The specific process and time required for the third-generation IVF in Thailand will start from the first day of the woman's menstruation. Let's see:
1. On the day of menstrual cramps, the woman informed the relevant personnel of the institution to let them know the specific situation, then booked the air ticket to Thailand in time and arranged the matters during the IVF period, such as arranging shuttle service, medical translation, living service arrangement, accommodation, etc. After arriving at the place, and this is the first physical examination for women (that is, the second and third days of menstrual cramps), according to the time that the woman has made an appointment in China, there is little demand for the man, so you don't have to go, and you can come back to get sperm on the day of taking eggs (if time permits, you can accompany your wife to Thailand).
Routine examination is mainly carried out: blood test of 6 kinds of sex hormones, ovarian B-ultrasound examination and basic follicular examination. After passing the exam, it is determined to officially enter the test tube therapy course in Thailand. The attending doctor will use domestic drugs or imported drugs according to the examination results, that is, ovarian function and sex hormone indicators, including dosage and drug types, in order to obtain a high success rate in the test tube. (The second day in Thailand)
2. Second examination: On the 4th day after the injection of ovulation induction needle, sex hormone examination and follicular B-ultrasound monitoring were conducted as scheduled to check the effect of drugs on follicles. I mainly want to know whether it is necessary to adjust the type and dosage of drugs during this process and whether to continue to inject ovulation induction needles (the sixth day after going to Thailand).
3. Third examination: On the 8th day after the injection of ovulation induction needle, sex hormone examination and B-ultrasound examination of uterus and ovary were conducted again as scheduled. Note: In case of irregular follicular specifications, eggs should be injected to prevent premature rupture of follicles. Most follicles with the size of 1.6cm can be injected with night needle, and HCG needle (that is, night needle) is usually arranged at 20:00 pm (the ninth day of going to Thailand);
4. Take eggs 34-36 hours after night needle injection. Special attention: eat eggs on an empty stomach. After taking the eggs, the woman needs to lie flat in the operating room 1-2 hours for a short rest. On the day of taking eggs, the man should take sperm at the same time, and after semen separation and screening, ICSI intracytoplasmic sperm injection (second generation test tube technology) will be carried out to fertilize and combine them to form fertilized eggs. (Thailand day 12)
5. The second day after taking the eggs, the sperm eggs are fertilized in the culture room. If conventional in vitro fertilization is needed, the treated sperm and eggs are placed in the same Petri dish 4-5 hours after taking the eggs, and cultured for about 14- 18 hours, and then the fertilization is observed under a microscope. At that time, the laboratory will inform the fertilization situation and support the corpus luteum every day (day 13 in Thailand).
6. On the fourth or fifth day after taking eggs, after knowing the specific situation of fertilized eggs, patients who have done PGD gene screening can be screened for chromosomes in three to five days, which fundamentally ensures the health problems of the baby's birth. At that time, the laboratory will inform the embryo of the results of PGD, including the number/quality grade of the embryo/whether it is a boy or a girl (15 days in Thailand);
⑦ Blastocyst transplantation was performed on the 5th day after egg retrieval, and the operation lasted about 5 minutes without anesthesia (Thailand16th); After transplantation, women need to lie flat in bed for 48 hours. At this time, it is very important to maintain a good attitude.
Attention! ! ! If the endometrium of some patients is too thin at this time, or endometrial lesions are not conducive to the smooth implantation of transplanted embryos, then they can only wait for the next cycle for transplantation. This is more than 25 days, which is an individual case and cannot be compared with the normal situation.
8- 165438+ 0 days after transplantation, the medical translator took him to the hospital for blood test of HCG and progesterone. After the pregnancy test, the doctor will prescribe a certain amount of late anti-abortion drugs, and then he can go back to raise the baby and wait for the baby to give birth at full term.
In fact, this series of processes takes 25 to 28 days. Of course, this is the time required for IVF in Thailand under normal circumstances, and personal circumstances are another matter. However, the core of IVF is a successful and good pregnancy, regardless of the length of time, mainly for the success rate. As for the cost, if there are some abnormal conditions during the preoperative examination of test tubes in Thailand, such as some uterine lesions, endometriosis, uterine fibroids and so on. Thus affecting in vitro pregnancy, it is necessary to prepare more expenses for treating diseases and embryo freezing management.