The purpose of the physical examination is to assess the reproductive ability of men and women, with the physical examination report in the network video consultation with the U.S. doctor, can effectively predict the program and the results of the promotion of ovulation, rather than guessing.

of the bride’s party

Core Indicators: Sex Hormone 6 (day 1-3 of menstruation), AMH (blood test), ultrasound (day 1-3 of menstruation, basal follicle, oocyte and uterine condition).

Others: vitamin D, thyroid TSH, mycoplasma, chlamydia ( cervical secretions )

To note.

1) Ultrasound: Transvaginal ultrasound is required. ExaminationRemember to emphasize with the ultrasound doctor during the examination that the basal follicles must be counted! And measure their size! There have been cases where doctors in China did not count the basal follicles because they thought they were too small, which led to unpredictable results during the network consultation with the doctor and the need to redo the test.

2) Blood items: sex hormone six, go for it on the 1st to 3rd day of menstruation (remember: the 1st to 3rd day of seeing blood, not the 1st to 3rd day after the end of menstruation); AMH is not subject to any date restriction, any day will do; Vitamin D and thyroid test can be arranged by yourself (if abnormal, it means that endocrine abnormality may affect the results of egg retrieval by promoting ovulation), and it is not required by most of the hospitals when retrieving the eggs; TSH is higher than 2.5 when using medication to lower it before transplantation; TSH is higher than 2.5 when using medication to lower it before transplantation. If TSH is higher than 2.5, it will be lowered with medication before transplantation.

Men’s side:

Core indicator: semen analysis (3-5 days of abstinence)

Other exclusions: sperm DNA fragmentation.

Attention.

1) Semen analysis is mandatory

2) Sperm DNA fragmentation Although most clinics don’t check for it, high sperm DNA fragmentation can affect the quality of embryos, the

With the results of the above tests, you can make an appointment with an IVF specialist in the U.S. for a remote consultation. The doctor will give a plan for ovulation promotion based on the medical history (a bunch of forms need to be filled out), the test results, and will usually ask the woman to start taking oral contraceptives for a period of time in China, so that she can regulate her menstrual cycle, and then go to the U.S. on the specified date for ovulation promotion and egg retrieval.

both sexes

In addition, it is recommended that both men and women check for infectious diseases , although not every clinic requires this, but once an infectious disease is detected in the United States, it will be very troublesome. I have encountered couples who traveled a long distance to the United States to promote surrogacy, into the week before the physical examination found mycoplasma infection, had to go back to China to cure before going to the United States. Therefore, the first check in the country, found that the problem early to solve.

Couples are tested for the following infectious diseases: Hepatitis B V, Hepatitis C antibodies, AIDS, syphilis, gonorrhea, and cytomegalovirus antibodies,

Genetic carrier screening for couples : Some clinics recognize the domestic test reports, so you can have the test done in China and then go to the U.S. This test usually takes about 1 month before you get the results.

Couple’s blood type (optional for surrogacy): ABO blood type, RH blood type.