1. Medical contraindications: insurmountable "red lines"
Before focusing on psychological issues, it is necessary to clarify the population of absolute medical contraindications (subject to professional evaluation and confirmation)
Severephysical diseases: such as cardiac dysfunction, severe liver and kidney diseases, etc., who cannot withstand pregnancy
Activeinfections/sexually transmitted diseases: Increasing the risk of vertical transmission between mother and child
Personswith unintervened genetic diseases: Genetic diseases that cannot be blocked by PGT technology
Teratogenexposure period: exposure to radiation, poisons or teratogenic drugs
Uncontrolled mental illness: such as severe depression, bipolar disorder, etc., may endanger the safety of mother and infant.
Note: The above contraindications require a systematic assessment at a qualified reproductive center. In some cases, patients may regain their eligibility for in vitro fertilization treatments after treatment.
Two, five psychological taboos: invisible success rate "killer"
Taboo 1: Self-pity-falling into the abyss of self-denial
Typical manifestations: excessive self-blame for "physical defects", sensitivity and suspicion, avoidance of social interaction, and even resistance to treatment.
▶ Typical manifestations: Excessive self-blame related to “physical defects”; being overly sensitive and suspicious; avoiding social interactions; even resisting treatment.
▶ Risks: Long-term suppression can lead to increased cortisol levels, thereby interfering with the receptivity of the endometrium.
Accept the current situation: Make it clear that "infertility ≠ life failure", and 40% of infertility are caused by unknowncauses
Establish a support circle: Join a psychological support group to reduce stigma.
▶ Establish a support network: Join psychological assistance groups to reduce feelings of shame related to illness.
Typical performance: repeated comparisons of other people's plans, frequent pregnancy tests, and collapse due to fluctuations in periodic indicators.
▶ Typical behaviors: constantly comparing with others’ plans, frequently testing for pregnancy, and becoming overwhelmed due to fluctuations in test results over time.
Process fluctuations are a normal part of the process.
Set psychological anchors: such as "Completing a full cycle will lead to victory"
Shift the focus: Cultivate low-intensity interests such as flower arranging and light yoga, and cut off excessive thinking.
▶ Shift the focus: Cultivate hobbies such as flower arrangement and gentle yoga, which require low-intensity activities. This helps to reduce excessive thinking.
High-riskbehaviors
Adjust the dose of the drug yourself (such as abuse of the "Neimai Traditional Prescription" to cause inflammation)
Long-term bed rest after transplantation (increases the risk of thrombosis).
After transplantation, patients are required to stay in bed for a long period of time, which increases the risk of thrombosis.
Taking doctor's advice as the gold standard: Reproductive center plans are allcustomized
Taboo 4: Confusion-Lack of medicalcompliance
Typicalmistake
Mistake the medication time (such as missing progesterone, affecting implantation)
The injection is not refrigerated (causing the drug to fail).
▶ Medications that are not stored in refrigerated conditions can lead to the loss of their effectiveness.
Tool assistance: Use medication reminder APP ornotebook
Double verification: Important steps are verified by family members.
▶ Double verification: This important step involves the participation of family members to ensure accuracy.
Chain of crisis: first failure → self-deprecation → refusal of second attempt → deterioration of the marital relationship.
▶ Crisis chain: First failure → Self-deprecation → refusal to try again → deterioration of marital relationship.
▶ Data support: More than 60% of patients require more than two transplants to be successful. However, the rate of discontinuation of treatment for those who fail after three or more transplants is as high as 45%.
Facing up to the significance of failure: such as "obtaining important parameters such as embryo quality and uterine response"
Set a stop-loss point: such as "evaluate alternative options (volunteer/sperm donor/third-party pregnancy assistance) after trying 3 cycles."
▶ Set stop-loss levels: For example, “evaluate alternative options after 3 cycles have passed (volunteers/fertilization services/third-party assistance).”
The core formula for test tube success = 50% physiological conditions + 30% plan accuracy + 20% psychological steady-state.
= 50% + 30% + 20%.Crossing the five major psychological taboos is actually holding the controllable 20% in your own hands."