Patient's question:
My wife cannot get pregnant after marriage, but we want to have a baby. So, she chose in vitro fertilization. However, after several days, the doctor said it might have implanted, but she hasn’t had any symptoms. I’d like to consult a doctor about the symptoms of implantation in in vitro fertilization.Doctor's answer:
1. Severe tubal disease, such as pelvic inflammatory disease leading to tubal blockage or hydrops; 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, such as 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, it is best to bring past medical records and proof to avoid unnecessary repeat examinations. 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 from hysterosalpingography, reports from transcervical hydrotubation under ultrasound, or hospital certificates from laparoscopic examination or laparotomy.
3. Ovulation test: Endometrial pathology reports within the past year and three months of basal body temperature records.
4. Recent six months' semen analysis report from the male partner.
5. Hepatitis B surface antigen antibody, e antigen antibody, and core antibody; hepatitis C antibody; liver function tests; blood type; female blood 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. Ten days before the expected menstrual period, visit again for a gynecological examination, perform a trial transfer, and measure the uterine cavity depth and the direction of the catheter for embryo transfer.