IVF and Tubal Infertility: Choosing the Right Indications

2023/06/15 分类:Infertility 不孕不育秒懂安太 263 0

In vitro fertilization (IVF) is a method and approach used to assist with absolute tubal infertility. It has once saved numerous families struggling with tubal, pelvic, or ovarian infertility, allowing them to have their own biological children. The remarkable contributions of IVF technology have even earned it the prestigious Nobel Prize.

However, it is disheartening that in recent years, many fertility centers in hospitals have excessively utilized IVF technology for economic interests. They have guided patients who could have been cured and achieved natural pregnancy through other means towards undergoing IVF treatment. What’s even worse is that some doctors have led patients with diseases that do not require IVF to undergo the procedure, such as polycystic ovary syndrome. In such cases, IVF may cause excessive stimulation, resulting in minor complications at best and potentially life-threatening risks at worst.

The absolute indication for IVF is tubal infertility. This includes cases where the fallopian tubes remain blocked after attempts of salpingostomy or Yang’s therapy, cases where both tubes have been surgically removed for other reasons, or cases of congenital absence of fallopian tubes. Among all infertility conditions, tubal factor infertility suitable for IVF assistance accounts for only 5-10% of the total cases.

However, it is a mistake for many individuals to hastily opt for IVF when previous treatments have been unsuccessful. Over-treatment not only carries risks but also results in unnecessary burdens and wastage of resources. IVF has a relatively low success rate and high cost, and its indications are highly specific. For example, IVF is not a suitable treatment for endometriosis, as it is difficult to achieve success in such cases.

Therefore, it is crucial to make wise choices regarding the indications and appropriate application of IVF technology for the benefit of humanity. To ensure optimal treatment outcomes and the rational use of resources, the following principles should be followed:

Firstly, clearly define the indications. IVF technology should only be used for absolute tubal infertility. Among other infertility conditions, tubal factor infertility suitable for IVF assistance is a minority. Therefore, when choosing a treatment approach, both doctors and patients should ensure accurate diagnoses and determine if they meet the indications for IVF.

Secondly, consider treatment outcomes and risks comprehensively. Although IVF brings hope to some infertile couples, its success rate is relatively low, and the cost is high. Therefore, when deciding whether to undergo IVF treatment, the pros and cons should be carefully weighed, taking into account factors such as the probability of treatment success, impact on the body, and economic burden.

Additionally, the professional judgment of doctors is essential. Doctors should possess the necessary knowledge and experience when formulating treatment plans, considering the specific circumstances of the patients. They should base their recommendations on the patients’ diagnostic results, medical history, and the latest medical research and guidelines, providing the most suitable treatment advice.

Lastly, patients and families should actively participate in the decision-making process. Understanding one’s own condition and treatment options is crucial for making informed decisions. Patients and families should engage in open communication with their doctors, gaining insights into the advantages, risks, and limitations of the treatment, and collaboratively formulating the best treatment plan.

In conclusion, IVF technology represents a remarkable advancement in medicine, bringing hope and happiness to many infertile couples. However, it is essential to make wise choices regarding the indications and consider treatment outcomes and risks comprehensively to ensure the appropriate application of IVF technology and maximize its benefits for humanity. At the same time, patients and families should actively participate in the decision-making process, working closely with doctors to pursue the best treatment outcomes.