Patient's question:
Doctor, may I ask if patients with tubal tuberculosis and endometrial tuberculosis can undergo in vitro fertilization? Is it true that endometrial damage prevents in vitro fertilization? What are the conditions required for in vitro fertilization? Thank you!Doctor's answer:
Hello, how are the conditions of tubal tuberculosis and endometrial tuberculosis?In the 1970s, the world's first test-tube baby was born in the UK, followed by countries like West Germany, Sweden, Japan, and the United States, which subsequently carried out this work. China's first test-tube baby was born on March 10, 1988, at the Third Hospital of Beijing University of Medical Sciences.
A test-tube baby involves completely moving the process of the combination of eggs and sperm to form a fertilized egg and develop into a blastocyst outside the body, and then artificially transferring the blastocyst back into the uterine cavity for growth and development. Therefore, in medicine, a test-tube baby is also known as "in vitro fertilization" and "embryo transfer."
To perform in vitro fertilization, mature eggs and qualified sperm are required. Collecting eggs is a certain challenge. If collected too early, the eggs are not yet mature, and if collected too late, they may be somewhat aged, neither of which can be fertilized. Doctors must accurately measure the changes in hormone levels in women's bodies, and based on these changes, they can indirectly estimate the time of egg maturation. With the development of medicine, in the 1970s, laparoscopic surgery was used to collect eggs; in the 1980s, eggs could be retrieved under the guidance of a B-type ultrasound display device through vaginal puncture, allowing for multiple outpatient procedures, avoiding the pain surgery brings to women and increasing the chances of pregnancy. An artificial culture medium is used to help sperm gain the ability to fertilize outside the body, followed by fertilization. If the collected eggs are not yet fully mature, they can be cultured in vitro for several hours to even hours before fertilization, which yields better results.
The fertilized egg is cultured in a test tube until it splits into four cells (about 40—