they seem to be normal, but I had a blood draw and there was a low indicator. I think I will probably have to undergo a second IVF procedure, is there anything I can do to improve my ovarian function? Thank you. Test results: Last seen at.
Patient: I would like to add that I had diarrhea right after I came home from the transplant, and it was very strange because I hadn’t eaten that morning.
Chen Zhiqin, Reproductive Medicine Center, Shanghai First Maternal and Child Health Hospital.
You just got pregnant, why did you want to do IVF?
Patient: Because the fetus has no heartbeat, I went to the Red House Hospital for a full set of reproductive immunology, and some indicators were not good, namely, anti-CD3-BE 0.68, anti-CD4-BE -1.99, closed antibody anti-uniqueness only -3.7. These three indicators were different from the reference value. The main reason is that I am old and my eggs are aging, and since natural pregnancy may take a long time, my eggs are aging fast, so I want to do IVF directly, thinking that one can be faster and the other is that maybe the quality of the fetus can be better.
Chen Zhiqin, Center for Reproductive Medicine, Shanghai First Maternal and Child Health Hospital.
You do not need to do IVF
Patient: Hi, I would like to ask if I can still get pregnant naturally? But my husband and I have a bad report of reproductive immunity. Also, it is mainly because I am old and my ovaries are not functioning well. I only got one egg from IVF this time, and I started to bleed on the seventh day of transplantation, and the ninth day was like a menstrual bleeding, and I didn’t have a lot of menstrual flow. So what should I do if I don’t even succeed in IVF? I haven’t had my blood tested yet, I don’t know if I’m going to have an ectopic pregnancy, but I don’t have any abdominal pain. I’m going for IVF mainly because I’m older. Do you have any good advice?
Patient: Sometimes when I think about it, I can only get one pregnancy with the injection. It’s a waste of time, money and effort to get one every month. But I don’t want to give it a try.
Chen Zhiqin, Center for Reproductive Medicine, Shanghai First Maternal and Child Health Hospital.
It is perfectly possible to get pregnant naturally
Patient: Hello, after reading your reply, my confidence has increased. I’m just worried that I’m not good with closed antibody, and my doctor suggested to do leukocyte immunotherapy. I’ve looked up the information on the internet, and if I don’t do it, even if I get pregnant, there will be abortion and miscarriage. So should I get this treatment first and then get pregnant? Also, I’ve been worried that I only got one egg, so I’m not sure if I’m dying of premature ovarian failure. Thank you, can you answer me? Is there a leukocyte immunotherapy program at ICHW? How long does it take to treat?
Chen Zhiqin, Reproductive Medicine Center, Shanghai First Maternal and Child Health Center: Closed antibody is not relevant, how many times have you miscarried?
Patient: Hello, I had 2 miscarriages, one when I was 23 years old, I had an abortion (at my own request), and another one in April this year, I had an abortion because I didn’t have a fetal heart. I would like to ask you what treatment should be done if the blocking antibody is okay. Since I am in Australia and there is no leukocyte immunotherapy here, I would like to ask about it first and then come back to China for treatment. I don’t think it is as carefully done in Australia as it is in China. Is there anything I can do to enhance my ovarian function? Thank you.
Chen Zhiqin, Reproductive Medicine Center, Shanghai First Maternal and Child Health Hospital.
In fact, you only had one unavoidable miscarriage, not a habitual miscarriage (>3 times), so you don’t need to consider any closed antibody at all.
Shanghai First Maternal and Child Health Center Reproductive Medicine Center Chen Zhiqin: What closed antibody is bad, what leukocyte immunotherapy all have nothing to do with you
Patient: Sorry, Dr. Chen. I’m really confused, my husband and I have CD3-BE 0.68 and anti-CD4-BE -1.99 in the reproductive immunity report, and the closed antibody anti-unique is only -3.7, which is said to be a positive number to be normal. These three values are different from the reference value. This is definitely not a good idea, so the Red House Hospital is advised to do so. I’ve read a lot about leukocyte immunotherapy online. I’ve been having gynecological examinations, and all of them are normal, maybe not deep enough. I would have liked to have had a child without a heartbeat, perhaps because I am older, and I did try for several months without success. Now I’m just afraid that if I get pregnant again I will miscarry again because of bad antibodies or something and delay. Dr. Chen, what do you think I should treat now. If it is available in Australia, I can do it in Australia and I have health insurance. If Australia doesn’t have it, I will come back to Shanghai to have it done. Thank you!
Patient: But my husband also has a problem, his sperm motility level 2, A level 18, A+B level 45, normal sperm motility rate 50, these are also not in the normal range. Does this also have an effect?
Chen Zhiqin, Reproductive Medicine Center, Shanghai First Maternal and Child Health Hospital.
Have you checked your fallopian tubes? If they are open, you can try to conceive.
Patient: I don’t think I’ve ever checked my fallopian tubes, I’ve only checked my cervix, white belt and ultrasound, and I’ve measured whether I’ve ovulated or not. If you are trying to conceive, is it natural? The doctor here said that the next pregnancy will take 1 or 2 months, so I think he means the kind of assisted pregnancy.
Chen Zhiqin, Reproductive Medicine Center, Shanghai First Maternal and Child Health Hospital: Ovulation doesn’t mean smooth, try to conceive 2 more times and check the fallopian tubes if you don’t get pregnant.
Patient: Thank you.
Patient: Hello, Dr. Chen. I went for an ultrasound today because the last time I had IVF, the doctor said there was fluid in the ultrasound, maybe because of the injection. I’ve been trying for a month and I don’t think I’m pregnant because the doctor said today that I’m going to have my period. My doctor said that my ovaries are not functioning well and I had an anti-mullerian hromone of 2.8L in my last IVF test, which is 10-20, and my FSH and LH are good. Is there any chance of natural pregnancy, I am 39 years old this year. Is there anything I can do to increase that number? Thank you!
Chen Zhiqin, Center for Reproductive Medicine, Shanghai First Maternal and Child Health Hospital.
This age is normal and there is nothing that can be done.
Patient: Hi Dr. Chen, I heard that taking vitamin E can help you get pregnant and keep your baby alive, is that right?
CHEN Zhiqin, Center for Reproductive Medicine, Shanghai First Maternal and Child Health Center.
That’s right.
Patient: Hello, Dr. Chen, I listened to you and now I seem to be successful in getting pregnant naturally, I used the early pregnancy test by myself. But I can’t be sure until I have a doctor’s appointment tomorrow. I got my period on the 10th of last month. I am taking ELEVIT in the morning and a vitamin E at night. I have a whole box of progesterone vaginal reagent left over from my last IVF, can I use it to keep the baby alive? Because I heard that progesterone is the way to go in China. Thank you!
Patient: Hello, Dr. Chen. I’m pregnant, but I have static electricity on my hands, that is, my hands touching the car door or other things will be over static electricity. I’ve read that electrocution can cause fetal arrest or malformation in pregnant women. So very nervous. Because last year’s pregnancy is the whole day hand touching the car door static electricity, but also more powerful, so the fetus no fetal heart. I don’t know if this is the reason. Now I’m 13W pregnant. Today, my hands are again over static electricity, does it have any effect on the fetus. Thank you for your answer.
Chen Zhiqin, Center for Reproductive Medicine, Shanghai First Maternal and Child Health Hospital.
You just got pregnant, why do you want to do IVF
Chen Zhiqin, Center for Reproductive Medicine, Shanghai First Maternal and Child Health Center.
Why do you want to do IVF if you have just been pregnant?
Chen Zhiqin, Center for Reproductive Medicine, Shanghai First Maternal and Child Health Center.
Why you should do IVF if you just got pregnant
Chen Zhiqin, Center for Reproductive Medicine, Shanghai First Maternal and Child Health Center.
You don’t need to do IVF
Chen Zhiqin, Center for Reproductive Medicine, Shanghai First Maternity and Infant Health Center.
It is perfectly possible to get pregnant naturally
Chen Zhiqin, Center for Reproductive Medicine, Shanghai First Maternal and Child Health Center.
It is perfectly possible to get pregnant naturally
Shanghai First Maternal and Child Health Center, Center for Reproductive Medicine, Chen Zhiqin: Closed antibody is not relevant, you have had several miscarriages
Chen Zhiqin, Center for Reproductive Medicine, Shanghai First Maternal and Child Health Center.
In fact, you only had one inevitable miscarriage, not a habitual miscarriage (more than 3 times), so there is no need to consider the closed antibody thing.
Chen Zhiqin, Center for Reproductive Medicine, Shanghai First Maternal and Child Health Hospital.
In fact, you only had one inevitable miscarriage, not a habitual miscarriage (more than 3 times), so there is no need to consider the closed antibody thing.
Shanghai First Maternal and Child Health Center Reproductive Medicine Center Chen Zhiqin: what closed antibody is not good, what leukocyte immunotherapy all have nothing to do with you
Chen Zhiqin, Reproductive Medicine Center, Shanghai First Maternity and Infant Health Center: Ovulation does not mean smooth, try to conceive 2 more times and check the fallopian tubes if you are not pregnant.
Chen Zhiqin, Center for Reproductive Medicine, Shanghai First Maternal and Child Health Center.
This age is normal, there is no way