Medical examination required before starting IVF
IVF is a kind of assisted reproductive technology, which helps infertile patients realize their reproductive dreams through in vitro fertilization and embryo culture. However, before IVF, a series of medical examinations are required to ensure that the patient's physical condition is suitable for the application of this technology. The medical examination before IVF will be described in detail in terms of gynecology, andrology, endocrinology and genetics.
1. Gynecological examination
Gynecological examination is an essential examination before IVF. First of all, the doctor will understand the basic situation of the patient by observing the gynecological history, menstrual history, birth history, etc. Then, the doctor will conduct a comprehensive gynecological examination, such as checking the internal structures of the vagina, cervix, uterus, etc., to understand the gynecological health of the patient. In addition, special examinations such as hysteroscopy and hysterosalpingography will be carried out to exclude whether there are organic diseases in patients and ensure the success rate of test tube babies.
In addition, gynecological examination also includes gene testing, which can help detect whether there are some gene mutations that affect embryonic growth and pregnancy development. Gene mutation may lead to poor embryonic development and transmission of genetic diseases, so it is very important to carry out gene detection before IVF.
2. Andrology examination
The fertility of male patients also has a great impact on the success rate of IVF, so andrology examination is essential. Andrology examination mainly includes semen analysis and sperm DNA fragment detection.
Sperm motility, morphology and quantity of male patients can be judged by semen analysis. If abnormal conditions are found, further tests such as sperm inspection and hormone detection can be carried out to find out the specific causes of infertility.
For sperm DNA fragment detection, we can know whether the sperm quality of male patients is normal by detecting the integrity of sperm DNA. If the sperm DNA fragmentation rate exceeds the normal range, it may lead to poor embryonic development, thus affecting the success rate of IVF.
3. Endocrine examination
Endocrine examination is a very important examination before IVF. Endocrine disorder is a common cause of infertility, so endocrine examination can determine whether patients have abnormal hormone levels. Routine endocrine examination items include detection of follicle stimulating hormone, prolactin, thyroid hormone, luteinizing hormone, etc.
In addition to finding out whether patients have endocrine abnormalities, endocrine examination can also help doctors make personalized treatment plans, for example, by using ovulation promoting drugs to help patients ovulate and increase the chance of pregnancy.
4. Genetic inspection
Genetic factors also play an important role in the success of IVF. Genetic counseling and testing are very important for patients with family genetic history. Genetic counseling can help patients understand the risks of genetic diseases they carry, and develop fertility programs according to their personal conditions.
In the aspect of genetic detection, we can find out whether patients carry some genetic disease genes through genetic disease gene detection. If the patient carries a gene mutation, it is necessary to work with geneticists to develop appropriate treatment plans to reduce the risk of transmission of genetic diseases.
Summary
The medical examination required before IVF includes gynecological examination, andrological examination, endocrine examination and genetic examination. These examinations can help doctors fully understand the patient's physical condition, find potential adverse factors, and develop personalized treatment plans to improve the success rate of IVF. These medical examinations can better protect the health of patients and the safety of IVF.
