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人工受孕的過(guò)程介紹 了解另一種懷孕技巧

出處：網(wǎng)絡(luò)收集 日期：2025-03-05 16:09:18 編輯：胖虎愛(ài)撩妹
　　人工授精是一項(xiàng)比較復(fù)雜的治療，適用于男性少精、弱精、性功能障礙、生殖器畸形，女性宮頸因素，生殖道畸形、免疫性不育、原因不明的不育、單純促排卵治療半年無(wú)效等。下面是人工受孕的過(guò)程介紹，來(lái)看看吧!
 
　　人工受孕過(guò)程
 
　　首先，需對(duì)接受人工受孕的不孕女性做詳細(xì)的婦科檢查，檢查內(nèi)外生殖器是否正常、子宮內(nèi)膜活檢腺體分泌是否良好、雙側(cè)輸卵管是否通暢等，若這些都正常，才具備接受人工受孕的條件。然后需要估計(jì)排卵日，以選擇最佳的授精時(shí)間。常用的估計(jì)排卵日的方法包括測(cè)定基礎(chǔ)體溫、宮頸粘液(一般在排卵前4-5天出現(xiàn))，或接近排卵日連續(xù)測(cè)定尿黃體生成素的峰值，或連續(xù)陰道超聲波檢查等。
 
　　在女方估計(jì)排卵期前，贈(zèng)精者或丈夫經(jīng)手淫取出精液，需對(duì)精液進(jìn)行化驗(yàn)，若結(jié)果顯示精液密度及活動(dòng)度正常，待其精液液化后，用注射器或?qū)Ч軐⒕鹤⑷腙幍馈⒆訉m頸周圍及子宮頸管內(nèi)。女方臥床休息2-3小時(shí)使精液不致排出。
 
　　每位女性在一個(gè)月經(jīng)周期中可進(jìn)行3次人工受孕，即在排卵日前3天開(kāi)始，若按小時(shí)計(jì)算，即在排卵日前72小時(shí)、24小時(shí)和排卵后24小時(shí)各進(jìn)行一次，若在一個(gè)月經(jīng)周期中未能受孕，可連續(xù)做幾個(gè)周期。必要時(shí)可用藥物誘導(dǎo)排卵和調(diào)整好排卵期，以提高受孕率。判定人工受孕的成敗一般以12個(gè)周期為界。
 
　　人工受孕費(fèi)用
 
　　人工授精是一項(xiàng)比較復(fù)雜的治療，簡(jiǎn)單的說(shuō)指用非性交的方法，將精子置入女性生殖道內(nèi)，使其自然與卵細(xì)胞結(jié)合而達(dá)到妊娠目的的措施。適用于男性少精、弱精、性功能障礙、生殖器畸形，女性宮頸因素，生殖道畸形、免疫性不育、原因不明的不育、單純促排卵治療半年無(wú)效等。不同的醫(yī)院價(jià)格可能有偏差，但一般的費(fèi)用為幾千元左右。
 
　　人工授精的費(fèi)用會(huì)受到地方的不同以及醫(yī)院的不同而發(fā)生變化，因?yàn)槊總€(gè)地方的消費(fèi)水平不同，每一醫(yī)院的設(shè)備以及級(jí)別不一樣。人工授精的費(fèi)用主要包括夫婦雙方的檢查、排卵的監(jiān)測(cè)、人工授精的操作等方面。當(dāng)中的一種費(fèi)用的不同，都會(huì)導(dǎo)致總費(fèi)用發(fā)生變化。尤其是對(duì)于比較特殊的患者，總費(fèi)用還要包括精液的洗滌及促排卵等。
 
　　而且每個(gè)人的體質(zhì)各不相同，所以有些患者因?yàn)橐M(jìn)行多個(gè)療程才能授精成功，次數(shù)的不同，也會(huì)導(dǎo)致所需要的費(fèi)用的不同，當(dāng)然次數(shù)越少，越早成功，花費(fèi)也就越少。反之，次數(shù)越多，越晚成功，所需要的花費(fèi)也就越多，所以患者要做好經(jīng)濟(jì)以及精神準(zhǔn)備，特別是在男性精液異常的時(shí)候，費(fèi)用也就不同了。
 
　　人工受孕適用人群
 
　　人工受孕主要用于由男性原因造成的不孕，如嚴(yán)重的尿道下裂、逆行射精、勃起障礙、無(wú)精癥、少精癥、弱精癥、精液不液化癥。有些女性方面造成的不孕也能采用人工受孕，如陰道痙攣、宮頸細(xì)小、宮頸黏液異常、性交后試驗(yàn)欠佳等。另外，有一些特殊情況，如免疫學(xué)原因的不孕，夫婦雙方均是同一種常染色體隱性遺傳病的雜合體或男性患常染色體顯性遺傳病，也可用人工受孕的方法獲孕和避免不健康后代出生。
 
　　人工受孕要注意什么?
 
　　1、對(duì)贈(zèng)精者必須做全面檢查，包括乙肝表面抗原、血型，并除外其它傳染病，還應(yīng)對(duì)其外貌及智力有所了解。同一供精者的精液致妊娠5例以后即不能再用，以避免其后代互相通婚的可能性。
 
　　2、如果女方有全身性疾患或傳染病，嚴(yán)重生殖器官發(fā)育不全或畸形，有嚴(yán)重子宮頸糜爛不能接受人工受孕。
 
　　3、供精者精液人工受孕因不是夫妻雙方的精卵結(jié)合，可能引起倫理學(xué)和法律上的一些問(wèn)題。一方面，供精者精液人工受孕解決了由于男性因素而引起的不孕，也可以避免將男方的遺傳
 
　　人工受孕流程圖病帶給后代，起到了優(yōu)生的作用;但另一方面因人工受孕使用了“第三者”的精子，有可能破壞婚姻家庭的統(tǒng)一性或夫妻之間的愛(ài)情以及對(duì)兒女的照料。因此，在接受之前請(qǐng)做好足夠的思想準(zhǔn)備。
　
 
　　人工受孕會(huì)誘導(dǎo)較多卵子排出，這是不孕癥治療法中最簡(jiǎn)便的方式，然而這種方法也有副作用：
 
　　1、產(chǎn)生多胞胎
 
　　由于經(jīng)過(guò)藥物刺激，排出卵子數(shù)量多于一個(gè)，因此受精產(chǎn)生多胞胎的機(jī)會(huì)也會(huì)大增，一般而言，通過(guò)人工受孕產(chǎn)生多胞胎機(jī)會(huì)約為四分之一到三分之一。
 
　　2、過(guò)度刺激卵巢
 
　　刺激過(guò)后，卵巢中有許多卵泡長(zhǎng)大，因而產(chǎn)生過(guò)高的荷爾蒙，少數(shù)婦女可能因此出現(xiàn)腹脹、腹水的癥狀，甚至需要住院治療。若注入精液時(shí)壓力過(guò)高，速度過(guò)快，可引起子宮痙攣性收縮，表現(xiàn)為女方下腹痛。
 
　　3、會(huì)增加早期自發(fā)流產(chǎn)率高
 
　　可能與宮腔內(nèi)授精越過(guò)了宮頸粘液對(duì)精子代孕嬰兒自然選擇過(guò)程有關(guān)。
 
　　4、心理影響
 
　　性交方式代孕嬰兒改變對(duì)心理有一定影響;人工授精本身造成代孕嬰兒精神緊張與迫切要求妊娠心理對(duì)排卵活動(dòng)代孕嬰兒規(guī)律性有一定代孕嬰兒影響。
 
　　5、引發(fā)多種婦科疾病
 
　　由于宮頸管代孕嬰兒殺菌屏障被越過(guò)去了，增加了感染機(jī)會(huì)，有報(bào)道能引起附件炎和盆腔炎。雖然在整個(gè)精液處理、冷凍及人工授精過(guò)程中均嚴(yán)格按照無(wú)菌操作，但采集到代孕嬰兒精液本身并非絕對(duì)無(wú)菌。
 
　　人工受孕的成功率高嗎?
 
　　用丈夫精液人工受孕可因精子數(shù)和活動(dòng)率不同而有差異，與操作次數(shù)也有關(guān)。如果精液正常，總成功率可達(dá)50%～70%。用供精者精液人工受孕的成功率一般較用丈夫精液人工受孕高，用新鮮精液的約為70%;冷藏精液的成功率則約 50%，但卻降低了傳染病傳播的危險(xiǎn)。子宮腔內(nèi)人工受孕的成功率約為40%。
 
　　人工受孕的成功率取決于以下幾個(gè)因素：首先，不育的原因是非常重要的，有良好的精子計(jì)數(shù)和活動(dòng)力但不能性交的男性，其人工受孕成功的機(jī)會(huì)明顯高于精子有異常的男性。其次，女方的年齡因素也起著重要作用。如果女方超過(guò)35歲，其懷孕機(jī)會(huì)顯著降低。第三，排卵的可預(yù)見(jiàn)性也很重要。月經(jīng)越規(guī)律，懷孕的成功率越高。第四，子宮內(nèi)膜異位癥或盆腔感染史或輸卵管疾病減少成功率，但既往曾懷孕者成功率較高?？偠灾诿吭逻M(jìn)行的人工受孕中，每一周期的懷孕成功率大約在10%到15%。

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