[Health Lecture] Under what circumstances is it necessary to do in vitro fertilization?

What is infertility?

The World Health Organization (WHO) defines infertility as the failure to conceive after having regular sexual intercourse for at least one year without taking any contraceptive measures. The occurrence of infertility is affected by many factors, including direct factors such as male factors, ovulation factors, and fallopian tube factors.

Four essential conditions for pregnancy

1. The couple should have normal and regular sexual life, and the woman should have normal ovulation.

Second, the fallopian tube is unobstructed, that is, the fallopian tube umbrella of our women must have the normal function of grabbing eggs, the fallopian tube must also be unobstructed, and the transport and endocrine functions must also be normal, so as to ensure that the eggs or fertilized eggs and embryos are transported to the uterine cavity.

3. There must be a uterine cavity environment suitable for embryo development. If the uterine cavity environment is abnormal, such as uterine adhesions, endometriosis, endometrial polyps or chronic endometritis, it may affect the implantation and continued development of the embryo.

4. The quality of male sperm must also be normal.

Who is suitable for IVF?

1. If the man has sexual dysfunction, oligospermia, asthenospermia, high deformity rate or azoospermia, and there are not enough sperm with strong vitality to enter the female vagina, and they cannot combine with the egg to form a fertilized egg, he can come for IVF.

2. Repeated artificial insemination failures, and if the woman has fallopian tube obstruction

3. Moderate to severe endometriosis and uterine abnormalities

4. People with ovulation disorders

5. Women with advanced age and decreased ovarian reserve function can also consider IVF.

References: The information comes from the Internet and "Chinese Expert Consensus on Reproductive Medicine"

About the Author

Zhu Jiaying is the head nurse of the Reproductive Medicine Department of Zhuozhou City Hospital and a member of the Hebei Reproductive Medicine Association. She has studied at the Reproductive Center of the First Medical Center of the Chinese People's Liberation Army and the Reproductive Center of Peking University Third Hospital.