What are the tests needed for artificial fertility

After the implementation of the universal two-child policy, many couples began to actively prepare for pregnancy. But getting pregnant is not such an easy thing. If you still can't get pregnant after a long period of preparation, you can consider artificial induction of pregnancy.

When do you need specific guidance from a doctor about pregnancy?

Under the condition of normal couples having sex regularly, the monthly pregnancy rate is about 15%-20%; the pregnancy rate in half a year is about 73%-80%, and the pregnancy rate in one year is as high as 85%-94%. However, the pregnancy rate of women over 35 years old is significantly reduced. Therefore, in medicine, the condition in which a woman with normal sexual intercourse cycles cannot get pregnant for ≥1 year is called infertility. Do we have to wait until we realize we are infertile before seeking medical advice? In fact, not really. The previous data has actually shown that the chance of pregnancy within half a year can reach 80%. Therefore, for couples who are eager to get pregnant, they can now do some corresponding examinations, such as gynecological ultrasound, gynecological inflammatory infection indicators, thyroxine and basic estrogen, etc.; men can check the quality of their semen and inflammatory infection indicators. However, in reality, many men always think that pregnancy is a woman's "job responsibility" and are often reluctant to seek medical treatment easily. In fact, it is "minimally invasive", "convenient" and "easy" for men to obtain sperm. Male friends should undergo examination first. If the quality of sperm is reduced, treatment and intervention can be carried out in advance, such as improving the quality of semen through medication, surgery (especially for those with varicocele), lifestyle, diet and other methods.

What kind of female friends need to check early when using artificial services to promote pregnancy

1. Older women (ovarian reduction, reduced semen quality, and low fertility);

2. Those with menstrual disorders (possibly polycystic ovarian syndrome, hyperprolactinuria, ovarian hypoplasia, abnormal thyroid hormone, etc.);

3. Those with severe menstrual pain, especially those with secondary menstrual pain or idiopathic exacerbation (may be endometriosis, adenomyosis, these conditions can affect pregnancy in various ways);

4. People who often have recurrent lower abdominal pain (perhaps due to pelvic inflammatory disease causing bilateral fallopian tube disease and difficulty in pregnancy);

5. Those who have had ectopic pregnancy before (there are problems with both fallopian tubes, and there may be a history of surgical treatment);

6. Patients who secrete milk when their breasts are squeezed (they may be hyperprolactinuria, which is very likely to cause anovulation);

7. People with sperm impairment (cannot get pregnant normally, how to artificially inseminate?)

Whether or not a normal pregnancy can be achieved depends mainly on the following aspects: perfect and high-quality eggs that can be successfully discharged from the uterus and ovaries, normal functioning fallopian tubes, sufficient number and quality of eggs, and a uterine wall that is sufficiently "nutritious and comfortable". Therefore, for couples who have not conceived for several months to half a year, after conducting relevant examinations (most people do not think it is urgent to perform fallopian tube examination), they can monitor the development of the follicles under the guidance of a doctor, because many people have abnormal uterine development (such as ovulation when the egg is not big enough (we call it "microovulation"), or the egg cannot grow normally and shrinks, or the egg is large enough but cannot be discharged normally, or only one side can ovulate normally, etc.).

Therefore, it is necessary to monitor the entire process of follicle growth and development as well as ovulation in detail. For women who have no obvious abnormalities in both fallopian tubes and sperm, and who meet the infertility criteria and have a short infertility period, they can still monitor ovulation and guide sexual intercourse with the help of a doctor, and try ovulation-inducing treatment when necessary to increase the chance of pregnancy. If pregnancy is still not possible after several cycles, those who have not undergone fallopian tube examination can consider checking for abnormalities in both fallopian tubes; or further seek other treatment methods, such as laparoscopy or artificial induction of pregnancy.