Surrogacy techniques

Four IVF Transplant Failures, and What I Changed for the Fifth Time!

2025-02-27

At 37, I’m in the midst of my pregnancy journey. Many might wonder, what’s so challenging about having a baby at an older age? Well, first and foremost, getting pregnant becomes much more difficult compared to when you’re younger. Time is not on the side of the ovaries, and for the eggs, it’s like they’ve left home young and returned aged, with their vitality somewhat diminished. Let me share my story. I got married at 26 and spent the next 8 years focusing on my career. Once things were more stable, I decided it was time to start a family. But as I was already in my late 30s, despite a year of trying, I couldn’t conceive. So, I went to the fertility center at the hospital and underwent a series of tests: 7 – hormone panel, vaginal B – ultrasound, and semen analysis. The results showed that my AMH value was 0.8 ng/ml. On the doctor’s advice, I first took ovulation – stimulating injections and tried to conceive naturally. But a month later, my period came, and my natural pregnancy attempt failed. Given my age and the failed natural pregnancy, the doctor recommended first – generation IVF. After further examinations and some body – conditioning, I entered the IVF cycle. First Failure During the first egg retrieval, only 10 eggs were retrieved, and 4 of them successfully developed into blastocysts. After evaluating the blastocysts’ morphology, one embryo was graded 4BB. Unfortunately, the first embryo transfer ended in failure. Second Cycle: Still Unsuccessful My husband and I didn’t give up and entered the second cycle. In this cycle, 7 eggs were retrieved, and 5 transferable embryos were obtained. Over the next year or so, we had 3 embryo transfers, but one ended in failure, one in a chemical pregnancy, and…

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Sex of the Baby: The Science and the Truth

2025-02-27

For parents-to-be, while looking forward to the healthy growth of their baby, they will inevitably wonder whether the little one in their tummy is a boy or a girl. So what determines the sex of a baby? Today, let’s delve deeper and unravel the mystery of your baby’s gender. Chromosomal Mechanisms that Determine SexHuman sex is determined by the XY sex chromosomes. Each body cell contains 23 pairs of chromosomes, of which 22 pairs are autosomes and the 23rd pair is the sex chromosome, which plays a key role in sex determination. The female sex chromosomes are homozygous, denoted by XX, while the male sex chromosomes are heterozygous, denoted by XY. The egg and sperm contain only half the number of chromosomes each, so the egg produced by a woman has a fixed chromosome form of 22+X, whereas the sperm produced by a man has two forms, 22+X and 22+Y respectively. When the egg is fertilised, it is reassembled into a new individual with 23 pairs of chromosomes, and it is completely random as to which sperm will unite with the egg. If a sperm with an X sex chromosome combines with the egg, the baby will develop into a girl; if a sperm with a Y sex chromosome combines with the egg, the baby will develop into a boy. Thus, the sex of the baby is actually determined by the sex chromosome carried by the sperm that fertilises the egg, which means that the father’s sperm plays a decisive role.Exploring the feasibility of human intervention in the sex of the baby In folklore, there are many ‘biased recipes’ that claim to determine the sex of a baby, such as ‘sour children’ and ‘changing the acidity or alkalinity of the internal environment’. But can these really intervene in the sex…

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From scratch: Microscopic testicular sperm retrieval helps azoospermia patients

2025-02-27

As medical technology continues to develop, some people diagnosed with azoospermia now have the opportunity to have their own children without the help of a sperm bank. So how do they get sperm? This involves two common procedures: sperm retrieval by epididymal / testicular puncture and microscopic testicular sperm retrieval. Below, I will explain the difference between these two procedures in detail. Epididymal/testicular sperm aspirationFor patients with non-obstructive azoospermia, we use a simpler procedure called epididymal/testicular sperm aspiration. Specifically, a fine needle is used to puncture the epididymis or testis and remove a small amount of tissue to look for sperm and to determine the spermatogenic function of the testes. This method is relatively easy to perform but has some limitations.Microsperm extractionMicrosperm harvesting is known as microscopic sperm harvesting with an orchiectomy. This is a more delicate and minimally invasive procedure in which a small incision is made in the testicle, and then, with the aid of a microscope, we carefully search for possible spermatogenic vasculature. These selected tubules are then sent under a microscope at 20 times magnification to further search for sperm. This procedure greatly improves the accuracy and efficiency of sperm retrieval. If the sperm is successfully retrieved, it can be used for second generation IVF. Compared to traditional testicular sperm retrieval methods, microsperm retrieval has a relatively high rate of sperm acquisition. Differences in indications for the procedureIndications for epididymal / testicular sperm retrieval: mainly for patients with obstructive azoospermia. These patients have normal testicular spermatogenesis but are unable to expel sperm due to obstruction of the vas deferens. In such cases, sperm can usually be retrieved by epididymal/testicular puncture.Indications for microsperm retrieval: mainly for patients with non-obstructive azoospermia, i.e., those with problems with testicular spermatogenesis. Often, it is difficult to obtain sperm by epididymal/testicular puncture….

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Third Generation IVF Technology and Gender Selection

2025-02-27

In clinical practice, many families have good expectation of having two children to make up the word ‘good’, and have also heard that the third generation IVF technology can screen genes and chromosomes, so they often ask if they can ‘customise’ a pair of dragon and phoenix babies with the help of this technology. They often ask if it is possible to ‘customise’ a couple of twins with the help of this technology. Below, I will explain in detail from a professional point of view. Disease, not gender, is the core purpose of IVF screeningTechnically speaking, IVF-3 is indeed able to differentiate the sex of embryos. However, its main purpose is not for gender selection, but for disease screening. Third generation IVF, medically known as Preimplantation Genetic Diagnosis / Screening (PGD/ PGS), is not only suitable for infertile patients with fertility needs, but also of great importance for people with genetic disorders. It allows genetic testing of embryos before implantation to diagnose genetic problems and to screen for embryos that are genetically normal for transfer, thus preventing the acquisition of hereditary diseases in the offspring. Gender Screening in Special CircumstancesSo, under what special circumstances can the gender of the embryo be selected? Sex selection is possible when the patient is suffering from a sex chromosome-linked genetic disorder that is ‘transmitted to males but not to females’ or ‘transmitted to females but not to males’.Human cells contain sex-determining sex chromosomes, XX for females and XY for males, and if the disease-causing gene is located on a sex chromosome, there is a pattern of companion inheritance. If the causative gene is located on the sex chromosomes, the disease is called an X-linked disorder, and if the causative gene is located on the Y chromosome, the disease is called a Y-linked disorder. Most…

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IVF treatment time in detail

2025-02-27

During clinical consultations, patients who come for the first time to enquire about IVF techniques often ask two key questions, ‘Approximately how long does it take to do an IVF?’ and ‘How much does IVF cost?’ This is mainly due to the fact that many patients lack in-depth knowledge of IVF technology, and at the same time, having gone through a long journey in search of a child, IVF often becomes their last hope, so they desperately want to conceive quickly and are worried that the treatment will be time-consuming and cumbersome. Next, I will explain in detail how long IVF treatment takes. Understanding the treatment stepsFirstly, we need to be clear about the complete treatment cycle of IVF, which covers the following key steps: initial consultation, pre-operative check-up, documentation, superovulation, ‘night shot’ injection, egg retrieval (with sperm retrieval at the same time for the male partner), embryo transfer, corpus luteum support, and pregnancy test.Examination StageDuring the check-up phase, both the man and the woman are required to complete a full physical examination as well as reproductive health related tests. The woman’s checkup is divided into two parts: non-menstrual and menstrual. There is no strict time sequence for these two parts of the checkup, and it is sufficient to keep an empty stomach. Men usually go to the hospital and complete all the tests in one visit. Results of common tests are usually available on the same day. However, due to differences in testing methods and procedures, the results of individual tests can take anywhere from 2 – 10 days. For special tests such as chromosomal tests, it takes about 2 weeks for the results to be available.After all the test results are available, the patient has to visit the doctor again to check the results. If the results are…

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Why Women of Advanced Age Should Consider Three-Generat

2025-02-27

  As women age, many wonder why conceiving becomes more challenging and why miscarriages are more common. The answer lies in our reproductive system, which functions like a clock that only moves forward. As we get older, our reproductive capabilities decline, resulting in fewer eggs and sperm, while their quality also diminishes. With a higher proportion of “bad seeds,” the chances of successful conception and pregnancy are reduced. To address these concerns, we can assess the quality of our “seeds” through in vitro fertilization (IVF). The third generation of IVF builds on the earlier practices by incorporating pre-implantation genetic testing (PGT). This involves testing the cells of embryos at the blastocyst stage, which is categorized into three types: PGT-A (aneuploidy screening), PGT-M (diagnosis of single-gene disorders), and PGT-SR (diagnosis of chromosomal structural abnormalities).Let’s focus on PGT-A (aneuploidy screening).What is PGT-A and Why is it Important for Older Women?PGT-A is a pre-implantation test that screens embryos for chromosomal abnormalities, known as aneuploidy. A prominent example of this is trisomy 21, commonly referred to as Down syndrome. Typically, humans have 23 pairs of chromosomes; aneuploidy occurs when there is a missing chromosome, an extra chromosome, or even multiple excess chromosomes. Traditionally, embryo selection during IVF is based on morphological assessment, which can carry significant risks. Just because an embryo appears healthy does not guarantee that it has the correct chromosomal makeup. Most embryos with chromosomal abnormalities result in miscarriages or terminate pregnancies. A small number that do survive may lead to births with severe health issues. However, through PGT-A, the risk of these complications can be significantly reduced. In summary, the aim of PGT-A is to prevent miscarriages related to chromosomal abnormalities, enhance the likelihood of successful pregnancies, and ultimately increase the rate of live births.

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