Preoperative examination of early test tube infants
Early test tube baby surgery is an assisted reproductive technology that can help couples who cannot conceive naturally achieve their reproductive aspirations. Before the operation of early test tube baby, the doctor will carry out a series of examinations to ensure the smooth operation and reduce the risk. The following is a detailed description of the examinations that need to be performed before early IVF surgery from four aspects.
1. Physical examination
Physical examination is an essential part of examination before early IVF operation. The doctor will conduct a comprehensive physical examination for women, including gynecological internal diagnosis, breast examination, weight, height, blood pressure, and cardiopulmonary function evaluation. These examinations can assess a woman's physical condition and identify potential health problems for treatment before surgery.
For men, doctors usually conduct semen analysis to evaluate the quantity, quality and vitality of sperm. This is crucial to determine the cause of male infertility, and also helps to select appropriate assisted reproductive technology.
In addition, the doctor will check the genetic status of both spouses. Some genetic diseases may have adverse effects on embryonic development. Genetic counseling and genetic testing can help couples understand potential genetic risks so that they can make appropriate consultations and decisions.
2. Endocrine examination
Endocrine examination is another important aspect of early test tube babies before surgery. Women's endocrine balance is the key to successful pregnancy. Doctors will perform a series of endocrine tests, including ovarian function assessment, progesterone level monitoring, endometrial thickness measurement, etc.
Ovarian function assessment is mainly through blood examination, including the determination of follicle stimulating hormone (FSH) and luteinizing hormone (LH) levels to assess the functional status of the ovary. Progesterone is a key pregnancy hormone. The normal function of corpus luteum can be evaluated by detecting the level of progesterone.
Endometrial thickness is an index to evaluate the internal environment of the uterus. Doctors will measure the thickness of endometrium through ultrasonic technology to judge the suitability of endometrium.
3. Reproductive tract inspection
The purpose of genital tract examination is to evaluate the condition of female genital tract in order to determine the feasibility of IVF surgery. These examinations include hysteroscopy and tubal water test.
Hysteroscopy is to observe and evaluate the condition of uterine cavity and fallopian tube by inserting a slender light tube into the uterus. This examination can help doctors find problems such as endometriosis, polyps, uterine fibroids, and the patency of fallopian tubes.
The tubal patency test is to evaluate the patency of the fallopian tube by injecting the stain into the uterine cavity and then observing whether the stain flows smoothly into the fallopian tube. This test can detect whether there is obstruction or other abnormalities in the fallopian tube, so as to determine whether it is suitable for early IVF baby surgery.
4. Assessment of psychological and social support
Early IVF surgery has certain requirements on the psychological and social adaptability of couples. Therefore, before surgery, doctors usually conduct psychological and social support assessments to ensure that couples have the ability to withstand the surgical process and possible adverse results.
Psychological assessment mainly includes interview and scale assessment to understand the couple's psychological state and coping ability. Social support assessment mainly depends on the relationship between the couple and whether the support from relatives and friends is sufficient.
Through these assessments, doctors can determine whether it is appropriate to perform IVF surgery, and provide necessary support and guidance for the smooth operation.
summary
The pre operation examination of early test tube babies is very important, which can assess the physical condition, disease risk and genetic risk of couples, and help doctors to develop appropriate treatment plans. Physical examination, endocrine examination, reproductive tract examination and evaluation of psychological and social support are the main examination items. Through detailed examination and evaluation, doctors can provide comprehensive support and guidance for IVF surgery to ensure the smooth operation.
