Q&A on Assisted Reproductive Technology (IVF) (Chinese) (11) What should I know about Reproductive Medicine? 1. Both husband and wife should come together for the first consultation. 2.Please bring along your previous medical records and the original data of various examinations to the consultation. 3.Please provide true medical history information, so that the medical staff can make a clear diagnosis and formulate an effective treatment plan, and the medical staff will do a good job of keeping your confidentiality. 4.In the process of examination and treatment, please follow the doctor’s instructions, if necessary, please feel free to contact the department doctor. 5.Please make sure to keep your medical records and all kinds of examination results. 6.Please cooperate with the department for follow-up visits. (XII) What do patients who have never had any infertility checkups need to pay attention to on their first visit? How much does it cost? 1. The woman should come to the clinic on the 3rd-7th day after her menstruation and the man should abstain from sex for 3-7 days. Female examination: Tubography, ultrasound, leukorrhea routine and related examinations. Male examination: semen routine and related examinations. 2. After the initial examination, the next step of examination and treatment plan will be formulated. (xiii) What should I pay attention to if I have had a previous tubalogram or other related tests? How much do I need to bring? 1. Please bring the originals of all previous test results; 2. The woman should come to the clinic on the 2nd-4th day of her menstrual period and the man should abstain from sex for 3-7 days. (XIV) What is the appropriate time to do the various tests involved in IVF? 1. Ultrasound: any time is acceptable. 2.Basic endocrine test: blood test (fasting) on the 2nd-3rd day of the woman’s menstrual period. 3.Hysterosalpingography: 3-7 days after menstruation. 4.Immunology test: anytime test, including anti-sperm antibody, anti-endometrial antibody, anti-cardiolipin antibody, etc. 5.Semen routine and related examination: abstain from sex for 3～7 days and have semen retained at the designated place of the department. 6.Secretion examination: test after clean menstruation. Including mycoplasma and chlamydia, cervical scraping, etc. (XV) What should men and women pay attention to before IVF for pregnancy? 1.Quit smoking and drinking, stay away from radiation, stay away from toxic and harmful substances, keep in a good mood and ensure sleep time. 2.Perfect all kinds of examinations and treat related diseases. (xvi) How long does it take from examination to completion of IVF? What is the total cost? Depending on each patient’s situation, the time from the initial examination to entering the IVF cycle varies, usually from one month to six months. An IVF cycle – from the start of the down-cycle to ovulation induction and in vitro embryo culture transfer – takes about three weeks. This technique does not require hospitalization and can be done on an outpatient basis. The cost of IVF consists of several major components: the laboratory test component, the medication component for ovulation induction, and the laboratory operation component. Most patients spend around$20,000 to$30,000 for an IVF cycle. (xvii) Is the IVF procedure painful? What is the success rate of IVF? Painless egg retrieval is available. Transplantation is painless and the process is similar to negative ultrasound. Currently, the success rate of IVF in China is 40%-50%. (xviii) Can IVF identify the gender? If one of the spouses is a carrier of sex-linked genetic disease (e.g. hemophilia, pseudohypertrophic muscular dystrophy, etc.), patients who have to identify the sex of the next generation need to identify the sex by means of third-generation IVF, while other patients are unable to identify the sex by means of IVF. (XIX) What kind of abnormalities will occur in IVF? 1. Poor ovarian response to ovulation stimulating drugs: the number of follicles is less than 3-4 or the number of eggs obtained is less than 3; 2. Hyperstimulation syndrome: the number of follicles is more than 20 or the number of eggs obtained is more than 20, and the patient develops ovarian hyperstimulation syndrome (ascites, ascites, oliguria, liver and renal function damage, and even cerebral thrombosis, etc.). 3. If the eggs are not retrieved or the spermatozoa are not fertilized, the fertilized eggs are not divided, and the quality of the divided embryos is not good, the transplantation will be abandoned in this cycle. (4) The embryo may stop developing after pregnancy, early miscarriage, ectopic pregnancy, multiple pregnancies, etc.; (5) The embryo quality is poor after the frozen embryo is recovered and the transfer is abandoned. (xx) What should I do if I have ovarian hyperstimulation syndrome? For the possible occurrence of ovarian hyperstimulation syndrome, early prevention and early treatment, at the same time, we can consider abandoning the embryo transfer in this cycle, and all embryos will be frozen and preserved until the next cycle of transfer. (xxi) How many embryos will be transferred in IVF? What should I do if I am pregnant with more than one child? The state regulations state that patients younger than 35 years of age who are undergoing IVF for the first time can have two embryos transferred; patients younger than 35 years of age who have had at least one failed IVF cycle and patients older than or equal to 35 years of age can have three embryos transferred. If a triple pregnancy occurs, you must come to the hospital for a fetal reduction procedure. The most common reduction procedure used today is transvaginal reduction, which is usually performed at 6-10 weeks of gestation with 1-2 fetuses retained and has a success rate of approximately 95%. Making you feel comfortable and satisfied is what all the medical staff in our department strive for! To help you have a healthy baby is the greatest wish of all medical staff in our department! We hope that these questions will help you, if there is anything else you would like to know, please feel free to ask!