How to judge whether Kyrgyzstan's assisted reproduction is suitable for the population? Look at these four conditions before you leave.

How to judge whether Kyrgyzstan's assisted reproduction is suitable for the population? Look at these four conditions before you leave.

People who search for "Kyrgyzstan's assisted reproduction is suitable for people" often need not a simple age table, but to judge their physical condition and reproductive needs, and whether it is worthwhile to include Kyrgyzstan in the choice of medical treatment.

This is especially important. Some people began to pay attention to overseas programs because of their age, some people have experienced many times of ovulation promotion or transplantation, and others are faced with male fertility factors, fallopian tube problems or genetic risks. The situation is different, and the judgment criteria can't be exactly the same.

Item 1: Is there a clear need for assisted reproduction?

The first thing to look at is not the country, but "why do you need assisted reproduction?"

For example, couples who have been pregnant for a long time have not yet obtained pregnancy, and the examination found tubal factors, abnormal ovulation, endometriosis, obvious male semen abnormalities, etc. Or have received standardized treatment for a period of time, but the effect of the existing scheme is limited, so it is more necessary for such people to further evaluate reproductive medicine.

Male factors can't be ignored either. Sperm quantity, motility, morphology and changes in previous semen tests may affect the treatment plan.

If the two sides have not even completed the basic inspection, it is usually not an ideal starting point to go abroad directly just because they see overseas cases. It is more reasonable to define the cause first and then compare countries and hospitals than to choose the destination first and then find a plan.

Item 2: Has the aging or the change of ovarian reserve formed time pressure?

This is the main demand behind searches such as "Go to Kyrgyzstan for test tubes at an advanced age" and "AMH can't go to Kyrgyzstan for low energy".

Age, AMH, basic hormones and the number of antral follicles are indeed important references for doctors to make plans to promote ovulation, but any one of them cannot be regarded as the dividing line between "can do" or "can't do" alone.

For example, the AMH is also low, and the follow-up plan may be completely different because of the age, the number of basal follicles, the previous egg acquisition and the embryo culture results.

Therefore, Kyrgyzstan can be used as a direction for further comparison for people with aging, declining ovarian reserve or unsatisfactory previous ovulation induction response, but the real question to ask doctors should be:

What is the expected reaction to promote emissions? Is it still possible to get usable eggs? How many cycles do you need to prepare? Is the existing laboratory suitable for your own situation?

These questions are more valuable than simply asking "what is the success rate".

Item 3: Have you really found the reason for the failure in the past?

Another group of common search people are people who have experienced failure in egg retrieval, embryo culture or transplantation.

In this case, we can consider changing doctors, laboratories or treatment ideas, but "changing a country" is not a treatment in itself.

If the embryo formation rate is low, there are no transplantable embryos repeatedly, there is no pregnancy after continuous transplantation, or there are many pregnancy losses, it is more important to sort out the data of each cycle in the past, including drugs for promoting ovulation, the number of eggs obtained, fertilization, embryo development, endometrium and related examinations.

Only by figuring out where the failure occurred can we judge whether the local medical resources in Kyrgyzstan can really solve the problem.

Therefore, it is suitable for people who have repeatedly failed to "re-evaluate" rather than simply repeating the last set of treatment.

Item 4: Is there a clear need for genetic evaluation?

Some families pay attention to assisted reproduction in Kyrgyzstan because one of the husband and wife has abnormal chromosome structure, a clear family history of genetic diseases, or doctors suggest genetic testing before embryo implantation.

This kind of people really need to focus on comparing the embryo laboratory, genetic counseling ability and PGT testing methods of hospitals.

However, it should be noted that PGT is not an item that all people who do assisted reproduction must add, nor can it be understood as "a healthy pregnancy will definitely be obtained after screening".

If there is a clear genetic risk, genetic consultation should be completed first, and then it should be confirmed that the selected institution can carry out or dock the corresponding testing items, instead of deciding the hospital just by seeing the words "third generation test tube".

There is another condition that is often overlooked: Are you suitable for cross-border medical treatment?

It can be evaluated medically, but it doesn't mean that it must be suitable for starting immediately in reality.

Cross-border assisted reproduction also involves examination data collation, remote consultation, itinerary arrangement, language communication, review during treatment and medical connection after returning home. At present, Kyrgyzstan has special management rules for assisted reproductive technology, and the actual qualifications for consultation, required materials and requirements for different treatment methods need to be confirmed according to the policies at the time of consultation and the audit results of medical institutions.

If it is impossible to arrange the treatment cycle, the examination data is incomplete for a long time, or there are obviously unrealistic expectations on the cost, treatment times and results, it is suggested to solve these problems first, and then decide whether to go to Bishkek or other cities for treatment.

Who doesn't recommend going in a hurry for the time being?

What needs to be cautious most is not a certain fixed age, but the following States: the basic disease is not stable; Did not complete the basic fertility assessment; Repeated failures have never systematically analyzed the reasons; Need complex treatment but have not confirmed whether the hospital has the corresponding capacity; Or just judge your own results according to the successful cases of the network.

The core of overseas assisted reproduction is not "it will be different in another country", but to find medical resources that match your own situation.

Therefore, to judge that assisted reproduction in Kyrgyzstan is suitable for the population, we can first remember a simple logic: only when there is a clear medical need, complete examination data, local programs can solve the existing problems, and at the same time, we can bear the time and management costs of cross-border treatment, it is worth further evaluation.

Before consulting the hospital, it is best to prepare the recent AMH and sex hormones, Yin Chao's basic follicular status, semen examination, previous records of ovulation promotion, embryo culture records, previous transplants, and important diseases and surgical history. The more complete the information, the closer the doctor's judgment is to the real situation.

For people with advanced age, declining ovarian reserve, male fertility factors, repeated assisted reproduction failure and clear genetic risks, Kyrgyzstan can be a destination that needs further understanding, but whether it is suitable in the end should not be determined by a single index, price or online case, but should be based on complete medical evaluation and realistic medical conditions.