Custom baby abroad: in vitro fertilization abroad really advanced? -IVF-IT information

On June 16, 2016, the United States member of the College of Obstetricians and Gynecologists, American Academy of foreign, has been involved in cultivation of the world's first test-tube baby doctor make·Sali (Mark Surrey) taught at the Beijing Foreign IVF technology. The scene, a lady who came from Chengdu by plane to listen suddenly burst into tears.

This is not a surprise for make·Sali, he was involved in creating the most famous of all American Fertility Center--Southern California reproductive Center (SCRC), almost daily reception to help couples, in which China has become a growing number of customers than any other country.

According to the World Health Organization, with infertility rates rising, China 1 out of every 8-age couples infertile, and infertile couples were younger. Infertility groups, from the 70 's of the last century 1%~2% rose up about 10 times today's 10%~15%,30 year.

Comprehensive two-child policy in China since this year marks the official implementation, some want two children to elderly couples facing difficult pregnancy problem, so many Chinese look to the "test-tube baby" service.

United States IVF cost over 300,000

At present, not only the United States and Southeast Asia are eyeing the Chinese market as a whole. United States Stanford international consulting Institute (SRI) published data showing global health tourism industry roughly $ 438.6 billion, accounting for 14% of the total size of the global tourism industry. Analysts predicted cross-border health care in the future market will exceed $ 10 billion, China will become a new growth point in global markets.

"Thailand's IVF clinics generally have high success rates, high cost performance characteristics. And we have implemented one-to-one customization services, patients from visa to the language support to China, then to the physical conditioning of one-stop seamless service. "Thailand global fertility Center told Xinhua.

Thailand media reported Thailand's IVF success rates as high as 60%, IVF success rate is much higher than other Asian countries. So a lot of IVF unsuccessful couples in China choose to put their hopes on the Thailand doctor.

"We already have a boy, really wanted a little Princess. You know home is selective is not allowed, so we only choose to go abroad to give birth to a baby. "36, Jing said.

Jing checks went to Beijing hospital, but her experience is very bad. "Now is the mobile phone registered, but it is difficult to get first. This is not to say, exam with no privacy at all, feeling embarrassed. I also understand that the doctor wants to see dozens of patients a day, cannot be patient and thoughtful, but it is a priority for our family and would rather spend more money to solve the problem. "Jing is very reluctantly.

In Thailand, for example, the current market price is around 100,000 yuan, if you want to select the gender of babies need to add more than 60,000 yuan and United States fees are higher, reaching more than 300,000 yuan.

"We are sure that Chinese patients United States the doctor is on the rise. "Fertility expert Dr Shahin Ghadir, told reporters of the SCRC, who is expected in 2016 have 400 patients in China flew across the Pacific to their test-tube babies in hospitals.

"My Chinese clients who have received a good education, good economic conditions, I think they are seeking objective is very simple, not outside hopes of rendering a nationality, they hope that with the help of the most advanced technologies in the medical condition of a healthy child. "Shahin Ghadir, says Dr.

Technology really that cattle from abroad?

"Test-tube baby technology is not the same as electronic product replacement, generation better than generation"

"I have a chromosome problem, and my husband has low sperm count, we have been in a hospital in Beijing to do a test-tube baby but encountered tire stop. Heard that Thailand can provide the advanced generation test-tube babies (PGD) technology designed for repeated miscarriages or genetic diseases, I would like to try. "Pany, 34, said.

Dr make·Sali's speech, he shows the current United States most advanced in-vitro fertilization technology, claims to be the world's fourth-generation test-tube baby EmbryoScope (embryonic development box).

EmbryoScope is the world's most commonly used time-lapse system for observation of embryo can be observed while maintaining a stable environment for embryo culture, embryo development to ensure that best improve pregnancy success rate. Moreover, patients and their families can see at any time EmbryoScope shot video of delay, it records the egg from fertilization, the whole process of Division that develops into a blastocyst.

Obviously, the latest development of the embryo can be seen every day for they're surprised, but apply to everyone?

Renowned expert in obstetrics and gynaecology, former Director of the Peking University first hospital fertility Center Professor Zuo Wenli, told reporters that at present, many patients in vitro fertilization "level" misunderstandings, that generation is better than the second generation, second generation better than generation. "IVF is not the same as electronics upgrades, generation better than generation. "Zuo Wenli said so-called test-tube babies one generation, two generations, three generations, is for a different indication, according to different needs, choose a different" mode ".

Zuo Wenli explained said, generally, generation IVF used general body outside fertilization-embryos transplant, requirements man semen quality cannot too poor; II generation IVF (single sperm micro injection) main for male sperm number poor, and quality poor of situation, will vitality good, and form normal of single sperm through micro operation technology will its directly injection to egg in the, help completed fertilization process; three generations IVF (PGD) is is for repeatedly abortion or genetic class disease crowd, take embryos implanted Qian genetics diagnosis.

"Different indications, will choose a different way. Unrelated to advanced and less advanced. "Zuo Wenli said.

IVF risk to overseas?

Data show that after the implementation of a comprehensive two-child policy released would be allowed two girl target of 90 million people, half of which are 40 years old ~49 age group. "Another" under the obsession of many elderly couples and infertility is pinning its hopes on the in vitro fertilization.

Guotai Junan research report shows that infertility is more than 40 million people in China, assisted reproduction market size reached 120 billion yuan, China assisted reproductive qualifications operators 432, assisted reproduction market demand.

"This year, more and more clients ask us about in vitro fertilization business, almost every day, someone asks do not do. "The head of a medical institution, told reporters.

Huge rush demand IVF overseas intermediary market.

However, the market was mixed, uneven intermediary qualification, plus a lot of care in patients with IVF gender, number intermediary institutions have to meet in order to Thailand and the United States can do in-vitro fertilization, sex selection as a selling point to attract tourists.

One had to Thailand do IVF of patients family told reporter, he of wife in Thailand accept IVF clinic, previously had accept had once surgery, but no success, and injection once promoting eggs pharmacy body need 4 months or half to recovery, "on people of loss too big has, I wife in injection promoting eggs pharmacy zhihou, skin will yellow, body also than yiqian poor, and she of career career completely interrupted. "In addition, according to official sources, Thailand is forbidden to select test-tube baby gender, Thailand Ministry of health health authority website, parents undergoing IVF must be husband and Thailand law forbids sex test, also banned the sale of eggs.

However, Thailand hospitals and clinics to IVF as the main project, almost half are providing services of sex selection, this is the open secret in the industry. In the United States, different States have different rules.

"I personally suggested that IVF population should be a ' gotcha ' history, genetic diseases such as infectious diseases, many failures and other problems, consider a move abroad to try again. "Professor Zuo Wenli said.

出国定制宝宝：国外试管婴儿技术真的先进？ - 试管婴儿 - IT资讯

2016年6月16日，美国妇产科学院院士、美国外科学院院士，曾参与世界首例试管婴儿培育的马克·萨里博士(Mark Surrey)在北京讲授国外试管婴儿技术。现场，一位从成都坐飞机赶来听讲的女士突然痛哭流涕。

这对于马克·萨里来说并不意外，在他参与创建的全美最为著名的生殖中心——南加州生育中心(SCRC)，几乎每天都要接待前来求助的夫妻们，其中中国已经成为客户数量增长最多的国家。

世界卫生组织的数据显示，随着不孕率的上升，中国每8对适龄夫妻中就有1对不孕，而且不能生育的夫妻呈年轻化趋势。不孕不育人群比例从上世纪70年代的1%～2%，上升至现今的10%～15%，30年增长了10倍左右。

在中国全面二孩政策于今年元旦起正式实施以来，一些想要二孩的高龄夫妇面临怀孕难的问题，于是很多中国人将目光投向了“试管婴儿”服务。

到美国做试管婴儿费用超30万

目前，不但美国，整个东南亚都在觊觎中国市场。美国斯坦福国际咨询研究所(SRI)公布的数据显示，全球医疗健康旅游产业规模约为4386亿美元，约占全球旅游产业总规模的14%。分析人士预测，未来我国跨境医疗市场规模将突破100亿美元，中国将成为全球市场新的增长点。

“泰国的试管婴儿诊疗普遍具有高成功率、高性价比的特点。而且我们实行一对一定制服务，对中国病人实行从签证到语言支持，再到身体调理的一条龙式无缝对接服务。”泰国全球生殖中心的工作人员告诉记者。

据泰国媒体报道，泰国的试管婴儿成功率高达60%左右，远高于其他一些亚洲国家的试管婴儿成功率。所以很多在中国做试管婴儿不成功的夫妇选择把希望寄托在泰国医生身上。

“我们已经有了一个男孩，这次特别想要一个小公主。你也知道国内是不允许选择性别的，因此我们只有选择去国外生个宝宝。”36岁的Jing表示。

此前Jing专门去北京的三甲医院进行检查，但是她的体验非常差。“现在都是手机挂号了，但还是一号难求。这都不说了，检查的时候毫无隐私可言，感觉特别尴尬。我也理解国内的大夫一天要见几十个病人，不可能耐心周到，但是这对我们这个家庭来说是头等大事，宁愿多花钱也要解决问题。”Jing很无奈地表示。

以泰国为例，目前市场价格是10万元左右，如果要选择婴儿性别需要再加6万元以上；而美国的费用则更高，达到30万元以上。

“我们很肯定，中国病人来美国看病呈上升趋势。”SCRC的生育专家Shahin Ghadir博士告诉记者，他们预计2016年会有400个中国病人飞过太平洋，到他们医院接受试管婴儿手术。

“我的中国客户们都接受过良好的教育，经济条件良好，我觉得他们求医的目的也很单纯，并不是外界渲染的希望取得国籍，他们就是希望借助最先进的技术在最好的医疗条件下要一个健康的孩子。”Shahin Ghadir博士表示。

国外的技术真的那么牛？

“试管婴儿技术并非像电子产品一样更新换代，一代优于一代”

“我的染色体有问题，而我丈夫精子数量少，我们已经在北京的一家三甲医院做过一次试管婴儿但是遭遇胎停。听说泰国可以提供先进的三代试管婴儿(PGD)技术，专门针对反复流产或遗传类疾病人群，我想去试试。”34岁的Pany说。

在马克·萨里博士的演讲中，他展示了目前美国最先进的试管婴儿技术，号称是全球第四代试管婴儿的EmbryoScope (胚胎发育观察箱)技术。

EmbryoScope是世界上最常用的用于观察胚胎发育的延时拍摄系统，可在观察的同时保持稳定的胚胎培养环境，能确保胚胎发育至最佳状态，有效提高妊娠成功率。而且，患者和家属可以随时看到EmbryoScope拍摄的延时视频，它记录了卵子从受精、分裂到发育为囊胚的全过程。

显然，每天都可以看到胚胎的最新发展对于病人们来说无疑是惊喜，但是适用于所有人吗？

著名妇产科专家、原北京大学第一医院生殖中心主任左文莉教授告诉记者，目前有很多患者对试管婴儿“代级”存在误解，认为三代优于二代，二代优于一代。“其实试管婴儿并非像电子产品一样更新换代，一代优于一代。”左文莉说，所谓的试管婴儿一代、二代、三代，是针对不同的适应症，应按不同需求，选择不同的“模式”。

左文莉解释称，一般而言，一代试管婴儿采用常规体外受精—胚胎移植，要求男方精液质量不能太差；二代试管婴儿(单精子显微注射)主要针对男性精子数量差、质量差的情况，将活力好、形态正常的单个精子通过显微操作技术将其直接注射到卵细胞中，帮助完成受精过程；三代试管婴儿(PGD)则是针对反复流产或遗传类疾病人群，采取胚胎植入前遗传学诊断。

“不同的适应症，会选择不同的方式。无关先进与不先进。”左文莉说。

到海外做试管婴儿风险几何？

数据显示，在全面二孩政策实施后，新增可生育二孩的9000万目标人群中，一半是40岁～49岁的人群。在“再生一个”的执念下，不少高龄夫妇和不孕症患者把希望寄托在试管婴儿技术上。

国泰君安研报显示，中国不孕不育人数已超过4000万人，辅助生殖市场规模已达到1200亿元左右，中国获得辅助生殖资质的机构共432家，辅助生殖市场需求旺盛。

“今年以来，越来越多的客户向我们咨询试管婴儿的业务，几乎每天都有人问做不做。”一家医疗机构的负责人对记者表示。

庞大的需求还催旺了海外试管婴儿中介市场。

但是，这个市场鱼龙混杂、中介资质参差不齐，加上不少患者在意试管婴儿的性别，许多中介机构纷纷迎合，以赴泰国、美国可做试管婴儿性别选择为卖点，吸引客源。

一名曾去泰国做试管婴儿的患者家属告诉记者，他的妻子在泰国接受试管婴儿诊疗，此前曾接受过一次手术，但没有成功，而注射一次促卵药剂身体需要4个月或者半年来恢复，“对人的损耗太大了，我妻子在注射促卵药剂之后，皮肤会发黄，身体也比以前差，而且她的职业生涯完全中断。”此外，根据官方资料，泰国是禁止选择试管婴儿性别的，泰国卫生部医疗健康监管局网站显示，接受试管婴儿服务的父母双方必须是合法夫妻，而且泰国法律禁止检验胎儿性别，也禁止买卖卵子。

但是，在泰国以试管婴儿为主体项目的医院和诊所，几乎半数以上都提供选择胎儿性别的服务，这是这个行业公开的秘密。而在美国，不同的州有不同的规定。

“我个人建议试管婴儿人群应该是有‘疑难杂症’，比如有传染病、多次失败史、遗传性疾病等难题，再考虑到国外试试。”左文莉教授如是表示。