Who needs assisted reproductive technology such as IVF?
severe tubal disease such as blockage of the fallopian tubes due to pelvic inflammatory disease fluid accumulation; or tubal tuberculosis with normal endometrial effect; or blockage or absence of the fallopian tubes after ectopic pregnancy surgery
endometriosis.
immunological infertility the presence of anti-sperm antibodies in the semen of the male partner or in the cervical mucus of the female partner
male factors i.e. oligospermia, weak spermatozoa, teratospermia
originally unexplained infertility.
Those whose infertility treatment prescribed for other considered causes is ineffective
Those with hereditary diseases requiring pre-transplant diagnosis.
Others: such as follicular non-rupture syndrome, etc.
What kind of treatment should be chosen for infertility caused by fluid in the fallopian tubes?
Tubal infertility accounts for about 1M3 of female infertility, among which infertility caused by hydrocele accounts for 10-30% of tubal infertility. According to the severity of hydrocele and the patient’s age and ovarian function, the best treatment case should be made by considering all factors.
Tubostomy: It is suitable for young patients with good ovarian function, hydrocele diameter less than 30mm, with proximal patency, loose adhesions around the fallopian tube and distal hydrocele and atresia. Six months after laparoscopic tubo-ovarian adhesion release with tubal cisternostomy is the golden period for pregnancy. Pregnancy should be sought within six months, but the occurrence of ectopic pregnancy should be closely monitored, and there is a possibility of re-adhesion after six months. Patients with hydrosalpinx are not suitable for tubal intervention.
IVF treatment: For patients with hydrosalpinx greater than 30 mm in diameter, fixed adhesions around the fallopian tubes, cystic atresia, or older patients with diminished ovarian function, IVF-ET treatment is recommended. Proximal tubal embolization can also be performed hysteroscopically, which is a mechanical method of proximal tubal embolization and has no impact on the intrauterine environment.
It is less invasive compared to laparoscopy. It avoids a series of pain, injury, risk and complications associated with operations such as open surgery and laparoscopy; does not require hospitalization and avoids the occurrence of tubal pregnancy; and has no effect on ovarian function.
The process of in vitro fertilization
1. The patient is first examined by a doctor specializing in reproductive medicine to determine the indications and exclude contraindications. The patient is then informed of the necessary preparations, IVF treatment process, results and costs.
2.Patients should prepare their ID cards, marriage certificates and the original birth certificate issued by the local family planning office and a copy of it.
3.Detailed medical history, physical examination and gynecological examination to improve the preoperative examination.
4.Select a suitable protocol to enter the cycle, promote ovulation (using drugs to make more eggs grow), remove the eggs at the right time when the follicles are mature, fertilize them with sperm in vitro, culture the embryos for 2-5 days and transfer them back to the uterine cavity, if there are extra embryos, they can be frozen and preserved.
5. After egg retrieval, luteal support is required. Urine pregnancy test is checked 14 days after transfer for pregnancy. If pregnant, continue fertility treatment and ultrasound examination 30 days after transfer to determine pregnancy status.