Patient's question:
My wife cannot get pregnant after marriage, but we want to have a baby. So, he chose in vitro fertilization. However, after several days, the doctor said it might have implanted, but there are no symptoms. I would like to consult a doctor about the symptoms of implantation in in vitro fertilization here.Doctor's answer:
1. Severe tubal disease, such as tubal blockage or hydrops caused by pelvic inflammatory disease, or tubal tuberculosis with normal endometrium, or tubal blockage after ectopic pregnancy surgery2. Endometriosis
3. Immunological infertility, where antisperm antibodies are present in the male semen or female cervical mucus
4. Male factors, including oligospermia, asthenozoospermia, or teratozoospermia
5. Unexplained infertility
6. Infertility treatment failure due to other factors or unknown etiology
7. Patients with genetic diseases requiring pre-implantation diagnosis
8. Other: such as patients with conditions like luteinized unruptured follicle syndrome
Preparation before visiting the clinic should first clarify the cause of infertility and determine whether it is suitable for "in vitro fertilization" (IVF). When visiting the clinic, it is best to bring past examination and treatment records and certifications to avoid wasting time on redundant tests. The required documents include:
1. For IVF, a marriage certificate, both partners' ID cards, and a birth planning certificate are mandatory.
2. Reports on tubal patency: X-ray films of hysterosalpingography, reports of tubal fluidation under ultrasound, or hospital certificates of laparoscopic examination or laparotomy are acceptable.
3. Tests for ovulation: Endometrial pathology reports within the past year and three months of basal body temperature records.
4. Recent six months of the husband's semen analysis report.
5. Hepatitis B surface antigen antibody, e antigen antibody, and core antibody, hepatitis C antibody, liver function, blood type test reports for both partners; the wife's erythrocyte sedimentation rate, tuberculin skin test; and serum HIV antibody.
After all the above documents are complete, you can visit the infertility treatment center and formally enter the cycle 10 days before the expected menstrual period for a follow-up gynecological examination. This includes a trial transfer, probing the depth of the uterine cavity, and determining the direction of the catheter for embryo transfer.