1. Three core values of domestic inspection
1. Intervention in advance
Through domestic examinations (such as hormone six, AMH, semen analysis, etc.), ovarian function decline, abnormal sperm quality or endometrial problems can be discovered in a timely manner. If diseases that require conditioning are found (such as thyroid dysfunction or mycoplasma infection), treatment can be completed before going abroad to avoid being forced to postpone due to physical failure to meet standards after arriving overseas, which affects the progress of the cycle.
Overseas test tubes need to stay for an average of 20-30 days, and the daily cost is as high as several thousand yuan.
Overseas IVF requires an average stay of 20-30 days, with daily costs as high as several thousand yuan. The examination fee in domestic top-A hospitals is only 1/3-1/2 of that in foreign countries. Completing basic screening in advance can not only shorten the time spent overseas, but also avoid additional treatment expenses caused by temporary discovery of problems.
Reproductive experts such as the United States and Thailand need to customize an ovulation promotion plan based on data such as patients 'ovarian reserves and hormone levels.
Reproductive experts in the United States, Thailand, etc. need to customize ovulation induction plans based on the patient's ovarian reserve, hormone levels and other data. Complete domestic reports (especially key indicators such as chromosomes and AMH) help doctors quickly assess individual differences, formulate precise medication plans, and reduce risks such as ovarian overstimulation.

2. List of must-do inspection items
1. Women's projects
menstrual cycle correlation
Days 2-3: AMH (ovarian function), estrogen 6, basal follicle count (assessment of ovarian reserve)
Day 12: vaginal ultrasound (uterine environment), leucorrhea routine, mycoplasma/chlamydia screening.
Blood type, chromosome karyotype, four preoperative items (infectious disease screening, within one month), TCT (cervical cancer screening), viral herpesids, secretions (Toxoplasma gondii, vaginal smears, etc.), ultrasound, breast, thyroid, lung development (chest X-ray), electrocardiogram, internal examination, etc.
Blood type, chromosome karyotype, four pre-operative tests (infectious disease screening, within one month), TCT (cervical cancer screening), viral and herpes types, secretions (toxoplasma, vaginal smears, etc.), ultrasound, breast, thyroid, lung imaging (chest X-ray), ECG, internal medicine examination, etc.
Semen analysis (vitality, form, concentration)
Blood tests: blood type, chromosomes, four preoperative items, thyroid function, pathogen research on sexually transmitted infections (Ureaplasma IgM, Chlamydia IgM, Mycoplasma IgM, Gonorrhoea, Trichomonas, HSV IgM, CMVIgM), blood routine, major biochemistry, viruses, herpes
Note: Chromosome, blood type, and thalassemia gene testing are valid for life, and other items need to pay attention to timeliness (for example, hormone reports are valid for 3 months).
Note: chromosome, blood type, and thalassemia gene tests are valid for life; other items need attention to timeliness (e.g., hormone reports are valid for 3 months).

3. Overseas recognition of domestic reports
Although overseas hospitals will re-test hormones and B-ultrasound on the second day of women's menstruation, domestic reports can be directly used for most items, provided that
From a domestic tertiary hospital or an ISO 15189 certified laboratory
The report includes the test method, reference range and laboratory qualification number (for example, HIV testing needs to be marked with chemiluminescence method)
The time limit meets the requirements (for example, screening for infectious diseases needs to be within 6 months).

4. Practical suggestions for connecting overseas medical care
1. Data preparation
Carry the original report and electronic scan and translate it into English.
Check with overseas clinics before traveling to confirm items that need to be reviewed. For example, Thailand usually only retests of estrogen and B-ultrasound.
Confirm items that need to be reviewed with overseas clinics before traveling, such as Thailand, where only estrogen and B ultrasound are usually retested.
If the report suggests serious abnormalities (such as AMH 0.5, azoospermia), it is recommended to consult the domestic reproductive department first to clarify the feasibility before starting.
If the report indicates severe abnormalities (such as AMH < 0.5, azoospermia), it is recommended to consult the domestic reproductive department first to clarify feasibility before departure.
“Domestic inspections are not duplication of effort, but laying high-speed lanes for overseas test tubes." Experts pointed out that systematic pre-screening is like a "precise map" of fertility, which can not only avoid the trial and error costs of blindly going abroad, but also maximize the use of international advanced technology to achieve fertility goals. Only by rational planning and scientific connection can we make steady and long-term progress on the road of transnational pursuit of children.