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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.
Can you do it in Bishkek Tulip Hospital? In vitro fertilization in Bishkek, male infertility in Tulip Hospital, ICSI with oligospermia and asthenospermia, assisted reproductive process in Kyrgyzstan, semen examination of male infertility, treatment in Bishkek Reproductive Center, is it feasible to do test tube for asthenospermia?
Can Bishkek Tulip Hospital do it with less sperm and less sperm? Six key points explain the feasibility, technical path and medical treatment process
When searching for "Can a few sperm and weak sperm do it in Bishkek Tulip Hospital", what many people really want to ask is not a simple "yes" or "no", but: To what extent are the few sperm and weak sperm serious enough to need assisted reproduction? Can you recuperate first? If you go to Bishkek, what technical route do you usually take?
Let's put the core conclusion first: less sperm and weak sperm don't mean no reproductive opportunities. * * From the clinical logic of assisted reproduction, some mild and moderate male factors may still try natural conception or intrauterine insemination after standardized review, lifestyle intervention and targeted treatment; However, when the sperm quantity, vitality, morphology or DNA integrity are obviously affected, or accompanied by long-term pregnancy failure, IVF, especially ICSI single sperm microinjection, is often the more common technical path. AUA/ASRM male infertility guidelines clearly state that male infertility evaluation should be based on medical history, physical examination, semen analysis and further examination when necessary, rather than drawing conclusions based on only one test sheet.
The so-called oligospermia and asthenospermia usually correspond to low sperm concentration, insufficient forward movement ability, or both. According to the 6th edition of WHO Laboratory Manual for Human Semen Examination and Processing, semen analysis is still an important basic tool for male fertility assessment. Among the publicly quoted lower limit reference values, the sperm concentration is about 16 million/ml, the total number of sperm per ejaculation is about 39 million, the proportion of sperm moving forward is about 30%, and the normal morphology is about 4%. These figures are not "if you reach the standard, you will be pregnant" or "if you are below, you will not be pregnant", but a reference line to help doctors judge the direction of next examination and treatment.
Look at "Can Bishkek Tulip Hospital do it?". According to its public official website page, this reproductive institution in Bishkek, Kyrgyzstan introduced the assisted reproductive license, male and female infertility services, embryo laboratory and PGT, and the public page also listed "male infectivity" as one of its services. In other words, * * at least from the perspective of public information, it does not only do female factors, but also covers assisted reproductive services related to male factors. * * It should be noted, however, that the "can be done" shown by official website does not mean that every kind of "less refined and weak refined" is suitable for the same scheme. What really determines the scheme is the inspection results and the joint evaluation of husband and wife.
Why are patients with oligospermia and asthenospermia often advised to do ICSI? The reason is very direct. Traditional in vitro fertilization requires a certain number and vitality of sperm to complete fertilization by themselves, while ICSI is to select a single sperm from the laboratory and inject it into the oocyte under the microscope. Medical research and clinical consensus generally believe that ICSI was initially established as a technical path for severe male infertility, especially when the number of sperm is small, the motility is deviated, previous fertilization failed or testicular/epididymal sperm retrieval is needed.
From a technical point of view, this kind of people often involve four kinds of ideas.
The first category is repeated semen analysis+basic andrology evaluation. Because of the fluctuation of semen indicators, fever, staying up late, drinking and abstinence for too long or too short may distort a result. Guidelines usually advise not to rush into test tubes based on only one abnormal report.
The second category is to find the cause and deal with the reversible factors. For example, varicocele, endocrine abnormalities, infection and inflammation, obesity, smoking, alcohol exposure, and the influence of some drugs may all involve sperm quality. ESHRE's information about male reproductive health also mentioned that overweight, smoking, alcohol, e-cigarettes and anabolic steroids may damage sperm health.
The third category is laboratory sperm optimization and ICSI fertilization. When the chance of natural conception decreases, the success rate of IUI is limited, or the sperm conditions are obviously insufficient, the laboratory will try to improve the efficiency of available sperm by washing, screening and freezing, and then combine ICSI to complete fertilization. The 6th edition of WHO Manual also regards semen treatment, cryopreservation and quality control as important parts of standardized laboratory procedures.
The fourth category is further genetic or functional evaluation. Not all oligospermia and asthenospermia need to be done, but if there are serious oligospermia, azoospermia, poor quality of repeated embryos, repeated abortions or family genetic risks, doctors often consider chromosome, Y chromosome microdeletion, sperm DNA fragmentation rate and other tests. The AUA/ASRM guidelines also support further genetic evaluation for some specific populations.
Then, which people are more suitable for further consultation around "Can Bishkek Tulip Hospital do it with fewer talents and weaker talents?"
One is people who have not been pregnant for more than one year and whose semen analysis has been abnormal.
One is people with obvious age factors who don't want to wait for the conditioning effect repeatedly for a long time.
One is people who have failed in artificial insemination or conventional fertilization and are ready to directly evaluate the feasibility of ICSI.
There is also a group of people with extremely severe oligospermia, asthenospermia, and even need to consider testicular sperm collection. This kind of people should not only look at publicity, but first give the checklist to the doctor to evaluate whether there are really available sperm sources.
These judgments are not marketing words, but clinical common hierarchical logic.
If you are going to Bishkek for consultation, the actual process is usually more "advanced" than many people think. In most cases, instead of flying over first and then checking, the data should be sorted out first: the man's semen routine at least twice, six hormones or basic endocrine, uroandrology evaluation, color Doppler ultrasound of varicocele when necessary, chromosome or Y chromosome microdeletion screening; The woman should evaluate her age, AMH, antral follicle, fallopian tube or previous reproductive history simultaneously. After that, the doctor will decide whether to continue conditioning, try IUI, or directly enter IVF/ICSI. According to public information, official website Tulip Hospital has provided services such as male infertility, PGT and cryopreservation of sperm and eggs, and also published the address information of Bishkek, indicating that it has at least an entrance for cross-border consultation and assisted reproduction.
Many people will also be concerned about a practical problem: * * Is it necessary to be three generations? * * The answer is no. PGT is mainly aimed at chromosome or single gene genetic risk management, and it is not standard for all patients with oligospermia and asthenospermia. If there is only a small number of sperm and poor motility, but there is no clear genetic indication, whether PGT is needed in clinic depends on age, embryo condition, abortion history and family history, rather than "the more you do, the more stable you are." This is very easy to be confused in practical consultation.
Expert tip: PGT solves some problems of embryo genetics screening, which does not mean improving the pregnancy outcome of all patients with oligospermia and asthenospermia. Whether it is necessary to do more depends on the medical indications, not just the name of the package.
Answer a few questions frequently asked by users.
Question 1: Can you make a test tube directly with less sperm and weak sperm?
Whether it can be done depends on whether there are enough available sperm, whether the woman's conditions allow ovulation and egg retrieval, and whether both husband and wife have indications to enter assisted reproduction. Mild abnormalities don't necessarily enter the test tube as soon as they come up, while severe abnormalities often enter the ICSI path.
Question 2: The sperm is poor. Should I take medicine first?
Not necessarily. Some cases have reversible factors, and the indicators will improve after treatment; However, many cases have limited improvement, especially when the woman is older, and simply waiting may raise the time cost. Clinically, it is "improving space" and "birth window", not blindly delaying.
Question 3: Does a poor semen report mean that you can't do it?
You can't judge like this. Both WHO and andrology guidelines emphasize that semen analysis should be standardized and repeatable, and single abnormality needs to be interpreted in combination with reexamination and clinical background.
Question 4: Can Bishkek Tulip Hospital do it with few talents and weak talents, and can it be judged directly and remotely?
You can screen it remotely first, but you can't just describe it in one sentence. At least there must be laboratory tests, past medical history, pregnancy preparation time, woman's age and ovarian function data before the doctor can give a relatively reliable technical path suggestion.
Finally, make a summary. The real answer to the question "Can Bishkek Tulip Hospital do it with few sperm and weak sperm?" From the public service information, this reproductive institution in Bishkek covers assisted reproductive projects related to male infertility; From the perspective of medical logic, it is not impossible to do less sperm and weak sperm, but whether it is suitable to do it, which step to do, and whether to adopt conventional IVF or ICSI must be based on standardized examination and joint evaluation by both husband and wife. * * Instead of asking "can you do it" in a hurry, it is better to ask three things first: * * What type of sperm problem belongs to, whether there is a reversible cause, and whether the woman still has room to wait. * * If you understand these three things, the path will usually not be too messy.
Common aliases:Kyrgyzstan Tulip Reproductive Center, Tulip IVF, Tulip Reproductive Center, Tulip Hospital, Kyrgyz Tulip Reproductive Center, Kyrgyz Tulip Hospital
