Routine inspection required for IVF feeding cycle
IVF means that the fertilized eggs are developed into embryos in vitro culture environment through artificial pregnancy technology, and then healthy embryos are transferred to the mother's uterus for pregnancy. The success rate of IVF is closely related to the physical conditions of mother and father. Before the IVF cycle, a series of routine examinations are required to assess the reproductive health of the mother and father.
1、 Physical examination and gynecological examination
Physical examination is the basis for assessing the health status of female reproductive system. The doctor will carefully observe the symptoms of gynecological diseases, including menstruation, abnormal vaginal bleeding, pain in sexual life, etc. In addition, the doctor will also carry out gynecological examination, including palpation and B-ultrasound examination, to evaluate the ovary, uterus and other organs related to the reproductive system.
Gynecological examination can also screen cervical cancer and other gynecological diseases through cervical smear examination. This is a non-invasive scraping cytology examination, which can detect abnormal cells and exclude inflammation, infection, benign or malignant tumors and other factors that may affect the success rate of IVF.
Finally, gynecological examination also requires pelvic ultrasound examination to assess the number, size and ovulation of ovaries. In addition, the thickness and shape of the endometrium can also be observed to check whether there are abnormalities such as uterine malformations.
2、 Semen analysis and male reproductive system examination
The quality of male semen plays an important role in IVF treatment. Men need semen analysis to assess the number, vitality and morphology of sperm. Through semen analysis, we can know whether the quality of male sperm is normal, and whether there are abnormal conditions such as low sperm activity and abnormal sperm.
In addition to semen analysis, men also need to have a reproductive system examination, including palpation of testes and B-ultrasound examination. Doctors will palpate the testes to assess their size, shape and texture. The condition of the testis and its surrounding tissues can be observed in detail through B-ultrasonic examination to check whether there are epididymal cysts, vas deferens obstruction or other abnormalities.
3、 Endocrine function test
Endocrine function test is an important test to evaluate female hormone level and ovulation. Common endocrine function tests include the determination of serum follicle stimulating hormone (FSH), prolactin (PRL), luteinizing hormone (LH) and estrogen (E2). The levels of these hormones can reflect the ovarian function, gonadal function and gynecological diseases.
In addition, progesterone and 21 hydroxycortisone (21-OH-VD) can also be measured to assess luteal function and thyroid function. The imbalance of these hormones may affect the ovarian function and egg quality, thus affecting the success rate of IVF.
4、 Genetic examination
Genetic examination is to evaluate whether there are genetic diseases or genetic mutations in both spouses. This test is very important for selecting suitable fertilized eggs for genetic screening. At present, the common genetic examination includes autosomal genetic disease examination, single gene genetic disease examination and chromosome structure abnormality examination.
Genetic examination can help couples understand the risks of genetic diseases they carry and the risks of genetic diseases they may bring to their children in the future. This will help doctors to carry out personalized treatment, better select healthy fertilized eggs, and improve the success rate of IVF.
Summary
In the IVF cycle, a series of routine examinations need to be carried out, including physical examination and gynecological examination, semen analysis and male reproductive system examination, endocrine function examination and genetic examination. These examinations can comprehensively assess the reproductive health status of both spouses and provide a strong guarantee for the success rate of IVF.
Physical examination and gynecological examination mainly assess the health status of female reproductive system through palpation and B-ultrasonic examination. Semen analysis and male reproductive system examination are to evaluate the sperm quality and reproductive organs of the male reproductive system. Endocrine function test is used to detect female hormone level and ovulation. Genetic testing is used to assess the genetic risks of both spouses.
Through these routine examinations, doctors can understand the reproductive health status of both husband and wife, and develop personalized IVF treatment plans based on the examination results to improve the success rate.
