美国体外受精专家解读：促排卵会加速女性更年期到来吗？
2024年10月24日
Ovarian cysts, as the name suggests, seem unsettling and like a ticking time bomb, constantly threatening women’s health and fertility. They can not only lead to infertility but also trigger tumors. However, don’t feel hopeless, IVF technology has opened the door of hope for us. With the rapid development of the medical field in the United States, more and more infertile patients choose to go to the United States for in vitro fertilization treatment. Is it possible to obtain usable eggs for ovarian cyst patients in the United States? Let’s take a look at how American HRC test tube experts answer this question together.
Learn about ovarian cysts
Ovarian cyst is a general term for ovarian cystic lesions, which can be benign or malignant and have no fixed classification. In clinical practice, it is usually divided into two types: physiological ovarian cysts and pathological ovarian cysts, and pathological cysts can be further divided into benign cysts and malignant cysts, including multiple types.
1. Physiological cysts occur during each menstrual cycle
If follicles grow normally, they may form physiological cysts. This type of cyst usually does not change with the menstrual cycle or pregnancy cycle, and usually disappears on its own within 2 to 3 menstrual cycles.
(1) Follicle cyst: Under normal circumstances, mature eggs should be released during the menstrual cycle, but if the follicle is not mature or has not ruptured and ovulated, it will continue to grow.
(2) Luteal cyst: After releasing the egg, the follicle will transform into the corpus luteum. If estrogen and progesterone begin to be produced and there is blood or fluid accumulation in the corpus luteum, it may lead to a luteal cyst.
2. Pathological cysts are divided into two types: non tumor and tumor
These cysts are usually larger and may cause displacement of the ovarian position, leading to complications.
(1) Benign cysts: including polycystic ovary syndrome, follicular membrane cell hyperplasia, severe ovarian edema, mature teratoma, ovarian serous cystadenoma, ovarian coronal cyst, mucinous cystadenoma, chocolate cyst, etc.
(2) Usually associated with malignant tumor lesions, such as immature teratoma, germ cell tumor, pregnancy with epithelial ovarian cancer, etc., these diseases can all cause ovarian cystic lesions.
Can I still obtain usable eggs for ovarian cysts after undergoing IVF treatment in the United States?
Normally, ovarian cysts can be treated through ovulation induction, but it needs to be considered comprehensively based on individual circumstances: (1) If women consume foods rich in estrogen, it may lead to abnormal hormone secretion in the body, thereby inducing diseases such as cysts. If the cyst volume is small and there are no obvious discomfort symptoms, ovulation induction treatment can usually be performed, which usually does not cause damage to the body and does not affect the normal growth of eggs. (2) For simple cysts that have been present for a long time, have no increasing trend, have a diameter less than 3 millimeters, and no irregular echoes or papillary protrusions are observed in the cyst under ultrasound, and the tumor markers are within the normal range, ovulation induction therapy can usually be performed. (3) If the cyst volume is large and accompanied by abdominal discomfort symptoms, it is usually not recommended to undergo ovulation induction treatment, as this may affect the normal growth of eggs and even lead to complications such as cyst rupture or torsion, causing unnecessary harm to the body.
American IVF treatment strategy:
1. Treat diseases
The IVF experts at the HRC Reproductive Center in the United States will adopt targeted treatment methods based on the severity of ovarian cysts. If the cyst volume is small and there are no obvious discomfort symptoms, conservative diagnosis and treatment methods can be used, and medication can be used to assist in inhibiting the growth of the cyst. If the cyst is large and the symptoms are serious, the focus can be removed through hysteroscopic surgery, and then the test tube baby treatment can be performed after the body is recuperated.
Meanwhile, the occurrence of ovarian cysts is also related to unhealthy lifestyle habits. Therefore, it is recommended to maintain a regular daily routine and ensure sufficient sleep. Persist in daily aerobic exercise, such as jogging, yoga, swimming, etc., to regulate the body’s endocrine system, reduce tension, and maintain a positive and optimistic attitude.
2. Early travel to the United States for IVF treatment
If suffering from ovarian cysts, it usually takes some time to treat. The IVF cycle can only begin when the standards for IVF treatment are met. If the situation is severe, it may require multiple test tube cycles to succeed. Therefore, American HRC IVF experts suggest that once ovarian cysts are detected, treatment should be initiated as early as possible, and IVF treatment should be started after treatment to prevent the impact of aging on pregnancy.
3. IVF treatment
The IVF experts at HRC in the United States will develop personalized ovulation induction plans based on women’s physical conditions. They use ovulation inducing drugs certified by the US drug regulatory agency, which usually do not cause side effects. During drug ovulation induction, experts will monitor the development of follicles throughout the process and inject rupture needles at appropriate times to improve the success rate of egg retrieval, which is usually higher than the industry average.
HRC test tube experts in the United States usually culture fertilized eggs to the stage of forming blastocysts with over 100 cells, and then extract 4-8 cells from the periphery of the blastocyst for PGS/PGD testing to determine whether the chromosome structure and quantity are normal, whether there are chromosomal abnormalities such as duplication, deletion, translocation, inversion, etc. At the same time, genetic diagnosis can also be performed to effectively prevent familial genetic diseases and improve implantation success rate.
