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Tan Xiaojun
·Senior reproductive medicine expert
·Postdoctoral fellow at Peking University
·PhD candidate at Xiangya School of Medicine, Central South
University
·Master’s tutor at Central South University
· Master's degree candidate in reproductive
medicine at the University of South China
· Professional training at Huazhong University
of Science and Technology and Tongji
Hospital Reproductive Center
Expertise:
diagnosis and treatment of infertility, first/second/third generation IVF (including
egg/sperm donation), microsperm retrieval, embryo freezing and resuscitation, artificial
insemination (including husband's sperm and sperm donation), paternity testing, chromosomal
disease
diagnosis, high-throughput gene sequencing, endometrial receptivity gene testing and other
clinical
technology applications. Many of these technologies are at the leading level both domestically
and
internationally.
Physical problems of Tulip International Reproductive Center in Kyrgyzstan, IVF in Kyrgyzstan, Bishkek Reproductive Center, PGT technology, pre-test tube inspection process, pregnancy assessment for the elderly, ovarian function decline, repeated abortion test tube.
How to evaluate the physical problems of Tulip International Reproductive Center in Kyrgyzstan? Seven kinds of common situations, process changes and key points of medical treatment are explained at once.
Many people search for "the physical problems of Tulip International Reproductive Center in Kyrgyzstan", in essence, they don't just want to know "whether the hospital can see a certain disease", but want to confirm a more core thing: will their current physical condition affect the test tube evaluation, ovulation promotion plan, embryo culture, transplant timing and final pregnancy outcome in Kyrgyzstan?
Let's start with a basic medical fact: infertility is not a problem for a few people. According to the World Health Organization, about one in every six adults in the world has experienced infertility in his life. Infertility may come from both female and male factors, or the reasons are temporarily unclear. Common related factors of women include ovarian, fallopian tube, uterus and endocrine problems; Men are common in abnormal semen discharge, low sperm count, abnormal morphology or decreased vitality.
According to the public information, the services introduced by Tulip International Reproductive Center include the third generation test-tube baby (PGT), fertility preservation, embryo transfer and so on, and it is positioned as an assisted reproductive clinic. That is to say, when searching for "physical problems", users should pay more attention to: which physical abnormalities need to be dealt with first, which problems can be promoted while evaluating, and which situations will directly affect the scheme selection.
1. What "physical problems" will affect the test tube evaluation in Kyrgyzstan?
Clinically, the following seven types of problems most often affect the test tube path:
The first category is age-related issues. Medical research shows that when women get older, the number and quality of eggs will decrease, and the risk of miscarriage will also increase. ESHRE data show that after entering the age of 40, the chance of natural pregnancy is obviously reduced; By the mid-forties, the chances of success will be further reduced regardless of natural pregnancy or IVF. SART also pointed out that one of the important predictors of IVF outcome is the age at the time of egg retrieval.
The second category is the decline of ovarian reserve. For example, AMH is low, the number of basal follicles is small, and the previous ovulation promotion response is poor. This kind of people may not be "unable to do it", but it often means that the number of eggs obtained is limited, and the program will emphasize individualization more.
The third category is uterine and endometrial problems. Such as hysteromyoma, intrauterine adhesions, endometrial polyps, adenomyosis and thin endometrium. Such problems may not necessarily affect egg retrieval, but may affect embryo implantation and pregnancy maintenance.
The fourth category is tubal and pelvic inflammation. Especially in the case of hydronephrosis and severe pelvic adhesion, it is often necessary to judge whether it should be treated before transplantation.
The fifth category is endocrine and metabolic problems. Such as polycystic ovary syndrome, thyroid dysfunction, insulin resistance, obesity or underweight. They often affect ovulation, ovulation-promoting reaction and pregnancy stability.
The sixth category is the history of repeated abortion or embryo abortion. This kind of situation usually suggests the need for more systematic genetic, uterine structure, endocrine and male factors investigation. ASRM pointed out that the evaluation of recurrent abortion should pay attention to genetic, anatomical, endocrine and some male-related factors, and the increase of maternal age is closely related to the risk of chromosomal abnormal abortion.
The seventh category is the male factor. WHO clearly mentioned that male infertility is often related to abnormal sperm quantity, morphology, vitality or sperm discharge. Therefore, when searching for "physical problems", you can't just stare at the woman.
Expert tips: test tubes do not "skip physical problems", but change many links in natural conception into medically controllable processes; But if the underlying disease is not treated, the test tube will also be affected.
Second, how to choose technology, what can't be deified?
When many people see the "third generation test tube" and "PGT", they interpret it as "as long as screening is done, the results will be stable". This premise is not accurate.
According to public information, Tulip International Reproductive Center provides PGT related services to the outside world. The value of PGT mainly lies in screening some chromosome or genetic risks and assisting embryo selection. It is suitable for some people with medical indications, such as the elderly, recurrent abortion, known monogenic diseases or family history of abnormal chromosome structure.
However, ASRM also clearly pointed out that PGT-A, as a "universal screening tool" for all IVF people, its value has not been fully established; Especially in some young patients with good prognosis, the existing research has not proved that it can definitely improve the live birth rate. In other words, PGT is a tool, not a "universal switch".
Expert tip: PGT can help identify the risk of chromosome abnormality in some embryos, but it cannot be the same as ensuring pregnancy outcome. Whether it is necessary to do it or not should be based on age, medical history, embryo status and doctor's evaluation, rather than just reading propaganda words.
Third, who needs more focused assessment than rushing into the week?
If you belong to the following groups, it is usually more recommended to do "physical problems combing" first, and then decide whether to go to Kyrgyzstan to enter the cycle:
Older pregnant people;
People with low AMH and few basal follicles;
People who have had two or more abortions and fetal arrest experiences;
People who have repeatedly failed to transplant;
People with endometrial, myoma, adenomyosis and hydrosalpinx problems;
People with severe oligozoospermia or abnormal fragment rate;
People who have done laparoscopy, hysteroscopy or ovarian surgery before.
The commonness of this kind of people is not "can't do it", but it is more necessary to clarify the attribution of the problem first. If the cause is unclear, the treatment efficiency may not be improved even if the region and institution are changed.
Fourth, how will physical problems change the process?
Generally speaking, the consultation on the "Physical Problems of Tulip International Reproductive Center in Kyrgyzstan" is the following:
First complete the basic physical examination and reproductive evaluation, including hormone, AMH, ultrasound, semen analysis, infection screening and necessary genetic examination;
According to the results, it is judged whether to directly promote ovulation, regulate endometrium first, deal with uterine cavity first, or optimize male semen index first.
If there is old age, repeated abortion or genetic risk, then discuss whether to include PGT pathway;
After egg retrieval, fertilization and embryo culture, not everyone is suitable for fresh embryo transfer, and some people are more suitable for freezing embryos first and then transplanting them after intima, hormones or inflammation are controlled.
That's why many people ask "Can you do it if you have physical problems?" The correct answer is often not simply "yes" or "no", but: it depends on which link the problem occurs, whether it affects egg acquisition, fertilization, embryo quality, or implantation and pregnancy protection.
Five, a few high-frequency problems, clear in advance.
1. Can I do a test tube with hysteromyoma?
Whether you can enter the cycle depends not on whether there are fibroids, but on whether the location and size of fibroids affect the uterine cavity. Myomas that affect the shape of uterine cavity are usually more worthy of priority treatment.
2. AMH is low, is it meaningless to make a test tube?
No. Low AMH indicates a decline in ovarian reserve, which does not mean that there is no chance at all, but it usually means that time management is more important and the program emphasizes individualization.
3. If the man's sperm is poor, can he only give up?
Not really. Male factor is a very common problem in assisted reproduction. The key is to make clear whether it is abnormal in quantity, vitality, shape or other reasons.
4. Do you have to worry about abortion after PGT?
Can't understand it like this. PGT can help identify some abnormal embryos, but abortion may also be related to many factors such as uterine environment, endocrine, immunity, maternal age and so on.
summary
Searching for "Physical Problems of Tulip International Reproductive Center in Kyrgyzstan", what we really want to solve is not the name of the institution itself, but the path of medical judgment.
For most people, the key to determining the outcome of test tubes is not just "where to do it", but these three things:
First, have you got the question right?
Second, whether the technology has been used correctly;
Third, whether the process has been individually adjusted according to the physical condition.
If we sort out the age, ovarian function, uterine environment, endocrine status and male factors, and then see whether PGT is needed, when to transplant it, and whether to adjust it first, the whole decision will be more secure than simply comparing regions or prices. Based on the current public information, Tulip International Reproductive Center provides PGT and other assisted reproductive services; However, for any consultation involving "physical problems", we should still adhere to the medical order of first evaluation, then stratification and then entering the process.
Common aliases:Kyrgyzstan Tulip Reproductive Center, Tulip IVF, Tulip Reproductive Center, Tulip Hospital, Kyrgyz Tulip Reproductive Center, Kyrgyz Tulip Hospital
