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INFERTILITY

INFERTILITY

What are the five major causes of infertility in men?

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1. Male semen abnormality Semen abnormality is a very important cause of male infertility, mainly including the presence or absence of sperm, oligospermia, weak sperm, blood sperm, sperm abnormalities and dead sperm, etc., especially oligospermia and infertility, Azoospermic infertility, dyspermia infertility and hematospermia are the main reasons.It is more difficult to treat infertility caused by this cause.2. Men’s spermatogenic disorders such as varicocele, congenital testicular dysplasia, cryptorchidism, orchitis or testicular atrophy, endocrine diseases, and other factors can cause reduced sperm counts, decreased motility, or sperm deformities, leading toEducation.It is also difficult to treat infertility caused by this cause.3. Male insemination is blocked Male infertility can also lead to infertility, such as epididymis, vas deferens, ejaculation ducts and urethral lesions, which can lead to impaired semen delivery, clinically manifested as obstructive azoospermia,Directly affect male fertility.The treatment of infertility caused by this situation is mainly based on restoring the ability of the vas deferens to transport semen. Compared with the two previous causes of infertility, the treatment is more promising.4. Male ejaculation disorders such as impotence, malformation of external genitalia, trauma, which makes it impossible to have sex, or premature ejaculation, retrograde ejaculation, etc., semen can not enter the female reproductive tract, nor can it conceive a fetus.Infertility caused by this cause can be improved as long as it is actively treated.5. Other factors In addition to the above main factors, male infertility is also caused by immune factors and disease factors, such as excessive sperm antigenicity, seminal vesiculitis, prostatitis, prostaglandin abnormalities, long-term smoking, alcohol abuse, etc.Can cause male infertility.Infertility caused by this cause can often be improved as long as the cause is removed.What are the reasons for men’s infertility?The above five reasons are the causes of male infertility. As long as they are treated positively and actively, many male infertility can be improved. We must actively treat them, and do not lose confidence.

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INFERTILITY

Experts: There are standards for infertility, young couples should not be blindly listed

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“Can I get pregnant?” “When can I get pregnant?” This is a topic of common concern for most couples without a baby who want to have a baby as soon as possible.Today, when information and information are very developed, these strong desires will guide them to understand and identify their situation through various channels, which easily leads them into confusion and blindly characterizes themselves as infertility, so that they seek medical advice everywhere.Diagnosis, sometimes under the wrong diagnosis and treatment, actually “cured” infertility.So how should infertility be defined?To this end, 39 Health Network specially interviewed Kong Xin, director of the Obstetrics and Gynecology and Reproductive Center of the Armed Police Guangdong Hospital, to see what she thought of the definition of infertility.Guiding expert: Kong Xin, director of the Obstetrics and Gynecology and Reproductive Center of the Guangdong General Hospital of the Armed Police, director of the Obstetrics and Gynecology and Reproductive Center of the Guangdong General Hospital of the Armed Police, with more than 30 years of clinical, teaching and scientific research in obstetrics and gynecology, and has rich clinical experience.Deputy Chairman of the Gynecology and obstetrics professional committee of the Chinese People’s Armed Police Force, member of the National Reproductive Medicine Professional Committee, member of the Guangdong Branch of the Chinese Academy of Obstetrics and Gynecology, standing member of the Guangzhou Branch; standing member of the Guangdong Branch of the Chinese Association of Obstetricians and Gynecologists, and gynecology of the Chinese Traditional Medical AssociationStanding member of the Guangdong branch of the branch, standing member of the Guangdong branch of the Chinese Medical Science Popularization Branch.Editorial board member of “Chinese Journal of Practical Gynecology and Obstetrics” and other magazines.Visiting time: Monday and afternoon Visiting location: Department of Obstetrics and Gynecology, Guangdong Armed Police Corps Hospital Warm reminder: Director Kong will be a guest at the “Medical Doctor Online” section of 39 Health Net on Tuesday, January 22, at 3 pm, to answer online questions about female infertilityrelated question.Click here to be the first to ask!There are standards for infertility, and young couples should not be blindly listed. According to the survey results released by the China Population Association, China has more than 40 million infertility patients, accounting for 12.5% ​​of the child-bearing age population.And more than 20 years ago, the infertility rate among people of childbearing age in China was only 3%.This shocking number of people made many people talk about the “infertility” discoloration, so that some couples did not become pregnant for half a year to about one year after marriage, and began to suspect that they were suffering from infertility.According to Director Kong Xin, “The development of information and information is also a“ double-edged sword ”, and the negative impact caused by incorrect transmission and acceptance is incalculable.” It is understood that in the outpatient service of Director Kong Xin, some unmarried female patientsThere is not even a history of sexual life. Just for a temporary menstrual disorder or dysmenorrhea, it is urgent to check to determine whether you are infertile and very worried about whether you can get pregnant after marriage.”This is a manifestation of ignorance. Most infertility tests for women are invasive, there are injuries and risks, you can’t do random tests, you can’t get pregnant, you’re not infertile, and time will tell you.”Director Kong Xin said so.The World Health Organization (WHO) defines infertility as living together, having a normal sexual life for at least one year after marriage, and being unable to conceive without taking any contraceptive measures.And according to the previous history of pregnancy is divided into primary infertility and secondary infertility.”If you think you can’t conceive a child, can you confirm that you are truly infertile?” Director Kong Xin suggested that when couples suspect that they have infertility, they might as well askAsk yourself the following 3 questions: First, have the husband and wife lived together for nearly a year?This is the basis of pregnancy. There is no communication without living together, let alone having a normal sex life.Females of reproductive age usually only shed 1 egg in 1 month, and this egg is still very delicate and has a short lifespan. It only has an in vivo survival time of about 24 hours, that is, sex occurs during the ovulation period of our women.Life (women with normal menstruation, this ovulation period is generally in the middle of the two menstrual periods), sperm may encounter eggs, and then become pregnant. If you are not a husband and wife who often live together, the chance of intercourse during ovulation alsoIt will be less, it is not surprising that you can’t conceive a baby for more than 1 year.Secondly, is it normal for the couple to live together?In general, couples of childbearing age should have sex 2-3 times a week. Too much or too little may affect pregnancy.

Third, do couples take contraception during sex?If you have never taken any contraceptive measures, such as oral contraceptives, external ejaculation, etc.”If the couple is not separated, sexual life is 2-3 times a week, contraception has never been taken, and the time is more than 1 year, then the couple will need to go to the hospital for a doctor to check.” Director Kong Xin concluded.However, Director Kong Xin also reminded that there are indeed standards for the definition of infertility, but doctors are flexible in principle when they treat and treat couples, which varies from person to person.For example, some women marry late for various reasons. After marriage, they are approaching the advanced age of about 35, and their ovarian function is already declining. In other words, fertility has declined, so the doctor will not place too much emphasis on the standard of living together for one year.Pregnancy stage.(Correspondent: Zhang Nuolun)
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39 Health Network (www.39.net) special articles, please do not reprint without written authorization.

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INFERTILITY

Kong Xin, Armed Police Corps Hospital: The couple prayed for “pregnancy”, should let it be!

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Faced with the ever-increasing number of infertile populations, more and more people are feeling at risk. People who are worried about their infertility can be found everywhere without successful pregnancy for one to two years after marriage.However, in addition to organic physical lesions, psychological factors can also affect the conception rate.Kong Xin, director of the Obstetrics and Gynecology and Reproductive Center of Guangdong Armed Police Corps Hospital, believes that couples who wish to have a baby as soon as possible are most sincerely praying for “pregnancy”, but the pressure is too high, which will affect pregnancy and affect the diagnosis and treatment of “infertility”, Affect the treatment effect.Guiding expert: Kong Xin, director of the Obstetrics and Gynecology and Reproductive Center of the Guangdong General Hospital of the Armed Police, director of the Obstetrics and Gynecology and Reproductive Center of the Guangdong General Hospital of the Armed Police, with more than 30 years of clinical, teaching and scientific research in obstetrics and gynecology, and has rich clinical experience.Deputy Chairman of the Gynecology and obstetrics professional committee of the Chinese People’s Armed Police Force, member of the National Reproductive Medicine Professional Committee, member of the Guangdong Branch of the Chinese Academy of Obstetrics and Gynecology, standing member of the Guangzhou Branch; standing member of the Guangdong Branch of the Chinese Association of Obstetricians and Gynecologists, and gynecology of the Chinese Traditional Medical AssociationStanding member of the Guangdong branch of the branch, standing member of the Guangdong branch of the Chinese Medical Science Popularization Branch.Editorial board member of “Chinese Journal of Practical Gynecology and Obstetrics” and other magazines.According to Director Kong Xin, too many examples in reality can confirm the impact of mental stress on pregnancy.For example, some couples do not have any obvious problems after inspection, and some even have infertility for many years. They look around, take medicine, give injections, pass water, and even do artificial insemination and IVF.But she was not pregnant, she was desperate, she never saw a doctor again, or she became pregnant after adopting a child.”Our country is a country that is deeply influenced by traditional concepts. It is considered a shameful thing to have no baby, especially women. The resulting sense of humiliation, inferiority, and instability in family and marriage will make them depressed.Psychological obstacles such as anxiety, and even the distortion of the mind and heart, sometimes the injuries and stress are no less than that of cancer. “Director Kong Xin pointed out.At the outpatient clinic, there was an old woman, her daughter-in-law was unable to conceive, and they followed each other. The daughter-in-law did not speak, but her mother-in-law had constant problems!There is also a young couple, both of whom are in their twenties, but they are full of sorrow when they go to the clinic, accompanied by a woman in her early 50s, the mother-in-law of the patient, who answers questions faster than the daughter-in-law who sees the doctor.Even the days of menstruation are clear.One of the most frequently spoken words is “It’s been more than half a year since we got married and we haven’t become pregnant!”.In addition, an elderly woman in her 60s consulted a male doctor at the reproductive center with a semen test sheet.The doctor told her many times that the semen results were normal, but the old lady kept asking, even the two digits after the decimal point on the test sheet meant to understand everything.When the doctor asked who had the semen test sheet, the old lady calmly replied: “My son was just married, I am worried, let him check it!” Such examples are not uncommon in clinics, but excessive attention and pressure may causeThe counterproductive.Director Kong Xin suggested that the family must be considerate of the feelings of infertile couples, and the relatives and friends around them should not be too “enthusiastic”, especially the elderly who want to hug their grandchildren as soon as possible, and do not put pressure on the children, such as for childbearingExcessive care in life, paying attention to daughter-in-law and daughter’s menstrual period, will cause invisible pressure, which is not good for normal conception.And the couple who hope to hold the baby as soon as possible, must also rationally understand themselves under the guidance of the doctor, put down their burdens, return to or choose the normal work and life.(Correspondent: Zhang Nuolun) 39 Health Network (www.39.net) special articles, please do not reprint without written authorization.

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INFERTILITY

Kong Xin, Armed Police Corps Hospital: Do n’t get into three misunderstandings for “infertile” couples

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With the development of the information industry, information on the treatment of infertility is also sweeping over: advertisements of various names such as recipes of traditional Chinese medicine, expert consultations, packages of pregnancy, and free examinations are dazzling, which has caused serious problems for infertility patients.Misleading.In addition, infertility patients are eager to seek childbirth, and are desperately seeking medical treatment. The lack of identification of these advertisements may cause a waste of money, energy and time, and may even miss the best time for treatment, resulting in the seriousness of life-long infertility.as a result of.To this end, 39 Health Network interviewed Kong Xin, director of the Obstetrics and Gynecology and Reproductive Center of the Armed Police Guangdong Hospital, to see how she could help infertile patients get out of the treatment misunderstanding.Guiding expert: Kong Xin, director of the Obstetrics and Gynecology and Reproductive Center of the Guangdong General Hospital of the Armed Police, director of the Obstetrics and Gynecology and Reproductive Center of the Guangdong General Hospital of the Armed Police, with more than 30 years of clinical, teaching and scientific research in obstetrics and gynecology, and has rich clinical experience.Deputy Chairman of the Gynecology and obstetrics professional committee of the Chinese People’s Armed Police Force, member of the National Reproductive Medicine Professional Committee, member of the Guangdong Branch of the Chinese Academy of Obstetrics and Gynecology, standing member of the Guangzhou Branch; standing member of the Guangdong Branch of the Chinese Association of Obstetricians and Gynecologists, and gynecology of the Chinese Traditional Medical AssociationStanding member of the Guangdong branch of the branch, standing member of the Guangdong branch of the Chinese Medical Science Popularization Branch.Editorial board member of “Chinese Journal of Practical Gynecology and Obstetrics” and other magazines.A. Not pregnant must be the woman’s problem. “If the child is not pregnant, it must be the woman’s problem. This is the biggest misunderstanding.” Director Kong Xin pointed out.When many families have obstacles to pregnancy, they first point their finger at the woman, who believes that the woman has a problem.And most female friends also think that it is their own problem, which has the influence of traditional misconceptions, but this is incorrect.”In infertile couples, the female-only factor accounts for 30% to 40%, the male-only factor accounts for 20% to 30%, the common factor between the two parties is 30%, and there are 5% to 10% of unknown causes of infertility. Therefore,The treatment of infertility requires the joint consultation of both spouses. “Director Kong Xin emphasized that the examination of the man is relatively simple and easy to screen, and the diagnosis of the etiology of the woman often requires some invasive surgical examinations, such as hysteroscopy, laparoscopy, etc.There are damages, risks, and economic pressures.”There was a female patient who had sought medical treatment for more than 5 years. All the examinations were done. When we arrived at our reproductive center at the end of 2011, the medical records were packed with a back, but nothing was found. The doctor asked the patient’s husband to come to the hospital together.At the doctor’s appointment, the husband determined that it was his wife’s problem. Finally, after repeated persuasion by the doctor, the patient’s husband finally agreed to be examined. As a result, the examination revealed that the patient’s husband originally had ‘azoospermia’. Fortunately, when the male doctor gave him a testicular punctureIt was found that there was still sperm, and finally the “second-generation IVF” technology fulfilled their couple’s baby dream! If the man had an inspection early, what a waste of time and economy! “Director Kong Xin sighed.B. Changing hospitals and doctors blindly. “Infertile couples are very anxious, and their moods are very urgent. These are understandable by doctors. However, in this process, the most common mistake of infertile couples is frequent replacement.The hospital or the doctor. “The most common reason for changing hospitals or doctors is that patients hear what hospitals or doctors are better and change immediately, but objectively, the diagnosis and treatment process of” infertility “is in most cases a complicated processThere are many uncertainties in the diagnosis and treatment of the “protracted war”.Director Kong Xin pointed out that it is not surprising that different doctors have different views because of these uncertainties.At the same time, each doctor has a different understanding of diagnosis and treatment due to his or her educational background and clinical experience, so it is not surprising that there are sometimes differences in diagnosis and treatment plans.”Of course, this is very difficult to identify and understand for infertile patients. Therefore, what patients need to do is to have a good and good communication with the doctor, and the adjustment of the diagnosis and treatment plan requires continuous observation, thinking and adjustment..Frequent replacement means interruption from time to time, and restart from time to time. ”So Director Kong Xin suggested:“ If the infertile couple originally chose a gynecology department of a regular hospital or a reproductive center with national access, there is no special situation.Don’t change hospitals at will.
C. Ignore the previous medical information “Every new hospital, most infertile couples often discard the previous examination, diagnosis and treatment data, which is very bad.” Director Kong Xin advised infertility patients because of the specialReasons For changing the hospital, we must manage the past medical information.”Don’t underestimate these data, sometimes it is these data that can help doctors find diagnostic clues.” Director Kong Xin pointed out that as long as patients go to the regular hospital for examinations can be used as a reference, it can help infertile couples not to leaveGoing back, helping doctors find clues, shortening the time of diagnosis and treatment, and saving medical examination costs, therefore, infertile couples should bring all previous valid diagnostic data with them when they come to the hospital for treatment.(Correspondent: Zhang Nuolun) 39 Health Network (www.39.net) special articles, please do not reprint without written authorization.

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INFERTILITY

Genetic defect prevents sperm from “swimming” normally

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As more and more couples seek help with fertility issues, scientists hope to find out factors that can increase fertility.In a study published in the journal PNAS, a team led by researchers at Osaka University described an exciting breakthrough that could help future fertility therapies.After all, sperm have only one job: fertilize the egg.To do this, however, they must first enter the fallopian tube, which requires the “tail” boost of sperm.As they approach their destination, sperm swim towards the eggs through the process of “capacitation”, in which the flow of calcium ions into the flagella triggers an increase in sperm motility.Although researchers have known that an electrical signal-sensing protein called VSP is expressed in the sperm of many animals, the actual physiological role of this protein is unknown.The study’s lead author Takafumi Kawai explained: “Determining the physiological role of VSP is our main goal. To this end, we constructed a VSP-deficient mouse strain so that we can examine VSP-deficient sperm in these animals.”The first thing to notice is that the ability of sperm lacking VSP to fertilize eggs in vitro is greatly reduced.Close inspection revealed that the sperm constantly swims around during the capacitation process and cannot move forward.This means fewer sperm actually reach their destination.Motility deficits indicate problems with flagella, which has prompted researchers to examine these structures in more detail.Dr. Kawai said: “Surprisingly, in normal sperm, lipid molecules called PIP2 are concentrated near the top of the flagella, closer to the head.” “In sperm lacking VSP, PIP2 is more in the flagellaRicher and more widely distributed. In addition, the concentration of calcium ions in sperm lacking VSP is higher. “These findings indicate that VSP plays a major role in ion channel regulation and ultimately affects sperm motility.Researchers believe that VSP is responsible for the polarization distribution of PIP2 in the flagella.Then, PIP2 activates potassium ion channels, which indirectly leads to local influx of calcium ions, thereby enhancing exercise capacity.In sperm lacking VSP, scattered PIP2 causes excessive influx of calcium ions, which reduces the flexibility of flagella and affects athletic ability.The above content is only authorized by 39Health.com for exclusive use, please do not reprint without authorization of the copyright party.

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INFERTILITY

At what age do men’s “functions” begin to decline?

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Some people say that a 20-year-old man loves to fall in love, and a 40-year-old man loves to love.Many men and women often care about and perplex this question: How often do husbands and wives live a life that is appropriate?Xiao Xu, 35, has been married to his wife for 5 years. His husband and wife have always lived in harmony. His daughter-in-law often complains that he is useless in intercourse.”Too tired! I used to do it once every two weeks, but now my wife complains a lot, and I try to do it once a week, but really, I can’t help it. I can’t help it.” Faced with his wife’s voicing, Xiao Xu couldn’t help it.Xiao Xu’s wife has also repeatedly advised him to go to the hospital for examination, but he always refuses.”If people don’t know if it’s okay, then what else can I do? Going to the hospital for consultation is to disclose privacy to the public, which is an insult to me personally.” Xiao Xu’s attitude was firm.”So, how do you judge whether you can or not?” In response to this problem, Xiaojiu today invited Chen Xiangfeng, deputy chief physician of the Department of Urology, Renji Hospital, Shanghai Jiaotong University School of Medicine, and head of Shanghai Human Sperm Bank.Doctor, let him make scientific and detailed answers for everyone.How to judge if you can’t help it?In recent years, the problem of infertility has become increasingly prominent. The World Health Organization (WHO) has pointed out that infertility has become a global public health problem. Multiple data also show that the infertility rate is about 15%.That is, one in every 6-7 couples is facing fertility issues.There are many reasons for infertility, and men need to bear half the responsibility, because the abnormal quality of men’s sperm has become more and more significant.In 2017, the EAU guidelines proposed that about 50% of childless couples found factors related to male infertility, accompanied by abnormal semen parameters.Sometimes, when facing men’s problems, we need to take them seriously, and facing men who are unwilling to go to the hospital, they also need to give their most scientific advice.Take the case of “inadequate power” as an example. So, what frequency is appropriate?Is 35-year-old Xiaoxu abnormal once every two weeks or once a week?Frequency formula In fact, there is a formula for this problem that can tell everyone: multiply the ten digits of your age by 9 and the resulting tens digit is the number of days that a sex cycle lasts, and the single digits are the due frequency..For example: · 30-year-old person, his frequency should be “3 × 9 = 27”, that is, it is healthy to have married life 7 times in 20 days, that is, about once every 3 days; · frequency of people in their 40sShould be 4 × 9 = 36 ”, that is, there should be 6 times of husband and wife life in 30 days, about once every 5 days; · 50s people are“ 5 × 9 = 45 ”, that is, 5 times of husband and wife life in 40 days, about everyOnce every 8 days. If the frequency is not reached, it may be sick! Men, if your husband and wife are not living so frequently, then, consider that you may have a male disease and erectile dysfunction (hereinafter referred to as “ED”) Is one of them. A questionnaire survey of 2,226 men over 20 years of age in Beijing, Chongqing and Guangzhou showed that among men under 30 in China, the incidence of ED was 15.6%, and China was 40 and overAmong men, the incidence of ED is 40.2%. It is worth mentioning that age is the first influencing factor for erectile function. With increasing age, male androgen secretion is also declining, and when androgen is significantly lower than normalAfter the index, men tend to have weakness, lack of energy, and erectionThe ability to decrease and other symptoms, which is also called “late onset hypogonadism”, is commonly referred to as male menopause. However, we also found that stress and irregular lifestyles have become one of the important reasons for male ED. So, the currentYoung people, you are all overdrafting your physical health, you need to be careful! Three tricks teach you correct self-identification at a young age, and some people are really ashamed and embarrassed. So in the end, for those who are unwillingFrom the perspective of health, young men who go to the hospital, we provide three levels to help everyone self-examine the X function: the first level: see if they have Chen Bo (in the morning, usually get up), and night out (A priming occurs in the middle of the night) or a filling priming (the bladder is full of urine, and urine and priming will appear). If there is a priming, then enter the second pass. Second pass: When you start, look at the headThe direction of the head is related to the hardness of the ridge.If you are in a standing position, supine position, lateral position, or sitting position, and your head is pointing or leaning towards your own head position when it is in a raised position, then the hardness of the raised position is good. If the hardness of the raised position is perpendicular to the body torso, the hardnessIt is also normal; if the head is in the direction of his footsteps, the hardness is relatively poor..

The third hurdle: Observe Bo Qi’s maintenance time.Generally speaking, Boqi can last for three or five minutes, or even longer. The longer the duration, the better.However, if the drug can be used for a long time, then this situation should be a different matter.What level are you at now?* Reproduction is prohibited without authorization

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INFERTILITY

The unmarried female “frozen eggs” have not been released. The provincial health and health committee is conducting law enforcement inspections on the hospitals involved.

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Yesterday, there were media and online reports that “unmarried women’s frozen eggs” were frozen in Han’s low-key, Wuhan Tongji Reproductive Medicine Specialist Hospital received the first healthy unmarried female frozen egg pass in China.” Yesterday afternoon, the provincial health and health committee stressed: unmarriedFemale “frozen eggs” have not been released.Hu Rong, director of the Women’s and Children’s Health Department of the Provincial Health and Health Commission, said that in the course of daily supervision, the Provincial Health and Health Commission requires medical institutions with human-assisted reproductive technology qualifications to carry out medical services in accordance with the law and to prevent violations of laws and regulations.The Reproductive Medicine Center of Tongji Medical College of Huazhong University of Science and Technology, which is involved in media reports, is a non-profit enterprise integrating scientific research, teaching and clinical application. Hu Rong explained that the Provincial Health and Health Commission approved the establishment of the fertility preservation in Hubei Province.The center is to support them in carrying out research and promotion of reproductive medicine and is not a license.In response to the relevant activities of the center mentioned in the media reports, the Provincial Health and Health Commission has organized the health supervision department to conduct law enforcement inspections on the center yesterday, seriously investigate and punish violations of laws and regulations, and publish the investigation results according to law.In response to the egg freezing technology that everyone cares about, the director of the Provincial Medical Association Reproductive Medicine Branch, Mr. Yan Lei explained that the assisted reproductive technology service organization with in vitro fertilization-embryo transfer and other related technical qualifications can carry out this technology according to the law.However, assisted reproductive technology for unmarried or single women must be prohibited under any circumstances.What are the hazards of healthy women taking eggs?靳Ra introduced to carry out fertility preservation, mainly for young patients with malignant tumors or other serious diseases, before the chemotherapy or radiotherapy, egg, embryo or ovarian tissue cryopreservation.This technique requires an overdose of ovulation-promoting medications and an egg-taking procedure, an invasive, traumatic technique that can even cause serious complications.Therefore, unmarried, single women without any medical indications, egg freezing not only has the risk of causing harm to the body, but also seriously violates relevant national laws, regulations, policies, and ethical principles. , please do not reprint without the authorization of the copyright owner.

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INFERTILITY

How was the IVF born?

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In China, most families want to have a baby, let the family continue… and polluted air, vegetables and fruits containing pesticides, and increasing work pressure, it is not easy to have children. They all say that “no filial piety has three, no later is big”, but in modern society, it is really too difficult to truly achieve “no back”. Why is it getting harder and harder to get pregnant, and everyone doesn’t have to worry about “no after”? Because modern medicine is constantly evolving, we already have many ways to help people get pregnant. There are very few couples who really can’t have children. Among them, IVF is an important auxiliary reproductive means. Although test-tube babies often hear, have you ever wondered how the IVF was born? Let’s take a look at it together~ Secret! The whole process of birth of IVF First need to declare: IVF, not a child who grew up in a test tube, test-tube baby is just a common name, because in the past scientific research, more test tubes. When the sperm and the egg cannot meet in the body, the doctor takes the egg and the sperm by medical means, puts it in a petri dish, lets them meet in vitro, forms a fertilized egg, and cultures the fertilized egg into an embryo, and then puts the embryo into the womb. , it’s done. It’s simple to say, but in practice, there are still many steps. Let’s take a closer look at how the first generation of IVF was carried out (in fact, there are also 2nd and 3rd generations, first introduce the 1st generation technology). After a couple is determined to be a test-tube baby, the whole process needs to be completed in four steps: 1. ovulation induction; 2. egg retrieval; 3 in vitro fertilization; 4. embryo transfer 01 reduction regulation, normalization, female There is only one mature egg in a month, and in order to obtain more high quality embryos at a time, it is necessary to obtain a certain number of high quality eggs at a time. According to each person’s situation, the doctor will customize the personality scheme for ovulation. Stimulate the ovaries by applying a combination of drugs and drugs, while promoting the growth of a small number of small follicles so that a certain number of high quality eggs can be obtained. However, the process of ovulation induction is a big test for women, and mothers need to push the needle according to their own scheme. If the situation is not good, you need to continue to promote ovulation, or replace the program to promote ovulation. This foreign mother, in order to have a baby, made 7 test-tube babies in 4 years, and promoted the needles and the needles were tied 1616 needles. The baby born shortly lies quietly in the center of the picture, surrounded by the love of syringes and injections. 02 Take the egg and take the sperm. Take the egg: When the egg is mature, the doctor will take the egg, puncture the follicle to suck the egg, and immediately transfer the egg to the culture dish containing the embryo culture solution, and culture it in an incubator at 37 °C. Take the essence: Take the date of the sperm as the day of egg retrieval, and use the masturbation method to take the semen in the aseptic cup. 03 In vitro fertilization 4 to 5 hours after egg retrieval, the treated sperm and eggs are placed in the same dish and cultured for 18 hours. It can be understood that in the body, sperm and eggs meet at the fallopian tube, and in vitro, the culture dish simulates the fallopian tube environment, allowing sperm and eggs to naturally fertilize and form fertilized eggs. 04 Embryo Transfer The fertilized egg needs to be cultured in vitro for 2-3 days. The embryo at this time is about 8-16 cells. On the fifth day, the fertilized egg develops into a blastocyst. At this time, depending on the patient’s condition, choose 2-3 days of fresh embryos, or 3-5 days of blastocysts, and the extra embryos can be stored frozen. If the patient’s body is not recovered, the embryo needs to be frozen and the embryo resuscitation transplant is performed when the body recovers. Supplementation of hormones after embryo transfer Because it is artificially transplanted into the uterus, but the body parts have not been ready to “pregnancy”, so this time, we need to add progesterone to simulate the hormone levels of pregnancy. After 14 days of transplantation, the blood test hCG determines whether it is pregnant. If you are conceived, the child will grow up in the mother’s stomach like a natural pregnancy until the childbirth. Looking at the complete process, does it feel amazing? Even if sperm and eggs are not met in the body, people will work hard to meet them in vitro. Embryos formed in vitro, returning to the mother, can continue to grow until they become healthy fetuses.About IVF Everyone should not contradict or reject the IVF technology. It is a very common, medically assisted reproductive technology. Just like a broken leg requires plaster fixation, fever needs to eat antipyretics, eating fish is stuck and pulling out, just medical means. Whether it is a test-tube baby (in vitro fertilization embryo transfer), or natural conception, it is necessary to go through a mother’s hard life in October to be born safely, and there is no difference, it is a good baby of mom and dad! References: [1] Peng Jing, Lu Daru. Development and discussion of IVF technology [J]. Nature, 2010, 32 (6): 338-343.
[2] Deer group. Is IVF technically safe? [J]. Everyone’s Health, 2017, (22): 53. [3] Li Yuan, what is the mysterious test tube baby called IVF, the chief physician of the Reproductive Center of Beijing Chaoyang Hospital, the above content is only authorized for exclusive use by 39 Health Net, The copyright owner authorizes not to reprint.

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INFERTILITY

Infertility, don’t rush to blame the woman!

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After marriage, if the husband and wife are pregnant for many years, people usually find reasons from the woman, and think that infertility is the woman’s “pot.” But in fact, children can not be born, sometimes caused by the male, such as male sexual dysfunction, testicular spermatogenic dysfunction, abnormal sperm structure, stenosis obstruction, etc., are the culprit of couple infertility! According to research, infertility is not caused by unilateral factors in the family. The general female factor accounts for 40%-45%, the male party accounts for 30%-35%, and the common factors account for 20%. If the couple does not have signs of pregnancy for a long time after marriage, it is recommended to first find the reason from the man. This is mainly because the evaluation of male fertility is relatively simple. As long as the semen examination is carried out, preliminary judgment can be made. If it is determined that there is a problem with the man, then the woman can avoid unnecessary inspections, which saves the woman’s testing time and saves a fee. What are the reasons for male infertility? Generally speaking, the causes of male infertility are as follows: 1. Sexual dysfunction impotence, premature ejaculation, sexual desire disorder, ejaculation disorder (such as no ejaculation, delayed ejaculation, ejaculation weakness, retrograde ejaculation, etc.) are all male. The scope of dysfunction. Sexual dysfunction can prevent male sperm from entering the female, leading to infertility.
2, testicular spermatogenic dysfunction Male sperm produced by the testis, if the male testicular spermatogenic function is abnormal, it often leads to less sperm, weak sperm, dead sperm or azoless, leading to infertility. In addition, testicular abnormalities usually include cryptorchidism, varicocele, etc., which need to go to the hospital for investigation.

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INFERTILITY

Infertility check, do you understand these precautions?

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If you have children at home, it is natural to add a touch of color to your life. Raising a child has never been easy, and some parents have even stuck in the “start line” and have not been able to have their own children for a long time. Both males and females may have infertility due to a variety of factors. Therefore, if a husband and wife have no results after long-term pregnancy, they must go to the hospital for infertility examination. What do couples need to pay attention to when performing infertility tests? Let’s take a look at it in detail! Infertility check, what should you pay attention to? (1) It is necessary to temporarily suspend the husband and wife life before the examination. Whether it is male or female, we should pay attention to temporarily suspending the husband and wife life within a few days before the infertility check. For the man, it is necessary to ensure that the quality of the sperm is not affected. Similarly, the woman should temporarily stop related activities and maintain a good physical condition. (2) Do tubal angiography after menstruation. If you suspect that women are infertile due to tubal blockage, it is recommended to go to a regular hospital for fallopian tube angiography within 3~7 days after menstruation is clean. The accuracy of the test results is guaranteed, and if the test result is unclear, an additional uterine cavity check operation is required. (3) Both husband and wife should check

When it comes to infertility check, you need to pay attention to this problem. There is no doubt that infertility may occur in both men and women. Therefore, if it is really difficult to conceive after marriage, this time should not be the man or the woman to do the infertility project alone, but the husband and wife should work together to do the necessary inspection project test to help determine whether the man is the problem or The woman’s problem is ultimately targeted. Infertility check requires a lot of attention, and the most important thing to note is – don’t worry about it! If there is no result during pregnancy, then you must face up to the problem and go to the regular hospital for examination. Moin escaped and missed the opportunity he could have, affecting the birth plan. Neither the man nor the woman should have any ideological burden and learn to deal with it correctly.

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