🩺 What should I do about infertility? See what American doctors have to say

1 🔍Firstly, confirm: What is infertility?

The American Society for Reproductive Medicine (ASRM) defines it as follows:

📌 remindInfertility does not mean infertility, over 70% of patients can successfully conceive through medical intervention!

II 🩺 The Response Process of American Doctors (Standard Five Step Approach)

1. ✅ System evaluation: Identify the cause

American doctors would first recommend that both spouses undergo the following examinations:

• WomenOvulation function, fallopian tube patency, uterine structure AMH、FSH、TSH、 Thyroid gland, vitamin D, etc

• male partySemen analysis (sperm count, motility, morphology, etc.)

Common causes include:

• Female: Polycystic ovary, ovulation disorders, blocked fallopian tubes, endometriosis, advanced age

• Male: oligospermia, asthenozoospermia, azoospermia, testicular dysfunction, etc

2. 🧬 Mild infertility: try assisted ovulation or intrauterine insemination (IUI) first

• For young couples with good ovarian function but unsuccessful pregnancies, American doctors tend to favorTry oral ovulation medication (such as Letrozole)+IUI first

• Usually try 2-3 times, if unsuccessful, then enter the IVF stage

3. 💉 中重度问题：建议直接试管婴儿（IVF）

下列情况，美国医生会建议直接IVF：

• 年龄≥38岁

• 输卵管堵塞、子宫内膜异位严重

• 多次IUI失败

• 男性重度少/弱/畸精症

• 遗传病需要做PGT-M筛查

📌 成功率参考（2024 CDC 数据）：

4. 🧪 提高成功率的“黑科技”

美国专家还会根据不同人群，使用以下先进技术辅助：

• PGT-A：筛出染色体正常胚胎，避免流产/胚胎异常

• ICSI（单精注射）：精子差也能受精

• Time-lapse 监控系统：连续监测胚胎发育，精准挑选优胚

• 冷冻胚胎/卵子技术：为高龄或有健康顾虑者保留生育机会

5. ❤️ 心理疏导与生活干预

美国医生高度重视心理健康：

• 建议配偶共同参与治疗

• 提供心理辅导服务，缓解压力对激素的影响

• 同时建议调整作息、饮食、体重，减少咖啡因和烟酒

三、🌍 美国医生的建议总原则：

✅ 结语：不孕不育 ≠ 没有希望

美国医生普遍认为：

“生育能力的下降可以被科学管理，现代辅助生殖技术能帮助大多数不孕患者成功拥有孩子。”

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