Every question you ask can be matched with a suitable answer
Leave me a message
We take every suggestion of yours seriously
Wechat
Tan Xiaojun
·Senior reproductive medicine expert
·Postdoctoral fellow at Peking University
·PhD candidate at Xiangya School of Medicine, Central South
University
·Master’s tutor at Central South University
· Master's degree candidate in reproductive
medicine at the University of South China
· Professional training at Huazhong University
of Science and Technology and Tongji
Hospital Reproductive Center
Expertise:
diagnosis and treatment of infertility, first/second/third generation IVF (including
egg/sperm donation), microsperm retrieval, embryo freezing and resuscitation, artificial
insemination (including husband's sperm and sperm donation), paternity testing, chromosomal
disease
diagnosis, high-throughput gene sequencing, endometrial receptivity gene testing and other
clinical
technology applications. Many of these technologies are at the leading level both domestically
and
internationally.
Video consultation of IVF, what tests IVF needs to do, pre-IVF examination items, AMH examination, six hormones, semen analysis, hysteroscopy, IVF process, remote consultation test tube, and IVF cost process.
Video consultation can only obtain: medical history, symptoms and previous examinations.
Conclusion: Remote consultation can solve the "direction" and examination can decide the "scheme"
Second, the core examination that usually needs to be done after video consultation
1 Women's basic assessment check
(1) Six Hormones+AMH
Function: To evaluate ovarian reserve and ovulation function.
Time: draw blood on the 2nd-5th day of menstruation.
Core indicator: FSH/LH/E2/AMH
AMH is used to judge ovarian reserve, which is a key index for the formulation of test tube scheme.
(2) Transvaginal ultrasound (B-ultrasound)
View: number of follicles (AFC), uterine morphology
Judgment: whether there are problems such as premature ovarian failure and cysts.
(3) evaluation of uterine cavity (hysteroscopy/ultrasound)
Examination contents: endometrium, polyp and adhesion.
Function: Affect embryo implantation.
Abnormal uterine structure will directly affect the transplant results.
Basic examination for men (often neglected)
(1) Semen analysis
Inspection content: quantity, vitality and form
Function: to judge whether ICSI is needed.
Semen analysis is the core means to evaluate male fertility.
(2) When necessary: DNA fragmentation rate (DFI)
Used to evaluate the stability of sperm quality.
Suitable for people who have repeatedly failed.
Joint inspection by both parties
(1) Screening of infectious diseases
HIV/Syphilis/Hepatitis B/C
Must do: involving laboratory safety
(2) Chromosome examination
Applicable people:
Repeated abortion
Pregnant at an advanced age
Function: Check genetic abnormality.
(3) Immune-related examination (some people)
Such as: antiphospholipid antibody, ANA
Used to explain repeated implantation failure.
Iii. Different countries/regions: Differences in supplementary inspection requirements
From the perspective of global IVF process:
Requirements for inspection of regional characteristics
The remote system in the United States is mature, and most inspections are completed in China.
Some parts with high flexibility in Southeast Asia can go to the hospital to make up for it
European norms require strict reporting and standardization.
Many overseas centers allow "video consultation first, and then make-up examination in China"
Fourth, common misunderstandings
Myth 1: Video consultation can directly enter the cycle.
Reality: Not true.
Without a complete examination, it is impossible to make a medication plan.
Myth # 2: It's enough to have a female examination.
Reality: error
Male factors account for about 40%-50% of infertility.
Myth 3: You can always use the previous inspection.
Reality: unreliable
Most reports are valid for 3-6 months.
V. Questions and answers
Q1: Do I have to make up the examination after the video consultation?
* * Yes. * * Video consultation is mainly used for preliminary evaluation, and the basic inspection must be completed before officially entering the test tube cycle.
Q2: Can I do the inspection in China?
* * Yes. * * Most institutions support completing the inspection locally before uploading the report for evaluation.
Q3: What inspections are necessary?
Core four items:
Hormone six+AMH
Yin Chao
Semen analysis
Infectious disease screening
Q4: How long can I start the test tube after the inspection?
Complete report: it takes about 3-7 days to enter the program evaluation.
Enter the cycle: usually the next menstrual cycle
VI. Decision-making
Pre-tube preparation = three levels
1 Basic assessment (hormone/semen/ultrasound)
2 Risk screening (heredity/immunity/infection)
3 Individualized supplement (based on failure history)
Without any layer, the scheme will be distorted.
VII. Advantages and Risk Analysis
superiority
Video consultation reduces the cost of transnational communication
Whether it is suitable for test tubes can be screened in advance.
Save the time of blind medical treatment
Risk (key)
Incomplete information → misjudgment scheme
Report is not standardized → required to redo.
Individual differences → need a second evaluation.
VIII. Conclusion
Video consultation is only the beginning, not the end.
What really determines the test tube path is:
Complete, standardized and time-limited medical examination data
Common aliases:Kyrgyzstan Tulip Reproductive Center, Tulip IVF, Tulip Reproductive Center, Tulip Hospital, Kyrgyz Tulip Reproductive Center, Kyrgyz Tulip Hospital
