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πΈ Can patients with endometriosis go to the United States for in vitro fertilization?
Test tube encyclopedia website 2025-12-02 05:22:52 American test tube Read: 4430 timesβ Answer: Yes, and highly recommended!
1 π Why does endometriosis affect fertility?
Endometriosis refers toEndometrial tissue appears outside the uterine cavity(such as ovaries, fallopian tubes, pelvic cavity, intestines, etc.), leading to:
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Abnormal ovulation
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Tubal patency but obstruction
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The uterine environment is not conducive to embryo implantation
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Chronic inflammation affects egg quality and endometrial receptivity
π Women with moderate to severe endometriosis have a significantly reduced chance of natural pregnancy
2γ Why is it recommended to go to the United States for IVF?
The success rate of IVF treatment in patients with endometriosis in the United StatesSignificantly higher than the average levelThere are mainly the following reasons:
β 1. Experienced doctors
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American doctors have a clear classification of endometriosis (stages I-IV), and treatment strategies vary from person to person
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We will consider whether to mergeOvarian chocolate cyst, pelvic adhesions, thin endometriumWait for the situation and develop a personalized plan
β 2. More advanced technical support
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Embryo culture+PGT-A screeningSelecting the best embryos to improve implantation rate
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Endometrial receptivity test (ERA)Identify the optimal transplantation window (to avoid missing the implantation opportunity)
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Top laboratory technology in the United StatesHigh blastocyst culture rate and high success rate of cryopreservation and recovery
β 3. Scientific management before and after surgery
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American doctors will evaluate whether you need preoperative treatment (such as GnRH-a long-acting downregulation)
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Postoperative rest and endometrial repair can be used in combinationHormone regulation+Traditional Chinese Medicine regulation+Short term weekly adjustmentEnter the cycle again
III π Success rate reference (based on SART and CDC 2024 data)
| age | Success rate of mild/moderate endometriosis | Success rate of moderate/severe endometriosis |
|---|---|---|
| &At the age of 35 | 55% - 65% | 45% - 55% |
| 35-37 years old | 45% - 55% | 35% - 50% |
| 38-40 years old | 35% - 45% | 25% - 40% |
| β₯ 40 years old | 15% - 30% | 10% - 25% |
π Compared to ordinary women, the impact of endometriosis is mainly reflected inEmbryo quality and uterine environmentHowever, after precise screening and transplant control in the United States, there is still a considerable success rate.
4 π How would American doctors develop plans for patients with endometriosis?
| Treatment process | Practice of American doctors |
|---|---|
| π§ͺ Initial diagnosis evaluation | MRI/ultrasound examination+AMH/CA125 evaluation of ovarian function |
| π drug control | GnRH-a or contraceptive pre-treatment to control lesions and repair endometrium |
| π IVF protocol design | Personalized ovulation promotion+PGT embryo screening+ERA evaluation of endometrial implantation window |
| π± Transplant timing | Selecting the optimal time for uterine environment for frozen embryo transfer |
| π©Ί Follow up management | Prevention of recurrence, luteal support, postoperative repair, and regular evaluation |
5 π Real case description
π© 38 years old, stage IV endometriosis+chocolate cyst+2 previous miscarriages
After two failures in China, he went to the INCINTA Fertility Center in the United States for medical treatment. After 3 months of postoperative rest, IVF+PGT+ERA were performed, and 1 healthy embryo was successfully selected. The first pregnancy was successfully transplanted and delivered.
β Summary: Endometriosis β inability to conceive
| misconception | Positive solution |
|---|---|
| If you have endometriosis, you cannot undergo IVF | β Sure, and many people succeed in one go |
| We must undergo a major surgery | β Some mild patients can become pregnant without surgery |
| Why not wait for natural pregnancy | β Delaying time will only further deteriorate ovarian function |
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