Since the implementation of the three child policy, many women who want to have three children have lost their ability to do so, so they can only use assisted reproductive technology. Can elderly women give birth to three children and become IVF? What is the success rate? What tests should elderly women undergo before undergoing a test tube?

1、 Can elderly women give birth to three fetuses as in vitro fertilization? However, the success rate is generally only around 25% to 50%. The success rate of in vitro fertilization (IVF) depends on many factors, including endocrine and laboratory conditions, technical level of technicians, patient age, uterine and ovarian conditions, and the presence of other diseases, among which the age of the female partner has the most significant impact. The success rate of in vitro fertilization (IVF) in women aged 25 to 35 is higher than the average level of 30% -40%, with some reaching 50% or higher. However, after the age of 35, the success rate gradually decreases, and after the age of 40, the IVF success rate is only about 20%. The reason is that as they age, the quality and quantity of eggs decrease. However, the success rate of more than three test tubes can generally reach 80%.

2、 IVF technology is suitable for the population of 1. Severe fallopian tube diseases, such as pelvic inflammatory disease leading to blockage and hydrops of the fallopian tubes, fallopian tube tuberculosis with normal endometrium, tubal blockage and underdevelopment after ectopic pregnancy surgery, bilateral fallopian tube resection after tubal ligation surgery, ectopic pregnancy, etc. 2. Endometriosis, adenomyosis. 3. Immune infertility, such as the presence of anti sperm antibodies, anti endometrial antibodies, etc. 4. Male factors, including oligozoospermia, asthenozoospermia, and teratospermia. 5. Unexplained infertility. 6. Infertility treatment for other reasons is ineffective. 7. Individuals with genetic diseases who require pre transplant diagnosis. 8. Others: such as non ruptured follicle syndrome.

3、 What tests should elderly women undergo before undergoing IVF surgery? Prior to IVF surgery, various tests and comprehensive screening should be conducted to evaluate the success rate of IVF in infertile patients. Provide early treatment for diseases that may affect success rates. Both spouses must undergo the following examinations before undergoing in vitro fertilization: 1. Male examination items: blood type, preoperative four items; Routine semen and sperm morphology examination, culture of Mycoplasma, Chlamydia, and Neisseria gonorrhoeae in semen; If necessary, peripheral blood chromosome karyotype examination is required. 2. Female examination items: Blood type, blood routine, coagulation function, tuberculosis antibody, erythrocyte sedimentation rate, sex hormone, thyroid function, preoperative four items, TORCH, anti sperm antibody, anti endometrial antibody, anti phospholipid antibody, liver and kidney function, fasting blood glucose, chromosome, and screening for thalassemia. Vaginal and cervical secretions examination: routine vaginal discharge examination, mycoplasma, chlamydia, gonococcus, cervical cancer prevention examination, cervical HPV virus test, and exfoliative cell test.

Reminder: From a medical perspective, women between the ages of 26 and 30 have the best reproductive functions, so giving birth at this stage is also the best. After this age group, women's reproductive function will gradually decline, and the risk of childbirth will gradually increase. Therefore, patients who want to undergo in vitro fertilization should do so as soon as possible, as this will increase their chances of success. But age is not an absolute condition for controlling fertility. Although some people are a bit older, it is not ruled out that their physical function may be good. If the ovaries, uterus, and other functions are good, there may still be opportunities for fertility. Therefore, it is necessary to conduct a comprehensive examination before surgery, which patients still need to pay attention to.