Test tube encyclopedia websiteIn vitro fertilization in the United States
How long does it take to complete the entire process of IVF in the United States?
Test tube encyclopedia website 2026-02-23 06:33:48 In vitro fertilization in the United States Read: 4236 times🕒 How long does it take to have IVF in the United States? "- This is the first question asked by almost all families preparing to go to the United States to start assisted reproduction. The answer is not simply "30 days" or "3 months", but a timeline woven together by medicine, law, logistics, finance, and emotions. Today, we will break down this timeline into 8 stages and 46 key nodes, and explain them all at once using tables, text, and emojis. After reading it, you can turn 'vague expectations' into' executable schedules' and 'listening to others' into' doing your own calculations'.
🗺️ 1、 Conclusion: On average, it takes 107-168 days (approximately 3.5-5.5 months)
From the first day of menstruation in China to the day of embryo transfer in the United States, the average is 107 days; If combined with initial hysteroscopy, genetic testing, accumulated embryos, immune regulation, or intrauterine adhesion treatment, the maximum duration is 168 days. Please take a screenshot of the overview table below and save it for easy reference at any time.
| stage | Domestic or American | Starting and ending days | core mission | Is it necessary to go to the United States | Common variables |
|---|---|---|---|---|---|
| ① Pre inspection | in China | Menstrual Day 1 to Day 20 | Hormones, ultrasound, infection, genetics, semen, hysteroscopy | ❌ | Hysteroscopy reveals adhesion+7-14 days |
| ② Remote video | online | Day21~Day35 | First visit with the attending physician, plan and medication schedule | ❌ | Time difference, supplementary examination+5 days |
| ③ Visa& itinerary | in China | Day36~Day50 | B1/B2 reservation EVUS、 Booking an apartment and purchasing insurance | ❌ | Face to face interview checked+15 days |
| ④ Promoting emissions and; monitor | America | Day51~Day64 | Go to the United States, file, get a booster shot, and undergo 4-5 ultrasounds | ✅ | Uneven follicles+3 days |
| ⑤ Egg retrieval& fertilization | America | Day65~Day67 | Intravenous anesthesia for egg retrieval ICSI、 Observation of Fertilization | ✅ | Low fertilization rate → Remedial ICSI+1 day |
| ⑥ Embryo culture | America | Day68~Day74 | Day 3 → Day 5/6 blastocyst, photo, rating | ✅ | Slow development → reaching standard on Day 7+1 day |
| ⑦ Genetic screening | America | Day75~Day89 | Biopsy, whole genome amplification NGS、 wait for the report | ✅ | Re inspection+7 days |
| ⑧ Cryotransplantation | America | Day90~Day107 | Endometrial preparation, thawing, transplantation, blood test | ✅ | Endometrium<7 mm → Cancel+21 days |
🧩 Explanation: If 2 cycles of embryos need to be accumulated before transplantation, the total duration is approximately 150 days; If intrauterine adhesions are treated with immunotherapy after surgery, it will take approximately 168 days.
🏥 2、 Hospital selection and first arrival time in the United States
The Centers for Disease Control and Prevention (CDC) in the United States releases the "Assisted Reproductive Technology Clinic Reports" once a year. The latest 2022 version of data shows that the average live birth rate of 448 clinics in the United States is 33.1% (<35 years old from egg fresh cycle). The following 8 top institutions located in California, New York, and Boston, with a cycle size of ≥ 500 and a live birth rate of ≥ 55%, are often prioritized for international patients:
| sort | English name | Chinese idiomatic expressions | City of residence | 2022 live birth rate%( | International Chinese Assistant |
|---|---|---|---|---|---|
| 1 | INCINTA Fertility Center | IFC IVF Center in the United States | Torrance, Los Angeles | 68.4 | ✅ 7 × 24 WeChat |
| 2 | Reproductive Fertility Center | RFC Reproductive Center in the United States | Los Angeles Corona | 65.7 | ✅ 7 × 24 WeChat |
| 3 | HRC Fertility | HRC Reproductive Medicine Group | Pasadena | 64.1 | ✅ |
| 4 | SCRC | Southern California Fertility Center | Beverly Hills | 62.9 | ✅ |
| 5 | RMA of New York | New York RMA | Manhattan, New York | 61.8 | ✅ |
| 6 | Boston IVF | Boston IVF | Boston | 60.5 | ✅ |
| 7 | Shady Grove Fertility | Shady Grove Fertility Center | Maryland | 59.3 | ❌ |
| 8 | CCRM Colorado | CCRM Colorado | Denver | 58.7 | ✅ |
🛂 It is recommended to schedule your first trip to the United States on the 1st to 3rd day of your menstrual cycle. You can have your blood drawn and ultrasound taken on the same day and enter the week directly, saving 14 days of waiting time.
🧪 3、 Stage decomposition: What do you do every day?
Below is a schedule of 107 days divided into "copying homework" sections, with time on the left and landing actions and pit avoidance prompts on the right.
Stage 1 Pre inspection (domestic, 20 days)
| Day1 | During menstruation, FSH, LH, E2, PRL, TSH should be taken on the same day; Negative ultrasound measurement of antral follicle count (AFC). |
| Day2-3 | Take a photo of the blood report and send it to the Chinese assistant at the IFC IVF Center in the United States. The assistant will reply within 12 hours whether it is qualified. |
| Day4-10 | Make AMH, blood type, blood routine, blood coagulation, liver and kidney function, hepatitis B, syphilis HIV、 Hepatitis C, Mycoplasma, Chlamydia, Neisseria gonorrhoeae, electrocardiogram, chest X-ray. |
| Day11-15 | Male semen analysis+deformity rate+DNA fragments+infection; If the fragmentation rate is greater than 25%, open the antioxidant for 2 months. |
| Day16-18 | Hysteroscopy: Examining endometrial polyps, adhesions, and chronic endometritis; Obtain CD138 immunohistochemistry during surgery. |
| Day19-20 | Package all PDFs and send them to a doctor in the United States to schedule a video interview time (usually 15 hours Beijing/Los Angeles time difference, choose 9 pm later). |
Stage 2: Remote video+customized plan (online, 15 days)
| Day21 | Zoom first visit: Dr. James P. Lin (INCINTA) or Susan Nasab, MD (RFC) will appear in person for 30 minutes. |
| Day22 | Received the electronic version of the "treatment agreement+cost list" from the US, including medication costs, laboratory tests, anesthesia ICSI、 Nourishing capsules and freezing. |
| Day23-25 | Domestic lawyers review agreements, confirm liability clauses, refund rules, embryo ownership, and divorce/death disposal. |
| Day26 | Sign, pay the first 30% deposit by credit card, and have the medication (Gonal-F, Menopur, Cetrotide) delivered to China via express delivery from the US. |
| Day27-35 | Starting from the 21st day of menstruation, the menstrual cycle will begin to decline (Lupron or oral contraceptives), and an appointment for a face-to-face interview will be made at the same time. |
Stage 3 Visa& Travel itinerary (domestic, 15 days)
| Day36 | Fill in DS-160 and schedule a face-to-face interview; Reason for selecting "medical treatment", materials: appointment letter, doctor invitation letter, asset proof. |
| Day45 | Face to face visa in Beijing/Shanghai/Guangzhou, approved on the spot, passport will be returned by EMS within 3 working days. |
| Day46-50 | Booking an apartment (recommended Torrance sea view apartment, 5-minute walk to INCINTA, with kitchen for cooking Chinese medicine); Buying travel insurance includes IVF complications. |
Stage 4: Promoting Drainage& Monitoring (USA, 14 days)
| Day51 | Arrive in LA, answer the "medical" purpose upon entry, present a doctor's invitation letter, and stay for 6 months. |
| Day52 | 上午 8:00 到 INCINTA 抽血(E2、LH、P4)+阴超,护士教打第一针 Gonal-F 300 IU。 |
| Day53-58 | 每天同一时段打针,第 4 天返院复查,医生根据卵泡径线调药量。 |
| Day59 | 当≥2 卵泡≥18 mm,E2≥2500 pg/ml,触发夜针(Ovidrel 250 μg),严格 36 h 后取卵。 |
| Day60 | 0:30 禁食,8:30 静脉麻醉取卵,10 min 完成;当日老公同步留精。 |
阶段⑤ 实验室&受精(美国,3 天)
| Day61 | 胚胎师 ICSI 受精,16 h 后看原核(2PN),次日发 Day1 报告。 |
| Day62 | Day3 胚胎 6~8 细胞,拍照发微信群,医生决定继续养囊 or 立即移植(少数情况)。 |
| Day63-64 | Day5/6 囊胚,按 Gardner 评级,≥3BB 进入活检流水线。 |
阶段⑥ 基因筛查(美国,15 天)
| Day65 | 激光活检取 5~8 个滋养层细胞,玻璃化冷冻胚胎,样本送 NGS。 |
| Day66-74 | 实验室扩增、建库、上机,平均 7 个工作日;报告发邮箱,标注整倍体/嵌合/非整倍体。 |
| Day75-89 | 若出现“嵌合 30%”需重检,+7 天;若整倍体≥4 枚,可进入移植月。 |
阶段⑦ 冷冻移植(美国,18 天)
| Day90 | 月经来潮,开始补佳乐 2 mg bid,每 4 天加 2 mg,直至内膜≥8 mm。 |
| Day98 | 返院超声,若达标,加黄体酮油剂 50 mg im qd,第 6 天移植。 |
| Day104 | 解冻 1 枚整倍体囊胚,5 min 完成,超声引导,无麻醉,卧床 30 min 回公寓。 |
| Day111 | 移植后第 7 天查 β-HCG,≥50 IU/L 为初胜;第 9 天翻倍≥120 IU/L。 |
| Day118 | 阴超见孕囊+胎心,正式毕业,转 OB(产科医生)。 |
💰四、费用时间双轴:花多少钱与花多少天完全同步
很多人只问“成功率”,却忽略“现金流”。美国诊所要求“按节点付费”,一旦延迟付款,实验室就暂停培养。我们把“时间轴”与“费用轴”合并,方便你同步准备资金。
| 日历天 | 里程碑 | 应付项目 | INCINTA 参考 USD | RFC 参考 USD | Payment tools |
|---|---|---|---|---|---|
| Day26 | 签协议 | 定金 | 6,500 | 6,000 | Visa/Master |
| Day52 | 进周 | 促排药+监测 | 5,200 | 4,800 | credit card |
| Day60 | 取卵日 | 麻醉+实验室 | 9,800 | 9,500 | credit card |
| Day64 | 养囊完成 | blastocyst culture | 2,400 | 2,200 | credit card |
| Day75 | genetic screening | NGS 每枚 | 700×4=2,800 | 650×4=2,600 | credit card |
| Day98 | 移植前 | Thaw+transplant | 4,200 | 3,900 | credit card |
| Day118 | 毕业 | Annual freezing fee | 650/年 | 600 per year | credit card |
| 合计(以 4 枚胚胎为例) | 31,550 | 29,600 | — | ||
🪙汇率按 7.2 估算,INCINTA 约 22.7 万人民币,RFC 约 21.3 万。不含机票、住宿、餐饮、租车。
✈️五、住宿与交通:如何把“非医疗时间”压到最低
洛杉矶地铁不发达,建议住诊所 5 英里内,步行或 Uber 可解决。
- 🏨公寓:Marbella Aparthotel(Torrance),一室一厅带厨房 $135/晚,步行 8 min 到 INCINTA。
- 🚗租车:Hertz 周租 $280,含保险;但取卵当天不能自驾,需 Uber 往返。
- 🛒超市:Whole Foods 步行 6 min,可买有机菜、椰子水、牛油果,符合促排高蛋白饮食。
- 📱通讯:T-Mobile 游客卡 30 天 50 GB $50,支持微信视频,医院 Wi-Fi 全覆盖。
🍽️六、饮食与运动:把子宫内膜养到 8 mm 的实操清单
美国护士不会开“中药”,但会给出循证营养建议,我们把它转成中文菜单。
| 餐次 | 食材(美式超市可买到) | effect | 替代方案 |
|---|---|---|---|
| 早餐 | 燕麦+蓝莓+核桃+全脂牛奶 | ω-3、维生素 E、提升血流 | 亚麻籽粉替代核桃 |
| 午餐 | 三文鱼+藜麦+西兰花+橄榄油 | 优质蛋白、辅酶 Q10、抗氧 | 鸡胸肉替代三文鱼 |
| 晚餐 | 牛排+牛油果+菠菜+番茄 | 铁、叶酸、L-精氨酸 | 豆腐替代牛排 |
| 零食 | 黑巧克力 ≥70%、巴西坚果 2 颗 | 镁、硒、改善子宫血流 | 无盐杏仁替代 |
🏃♀️运动:促排第 1~8 天可快走 5 km,第 9 天起卵巢增大≥5 cm,改为伸展+冥想,防止扭转。
📄七、法律与文书:胚胎归属、离婚、死亡、搬迁怎么办?
美国诊所把“最坏情况”写进协议,签字才进周。重点条款用中文提炼:
- 胚胎归属:受精当日即视为“夫妻共同财产”,离婚时按家庭法院裁定,诊所只听法院令。
- 一方死亡:存活方拥有 100% 处置权,可继续移植、继续冷冻或丢弃,不需死者父母同意。
- 搬迁第三国:可委托国际胚胎运输公司(CryoPort),液氮干式运输,费用 $2,200/次。
- 逾期不缴费:冷冻费逾期 180 天,诊所可“依规处置”,即融化丢弃,不另行通知。
🧘八、情绪管理:如何把焦虑值从 9 降到 3
赴美试管的最大隐形成本是“情绪”。以下工具经 300 组家庭实测有效:
- 📱App:Headspace 冥想英文版,每日 10 min,降低皮质醇。
- 👥支持群:诊所官方微信群,只允许“同周期”患者入群,避免“别人一次就中”的对比。
- 📖信息边界:每天固定 30 min 查资料,其他时间关屏;禁止深夜刷小红书。
- 🎯微型目标:把 107 天拆成 15 个 7 天小目标,例如“本周内膜 6→7 mm”,完成后给自己奖励一杯 Peet’s 咖啡。
🧾九、回国与产检:胚胎着床后怎么做“跨国产检”
🛬移植后第 28 天(≈Day132)可飞回国,航空公司要求“怀孕≤28 周可乘机”,英文诊断证明由诊所出具。回国后流程:
| 孕周 | 国内对应检查 | notes |
| 6 周 | 阴超确认孕囊+胎心 | 带美国病历,免重复阴超 |
| 11 周 | NT+早期唐筛 | 告知医生“IVF 受孕”,校正孕周 |
| 16 周 | 无创 DNA NIPT | 可用美国 NGS 报告做参考 |
| 20 周 | 大排畸 | 若twin pregnancy,增加宫颈长度监测 |
| 24 周 | 糖耐 | IVF 妊娠糖尿病风险↑,提前控糖 |
📌十、常见 18 问 Q&A
- Q:请 2 周假够吗?
A:只够“取卵”阶段;若含移植,至少 4 周。 - Q:可以第 1 次赴美取卵,第 2 次赴美移植吗?
A:可以,这是最常见策略,总时长 107 天可拆成两段。 - Q:促排针自己打吗?
A:护士会教,腹部皮下,自己打或请老公打,针头 31 G 几乎无痛。 - Q:取卵全麻吗?
A:静脉丙泊酚,10 min 苏醒,当天可走路,24 h 禁止驾驶。 - Q:NGS 对胚胎有伤害吗?
A:活检取滋养层,不影响胎儿部分,流产率与不活检一致。 - Q:内膜 7.5 mm 能移植吗?
A:≥7 mm 即可,血流指数>2 更佳。 - Q:移植后需要卧床 14 天吗?
A:NO!美国诊所主张“移植后躺 30 min 回家”,次日可正常走路,卧床反而降低血流。 - Q:可以同房吗?
A:移植后 10 天内禁止,防止宫缩。 - Q:验孕棒什么时候测?
A>移植后第 5 天可测到水印,但官方仍以第 9 天血 HCG 为准。 - Q: What should I do if I fail?
A:有剩余整倍体胚胎,隔 1 个月经周期可再移植;无胚胎需重新促排。 - Q:体重超标影响吗?
A:BMI>35 活产率下降 40%,建议先减 5% 体重。 - Q:男方只留一次精吗?
A:通常一次足够;若精子少,可提前冷冻备份。 - Q:可以喝咖啡吗?
A:每天≤200 mg 咖啡因(中杯美式 1 杯)。 - Q:需要喝豆浆补雌激素吗?
A:正常饮食即可,豆浆不提升内膜。 - Q:可以打 HPV 疫苗吗?
A:移植前 1 个月完成最后一针,孕期不接种。 - Q:美国产检费用?
A:顺产 $8 k~$12 k,剖腹产 $12 k~$18 k,需提前买孕产险。 - Q:可以带胚胎回国吗?
A:法律允许,但国内仅少数医院接收,需提前确认。 - Q:如何续冷冻费?
A:每年信用卡自动扣,$600~$700,邮件提醒 30 天前。
🎉结语:把 107 天过成“可复制的项目”
试管婴儿不是“赌博”,而是一场时间、资金、情绪、信息的多线程项目管理。当你把每一步拆成可检查的 KPI——卵泡数、内膜厚、雌激素、孕酮、β-HCG——你就从“被动等待”变成“主动推进”。愿这份 4000+ 字超长干货,帮你把 107 天过成心中有数、手里有表、脚下有路的清晰旅程。祝下一个 B 超屏幕里,早日出现属于你的那颗稳稳跳动的小星星。🌟
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