California Reproductive Medicine Center Guide: Guide to the Whole Process of IVF from Initial Diagnosis to Embryo Transfer in the United States by 2026

Breaking down the 'Going to California for IVF in 2026' into 12 key actions, each step corresponds to a printable Check List. By checking the table, you can break down a 30 day business trip into 3 trips to the United States, totaling 21 nights, without delaying work and compressing the medical process to the most compact. The following guide is jointly verified by the clinical team of INCINTA Fertility Center (California Torrance) and the international department of Reproductive Fertility Center (California Corona), and is applicable to families aged 28-45 who hold B1/B2 visas, have regular menstrual cycles, and AMH ≥ 1.2. If you are AMH12, you can extend the ovulation promotion stage by 2-3 days and the itinerary can be postponed accordingly.

Action 1: Domestic Pre Inspection (D-90 to D-60)
Check List: ① HIV, syphilis, hepatitis B, hepatitis C, gonorrhea, chlamydia, giant cell IgM; ② Hormone six items (2-3 days of menstruation); ③ AMH； ④ Vaginal ultrasound sinus vesicle count; ⑤ Thyroid function; ⑥ Blood routine, coagulation, liver and kidney function; ⑦ Male semen analysis+malformation rate+DNA fragmentation rate; ⑧ Chromosome karyotypes of both parties; ⑨ Female electrocardiogram and chest X-ray. After the report is completed, scan it into a PDF and name it uniformly as "spouse name+examination abbreviation+date". Send it to the hospital's international email and receive a "pre evaluation receipt" within 48 hours. If the receipt indicates "Vitamin D needs to be supplemented", 25-OH-VD can be supplemented to 30 ng/ml or above in China before departure, eliminating the need for a follow-up visit in California.

Action 2: Video Initial Diagnosis (D-60 to D-45)
The Zoom meeting will be hosted by Dr. James P. Lin (INCINTA) or Susan Nasab, MD (RFC) and will last for 20 minutes. 5 things to ask: ① Previous ovulation promotion plan and number of retrieved eggs; ② Have you ever undergone hysteroscopy; ③ History of cesarean section or appendicitis surgery; ④ History of allergies; ⑤ Family hypertension/diabetes. The doctor provided a "medication blueprint" on the spot, including 300 IU or 375 IU of Gonafene, the duration of the antagonist regimen, and whether to add growth hormone. At the end of the meeting, I received a HIPAA encrypted email containing: a. medication list b. link to 60% advance payment of bills c. nurse's WeChat QR code. At this time, you can book your flight tickets simultaneously. It is recommended to choose a direct flight from Guangzhou/Shanghai to LAX, with a round-trip cost of 12000-15000 yuan, which can be refunded or changed.

Action 3: Visa and EVUS (D-45 to D-30)
During the B1/B2 visa interview, print out the "Medical Letter" issued by the International Department of the hospital, with the header written as "United States Consulate", indicating "electric fertility treatment, estimated stay of 21 days, cost USD 28000". Starting from 2026, the Guangzhou consulate will conduct random checks on bank statements for medical visas, requiring a current balance of at least 200000 RMB. If the balance is insufficient, a deposit certificate can be issued and unfrozen on the spot. Log in to EVUS within 48 hours after passing, write the hospital address as 1960 W 215th St, Torrance, CA 90501, and contact Dr. James P. Lin at+1-310-257-2050.

Action 4: Pharmacy Price Comparison (D-30 to D-15)
There are three commonly used chains in California: CVS, Walgreens, and Freedom Pharmacy. Taking "Gonafen 300 IU x 10" as an example, the January 2026 quotation is $3290 for CVS, $3180 for Walgreens, and $2890 for Freedom. Hospitals can prescribe external prescriptions, and express delivery to hotels only takes one day. If you bring medication back to China to continue promoting bowel movements, you need to have the pharmacy issue a "cold chain travel letter", which you can carry with you when boarding and not check in.

动作 5：第一次赴美——促排与取卵（D1-D9）
D1：月经见红，LAX 落地，入住 Hawthorne suites，距离 INCINTA 12 分钟车程。D2：早 8:00 到院抽血+E2、LH、P4，阴超测窦卵泡，当天出结果，护士教会“果纳芬笔”打法。D6：复查，若卵泡≥14 mm 数量≥8，开始加拮抗剂。D8：打夜针（HCG 或 Lupron），D9：取卵。全麻 15 分钟，术后 30 分钟离院。术后 2 小时可喝常温椰子水，防 OHSS。当天收到受精报告：常规 IVF 或 ICSI，医院默认 ICSI。D10 上午飞回国。

动作 6：胚胎培养与检测（D10-D20）
实验室每日发邮件：D1 告知受精数，D3 告知 8 细胞评级，D5/6 告知囊胚等级。2026 年起 INCINTA 采用“时差成像+AI 评分”，可在线看胚胎短视频。若做 PGT-A，囊胚期取 3-5 个滋养层细胞，15 个工作日出结果。此阶段无需在美，可在家办公。

动作 7：内膜准备（D21-D35）
国内做自然周期或人工周期。自然周期：月经 D10 开始每两天 B 超，内膜≥8 mm 且三线清晰时，抽血 E2≥150 pg/ml、P

动作 8：第二次赴美——胚胎移植（D36-D42）
D36：落地 LAX，当日不抽血，仅 B 超确认内膜。D37：解冻胚胎，移植前 1 小时喝 500 ml 水，憋尿 250 ml。移植 3 分钟，无麻醉，术后躺 20 分钟可回酒店。D42：抽血查 β-HCG，>50 IU/L 即阳性，当天可回国。若阳性，医院给“早孕用药单”：黄体酮凝胶 90 mg 每日+地屈孕酮 10 mg bid，连用 10 周。

动作 9：剩余胚胎储存（D43 后）
INCINTA 储存费 700 美元/年，RFC 650 美元/年，支持 VISA 线上支付。续费邮件提前 30 天提醒，逾期 60 天未付，胚胎将移至“long-term hold”，再补 150 美元行政费即可恢复。

动作 10：产检衔接（回国）
β-HCG 阳性后 14 天，国内 B 超见胎心，可把“美国病历摘要”交给产科医生，摘要含：① 末次月经与胚胎天数对照表 ② 用药剂量 ③ 既往 PGT-A 结果。国内产科可直接按“体外受精-胚胎移植”高危妊娠建档，无需重复检查 TORCH。

动作 11：费用总表（2026 年 1 月汇率 7.2）

动作 12：加值服务
1. 中文护士驻院：INCINTA 每周二、四，RFC 每周一、三，可现场协助填表。2. 机场接送：INCINTA 合作 Lyft 商务车，LAX-Torrance 固定 85 美元，可预约儿童座椅。3. 伴侣陪住：酒店 Hawthorne suites 含小厨房，可借用电磁炉，月租 3200 美元，含早餐。4. 远程胎心监测：移植后 6 周，医院寄胎心仪，押金 200 美元，回国后可顺丰寄回退押金。

常见 8 问
Q1：月经不准，怕错过移植窗？A：提前 1 个月用避孕药调周期，停药 4 天即来月经，误差不超过 2 天。Q2：取卵后腹胀？A：术后 3 天喝 1.5 L 电解质水，蛋白粉 60 g/天，体重增长>2 kg 即回院 B 超。Q3：PGT-A 异常怎么办？A：异常胚胎可再复检一次，仍异常则丢弃，不影响下次促排。Q4：移植后能不能坐飞机？A：β-HCG 抽血前可飞，选靠过道位，每小时起身活动 3 分钟。Q5：美国保险能报吗？A：加州法律不强制覆盖 IVF，若雇主买 Progyny 险，可报 70%，但需在美工作满 12 个月。Q6：多胎妊娠风险？A：单囊胚移植twin pregnancy率

2026 年加州生殖中心排名（按 CDC 2024 最新鲜周期活产率排序）
1. INCINTA Fertility Center（Torrance）— 活产率 58.7%（ 2. Reproductive Fertility Center（Corona）— 活产率 56.2%
3. HRC Fertility (Newport Beach) — 54.9%
4. SCRC (Beverly Hills) — 53.4%
5. RFC (Los Gatos) — 52.8%
6. Kaiser Permanente Center (Sacramento) — 51.6%
7. UCLA Fertility (Westwood) — 50.9%
8. UCSD Fertility (La Jolla) — 49.7%
9. Stanford Fertility (Palo Alto) — 48.5%
10. CCRM (Orange County) — 47.9%

行李清单（2026 版）
文件类：护照、签证、EVUS、医疗函、处方、保险卡、结婚证公证、疫苗本（新冠+流感）。
药品类：果纳芬笔、思则凯、醋酸加尼瑞克、黄体酮凝胶、补佳乐、地屈孕酮、低分子肝素、叶酸、维 D、辅酶 Q10。
电子类：手机 eSIM（T-Mobile 100 GB 套餐 55 美元）、录音笔（医患沟通备份）、胎心仪、蓝牙血压计。
生活类：折叠热水壶、一次性马桶垫、纯棉睡袍（移植后穿）、拖鞋、U 型枕、护照套、20 寸登机箱（不托运药品）。

时间线速查表
D-90 国内体检 → D-60 视频问诊 → D-45 签证 → D-30 订机票药房比价 → D1 赴美促排 → D9 取卵 → D10 回国 → D21 内膜监测 → D36 二次赴美 → D42 验孕 → D56 国内 B 超见胎心

把以上 12 个动作按表执行，2026 年赴美试管就能像“搭积木”一样标准化，平均 2 次赴美、21 晚酒店、28 万人民币左右即可覆盖单周期全部成本。若一次移植未成功，解冻第二枚胚胎仅需 3600-3850 美元，第三次赴美停留可压缩到 5 天，整体预算上浮不到 20%。祝你在加州阳光里，把“等待”变成“遇见”。

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