Embryolab生育力診所的Kiriakidis博士回答您的問題

生殖婦科醫生Kiriakidis博士 胚胎胚生殖診所 回答你的問題

抗精子抗體

Q: My husband was diagnosed with 100% anti-sperm antibodies.我丈夫被診斷出患有1%抗精子抗體。 One failed fresh ivf transfer earlier this year and 19 frozen egg left, Fet has been delayed due to covid XNUMX. Is there any way of conceiving naturally?今年早些時候,一次新鮮的ivf轉移失敗了,還剩下XNUMX個冷凍卵,由於covid XNUMX,Fet被推遲了。有沒有自然懷孕的方法? Will changing diet help lower number?改變飲食習慣會有助於減少體重嗎? Also is it possible the anti-sperm antibodies have transferred to me?還有可能抗精子抗體已經轉移給我了嗎?

A: Anti sperm antibodies can seriously hinder natural conception but you can never exclude that possibility.抗精子抗體會嚴重阻礙自然受孕,但您永遠不能排除這種可能性。 They will not pass on to you but in your next treatment ask for ICSI and avoid conventional IVF.它們不會傳遞給您,但是在您的下一個治療中,請尋求ICSI並避免常規的IVF。

不明原因的不孕症

Q: 我有不明原因的不孕症超過4年,從未懷孕,沒有人能找到任何錯誤,自然懷孕有沒有希望?

A: 如果您嘗試2年以上而沒有懷孕,則可以考慮進行一系列檢查,甚至進行IVF治療

囊性卵巢

Q: 我和我的伴侶已經嘗試了5年,但是我們都沒有告訴他他有80%的精子抗體,而且我有卵囊卵巢,但是我自己已經排卵了,現在我被告知要服用二甲雙胍。 我們在2018年獲得了icsi,但我們從未進行過轉會,我們打算嘗試第二個週期,但擔心結果會相同。 我們被告知dna碎片測試也無濟於事。

A:請記住,進行ICSI時,抗精子抗體不會影響受精。 On the other hand, PCOS may have an impact on egg quality.另一方面,PCOS可能會對蛋的品質產生影響。 Try to regulate insulin levels with metformin.嘗試用二甲雙胍調節胰島素水平。 And do not quit!而且不要退出!

免疫治療

Q: I had a successful pregnancy using FET and immune suppression of various sorts!我使用FET和各種免疫抑制方法成功懷孕了! I've had multiple unexplainable miscarriages before and after my live birth.我活產前後有多次無法解釋的流產。 I now want to give my frozen embryos a go but hesitant about immune treatments because of Covid.我現在想嘗試一下冷凍胚胎,但由於Covid,對免疫治療猶豫不決。 What would you recommend to a patient like me?!您會向像我這樣的患者推薦什麼? I'm 42.我XNUMX歲。

A: The most recent COCHRANE review has concluded that there is a benefit from the use of low dose steroids in women with autoimmune history.最新的COCHRANE綜述得出結論,患有自身免疫病史的婦女使用低劑量類固醇有益處。 The data on the impact of steroids on the treatment of covid virus is still emerging but are reassuring of its safety.關於類固醇對治療covid病毒的影響的數據仍在不斷湧現,但可以確保其安全性。

植入窗口測試

Q: Would you say that patients just starting out should have the test to check for the best implantation window?您是否要說剛開始的患者應該接受檢查以檢查最佳植入窗口? I'm keen to explore all tests on my first round, that might enhance my chances.我熱衷於探索第一輪的所有測試,這可能會增加我的機會。

A: The results about this test so far has shown that it benefits a specific group of women.到目前為止,有關該測試的結果表明,它有益於特定的女性群體。 This includes women with recurrent implantation failure.這包括反复植入失敗的女性。 You should weigh up the cost of the test according to the benefit and ask the opinion of your physician.您應該根據收益權衡測試成本,並徵詢醫生的意見。

轉移失敗

Q: Can I ask how long I should you leave it after a failed transfer?請問轉帳失敗後我應該離開多長時間? I'm desperate to start again, although so scared.我很想重新開始,儘管如此害怕。

A: I will recommend an intermission of 1-2 months before starting again.我建議先中斷XNUMX-XNUMX個月,然後再重新開始。 In the meantime prepare your self with a healthy diet and vitamins.同時,準備健康的飲食和維生素。

增加我下次接班的機會 

Q: My husband and I have just had our second failed Cycle.我和我丈夫剛剛經歷了第二次失敗的循環。 Our first was IVF 4 years ago and this was an FET from an ICSI cycle back in Feb. I was convinced it had worked (lots of symptoms) but on day 14 the tests we did were negative and I had a bleed 3 days later.我們的第一個是3年前的IVF,這是XNUMX月份ICSI週期的FET。我確信它已經奏效了(有很多症狀),但在第XNUMX天測試的結果是陰性的,三天后我流血了。 We are devastated;我們被摧毀了; we have XNUMX frozen embryos left but they are not as highly graded as the one we've just lost.我們還剩下XNUMX個冷凍胚胎,但是它們的等級不如我們剛失去的冷凍胚胎那麼高。 What can I possibly do to improve my chances of the next transfer working besides the usual stuff?除了常見的問題外,我還可以採取什麼措施來提高下次轉移的機會?

A: Dear friend, one failed cycle should not stop you from trying again.親愛的朋友,一個失敗的周期不應阻止您再次嘗試。 Cumulative success rates are very high as long as you don't quit.只要您不辭職,累積成功率就很高。 Remember that embryo grading is not 100% accurate.請記住,胚胎分級並非XNUMX%準確。 Give your embryos the opportunity to prove themselves!給您的胚胎證明自己的機會!

診斷性腹腔鏡

Q: 我已經嘗試了6年,現在已經進行了34次,三輪ivf失敗了,顯然我的卵已經足夠好了,但是老實說,我已經幾個月來一直感到左手一直疼痛,但是最近在我整個週期中,有什麼想法可能出問題了嗎?

A: The pain that you mention is very odd.您提到的痛苦很奇怪。 Have you considered a diagnostic laparoscopy in case endometriosis might be the cause of your failed attempts?您是否考慮過診斷性腹腔鏡檢查,以防子宮內膜異位症是您嘗試失敗的原因?

胚胎膠和子宮內膜刮傷

Q: What are your thoughts on embryo glue and endometrium scratch?您對胚胎膠和子宮內膜刮擦有何看法? Not sure if to try them or not.不知道是否嘗試。

A: We can do them both at the clinic.我們都可以在診所做。 We usually do the scratching in specific groups of women with recurrent implantation failure and we rarely use embryo glue as it has not shown any significant benefit我們通常會在特定的一組反复植入失敗的女性中進行抓撓,並且我們很少使用胚胎膠,因為它沒有顯示出明顯的益處

胚胎分級

Q: I would like to get your opinion on embryo grading?我想得到您對胚胎分級的意見嗎? Should we put so much emphasis on a BC grading?我們是否應該如此重視BC分級? We just had a failed cycle with an AA embryo.我們剛經歷了一次AA胚胎失敗的循環。

A: Remember that embryo grading is a scientific arbitrary decision.請記住,胚胎分級是科學的任意決定。 It is not a natural law and healthy pregnancies have happened with low grading embryos.這不是自然法則,健康的懷孕發生在低等級的胚胎上。 Give your embryo an opportunity and try to stay positive and relaxed to help this embryo.給您的胚胎一個機會,並嘗試保持積極和放鬆的心情來幫助這個胚胎。

化學懷孕

Q: 我使用供體卵進行了化學妊娠,但我不明白為什麼? 為什麼會發生這種情況?

A: 成功懷孕並不完全取決於胚胎質量。 還有其他因素需要考慮並牢記,科學技術有一定局限性

如果您還有其他疑問 Kiriakidis博士,請點擊 請點擊這裡,

在此處閱讀更多常見問題解答:

 

 

 

暫時沒有評論

發表評論

您的電子郵件地址將不會被發表。

翻譯»