胚胎会掉出来吗？移植后卧床休息的真相

今天我们聊聊胚胎移植后胚胎会不会掉出来，以及卧床休息的真相。

Today we talk about can your embryo fall out after an embryo transfer, and the truth about bed rest.

我是马克·阿莫斯医生，这里是TacoBoutFertility周二节目。

I'm doctor Mark Amols, and this is TacoBoutFertility Tuesday.

我相信你肯定问过这个问题。

I'm sure you've asked this question.

移植后我的胚胎会不会掉出来？

Can my embryo fall out after the transfer?

还有，卧床休息是不是能防止这种情况，或者走路、小便、咳嗽、大笑、弯腰会不会让胚胎掉出来。

And whether bed rest is gonna help prevent that, or whether walking, peeing, coughing, laughing, or bending over can make an embryo fall out.

相信我，每个生育医生都听过这个问题。

And trust me, every fertility doctor has heard this question.

而且患者们认为，胚胎移植后应该回家平躺，因为这样对她们最好。

And patients believe, well they should go home, lie flat, after their embryo transfer because that's going to be best for them.

我理解。

And I get it.

我理解大家为什么会问这个问题。

I understand why people ask this.

你花了几个星期、几个月，甚至几年才走到这一步。

You just spent weeks, months, sometimes even years getting to this point.

你吃了药，打了针，做了所有B超，现在终于等到了这一刻。

You took the medications, you did the injections, you had all the ultrasounds, and now you waited for this.

胚胎移植。

The embryo transfer.

我相信你在胚胎报告、基因检测，可能还有各种延误中经历了很多次心碎。

I am sure you went through multiple heartbreaks through the embryo reports, through the genetic testing, maybe delays.

现在，胚胎终于移植进去了，突然每一个小动作都让你觉得可疑。

Now, the embryo finally gets transferred and suddenly every little movement feels suspicious.

你站起来，心里想，哦，是不是太快了。

You stand up and you think, oh, maybe that was too fast.

你上厕所，心里想，我是不是把移植给弄没了？

You pee and you think, did I just undo the transfer?

你咳嗽一下，就会想，完了。

You cough and you think, that's it.

我把胚胎发射到另一个维度去了。

I launched the embryo into another dimension.

但事实是，事情不是那样的。

But the truth is, it doesn't work that way.

你的子宫不是口香糖机，胚胎也不会因为你站起来就掉出来。

Your uterus is not a gumball machine, and the embryo is not going to fall out because you stood up.

这期节目真正要讲的是卧床休息，但在这背后，其实是一个更大的问题。

And what this episode is really about, is about bed rest, but underneath that, it's about something much bigger.

那就是患者担心一步走错就会毁掉一切。

The fear patients have that one wrong move can ruin everything.

所以今天，我们要把这种恐惧降降温。

So today, we're gonna take that fear and bring it down a notch.

首先，我们先来聊聊为什么会有卧床休息这回事。

So first, let's start by discussing why did bed rest even become a thing?

这个想法是从哪里来的？

Where did this idea come from?

说实话，它来自一个非常合理的地方。

Well, in honesty, it came from a place that made a lot of sense.

你看，早期的试管婴儿技术还很新。

See, early IVF was new.

胚胎移植感觉非常精细。

Embryo transfers felt very delicate.

所以医生们做的事情看起来非常精确，通过导管把胚胎放进子宫里，然后很自然地会说，好了，别动。

So doctors were doing something that looked incredibly precise, Placing an embryo in the uterus, through a catheter, and it felt logical to say, okay, don't move.

就躺在那儿。

Just lie there.

说实话，医学上的很多传统就是这样开始的。

And honestly, that's how a lot of traditions in medicine start.

不一定有证据，只是觉得合理。

Not always with evidence, but just what makes sense.

没有人通过随机研究来证明它是正确的。

No one proved it correct through a randomized study.

并不是因为我们知道它会影响，比如说，活产率。

It's not because we knew it impacted, let's say live birth rates.

而是因为它看起来比较谨慎。

It's because it felt cautious.

而在生育治疗中，有很多时刻，患者和医生都想做点什么，任何事都行，因为什么都不做会让人感到不安。

And fertility is full moment where patients and doctors want to do something, anything, because doing nothing feels uncomfortable.

所以卧床休息就成了那种听起来很保护、听起来很对的规则之一。

So bed rest became one of those kind of rules that just sounded protective and sounded right.

问题是，有些事情听起来不错，感觉也对，但仍然没有帮助，这才是关键。

The problem is something can sound good and feel right and still not help, and that's the important part.

你知道，试管婴儿本身已经有够多规矩了。

As you know, IVF already comes with enough rules.

这个时间吃这个药，这个时间来抽血检查，避免这个，开始这个，停止这个。

Take this medicine at this time, come in for a blood trial this time, avoid this, start this, stop this.

如果发生这种情况，就给我们打电话。

Call us if this happens.

患者已经承受了很大的压力。

Patients are already carrying a ton.

所以重点是，如果要增加一条规则，就要确保这条规则确实有用。

So the point is, if you're gonna add a role, make sure that role actually matters.

而对于胚胎移植后的常规卧床休息，证据并不支持这种做法。

And for routine bed rest after an embryo transfer, the evidence just does not support it.

事实上，甚至有数据显示，卧床休息反而会降低成功率。

Matter of fact, there is even data showing that it actually lowers your chances of success.

所以我们不建议胚胎移植后卧床休息。

So we do not recommend bed rest after an embryo transfer.

但这也不是让你去跳伞。

Now that doesn't give you a green light to go skydiving.

只是说，躺在床上并不是正确的做法。

It's just saying that laying in bed isn't the right answer.

正常活动，比如走动走动，反而更合理。

Being normal, like walking around, makes more sense.

所以真正的问题是，胚胎会不会掉出来？

So the real question is, can the embryo fall out?

你现在可能也意识到了，不会。

And you probably realize it now, no.

我知道这听起来很简单，但确实不会掉出来。

And I know that sounds so simple, but no, it cannot fall out.

子宫腔不是个敞开的洞穴，胚胎不会在里面滚来滚去，然后等着重力来决定它的去向。

The uterine cavity is not an open cave where the embryo is just rolling around and then waiting for gravity to make a decision.

它就像三明治，两片柔软的壁面贴在一起。

It's like a sandwich, where there are two soft walls touching each other.

我们移植胚胎时，会放一点点液体进去，量非常少，只有几微升。

When we transfer the embryo, we put a little bit of fluid there, a very tiny amount in the microliters.

在那两片三明治之间，有一些隐窝，胚胎会嵌进这些隐窝里，而不是待在那儿滚来滚去。

And between those sandwich slices, there are crypts, and the embryo falls in those crypts versus just sitting and rolling around.

所以这就是为什么你站起来的时候，胚胎不会滑出来。

That's why when you stand up, the embryo doesn't just slide out.

你小便的时候，胚胎也不会出来，因为那是完全不同的系统。

When you pee, the embryo does not come out because that's a completely different system.

尿道就在阴道口的上方。

The urethra sits just above the opening of the vagina.

所以你小便的时候，根本不用担心，因为你的子宫在阴道的顶端。

So when you pee, you can't do anything because your uterus is all the way at the very top of the vagina.

它们甚至不在同一个器官里。

They're not even in the same organ.

还有一件事能让你感觉好一点。

And here's something that can make you even feel a little bit better.

你想想看，自然情况下会发生什么？

If you think about it, what happens naturally?

自然情况下，胚胎会从输卵管进入子宫。

Well, naturally, the embryo goes down the fallopian tube and falls into the uterus.

就像把它放进子宫一样。

Just like placing into the uterus.

所以从技术上讲，你想想看，自然情况下，你走路的时候，胚胎在子宫腔里晃荡，它不会掉出来。

So technically, if you think about it, naturally, when you're walking around, that embryo is falling in the cavity, it doesn't fall out.

那为什么我放进去就会不一样呢？

So why by me placing in it would be any different?

其实发生的是同一件事。

It's the same thing that's happening.

大自然就是把胚胎放进子宫腔里，就像我们做的一样，只不过大自然不会给你寄一张一万美元的账单。

Nature literally drops the embryo into the uterine cavity just like we're doing, except nature doesn't come with a $10,000 bill.

关键是，它不会掉出来，就像自然情况下不会掉出来一样，试管婴儿也不会。

The point is, it can't fall out just like it doesn't naturally, and just like it won't with IVF.

但证据怎么说呢？

But what does the evidence say?

证据表明，卧床休息并不能提高胚胎移植的成功率。

Well, it says bed rest does not improve embryo transfer outcomes.

有一些研究比较了移植后卧床休息的患者和之后不久就起床的患者。

There have been studies that looked at patients who rested after transfer and compared it with patients who got up shortly afterwards.

总体结论相当一致。

The overall message is pretty consistent.

移植后平躺并不是什么秘诀。

Lying flat after transfer is not the secret ingredient.

连美国生殖医学会对此都有指导意见，他们说有充分证据表明不建议胚胎移植后卧床休息。

Even the American Society of Reproductive Medicine has guidance on this, and they say that there is good evidence not to recommend bed rest after an embryo transfer.

正如我之前提到的，一些研究甚至指出，长时间卧床休息可能与更差的结果有关。

As I mentioned earlier, some studies have even suggested that prolonged bed rest could be associated with worst outcomes.

再说一遍，我想说清楚，这并不意味着起床就能神奇地提高着床率，也不意味着你应该去跳伞。

Now again, I wanna be clear, this doesn't mean that my getting up magically improves implantation, and it doesn't mean you should go skydiving.

我们想说的是，希望你正常生活。

What we're saying is we want you to be normal.

如果你的正常生活是像每天操作八小时风镐那样疯狂的事情，好吧，那就别那么做。

Now, if your normal is something crazy like running a jackhammer eight hours a day, okay, well then don't do that.

但我们也不希望你开始做一些你平时不做的事情。

But we also don't want you to start doing something that you didn't do.

如果你平时每天看几个小时的Netflix，现在突然想去跑马拉松，那也别在移植后马上开始。

If normally you're watching Netflix for a few hours a day and now you wanna go run marathons, don't start it right after your transfer.

重点是，正常活动是没问题的。

The point is normal movement is okay.

站起来没问题，走去洗手间也完全没问题。

Standing up is okay, and walking to the bathroom is absolutely okay.

甚至开车回家也没问题。

Even going home in your car is okay.

因为像正常人一样生活不会影响你的移植，就像其他人怀孕时一样，胚胎在她们正常活动时着床，一切都很顺利。

Because living like a normal human is not going to affect your transfer, just like everyone else when they get pregnant, that embryo falls into the uterus, while they're doing their normal activities and everything goes fine.

有趣的是，在我们诊所，我一直好奇，如果子宫是后位的话会怎么样？

Interestingly, at our clinic, I always wondered, what if uteruses were retroverted?

也许那会不一样，卧床休息可能会更好。

Maybe that would be different and bed rest would be better.

所以我们真的做了一项随机研究。

So we actually did a randomized study.

不过这项研究在统计上并不显著，所以我不能说它证明了什么。

Now this study was not statistically significant, so I can't tell you it proved anything.

但我们没有发现，子宫后倾的人移植后平躺和立刻起身的人之间有什么差异。

But what we didn't see was a difference between people who had retroverted uteruses, who were laying flat after transfer, and those who got up right away.

既然已经有研究这么说了，我为什么还要做这项研究呢？

Now, why would I want to do that study if there's already studies that said that?

嗯，因为通常认为，子宫在正常位置时是朝下的。

Well, because the thought is when a uterus is in a normal position, it's actually going down.

所以当你站起来时，它就像一个袋子托住胚胎，但子宫后倾时实际上是朝另一个方向的。

So when you stand up, it's like a pouch holding the embryo, but a retroverted uterus is actually going the other direction.

所以我的想法是，如果认为站立时重力能让胚胎待在更好的位置，那么子宫后倾的人可能就不太好。

So my thought was, well listen, if the thought is gravity is holding it in better place when you're standing, then someone who is retroverted may not be good.

而我们发现的是，没有差异，但同样，在统计上并不显著。

And what we found is, there was no difference, but again, not statistically significant.

那是因为要证明非劣效性很难，因为你需要很高的统计功效，也就是说需要很多样本才能确定这一点。

That's because when you try to show non inferiority, it's hard to do because you need a very high power, meaning a lot of samples to be able to determine that.

我们已经聊了哪些事情不该做，那胚胎移植后到底能做些什么呢？

So we've talked about what not to do, but what can you actually do after embryo transfer?

我的总体建议就是，正常生活就好。

Well, my general advice is gonna be be normal.

我可不能错过机会推荐我最喜欢的薯条店——麦当劳，我建议移植后去吃一份。

Now, I can't miss a opportunity to promote my favorite french fries place, McDonald's, which I recommend getting after your transfer.

绝对没有任何研究表明这有好处，但话说回来，那可是麦当劳的薯条啊。

There is absolutely no studies that show there's a benefit, but again, they're McDonald's french fries.

为什么不去吃呢？

Why would you not do it?

再说了，如果你看过Facebook论坛，你就知道这是帮助人们怀孕的唯一方法，所以你一定要去吃。

Besides, if you've reached the Facebook forums, you know that it is the one thing that helps people get pregnant, so you should definitely do it.

不过说正经的，移植后花几分钟深呼吸，享受那一刻吧。

But kidding aside, after your transfer, take a few minutes to breathe, enjoy the moment.

那一刻你就已经怀孕了。

You're pregnant at that moment.

坐起来，去上厕所，看你的车，一切照常，正常吃饭，想做什么就做什么。

Sit up, use the restroom, watch your car, do everything normal, eat normal, do what you want.

当然，还是别连续八小时用冲击钻。

Except again, don't do a jackhammer for eight hours.

想看电视剧就看。

If you wanna watch TV, do it.

想用笔记本电脑工作，也完全可以。

If wanna work on your laptop, do that as well.

想出去走走，享受亚利桑那110度的气温，那就去吧。

If you wanna walk outside and enjoy the Arizona 110 temperature, go for it.

我不知道你为什么想这么做，但去吧。

I don't know why you want to, but go for it.

关键是第二天完全恢复正常生活完全没问题。

The point is going off the work perfectly fine the next day.

我甚至见过一些病人当天就回去上班了，只要他们的工作不是特别耗费体力的那种。

I've even had patients go back to work the same day as long as their work isn't, let's say, physically intensive.

不过要记住，每家诊所都有自己的规定。

Now keep in mind, every clinic has their own protocol.

我不是让你违背你所在诊所的规定。

I am not telling you to go against your clinic's protocol.

一定要遵守他们的规定，因为那是他们诊所的指示。

Absolutely follow their protocol because that's their clinic's instructions.

虽然这不代表他们的规定都有科学依据，但没关系。

Now that doesn't mean their protocols are evidence based, but that's okay.

按照他们说的做，因为你当初就是选择了那家诊所。

Follow what they say because that's why you chose that clinic.

你信任他们，而且做一些不会造成伤害的事情也没什么不对。

You trust them, and there's nothing wrong doing things that won't harm things.

如果他们说你该卧床休息，那就卧床休息，但问问自己为什么要卧床休息也没什么错。

If they say that you should have bed rest, then do bed rest, but it's not wrong to say, why am I doing bed rest?

证据真的支持这个做法吗？

Does the evidence actually support this?

你要明白，放松休息和像生育雕像一样僵在床上是完全不同的两回事。

Now understand, there is a big difference between take it easy and lie frozen in bed like a fertility statue.

放松休息是有道理的。

Taking it easy makes sense.

但严格卧床休息就没必要了。

Strict bed rest does not.

我经常告诉患者，休息是因为你想休息，而不是因为胚胎需要你躺着，这个区别很重要。

I routinely will tell patients, rest because you want to, not because the embryo needs you to be horizontal, and that distinction matters.

这里有一些常被忽略的细节。

Now here's some nuances that often get missed.

关于新鲜胚胎和冷冻胚胎移植，在活动限制方面，它们并不总是相同的。

When it comes to fresh and frozen embryo transfers, they're not always the same when we talk about activity restrictions.

在冷冻胚胎移植中，卵巢不会增大，所以通常你不用担心卵巢增大而需要放松休息。

In a frozen embryo transfer, the ovaries are not enlarged, so typically you don't have to worry about the ovaries being enlarged and that you have to take it easy.

而在新鲜胚胎移植中，你的卵巢会增大，那是因为你刚刚经历了促排卵。

Whereas in a fresh transfer, your ovaries are going to be enlarged, and that's because you just went through a stimulation.

你甚至可能接近卵巢过度刺激综合征。

You may even have close to ovarian hyperstimulation syndrome.

所以在卵巢增大的情况下，活动可能会让你很不舒服。

So in that situation where you have enlarged ovaries, it may be very uncomfortable to be moving around.

所以他们让你限制活动，部分原因是因为你的卵巢，而不是因为你做的新鲜移植本身。

So part of the reason they may say to limit your activity is because of your ovaries, not because of the transfer that you did when you did a fresh transfer.

这就是我为什么一直强调，要听从你诊所的建议。

This is why I was pointing out, always listen to your clinic and their recommendations.

不是因为他们担心胚胎会掉出来，而是担心剧烈运动、提重物或扭转身体会影响卵巢，让你不舒服。

It's not because they're worried the embryo is going to fall out, it's more because they're worried about strenuous exercise, or heavy lifting and twisting may impact your ovaries and cause you discomfort.

这个区别很重要，因为当患者不运动时，有时会把不运动理解为运动对胚胎有危险。

And this is an important distinction because when patients here don't exercise, sometimes they translate into movement is dangerous to the embryo.

但这两者不是一回事。

And that's not the same thing.

我们限制活动是为了卵巢的安全。

We may restrict activity for ovarian safety.

我们限制活动不是因为重力会伤害你的胚胎。

We're not restricting the activity because gravity is hunting down your embryo.

下面这部分是我最在意的。

Here's the part I care the most about.

我不希望病人在等待的两周里，像调查犯罪现场一样，反复回放每一个动作。

I don't want patients spending the entire two week wait replaying every movement like a crime scene investigation.

哎呀，我弯腰捡了手机，或者天哪，我打了个喷嚏，我笑了，我走得太快，我下车姿势有点怪，回家路上颠簸了很多，也许我应该自己搬那些杂货。

Oh no, I bent over and picked up my phone or oh my goodness, I sneezed, I laughed, I walked too fast, I got out the car kinda weird, we hit a lot of bumps on the way home, maybe I should have moved out those groceries by myself.

问题是，脑子总爱胡思乱想，尤其是在试管婴儿期间。

The problem is, the mind does what the mind likes to do, especially during IVF.

它开始找你的茬。

It starts building a case against you.

但着床是生物学问题。

But implantation is biology.

这取决于胚胎质量、子宫的接受能力，还有时机、激素、遗传、炎症，甚至有时候就是运气。

It is embryo quality, it's about uterine receptivity, it's about things like timing and hormones, genetics, inflammation, and even just chance.

而且确实，很多微观层面的交流是你无法控制的。

And yes, a lot of microscopic communication does occur that you have no control of.

所以重要的是，这不像做手术游戏，一步走错胚胎就没了。

And so it's important, This is not like a game of operation where one wrong move means your embryo is out.

当移植失败时，几乎从来都不是因为你做了什么。

When the transfer doesn't work, it is almost never something that you could have done.

咳嗽、大笑、打喷嚏、弯腰、站起来、回家的路上颠簸，这些绝对不可能导致移植失败。

Coughing, laughing, sneezing, bending over, standing up, the ride home, absolutely cannot cause it not to work.

作为患者，我们因为不孕已经背负了足够的愧疚，所以不要再给自己加那些没必要的条条框框了。

As patients, we carry enough guilt because of the infertility, so let's not make fake rules to add more weight to it.

为了确保回答所有问题，我接下来会快速回答一些常见问题。

So to make sure we address all the questions, I'm gonna go through rapid fire questions here.

站起来的时候胚胎会掉出来吗？

Can embryos fall out when you stand up?

不会。

No.

胚胎是放在子宫里的，重力不会把它们拉出来。

Membraries are placed in the uterus, gravity will not pull them out.

胚胎移植后可以上厕所吗？

Am I allowed to pee after an embryo transfer?

可以。

Yes.

请放心去。

Please pee.

膀胱充盈有助于我们在移植时看清子宫，还能把子宫往下推，让移植更容易。但移植后就没必要了，只会让你更不舒服。

A full bladder helps us see the uterus through the transfer and helps push the uterus down to make it an easier transfer, but afterward, it is not necessary and only causes you more discomfort.

移植后可以走路吗？

Can I walk after a transfer?

可以。

Yes.

正常走路没问题。

Normal walking is fine.

我能上楼吗？

Can I go upstairs?

可以。

Yes.

楼梯又不是胚胎的克星。

Stairs are not embryo kryptonite.

如果我咳嗽或打喷嚏，有关系吗？

What if I cough and sneeze, is that okay?

没关系。

Yes.

如果打喷嚏会阻止怀孕，那人类早就灭绝了。

If sneezing prevented pregnancies, the human species would be dead already.

过敏季节谁都活不下来。

No one would survive allergy season.

我笑一笑没关系吧？

Is it okay if I laugh?

可以的。

Yes.

尽管笑吧，因为试管婴儿需要更多的笑声，而不是更少。

Please laugh, because IVF needs more laughter, not less of it.

我能回去上班吗？

Am I able to go back to work?

通常是可以的，除非你的工作需要提重物、剧烈运动，或者你的医生另有嘱咐。

Usually yes, unless your job involves heavy lifting, intense physical activity, or your doctor told you otherwise.

我能锻炼吗？

Can I exercise?

嗯，轻度活动通常没问题，但要避免剧烈运动，除非你的诊所允许。

Well, light activity is usually okay, but avoid strenuous workouts unless your clinic clears you.

尤其是在新鲜胚胎移植后，就像我们之前说的，卵巢可能会增大。

This is especially true after a fresh transfer, as we talked about, the ovaries could be enlarged.

移植后可以同房吗？

Can I have sex after transfer?

这个嘛，不同诊所的规定可能不一样。

Well, may change between clinics.

很多诊所建议在验孕前保持盆腔休息。

Many recommend pelvic rest until the pregnancy test.

我会建议你遵循自己诊所的方案。

I would follow your clinic's protocol.

我们建议你不要同房，不是因为同房会伤害胚胎。

Now, one of the reasons we tell you not to have intercourse is not because it could hurt the pregnancy.

我们知道那是不对的。

We know that's not true.

更多是因为同房可能会引起出血，这会让你担心，而且我们也没办法安慰你，因为现在还没有心跳。

But more because you can get bleeding, and that can scare you, and there's nothing we can do to reassure you because there's no heartbeat yet.

所以你得等至少四十八小时，看看血值有没有下降。

So then you have to wait at least forty eight hours to see if the ECG is dropping.

这通常就是我们建议移植后不要同房的原因。

That's usually why we recommend not having air cores after the transfer.

移植后要不要请一天假休息？

Should you take the rest of the day off after your transfer?

可以休息，而且确实可能让人放松，但并不是医学上必需的。

You know, you can, and it may actually be quite relaxing, but it's not medically necessary.

最后一个问题，可能是大家最关心的。

And the last question, probably the one most people think about.

压力会不会导致胚胎不着床？

Can stress make the embryo not implant?

压力确实让人难受，你值得得到支持，也应该有支持，但两周等待期间的普通焦虑并不会导致移植失败。

Well, stress is miserable, and you deserve support and you should have support, but ordinary anxiety during the two week wait is not something that can cause it not to work.

不要自责。

Do not blame yourself.

如果压力本身会导致失败，那没有一家生育诊所能成功了。

If stress itself causes it not to work, no fertility clinic would have success.

而且研究也表明，不孕不育和生育诊所确实会带来压力，但压力本身并不会导致移植失败。

And even studies have shown that yes, infertility and fertility clinics does cause stress, but stress itself does not cause it not to work.

最后，我会怎么跟病人说呢？

In the end, what do I tell patients?

我就简单说。

I keep it simple.

我会说，享受你的一天，正常吃饭，其实真的没有太多限制。

I say, enjoy your day, eat normal, there really are not many restrictions.

我们只是说别做那些你本来就不该做的事，比如别吸可卡因。

We just say don't do the things you really shouldn't do, like don't do crack cocaine.

我想这点大家都同意。

I think we can all agree on that.

别去操作那种会上下剧烈震动的重型机械。

Don't go and use heavy machinery that's gonna be pounding up and down.

别去跟一群忍者打架。

Don't go fight a bunch of ninjas in a ninja fight.

也别整天躺在床上。

And don't go lay in bed all day.

没有理由这么做。

There's no reason for it.

如果你累了，想躺就躺吧。

Now if you want to, maybe you're tired, go for it.

但别以为胚胎需要你这样做。

But don't do it because you think the embryo needs it.

你可以动，可以上厕所，可以咳嗽，可以正常生活。

You're allowed to move, you're allowed to pee, you're allowed to cough, you're allowed to exist.

重点是，移植后你的任务不是保持一动不动。

The point is your job after transfer is not to become perfectly still.

你的任务是遵循医疗团队给你的方案，并尽量减轻压力，不是为了影响移植结果，而是为了你自己的心理健康。

Your job is to follow the medical plan your team gave you, and try to reduce your stress as much as possible, not because it affects the transfer, but just for your own mental health.

我知道这说起来容易做起来难，而且我可以向你保证，那两周的等待基本上就是一门过度思考的课程，所以至少让我们消除一个不必要的担忧吧。

I know that's easier said than done, and I can assure you that two week wait is basically a masterclass in overthinking, so let's at least remove one unnecessary fear.

卧床休息并不会让胚胎着床，所以别担心动一动。

Bed rest is not a thing that makes an embryo implant, so don't be worried the move.

所以，重点来了。

So here is the takeaway.

胚胎移植后，你需要照顾好自己，但没必要把自己当成瓷娃娃。

After an embryo transfer, you should take care of yourself, but you do not need to treat yourself like a porcelain doll.

常规卧床休息并不会提高成功率。

Routine bed rest does not improve outcomes.

你站起来的时候，胚胎不会掉出来。

Your embryo is not going to fall out when you stand up.

也就是说，移植后上厕所没问题，咳嗽没问题，笑也没问题，走路、正常生活都没问题。

That means peeing after transfer is fine, coughing after transfer is fine, laughing is fine, walking, and just being a human is fine.

如果你想休息，那就休息。

And if you want to rest, rest.

如果你不想休息，那也没关系。

If you don't wanna rest, that's fine.

走动走动。

Walk around.

只是别去跑马拉松或者跳飞机，当然，跳伞的话最好带上降落伞。

Just don't go run a marathon or jump out of an airplane, preferably with a parachute, of course.

关键是，胚胎能不能着床，取决于生物学、时机、胚胎质量、子宫因素，还有很多你控制不了的事情。

The point is the embryo is either going to implant or not based on biology, timing, embryo quality, uterine factors, and many other things outside of your control.

是的，没有这种控制力确实让人沮丧，但事实就是这样。

And yes, that's frustrating not to have that control, but it's just how it is.

所以移植后，深呼吸，按照医嘱来，对自己好一点，然后去上个厕所吧。

So after the transfer, take a breath, follow your instructions, and be kind of yourself, and please go pee.

一如既往，非常感谢每一位收听这个播客的人。

As always, I greatly appreciate everyone who listens to this podcast.

如果你喜欢这个播客，就告诉你的朋友们吧。

If you like this podcast, tell your friends about it.

在你最喜欢的平台上给我们打个五星，但最重要的是，继续回来听。

Give us a five star on your favorite medium, but most of all keep coming back.

也许你认识某个人正在经历胚胎移植，可能会从中受益。

Maybe you know someone who is going through a transfer and may benefit from this.

告诉他们这期播客，让他们听听看。

Tell them about this podcast episode so they can listen to it.

也许这能帮他们减轻一些压力。

Maybe it might help reduce some of their stress.

就像我常说的，欢迎继续收听，期待下周在TacoBout Fertility Tuesday再和你聊。

As I always say, keep coming back, and I look forward to talking to you again next week on TacoBout Fertility Tuesday.