Infertility treatment is worrying: IVF is not healthy if you want to do it
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Worries about infertility treatment: IVF is not something you can do
来源: 齐鲁晚报 暂无网友评论 2013-02-18 14:27:00 Source: Qilu Evening News No User Comments
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Laboratory of test tube baby. (Provided by the interviewed hospital)
IVF is by no means what you want to do
Infertility treatment is worrying, national health industry standards are expected to be released soon
Recently, a related conference jointly held by the Ministry of Health and the Ministry of Health of the General Logistics Department pointed out that there is currently a disorder in the assisted reproductive technology service market in the illegal sale of ovulation-promoting drugs and the illegal sale of eggs. How to regulate the treatment of infertility has once again attracted public attention. What is the current status of treatment for infertility patients? What are the main causes of infertility? Can test tube babies be promoted and used in large quantities ... In response to these public concerns, reporters recently interviewed relevant experts in the province.
10 couples have at least 1 infertility
"According to relevant data, currently there are about 230 million people of child-bearing age in China, including nearly 10 million infertility patients, and the number is increasing by hundreds of thousands each year." Said Tang Rong, director of the medical department of the reproductive hospital affiliated to Shandong University. In other words, one out of every ten couples of childbearing age in China is facing fertility problems. However, according to incomplete statistics, the current consultation rate of infertility patients is still very low, only about 14%.
Tang Rong said that there are many reasons for the increase in infertility patients, mainly related to the delay of childbearing age and the increase in unclean sex, inappropriate abortion or medical abortion. "It is worth emphasizing that Sexual infertility has increased year by year, especially for white-collar workers. When he was young, he was busy working hard, contraceptive or induced abortion after pregnancy. He thought of having a child after 30 years old or even later, but at this time he missed the best childbearing age, and the work pressure and Urgently stressing the child's psychological pressure will lead to reduced fertility. "
Lian Fang, director of the Provincial Traditional Chinese Medicine Reproductive Center, also said that the current delay in childbearing is an important cause of infertility. , But many patients are over 35. "
Lian Fang said that after 35 years of age, ovarian function begins to decline, eggs are aging, endometriosis, pelvic inflammatory disease and other diseases are more likely to occur, all of which may lead to infertility. "Too late births also increase the rate of malformations and increase the risk of pregnant mothers."
In addition, environmental pollution, alcohol and smoking have also seriously affected the quality of male sperm. "Twenty or thirty years ago, men's sperm volume was generally 60 million per milliliter before they were qualified. Now 20 million per milliliter is considered a" good guy. " Decline.
Irregular treatment treats minor illness into major illness
"Specifically, the reasons for infertility of each couple may vary widely." Sun Wei, director of the Department of Reproductive Medicine of the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, said that there are several major causes of infertility. One is ovum and spermatogenesis, the other is fallopian tube and vas deferens, and the third is congenital underdevelopment and autoimmune factors.
There may be many kinds of pathogenic factors specific to each cause. "For example, women's ovulation disorders can be caused by many factors." Sun Wei said that some of the causes of ovulation disorders are unclear under current scientific and technological conditions. "Like polycystic ovary, there may be both genetic factors and envirnmental factor."
Still, she said patients need not worry. "Actually, some of the causes can be found to have little effect on treatment." She continued to take polycystic ovary as an example. After chromosome examination, it may be found which gene is the problem, but this does not directly help the treatment. "This kind of patient can completely have a child through the current intervention methods."
"In order to further standardize the diagnosis and treatment of infertility in our country, our affiliated reproductive hospital of Shandong University as the lead unit, contacted experts across the country to discuss and review the national health industry standards for" infertility (fertility) diagnosis ", It has successfully passed the approval of the Standard Review Committee in December 2012, and is expected to be released for promotion and application in the near future. "Tang Rong said that how to standardize inspections, diagnose infertility, and formulate a standardized treatment path is the key to making patients less detours .
Many infertile couples have little problem at first, but they will have serious consequences due to irregular treatment. "For example, some women have ovarian problems. After going to some hospitals, they went to the operating table without careful examination and punched the ovaries. In fact, this treatment can easily cause complications and lead to tubal adhesions." Sun Wei said, In fact, for infertility caused by ovulation disorders, the combination of traditional Chinese and western medicine is a good way to regulate Chinese medicine and Western medicine to promote ovulation.
IVF is healthy now
Although IVF can fulfill the dreams of many couples who want children, there are also many infertile couples who worry: "Is IVF their own child?" "Is IVF unhealthy?"
In this regard, Tang Rong said that many patients did have such concerns during the consultation. She explained that when institutions that are qualified to perform assisted reproductive technology do IVF, they strictly follow the relevant norms and regulations of the Ministry of Health, and the health administration department will regularly supervise (check) these institutions to ensure the implementation Technology security.
Regarding the health of IVF, Tang Rong said that the Nobel Prize was awarded to the father of IVF, which shows that the technology is very mature and fully affirmative to IVF. However, the application of these technologies is relatively short after all, and it does not affect the baby at all. She said that it needs time and related research to further test.
Tang Rong said that test tubes need to have strict clinical symptoms, not patients will do it for them. According to reports, the Ministry of Health ’s Human Assisted Reproductive Technology Specification stipulates that IVF is mainly applicable to women who have difficulty in sperm and egg mating due to fallopian tubes; ovulation disorders; endometriosis; oligozoospermia and weak spermatozoa; immune sterility .
"When the patient is 27 or 8 years old, if infertility can still be treated with drugs, and the effect can be observed, but if it is old and ovarian function is low, assisted reproductive technology should be taken as soon as possible." Qilu Hospital Infertility Diagnosis and Treatment Center Director Deng Xiaohui said that according to the diagnosis and treatment guidelines, for some older patients, they will appropriately relax the indications of assisted reproductive technology. "After the age of 35, the success rate of assisted reproductive technology will decline, and the success rate will be lower after 40.
Regarding the success rate of IVF patients concerned by patients, according to Tang Rong, due to the different technical maturity of each reproductive center, the success rate will also fluctuate. The average success rate of their hospital is about 50%, and many factors affect the success rate, of which The key point is age. The older the age, the lower the success rate.
IVF is not advisable for twins
In a number of qualified reproductive assistance centers in the provincial capital, reporters saw that they were overcrowded almost every day. Although most are infertile couples, there are also some healthy couples who want to have twins through IVF.
"I heard that doing IVF can give birth to twins, so I wanted to ask." At the Provincial Center for Traditional Chinese Medicine Reproduction and Genetics, the reporter met Mr. Zhang from Liaocheng.
In this regard, Deng Xiaohui said that she had indeed encountered such patients in the clinic and wanted to have twins in this way.
It is reported that in order to conceive during IVF, it is generally stipulated that two embryos can be placed under 35 years old and three embryos can be placed over 35 years old. As a result, IVF twin rates are indeed higher than natural pregnancies.
"However, doing IVF is not something you can do, it has strict indications." Deng Xiaohui said that those healthy couples who are trying to have twins in this way will not be operated on.