试管婴儿治疗中的五大挫折及如何调整心态保持希望

欢迎收听《卵子 whisperer 秀》，这是一个旨在提高生殖健康意识并讨论生育力保存方案的播客。

Welcome to The Egg Whisperer Show, a podcast designed to create more reproductive health awareness and discuss your fertility preservation options.

有请主持人，哈佛毕业的生育专家，医生。

Here's your host, the Harvard educated fertility specialist, Doctor.

艾米。

Aimee.

欢迎回到《卵子 whisperer 秀》。

Welcome back to The Egg Whisperer Show.

我是医生。

I'm Doctor.

艾米，今天我们要聊聊在试管婴儿周期中可能遇到的挫折，以及如何重新调整心态，让你保持希望和力量。

Aimee, and today we're breaking down the setbacks you might encounter during an IVF cycle and how to reframe them so you stay hopeful and empowered.

我们开始吧。

Let's get started.

试管婴儿过程非常有趣，充满希望，也让人兴奋。

IVF is very fun, fabulous, and full of hope.

我想你听到我这么说会感到惊讶。

I imagine you're surprised hearing me say that.

我也觉得试管婴儿有时候真的很让人崩溃，并不那么有趣。

I think of IVF also as very effed up sometimes isn't very fun.

说得对。

Fair enough.

确实很让人沮丧。

Is very frustrating.

是的。

Yep.

我理解你的感受。

I hear you.

但对那些需要它的人来说，它也是非常幸运的。

But also is very fortunate for those who need it.

这是非常有前瞻性的。

Is very forward thinking.

你好，科学。

Hello, science.

充满了无限可能。

Is very full of possibility.

是的。

Yes.

真的。

Really.

为什么男人只需要把精子放进杯子里，而我们女人却要给自己打激素、打麻醉，还要做带针头的手术？

Why is it that men get to put sperm in a cup, but women, we inject ourselves with hormones, we get anesthesia, we have a surgical procedure with a needle.

我祈祷有一天，女人不用经历这一切就能取卵。

I pray for the day when a woman won't have to go through all of this just to retrieve eggs.

为什么女人就不能像男人那样把卵子排出来呢？

How come women just can't ejaculate eggs?

嗯，这就是生物学。

Well, that's called biology.

但现实是，我相信我们会继续推进生殖医学，直到这个过程变得更简单、更温和，甚至可能不再需要针头。

But the reality is I believe we'll continue advancing reproductive medicine until this process is easier, gentler, and maybe even needle free.

如果我能参与其中，那一天一定会到来。

And if I have anything to do with it, that day is coming.

但现在我们来聊聊这段旅程。

But now let's talk about the journey.

这条路并不总是一帆风顺，提前做好准备会很有帮助。

It's not always a smooth one and it helps to be prepared.

我不想让试管婴儿夺走你的快乐。

I don't want IVF to steal your joy.

我们来看看五件可能让你觉得受挫的事情，以及五种重新看待它们的方法。

Let's take a look at five things that can feel like setbacks and five ways to reframe them.

这样你就能保持希望，充满力量。

So you stay hopeful and empowered.

我还有另一集节目，分享试管婴儿能教会你的事情。

I have another episode that shares the things that IVF can teach you.

而且我完全相信，虽然有时候试管婴儿周期不会完全按计划或期望进行，但每个周期都能让我们了解情况，给我们更多数据和信息去学习。

And I do fully believe that while sometimes IVF cycles don't go just as planned or hoped every cycle lets us take a look at what's going on and gives us more data and information to learn from.

第一，你准备好开始用药，去做第一次基础超声和血液检查，结果发现有囊肿或者激素水平不正常。

Number one, you're all ready to start your medications and you go in for that first baseline ultrasound and blood test and you find out that either there's a cyst or your hormone levels are off.

现在短暂延迟一下，可以为以后的更好成功打下基础。

A short delay now can set you up for better success later.

你的医生会调整方案，让你处于最佳状态。

Your doctor will tweak the plan so you're in the best position possible.

如果你到了这个阶段，这是一个机会，可以回头检查一下，确保你已经完成了我在TUSHY方法中分享的所有检查。

If you're at this point, it's an opportunity to go back and make sure that you've done all the tests that I share with you in the TUSHY Method.

休息一下，看看所有事情，确保你没有遗漏任何细节。

Take a break, look at everything, make sure that you've left no stone unturned.

第二个挫折：你开始用药，但卵泡没有按预期生长。

The second setback: you start medications and your follicles don't grow as expected.

首先，理解试管婴儿金字塔很重要。

First, it's important to understand the IVF pyramid.

你看到的一些情况可能是正常的，属于试管婴儿过程中正常的损耗，但有时也可能出乎意料。

Some of what you're seeing may be normal and part of the normal IVF attrition, but sometimes it can be unexpected.

当你一开始有特定数量的卵泡时，并不是每个卵泡都会生长，理解这一点很重要。

When you start off with a certain number of follicles, not every follicle will grow and it's important to understand that.

而且当你一开始有特定数量的卵泡时，通常不会长出更多的卵子。

And when you start off with a certain number of follicles, typically more eggs don't grow.

每个周期都是一次学习经历。

Every cycle is a learning experience.

你的医生可以调整药物，以便下次更好地支持卵泡生长。

Your doctor can adjust medications to better support follicle growth next time.

这是一个过程，不是一次性的机会。

It's a process and not a one time shot.

第三个挫折是，你经历了取卵，但取出的卵子数量没有达到你的期望。

The third setback is you go through an egg retrieval and the number of eggs retrieved isn't what you had hoped.

但记住，这不仅仅是数量的问题。

But remember, it's not just about numbers.

质量也很重要。

It's also about quality.

一个好的卵子就能改变一切，你的医生会帮你充分利用你现有的条件。

One good egg can change everything and your doctor will help make the most of what you have.

我可以告诉你无数个和我一起做试管婴儿的患者的故事，比如我们预期取五个卵子，结果只取了三个，但最后还是成功了。

I can tell you countless stories of patients who've gone through IVF with me, where we were expecting, let's say five eggs and we got three and we were still successful.

第四个挫折是等待受精结果，但数字也不尽如人意。

The fourth setback is you wait for fertilization results and the numbers also just don't go your way.

通常受精率大约是80%。

Typically the fertilization rate is approximately 80%.

而且我们也知道，如果你的胚胎检测结果看起来不太对劲，一定要和你的医生以及遗传咨询师谈谈。

And we also know that if the numbers from your embryo testing are seeming off, make sure to talk to your doctor and the genetic counselor.

这也是一个向医生提出更多问题、询问是否需要调整方案的好时机。

And this is also a time to ask your doctor more questions and ask if they should adjust the protocol.

看看精子质量。

Look at the sperm quality.

看看他们是否应该添加一些像Zymot微流控精子分选这样的技术，并询问是否有其他方法可以提高你的成功率。

See if they should add something like microfluidic sperm sorting with Zymot and ask if there are other options to improve your odds.

第五个挫折是等待囊胚发育、基因检测以及期间的各种未知。等待确实很难，但专注于你能控制的事情，照顾好自己，保持信息灵通，并依靠你的支持系统。

The fifth setback is you wait for blastocyst development, genetic testing and all the unknowns in between And the waiting is hard, but focus on what's in your control, taking care of yourself, staying informed and leaning on your support system.

你并不孤单。

You are not alone in this.

所以如果你发现没有那么多囊胚，或者一个都没有，或者结果不如意。

So if you find out that you don't have as many blasts or any blasts or results that go your way.

这种未知区域及其带来的心理和情感消耗，正是为什么我总是让患者组建自己的生育团队，与治疗师交谈，健康饮食，锻炼，考虑针灸，并练习正念和冥想，这非常重要，因为这类挫折可能令人崩溃。

This zone of unknowns and the mental and emotional drain it can take is why I always have patients set up their own fertility team, talking to a therapist, eating healthy, exercising, consider acupuncture and practicing mindfulness and meditation is really important because these kinds of setbacks can be devastating.

它们可能让我们陷入恶性循环，重要的是在需要之前就做好这一切，因为这能为你试管婴儿过程中的心理成功奠定基础。

They can make us spiral and it's important to do with all of this before you need it as it does set you up for mental success during your IVF process.

而在这整个过程中，生活仍在继续。

And through it all, life keeps moving.

工作、家庭、人际关系、责任。

Work, home, relationships, responsibilities.

生活不会停下来。

It doesn't stop.

试管婴儿就像坐过山车，情绪起伏很大，说实话。

IVF can be an emotional roller coaster and let's be real.

激素也帮不上忙。

The hormones don't help.

你的情绪可能比辣椒还冲，但这没关系。

Your mood may be spicier than a jalapeno and that's okay.

因为我总是说，辣味从来不会害死人。

Cause I always tell people spice never killed anybody.

喝杯水就好了，但关键是。

Just drink a glass of water, but here's the thing.

是的，确实有挑战，但你不必把整个生活都搁置。

Yes, there are challenges, but you don't have to put your whole life on hold.

咖啡、酒精，如果你适量喝的话，还有，是的，甚至性生活，都可以继续成为你生活的一部分。

Coffee, alcohol, if that's something that you drink in moderation, and yes, even sex can still be a part of your life.

但一定要先咨询你自己的私人医生。

But always check with your own personal physician.

关键是什么？

The key?

带着知识、现实且实际的期望，以及应对任何结果的计划去面对。

Going with knowledge, realistic and practical expectations, and a plan for coping with whatever results come your way.

如果你知道会发生什么以及可能的挫折，你在试管婴儿的旅程中就会更有准备、更有力量。

If you know what to expect and what the possible setbacks are, you're going be well informed and empowered on your IVF journey.

如果你提前知道10个卵泡并不自动意味着10个胚胎，你就会做好准备。

If you know ahead of time that 10 follicles don't automatically mean 10 embryos, you'll be prepared.

如果你明白每个试管婴儿周期并不总能带来宝宝，你就能更有韧性地应对整个过程。

If you understand that every IVF cycle won't always result in a baby, you'll navigate the process with more resilience.

当然，有时候我真的很调皮。

Of course, sometimes I'm really cheeky.

我知道这个过程有多严肃。

I know how serious this process is.

归根结底，知识就是力量。

At the end of the day, knowledge is power.

和你的医生谈谈，了解你的试管婴儿金字塔，明白你的数据、你的诊断、你的目标，以及对你来说什么是可能的。

Talk to your doctor, know your IVF pyramid, understand your stats, your diagnosis, your goals, and what's possible for you.

试管婴儿不只是艰难。

IVF isn't just hard.

它也充满希望。

It's also hopeful.

对许多人来说，这是一条通往最大幸福的道路。

It's a path that for many leads to the greatest joy of all.

现在，去把那个胚胎带回家吧。

Now go bring that embryo home.

试管婴儿可以考验患者的情绪和韧性，但它也可以是一段充满学习、成长和希望的奇妙旅程。

IVF can test your patient's emotions and resilience, but it can also be an incredible journey filled with learning, growth, and hope.

无论你在这个过程中的哪个阶段。

No matter where you are in the process.

记住，知识就是力量，拥有正确的心态可以带来天壤之别。

Remember that knowledge is power and having the right mindset can make all the difference.

如果你觉得今天的节目有帮助，记得订阅我的YouTube频道获取更多见解，并访问dramy.org获取更多支持你生育之旅的资源。

If you found today's episode helpful, be sure to subscribe to my YouTube channel for more insights and visit dramy.org for even more resources to support your fertility journey.

参加我的课程吧，你能行的，我会一路陪伴你。

Take one of my classes, you've got this, and I'm here to help every step of the way.

下次见。

See you next time.

非常感谢你的收听，让《卵子私语秀》成为你日常的一部分。

Thank you so much for listening and for making The Egg Whisperer Show part of your routine.

节目笔记和完整文字稿，请访问dramy.org并点击博客标签。

For show notes and full transcripts, visit dramy.org and click on the blog tab.

在那里，你还可以订阅《卵子私语》通讯，并探索艾米医生的在线生育课程。

While you're there, you can sign up for The Egg Whisperer Newsletter and explore Doctor.

这些课程在卵子私语学校提供。

Aimee's online fertility classes at The Egg Whisperer School.

你还可以关注Doctor。

You can also follow Doctor.

Aimee和The Egg Whisperer Show在TikTok、Instagram、Facebook和X上，也可以在YouTube上找到每集的完整视频。

Aimee and The Egg Whisperer Show on TikTok, Instagram, Facebook, and X, and find full length videos of each episode on YouTube.

记得在你最喜欢的播客应用上关注The Egg Whisperer Show。

Be sure and follow The Egg Whisperer Show on your favorite podcasting app.

如果你喜欢这一集，请留下评论。

And if you enjoyed this episode, please leave a review.

再次感谢你的收听。

Thank you again for joining us.

下次再见，保持闪耀。

And until next time, keep sparkling.