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Test tube encyclopedia websiteIn vitro fertilization in the United States

The full process time of in vitro fertilization in the United States is revealed: how long does it take from initial diagnosis to pregnancy?

Test tube encyclopedia website 2026-02-26 06:09:32 In vitro fertilization in the United States Read: 6653 times

🌟 How long do I have to stay in the United States to get pregnant? "- This is a question that almost all families preparing to go to the United States to start assisted reproductive treatment must ask during their first consultation. The answer is not simple: some people have a fetal heart rate test at 6 weeks, while others complete their first transplant at 4 months. It is not a single step that determines the time consumption, but the combination of four timelines: medical rhythm, legal documents, personal physiology, and travel arrangements. Below, we will break down all the stages from the first domestic video consultation to successful pregnancy testing in the United States into 10 stages, providing average time consumption, compressible intervals, common checkpoints, and actual scheduling tables from two leading reproductive centers - the IFC IVF Center (INCINTA) and the RFC Reproductive Center (RFC) in the United States - for you to directly change the "ideal calendar" to the "executable calendar".

🕒 1、 10 Stage Panoramic Timeline (Text Quick View Version)

  1. Domestic initial evaluation and video consultation: 1-2 weeks
  2. Domestic pre inspection& Report translation: 2-3 weeks
  3. Secondary evaluation by American doctors; Plan: 1 week
  4. Menstrual cycle synchronization and medication initiation: 1-4 weeks
  5. Entering the stimulus cycle in the United States: Days 1-12
  6. Egg retrieval and laboratory operations: Days 12-18
  7. Embryo culture and testing: days 18-28
  8. Endometrial preparation and cryotransplantation: Days 28-42
  9. Pregnancy test and early prenatal examination: days 42-49
  10. Subsequent pregnancy management or secondary transplantation: Rolling from day 49 onwards

⏳ Total span: up to 7 weeks, conventional 9-11 weeks, and 14-16 weeks if additional hysteroscopy or immune regulation is required.

📊 2、 Detailed Time Table for 10 Stages (Favorite)

stage core mission average days Compressible days Common checkpoints ⚠️ INCINTA Scheduling Example RFC Scheduling Example
① Initial evaluation Video consultation and medical record organization 7–14 5 Ultrasound report missing image Every Tuesday/Thursday, Dr. James P. Lin has video breaks Susan Nasab, MD remote clinic every Wednesday
② Domestic pre inspection Six hormones AMH、 Uterine cavity evaluation 14–21 10 Missing blood draw on the 2nd to 4th day of menstruation Provide a bilingual template for the 'mandatory inspection list' in both Chinese and English Can be completed in one go in domestic cooperative laboratories
③ Second evaluation from the United States Scheme determination, medication reservation 5–7 3 Pharmacy out of stock Develop a promotion plan within 48 hours FedEx delivers medication to hotel/apartment within 72 hours
④ Periodic synchronization Oral contraception or natural cycle regulation 7–28 7 Follicular cysts require an additional 7 days Remote monitoring is possible without the need to travel to the United States in advance Support the "express drug+local ultrasound" mode
⑤ Stimulus cycle Daily injection+3-4 ultrasound sessions 10–12 9 Slow ovarian response, additional 2 days From the 5th day onwards, you can arrive at the hospital flexibly from 7am to 9am in the morning and evening Open the door to draw blood on weekends without slowing down the pace
⑥ Egg retrieval+laboratory Egg retrieval, fertilization, and sac rearing 5–6 5 Androgen high demand ICSI 100% At 7:30 am on the day of surgery, rotate the table and wake up after 15 minutes of anesthesia Provide a bilingual anesthesia knowledge letter in Chinese and English
⑦ Cultivate& detection Embryo observation, PGT sampling, freezing 7–10 7 A report is required 2 weeks after biopsy Same campus as NGS laboratory, courier 0-hour transportation Batch inspection is conducted every Wednesday and Friday, with a continuous cycle
⑧ Endometrial preparation Hormone replacement or natural cycle+thawing transplantation 14–18 12 intimaYou can prepare for 'medication+remote ultrasound' first and go to the United States in 3 days to get it done Support 'phased travel to the United States' with a minimum of 48 hours
⑨ Pregnancy test On the 9th day, blood β - hCG, primary ultrasound, and secondary ultrasound 7–14 7 血值低需 48 h 复测 当天 2 h 出结果,微信推送 提供中英对照妊娠报告方便回国建卡
⑩ 后续管理 剩余胚胎续冻、二次移植、妊娠随访 滚动 宫腔积液、免疫凝血问题 胚胎续冻费 $850/年,随时远程付 提供 10 周产检套餐后转 OB

🛂三、签证与入境:最容易被忽视的两周

🇺🇸B1/B2 签证建议提前 3 个月申请,但若已有 10 年多次往返,可跳过。入境时海关常问:

  • “停留多久?”——带医生预约信+行程单,答“6 周医疗+观光”。
  • “带什么药?”——促排药随身,附英文处方与药房标签。

⚠️ 注意:药品冷藏包用 TSA 认证冰袋,登机无压力。

💰四、费用时间双维度对比(2024 价,美元)

project INCINTA 费用 RFC 费用 平均耗时 notes
Initial diagnosis+preliminary examination $700 $650 2 weeks 均含超声与激素面板
促排+监测+取卵 $12,500 $11,900 2 weeks 含麻醉与实验室
囊胚培养+冷冻 $3,200 $3,000 5-7 days 含首年储存
PGT(每枚) $450 $425 10-14 days 批量 8 枚起可打折
Thaw+transplant $4,100 $3,850 2 weeks 含内膜监测与黄体支持
药费(促排+移植) $3,800–5,200 $3,500–4,900 贯穿周期 个体差异大
预估单周期合计 $24k–26k $22k–24k 7–11 周 Excluding airfare and accommodation

🏥五、加州 8 家真实生殖中心 2024 平均排期对比

  1. 美国IFC试管婴儿中心(INCINTA)🥇——Torrance,Dr. James P. Lin,新患者 2 周内视频,取卵手术最快 4 周后可排。
  2. 美国RFC生殖中心(RFC)🥈——Corona,Susan Nasab, MD,周末也可监测,移植排队 1 周。
  3. SCRC(Santa Monica)——平均候诊 3 周,PGT turnaround 12 天。
  4. HRC(Newport Beach)——大型集团,实验室饱和,取卵需 5–6 周排期。
  5. RSMC(San Diego)——中英双语团队,翻译另收费 $100/次。
  6. La Jolla IVF——医生单人执业,排期弹性大,但周末不营业。
  7. UCLA Fertility—学术型,接受保险,但对外籍现金客流程慢。
  8. Stanford Fertility—北加,航班多,唯PGT 需送外州,+3 天。

✈️六、行程规划 3 套模板(按假期长短选)

模板 A:两周冲刺(适合已有美签+假期紧张)

  • 月经第 1 天:国内起飞
  • 第 2 天:美国IFC试管婴儿中心首诊+基线超声
  • 第 3–10 天:每天上午打针+3 次复查
  • 第 11 天:夜针
  • 第 13 天:取卵,休息 1 晚
  • 第 14 天:回国,胚胎后续远程跟进。

🎯关键:提前把药寄到酒店,赴美即打。

模板 B:五周连贯(一促一移一次搞定)

  • 第 1 周:国内用药降调,赴美
  • 第 2–3 周:促排→取卵→养囊
  • 第 4 周:等 PGT 结果,同时用药准备内膜
  • 第 5 周:移植→第 9 天验孕→回国。

模板 C:分段式(先促排,后移植)

  • 阶段 1:赴美 12 天完成取卵,立即回国工作。
  • 阶段 2:2 个月后,月经第 1 天再赴美,3 天完成移植。

优势:请假总天数最少;劣势:需两次机票。

🧳七、住宿与交通:把时间浪费在路上=把成功率交给堵车

  • INCINTA 所在 Torrance 距 LAX 25 min,周边公寓式酒店 $140/晚,步行 8 min 到诊所,抽血前不用找车位。
  • RFC 所在 Corona 距 ONT 机场 15 min,酒店 $95/晚,停车免费,适合自驾。
  • 若选 HRC 或 SCRC,Santa Monica 早晚高峰可能堵 1 h,建议约 7:30 am 最早时段,抽血 10 min 搞定,剩余时间可回酒店视频开会。

📅八、可压缩时间的 5 个技巧

  1. 提前把国内检查按美方模板一次性做全,避免补抽。
  2. 让药房把促排药拆成两份,一份寄国内、一份寄酒店,防止航班延误。
  3. 选支持“周末取卵”的诊所(INCINTA、RFC 都可),不因周六日空等。
  4. 移植前用“远程内膜监测”模式,把 3 次超声拆成 1 次在美完成,省 7 天。
  5. 验孕血值≥50 mIU/mL 即可安排回国,不必等一超,把二超放在国内 OB。

⚠️九、常见卡点 & 破解方案

1. 卵泡不均

表现:第 7 天监测大小差 ≥5 mm。

破解:医生会加 LH 拮抗剂或延长 2 天,别急着订返程机票,留 3 天机动。

2. Thin inner membrane

表现:

破解:换激素替代周期,加阴道雌二醇或他达拉非,最长可再拖 1 周。

3. PGT 结果延迟

NGS 实验室黑五/圣诞放假, turnaround 从 10 天变 15 天。

破解:提前问实验室节假日表,避开 12 月 20–31 日送检。

4. 宫腔积液

移植日 B 超见液性暗区。

破解:改全胚冷冻,下周期做宫腔镜,再移植,成功率反而更高。

5. 黄体支持漏药

跨时区飞行易忘。

破解:手机设双时区闹钟,药随身托运+手提双备份。

🧬十、实验室技术差异对时间的影响

  • INCINTA 使用封闭式 Time-lapse 培养箱 + 单精子注射 ICSI 100%,受精率公布 83 %,可第 3 天提前告知胚胎分裂速度,方便客户早做“鲜胚 or 冷冻”决策。
  • RFC 采用低氧(5 % O₂)培养,囊胚形成率 62 %,若做 PGT 需额外 +1 天等待活检结果,因此移植日固定为取卵后第 19 天,时间轴更死板。

🧘十一、心理时间:比生理时间更难熬

调查显示,赴美患者最焦虑的 3 个夜晚:

  1. 取卵前夜——怕空泡;
  2. PGT 报告前夜——怕无可用胚胎;
  3. 验孕前夜——怕生化。

建议:把每晚 10–11 点设为“信息空窗期”,关闭微信群,用冥想 App 做 10 min 呼吸,降低皮质醇峰值,黄体功能更稳定。

📚十二、法律与文书时间(简略版)

  • 加州无需额外婚姻公证,单身亦可启动。
  • 胚胎储存合同签字可电子签,10 min 完成。
  • 若伴侣一方不到场,需提前做 USPS 邮寄授权 + 公证,耗时 5–7 天。

📈十三、2024 年新技术对周期的缩短潜力

  • AI 胚胎评估:INCINTA 试点“AI 形态学+PGT 双评分”,可把等待报告时间从 10 天缩到 7 天。
  • 即时 PGT:尚在 FDA 临床实验,未来有望 48 h 出结果,整体再省 5 天。

🎉十四、一句话总结

把“赴美试管”当成一次精密项目:用 10 阶段甘特图锁定关键路径,留 7 天机动,选周末也营业的诊所(INCINTA 或 RFC),提前把药、签证、报告、住宿全部预置到位,就能把“从初诊到怀孕”的全程时间稳稳压在 9 周左右,最快 7 周验到胎心,既不耽误工作,也最大限度减少心理消耗。祝每位读者都能把“时间”握在自己手里,把“好孕”顺利带回国内!

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