体外受精(IVF)

辅助孵化

辅助孵化, a laser is used to thin the zone pellucida (outer shell) of the fertilized egg before it is transferred into the uterus. This outer shell is believed to become thicker and hardened with aging of the oocyte (egg).

高龄妇女, 或者在第三天卵泡刺激素(FSH)水平升高, 可能会降低胚胎植入的机会. The embryos of women with endometriosis and poor quality embryos may also have this problem. The 辅助孵化 technique was introduced to enhance the embryos' ability to hatch, 因此植入, 转让后.

如果你的年龄在38岁或以上，你可能是辅助孵化的候选人, 基础促卵泡刺激素水平升高, or if you have previously had one or more IVF cycles in which your embryos failed to implant, 尽管结果很好.

囊胚培养

囊胚培养 is a technique to grow embryos beyond the third day of culture. Typically with IVF, embryos are transferred into the uterus about three days after the egg retrieval. 第三天，胚胎通常有6到8个细胞. 多年来, improved culture environments have allowed us to culture the embryos two additional days. During this additional culture period, the embryos continue to grow to become "blastocysts."

The natural process of embryo development begins with the fertilization of the egg in the outer aspect of the fallopian tube. 随着新形成的胚胎的发育, 它慢慢地向子宫腔移动，最终在那里植入. 这个过程大约需要6到7天. 当胚胎到达“囊胚”阶段时，它就准备好植入了.

在某些患者中, 囊胚培养允许胚胎移植的最佳选择, 导致每个移植胚胎的着床率增加. 然而, it is important to understand that this technology may not necessarily increase your chance for pregnancy. The main advantage is that fewer embryos may be transferred to eliminate the possibility of multiple pregnancies, 同时保持较高的怀孕率.

一般来说, this procedure should be limited to patients with excessive numbers of embryos – more than five – in which case further selection of embryos beyond the day three stage would be advantageous. As a general rule, patients under age 37 are candidates for this culturing technique.

For younger patients, up to 50 percent of all embryos will continue to grow to the blastocyst stage. 然而, 10 percent of patients won't have an opportunity for embryo transfer due to the absence of blastocyst development. 随着患者年龄的增长, fewer and fewer numbers of embryos are capable of developing in culture to the blastocyst stage.

胚胎与子宫内膜或颗粒细胞共培养

Embryo co-culturing is a technique used to improve the overall quality of embryos before transferring them into the mother's uterus. 它是在加州大学旧金山分校试管婴儿实验室发起的, 但自1996年以来，十大赌博平台排行榜上其他几个试管婴儿项目也使用了这种技术. Co-culturing uses human granulosa or endometrial 细胞 that may secrete nutritional products that help growing embryos improve their chances for survival.

使用共培养, we have seen an improvement in embryo quality and relative growth 72 hours after egg retrieval. 卵子在取卵后的18到24小时内受精.

We only recommend this technique to patients who have had previous unsuccessful IVF cycles with poor embryo quality, 要么在加州大学旧金山分校要么在其他项目. 我们不建议从未接受过体外受精的患者使用, 或者过去有过胚胎质量优良的治疗周期.

一个重要的概念是你怀孕的可能性, 不管你的年龄, 这取决于你胚胎的整体质量. 如果你的胚胎质量一般都很好, 那么你在试管婴儿治疗周期中怀孕的几率就会更高. Conversely, if you have generally poor embryo quality, then your chance for success diminishes.

目前尚不清楚与共文化相关的风险. 因为它从未被广泛测试过, there is no information regarding children born of co-culture using these specific 细胞. 因为这个事实, we remain cautious about using this technique on patients who clearly may not benefit from it. It is important to understand that some patients may not have improved embryo quality, 尽管使用了共培养.

如果你和你的十大赌博平台排行榜同意在你的试管婴儿治疗周期中使用共培养, then we will incubate all your embryos in the co-culture environment as soon as our embryologists confirm fertilization. 我们会继续共培养直到你的胚胎移植那天.

冷冻共培养胚胎是可能的. 共培养不会影响胚胎的冷冻能力. We use the same standards for freezing co-cultured embryos as we do for standard cultured embryos. 如果你的胚胎质量通过共培养得到改善, 我们更有可能为你冷冻更多的胚胎.