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π©Ί What should I do about infertility? See what American doctors have to say
Test tube encyclopedia website 2025-12-02 10:01:14 American test tube Read: 6394 times1 πFirstly, confirm: What is infertility?
The American Society for Reproductive Medicine (ASRM) defines it as follows:
| type | definition |
|---|---|
| Female infertility | Age<35 years old,Having sex for 1 year without pregnancyAge β₯ 35 years old, not pregnant for 6 months |
| Male infertility | Abnormal semen analysis or low fertilization ability, resulting in inability to impregnate the spouse |
π remindInfertility does not mean infertility, over 70% of patients can successfully conceive through medical intervention!
II π©Ί The Response Process of American Doctors (Standard Five Step Approach)
1. β System evaluation: Identify the cause
American doctors would first recommend that both spouses undergo the following examinations:
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WomenOvulation function, fallopian tube patency, uterine structure AMHγFSHγTSHγ Thyroid gland, vitamin D, etc
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male partySemen analysis (sperm count, motility, morphology, etc.)
Common causes include:
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Female: Polycystic ovary, ovulation disorders, blocked fallopian tubes, endometriosis, advanced age
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Male: oligospermia, asthenozoospermia, azoospermia, testicular dysfunction, etc
2. 𧬠Mild infertility: try assisted ovulation or intrauterine insemination (IUI) first
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For young couples with good ovarian function but unsuccessful pregnancies, American doctors tend to favorTry oral ovulation medication (such as Letrozole)+IUI first
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Usually try 2-3 times, if unsuccessful, then enter the IVF stage
3. π Moderate to severe issues: It is recommended to undergo in vitro fertilization (IVF) directly
In the following situations, American doctors may recommend direct IVF:
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Age β₯ 38 years old
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Blockage of fallopian tubes and severe endometriosis
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Multiple IUI failures
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Male severe oligospermia/asthenozoospermia/teratozoospermia
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Genetic diseases require PGT-M screening
π Success rate reference (2024 CDC data):
| age | IVF clinical pregnancy rate | Live birth rate (single transplant) |
|---|---|---|
| &At the age of 35 | 55%-65% | 50%-58% |
| 35-37 years old | 45%-55% | 40%-48% |
| 38-40 years old | 35%-45% | 30%-38% |
| Over 40 years old | 15%-30% | 10%-20% |
4. π§ͺ Black technology to increase success rate
American experts will also use the following advanced technologies to assist different populations:
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PGT-AScreen out embryos with normal chromosomes to avoid miscarriage/embryo abnormalities
-
ICSI (Single Sperm Injection)Poor sperm can also lead to fertilization
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Time lapse monitoring systemContinuous monitoring of embryo development and precise selection of excellent embryos
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Frozen embryo/egg technologyReserve fertility opportunities for the elderly or those with health concerns
5. β€οΈ Psychological counseling and life intervention
American doctors highly value mental health:
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Suggest spouses to participate in the treatment together
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Provide psychological counseling services to alleviate the impact of stress on hormones
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At the same time, it is recommended to adjust one's daily routine, diet, weight, and reduce caffeine, smoking, and alcohol consumption
III π The general principle of American doctors' recommendations:
| principle | core idea |
|---|---|
| The earlier the evaluation, the more proactive it will be | Age is the biggest variable, especially for women. Don't wait too long to seek medical treatment |
| Same diagnosis and treatment for couples | About 40% of infertility problems are caused by male factors, and we cannot solely focus on the female partner |
| The plan should be personalized | Age, ovarian function, endometrial condition, and other factors affect treatment methods and success rates |
| Success=Technology+Collaboration | Medical technology is important, and patient cooperation is also crucial (such as diet, medication, time) |
β Conclusion: Infertility β No Hope
American doctors generally believe that:
The decline in fertility can be scientifically managed, and modern assisted reproductive technology can help most infertile patients successfully have children
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