老公又不高兴我买球了。其实我还想多买一次。

拥有一个自己的孩子，让爱和生命得以延续，这是所有已婚夫妇的愿望。然而，由于环境以及个人等诸多原因，一些夫妇婚后不管如何努力，始终无法一圆得子梦，只好转而寻求辅助生殖技术。
<br/>
<br/>随着现代医学的不断进步，以及越来越多试管婴儿的诞生，人们对试管婴儿产生了极大的好奇心。为一探其中奥秘，1月19日，记者走进自治区人民医院生殖医学与遗传中心（以下简称“中心”），揭秘试管婴儿的“制造”过程。
<br/>
<br/>采卵手术
<br/>
<br/>8分钟即可完成
<br/>
<br/>当日上午9时，记者如约来到中心采卵手术室外的更衣间，在该中心主任何冰的指导下换上特制的衣帽、口罩，经过严格消毒程序之后，随何冰进入暖洋洋的采卵手术室。
<br/>
<br/>手术室内，受术者已经完成术前准备，安静地躺在手术床上。床边有一台B超设备，另一边是阴道探头和穿刺引导装置，还有一个恒温平台和恒温试管架，架子上放着几只试管。征得受术者同意之后，记者开始观摩手术。
<br/>
<br/>只见何冰麻利地坐到受术者床尾的凳子上，接过护士准备好的B超阴道探头和穿刺引导装置，随后将一根连接着白色软管的约20毫米长的细针（取卵针）放进阴超探头安装好的穿刺架上，并将阴超探头缓缓探入受术者的阴道内。其间，记者看到，B超液晶显示屏上有三四个黑色的圆圈，一个白色光点毎插入一个黑圈，黑圈就会像瘪了气的气球一样慢慢消失。何冰介绍说，这些黑圈就是卵泡，白色光点就是取卵针的针尖，卵子就在黑圈内。在吸引器的吸力作用下，卵子会顺着针尖进入取卵针管，再进入连接着的软管，最后进入试管内。取卵后，护士会将试管递进身后一个小窗口的恒温试管架内，小窗口内另有洞天，里边，胚胎培养师们正忙着在显微镜下甄选精子、卵子……
<br/>
<br/>记者注意到，何冰完成整台手术所用时间前后不过8分钟，其间，受术者一直安详地躺在手术床上。
<br/>
<br/>采卵前
<br/>
<br/>还需补上“最后一枪”
<br/>
<br/>何冰告诉记者，正常情况下，女性每个月只排1个卵。然而，并非每个卵泡都有卵，可选择性很小，有可能在采卵之前卵泡就破了，卵子也会自己溜掉；或者卵子的质量不够稳定；或者卵泡是空的……所以，要先给药促进排卵，才有可能选到好的胚胎植入。
<br/>
<br/>“促进排卵过程中，患者可到医院打针，也可自行回家打针。注射方式跟糖友注射胰岛素差不多。患者要遵医嘱回医院做B超，医生利用B超观察卵泡生长的速度、大小，随时调整用药量。待多个卵泡长到足够大后，还要最后打一针‘夜针’，就是我们说的‘扣扳机’效应，补上‘最后一枪’，让卵子迅速成熟。这样，再等待36个小时左右，就可以取卵了。”何冰形象地比喻道。
<br/>
<br/>取精室
<br/>
<br/>其实并不神秘
<br/>
<br/>在常人的眼中，取精室一直是一个神秘的处所。该中心共设有2间取精室，记者走进其中一间，发现这里只不过是一个不到20平方米的小房间。屋内放置有一张双人床，墙上除了挂着一台液晶电视外，还挂着2幅诱导取精的图片，以及一个小小的精液传递窗口。
<br/>
<br/>对此，何冰进行了科学解读：“丈夫经过身份核实后，就可以进入取精环节。他们可以在取精室内通过自助方式完成取精，然后通过精液传递窗口，将取精杯交给胚胎培养师，以备授精使用。当然，丈夫还要在取精杯上签字、按手印，确认是自己的精子，我们也要取样置入-180℃的冰箱内存档，作为证据，以防有人从外边带入他人的精子，日后发生纠纷。”
<br/>
<br/>移植可选
<br/>
<br/>3天桑葚胚或5天囊胚
<br/>
<br/>何冰介绍说，妻子的卵子和丈夫的精子进入胚胎培养室这个千级层流室后，胚胎培养师会在百级层流操作台进行找卵和筛选操作，层流级别数越低，无菌程度越高。“我们一般是用一个写有夫妇俩名字的扁平的胚胎培养皿放置卵子和精子，让它们自然受精；然后将其放入像孵育箱的培养箱内。皿就是胚胎的温床，箱就是胚胎的温室。温室有单间和多人间之分，多人间分层‘居住’，1层放1张‘床’，单间只放1张‘床’。”
<br/>
<br/>“第二天，胚胎培养师就可取出皿检查，看卵精结合与否。由于胚胎靠培养箱受精和发育，里面有氮气、氧气、二氧化碳等按比例配兑的气体，而且恒温、恒湿，就相当于一个人体模拟子宫。3天后，胚胎呈双倍的平方分裂，1个变2个，2个变4个……以此类推，这类卵裂球也被称为桑葚胚。胚胎培养师在显微镜下评分甄选，有优、良、差、退化等级别之分，大多数受术者选择培养3天的桑葚胚做移植，一般最多只能移植2个。此外，培养5天才移植的胚胎叫囊胚，囊胚发育潜能较好，一般最多只能移植1个。”
<br/>
<br/>“移植当天，受术者要憋尿充盈膀胱，这样医生才能通过腹部B超看清子宫。然后通过一根很细很柔软的管子，将胚胎以及营养液注入宫腔。移植并不像种树，挖个坑就将胚胎埋进去。胚胎是活的，会游走，会选择自己最合适的位置着床。移植后，受术者只需排尿后休息一会儿，就可以回家了。”何冰说，胚胎一般3天左右即可着床，在此期间还要给患者做黄体支持，方法有多种。如注射、阴道给药、口服等。14天后验孕，怀上者皆大欢喜；没怀上的则要继续寻找原因。“造人过程是一个综合探索的复杂过程。目前，辅助生育的成功率只有40%-50%，很多技术难题还无法解决。比如，为何胚胎只能在体外培养5天，为何不能做出真正的试管婴儿，等等。”
<br/>
<br/>选择多胎
<br/>
<br/>蕴含失败风险
<br/>
<br/>一名因儿子患有脑瘫症的母亲曾痛苦地向记者哭诉，她做试管婴儿后，怀了双胞胎，当时医生建议她只留1个，可丈夫执意留下2个。结果，她的这对龙凤胎不仅早产，儿子还患了脑瘫症，照顾儿子也成为生活的巨大负担。在该中心的候诊人群中，记者随机采访了几名30岁左右的女患者，发现其中大多希望能生多胞胎。
<br/>
<br/>何冰表示，全世界的生殖理念都是生一个足月的健康孩子，不主张生双胞胎。这是因为双胞胎的试管婴儿比自然怀孕更易破膜、流产、早产，孩子的营养很难跟上，甚至被挤压变形；3胎以上的孕妇更易患高血压、糖尿病。“不管放1个、2个还是3个胚胎，都有可能出现多胎现象，譬如放1个裂变为2个，2个裂变为4个，3个裂变为6个等等。所以，我们在协议特别注明，最多只能保留双胞胎，不然是不允许做试管婴儿的。所谓‘瓜熟蒂落’，瓜不熟就落，跟正常孩子当然无法相比。”
<br/>
<br/>何冰最后提醒说，试管婴儿成功着床后，受术者可以像普通孕妇一样生活。除了遵医嘱养胎外，不用特别卧床休息，小心翼翼，谨慎异常。有人说苹果会杀胚胎，不能吃，这是误传。只要放松心情，抱着能承受失败的心情去做这件事，就能争取到最高的成功率。(广西新闻网-当代生活报)
<br/>

Dr. Braverman, can I do neupogen uterine washes with natural cycles? I know with stimmed cycles, you like to do the uterine wash around day8 and day10. What days would I do the uterine wash with a natural cycle?
<br/>
<br/>Also, I have communicated to a couple of patients who just did subQ injections and they found that they had an improvement in lining. Could it be possible that even subq injections help improve the lining thickness?

6×RIF: high NK%&Th1, KIR-AA, gluten&dairy intolerance - ivig timing
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<br/>
<br/>
<br/>RB7577
<br/> Member
<br/>1 Posts
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<br/>
<br/>Reply
<br/>
<br/>
<br/>Posted on: 7-Nov-2012 4:36am
<br/>
<br/>Dear Dr. Braverman,
<br/>
<br/>I would like to have your suggestion mainly on timing ivig infusions in an ICSI cycle with elevated NK%, Th1 dominance and KIR-AA genotype.
<br/>
<br/>I am 35, from Europe, never been pregnant. My tubes are surgically closed off because they looked like inflamed and tubal factor had been thought to be my primary infertility issue. The origin of my damaged tubes is unknown: no hidden clamydia, STDs, known uterine infections or pelvic inflammations, surgery etc.
<br/>
<br/>I had 6 IVF-ICSIs with 0 beta hcg (4 fresh cycles + 2 FETs) over the last 3 years with good quality both 3 day and blasto embryos, so I am the classic RIF patient.
<br/>
<br/>This summer I was diagnosed with very elevated NKs (29,7%), a strong Th1 cytokine dominance (3 out of 4 Th1/Th2 cytokine ratios were Th1-elevated) and KIR-AA genotype. HLA crossmatch is negative.
<br/> TNFa was high normal and every other cytokines were within the range, I have just imbalanced ratios.
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<br/>After immune testing I started a gluten and dairy free diet and after some weeks I started to feel much more better in regard of many health issues (such as headache, hormone levels, muscle&joint tension, energy in everyday life and sports, acne). Additionally, after 2-3 months of freefrom diet I became very sensitive to some other foods as well, most gluten cross-reactive aliments, so I am actually cutting them out off my diet, too. I hope I can pull down Th1 cytokines with my diet.
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<br/>Now I am preparing my first cycle with immune treatments: besides daily 10 mg of prednisone and LMWH since 1st stim day, my RE ordered the first low dose ivig infusion 1-2 days _after_ retrieval and the second one 1-2 days after ET, in the implantation window.
<br/>
<br/>My questions are:1) According to the UK and US protocols Intralipid/ivig is usually given 7-10 before ET against high and active NK cells. That's why I am afraid my ivig infusions will be administered too late to be effective for NKa, won't they? But what about against the KIR-AA genotype? What do you think the best timing is when having a KIR-AA problem, too?
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<br/>2) Can I have Intralipids if I am sensitive to eggs? I have a negative IgE/allergy for both egg yolk and white, but some days ago I started to react to eggs as like as to gluten. I do not know if it is white or yolk or both, but I really hope that after some time I can re-introduce eggs in my diet. But until then, can Intralipids have an adverse effect on NKa?3) I saw in many previous post you said that uterine biopsies are useful. I had 3 (on cdays 8, 13, 21) scratchy biopsies in the previous cycle of my last unsuccessful ICSI. I was wondering wether I should do them again or not if its aim is to create a little inflammation in the lining whilst I am struggleing to heal an inflammation caused by gluten - it just does not make sense to me :-) Does biopsy really suit high cytokine cases, too?I do understand that you cannot give any specific advise without a deeper knowledge of my case, but I am curious to know your opinion in general. Please let me know if you need some more info, I just tried to put a very long story of 5 years of TTC as short as possible.Your great work is so much appreciated. Best regards and thank you in advance,RB7577

Now I am preparing my first cycle with immune treatments: besides daily 10 mg of prednisone and LMWH since 1st stim day, my RE ordered the first low dose ivig infusion 1-2 days _after_ retrieval and the second one 1-2 days after ET, in the implantation window.
<br/> 窗口期

Hello all! It has taken me a long time, but I knew that one day I would be able
<br/>to post my story here. So, here it goes. Our journey started out by finding
<br/>out one of my tubes was blocked and that I have PCOS. We began with the Pacific
<br/>Fertility Center in San Francisco where after a few consultations, one of the
<br/>IVF Dr.'s said to us "once you get over the financial part of this process, the
<br/>IVF is no big deal" With that one comment, my husband and I took our business
<br/>elsewhere. Why would I want to spend around $50,000 with a facility that has
<br/>lost sight of what they are doing? For us, it was(and still is) the biggest
<br/>deal of our lives. We then moved onto Dr. Zouves and he began all testing
<br/>including immonology. He found out that I had high NK's, high TH1/TH2, and
<br/>blood clotting disease. He put me on his usual protocol- Humira, Heparin, etc.
<br/>We did our first IVF cycle in Nov. of 2009. We trasferred 2 embryos. We got a
<br/>chemical pregnancy. We decided to do another fresh round of IVF. In the mean
<br/>time, more Humira, Heparin, etc. We did our 2nd IVF cycle in Feb. 2010 and we
<br/>transferred 3 embryos. At our ultrasound, we were stunned to find out that all
<br/>3 of them took! Dr. Zouves then suggested to us that reduce one due to the
<br/>risks involved. We did so much research and received a lot of medical advice on
<br/>this and we decided to move forward with the reduction. We did this at 12
<br/>weeks. Then at one of my check ups at 16 weeks, the Dr. could not hear one of
<br/>the heartbeats and we found out we lost the 2nd baby. Then at 22 weeks, I went
<br/>into labor and lost the last baby of the 3. It was the most heartwrenching,
<br/>emotionally traumatizing thing I have ever went through. We were devastated.
<br/>Not only emotionally, but financially as well. Thank goodness I have a strong
<br/>and supportive husband and we worked through that time. After some time, we
<br/>contacted Dr. Zouves again to once again, start all over. We started with the
<br/>Humira and Heparin all over again. However, this time, the Humira would not
<br/>bring down my TH1/TH2 levels. At this point, Dr. Zouves suggested we move onto
<br/>surrogacy. I was in shock and was not willing to take this for an answer. I
<br/>had just been pregnant and he wanted me to turn to surrogacy! Instead, we moved
<br/>onto the AEB center where we spent the next 6 months with trips to Mexico doing
<br/>LIT, IVIG, etc. Interestingly enough, without trying, I got pregnant naturally,
<br/>but miscarried at 6 weeks. This was crazy to find out that my body could do it
<br/>on it's own. After trying some more naturally, in January of 2012, we decided to
<br/>move onto Dr. Braverman as this was our last effort before moving onto
<br/>surrogacy. He went over our records and had some interesting insights on my
<br/>case and history. He had us do the HLA matching tests (which is not covered by
<br/>my insurance and will end up costing us almost $3000). But we had spent almost
<br/>$100,000 so far, what is a little more money towards the effort. He put me on
<br/>Neupogen and Lovenox and some supplements and that was it. We also researched
<br/>for a new IVF Dr. and chose Dr. Schmidt from NOVA IVF in Mountain View Ca. We
<br/>did another fresh cycle in June of 2012, transferred 2, and one of them took! I
<br/>stopped the Neupogen at 11 weeks and stopped the Lovenox at 16 weeks. I am
<br/>being watched by 2 high risk Dr.'s and my OB. I am now 32 weeks pregnant and am
<br/>due March 19th, 2013!
<br/>There is much much more to this story, but I just wanted to give everyone the
<br/>high lights of the kind of journey that my husband and I have been on for the
<br/>last 3 1/2 years. I am so grateful that I did not listen to not only Dr.
<br/>Zouves, but to so many other Dr.'s along the way. I chose to listen to my gut
<br/>instinct and not to give up. Believe me when I say, I know how hard this road
<br/>is, and it is not for everyone. There are many issues with Dr.'s, their egos,
<br/>their office staff, their bedside manner, and their pricing. But for us, at the
<br/>end of the day, we had to be comfortable with each and every decision that we
<br/>made together. If you don't feel comfortable with a one Dr., or had a bad
<br/>experience with one, then move on. This is one great thing about not having
<br/>socialized medicine in this country- you have choices.
<br/>I do have to say thank you to everyone on this board for all of the support and
<br/>knowledge. It certainly supports the fact that we are not alone, we are not the
<br/>only ones, and there are options.
<br/>If anyone has any questions at all, feel free to contact me on the board or
<br/>privately.
<br/>Hopefully all will go smoothly and I will post again after I deliver!
<br/>Keep strong!
<br/>Hillarie
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<br/>
<br/>
<br/>

导语：在赴港生子之门随着香港政策的收紧而逐渐关闭之时，中国的母亲们又掀起了赴美生子的热潮。在这些妈妈们心中，自己的孩子未来是可以竞选美国总统的。
<br/>
<br/>本刊特约记者 雷东
<br/>
<br/> 在知名女性生活消费网站55bbs的孕婴版块上，一位在美国生下孩子的中国妈妈写道：“赴美生子，我和老公是全程DIY，前期住包餐的民宿，以旅游、购物为主，后期住了月子中心，以静养喂奶为主。回国的时候托运了6个大箱子，身上挂满了包，乱七八糟算起来，才17万元人民币，我觉得挺合适的。比去香港合适多了。关键还有一点，坐月子的时候远离婆婆，避免了很多战争，是个不错的选择。”
<br/>
<br/>看到这里，网友们纷纷回复道：“才17万！贵是贵了点，但以后孩子就是美国国籍了，很值得！”“留着等生老二的时候参考。”“赶紧行动，这样下去万一有相应的对策阻拦怎么办。”
<br/>
<br/>而在美国，由于华人月子中心在美国南加州小区如雨后春笋出现，引发了小区居民的不满。据美国《世界日报》的2012年12月的报道，加利福尼亚州圣伯纳汀诺县奇诺冈市，70名民众上街头举牌拉布条抗议华人月子中心“非法营业”和“产子旅游业”。 一名抗议者表示，月子中心到处都是，但奇诺冈必须先站出来，替所有受影响小区发声。
<br/>
<br/>此时，距离2008年美国开放个人旅游签证（B2签证）不过短短4年多的时间，但花十几万生一个价值千万的美国宝宝的梦想已经在妈妈们的心中扎根。而在赴港产子的大门逐渐关闭的情况下，“更划算”的赴美产子之路上已经挤满了挺着大肚子的准妈妈们。
<br/>
<br/>
<br/>
<br/>
<br/>
<br/>
<br/>
<br/>为什么要去美国生孩子
<br/>
<br/>“我本来也不是很想去美国生孩子，觉得背井离乡，人生地不熟的麻烦极了。”正准备赴美生孩子的林小姐说，“但是我的婆家和娘家都一致希望我去美国生，因为医疗条件和孩子的教育条件会更好，还有我们两口子以后的移民也不成问题了。”
<br/>
<br/>在怀揣美国梦的准妈妈和她们的家人心中，赴美产子的好处简直太多了。首要一条就是在年满21岁的时候父母可以无条件申请移民。这一点，对于辛辛苦苦地钻研技术移民或是担心投资移民的可靠性的人们来说无疑是一个福音。在准备移民者的心目中，等孩子长大了，自己也差不多退休了，正好可以去美国养老。“到了美国空气好，食品安全有保障，而且美国护照可以免签出行160个国家呢！多实用啊。”林小姐说。
<br/>
<br/>而孩子的教育问题则是所有父母都最关心的问题。在美国育有两个孩子的张先生十分看重孩子的德育，但他认为中国的教育却往往不能满足这一需求。“甚至从幼儿园开始，孩子们就得懂得跟老师套近乎、送礼物送红包。走到大街上，到处都有人乱扔垃圾、随地吐痰、过马路不看红绿灯、车辆也不懂得避让行人、排队的时候有人插队也没人敢站出来说……你说我能放心自己的孩子在这样的环境里成长吗？”张先生说，“更不要说食品安全之类的问题了。”
<br/>
<br/>而来自荷兰的马塞尔与中国妻子来到北京生活后，虽然满心喜欢中国文化，在北京生活得如鱼得水，但也对中国孩子教育中的“怪现象”深表难以理解。
<br/>
<br/>在北京一家英语培训机构工作的马塞尔负责教授幼儿英语，在他的班上有不少4~6岁的小朋友。“有时候我看着他们晚上7点坐在教室里啃着冷冰冰的面包，背着单词等着上课，心里就忍不住想‘天哪，她只有4岁，她难道不应该开心地去玩吗？’”让他更不能理解的是，中国孩子在上小学前就要开始学小学的课程，上高中前就要学完高中的课程。“如果孩子先前就已经学完了这些课程，那他们的老师上课讲什么？”马塞尔说，“我听说很多孩子都会去上很多很多的课外班补课，而有的老师上课会问：‘你们都学过了吧？学过那我就不讲这段了。’我就奇怪了，如果这样，那还要学校和老师做什么？”
<br/>
<br/>所以，虽然自己的孩子出生在北京，但马塞尔对于以后孩子在哪里受教育，哪里成长的问题还是很伤脑筋，他表示：“我只是不想让孩子那么辛苦。”
<br/>
<br/>而对于那些迫切地想要二胎的父母来说，赴美产子给他们解决了心头大患。有妈妈算了一笔账：如果节俭一点，住普通的月子中心，又是顺产，那么在美国产子的费用大约在12万~16万元人民币。但如果在北京生二胎，不但要各处打点，就算是交罚款起码是30万元人民币以上。因此，很多把头胎生在了中国的妈妈们不免开始盘算着让“老二”成为美国人。  
<br/>
<br/>
<br/>
<br/>美国宝宝是“金娃娃”
<br/>
<br/>2012年4月，香港食物及卫生局局长周一岳表示，已与本地私家医院达成一致，私家医院将停止接受明年双非孕妇（夫妻双方均非港人）的分娩预约。由于香港公立医院此前已作出同样决定，这意味着双非孕妇赴港产子的大门将在2013年完全关闭。与此同时，业内人士指出，赴港产子潮的终结代表着赴美产子潮的兴起，据估计，在大陆目前整个赴美产子行业每年的份额已经达到3000～4000人的规模。
<br/>
<br/>在这不断扩大的产子队伍背后，不但有父母们所看重的孩子身上附加的医疗、教育、移民、养老等价值，围绕着这个孩子还产生了一条产子产业链，而每一个赴美产子的妈妈都成箱成箱地搬回中国的美国货，也是价值不菲，因此，这个在美国生的宝宝绝对是“金光闪闪”。
<br/>
<br/>赵先生是北京一家移民留学中介公司的负责人，他向本刊记者介绍，现在赴美产子的中国人大多来自东北、江浙、广东等地，还有就是北京上海这样的大城市，她们的主要目的地就是洛杉矶。因为洛杉矶医疗服务水平高、医院数量多，医院价格比起纽约、旧金山、休斯顿等城市来说便宜很多，每年还有专门的政府资金来对无人支付的医疗账单埋单。而为中国孕妇服务的月子中心几乎都集中在洛杉矶，产子的配套产业已经相当成熟。
<br/>
<br/>
<br/>
<br/>
<br/>这些洛杉矶主要由华人经营。这些能容纳少则几人，多则10人的月子中心大多藏身在居民区中。这些月子中心大多能提供一条龙式的服务，从孕妇怀孕7个月开始，月子中心能包办从孕妇的签证到在美待产、联系医院、产后陪护的事务，还可以灵活地单独提供一些产后陪护的服务。虽然一些语言能力强、经验丰富、在美国有亲戚朋友的人也会采取DIY的方式，自行申请去美国自行租赁房子、联系医院生产的方式，花费略比月子中心低，也更自由一些。但是大多数人还是通过月子中心和中介来实现自己赴美生产的梦想。
<br/>
<br/>“现在月子中心很多，素质参差不齐，根据房子的条件、管理者的素质、提供的服务和餐食不同，价格差距很大。最便宜需要花费11万元人民币，贵的有二十多万的。”赵先生说，“但是必须得注意，这费用是以顺产来计算的。在一些医院，顺产的话是2100美元（1美元约合6.2元人民币），剖腹产就是3900美元，修养的时间也更长些，每天需要花费几百美元。如果是早产，费用就会成倍地增长， 孩子进了保温箱的话一天就得花1000美元。”
<br/>
<br/>源源不断来美产子的人在牟利者的眼中俨然成了一块肥肉，而且由于赴美产子的人数上涨，美国的月子中心甚至出现供不应求的状况，再加上一些孕妇存有追求实惠的心理，也产生了不少“趁火打劫”的黑月子中心。“有的月子中心由于住的人越来越多，所以孩子多，管理人员很少，一个人得看好几个孩子，吃饭就像打仗，待产孕妇吃的就是水煮白菜，要不就是土豆片，更别提营养了，要是和老板反映，老板肯定说自己多么多么难，让你体谅她……” 一位赴美产子归来的女士在论坛上写道。此前，也曾有赴美产子的妈妈写过《逃离狼窝月子中心》的文章来讲述自己在美国黑心月子中心的遭遇。
<br/>
<br/>而对于好不容易来到美国并且花下巨资生了宝宝的人来说，美国便宜的物价也让她们惊叹。因此除了待产和生产，这些妈妈们还会做的一件事就是：血拼。此前，美国《侨报》曾有报道，一位到美国生孩子的张姓女士竟然等到美国购物季的时候采购了足够孩子未来5年使用的物品， 从家庭日用品到孩子的衣物，一应俱全。简直是要“把洛杉矶搬回家了。”再加上慰劳自己的、感谢老公的各种品牌衣服、皮包及鞋子不下100件，孝敬父母、公婆及长辈的维生素及抗衰老产品不下100瓶。张太太说，这些东西她已经联系了船运公司的集装箱，统一运回中国。
<br/>
<br/>消息或许有些夸张，但在55bbs上，也确有网友晒出自己陪在美产子的姐妹买到的大包小包，表示在美国购物太划算了。“不少人待产和生孩子的时候就是去到处购物、旅游，因为美国的奶粉、婴儿用品、奢侈品等东西都比中国便宜，所以对于她们来说就是‘至少把机票钱给挣出来了’。”赵先生说。
<br/>
<br/>
<br/>
<br/>赴美生子的大门还能开多久
<br/>
<br/>“孩子出生在美国就是美国公民，以后还可以竞选美国总统！”这是赴美产子的妈妈们常常提到的。美国宪法第十四修正案规定，所有在美国领土上出生的人都是美国公民。正是这句话让中国的父母做起了美国梦。
<br/>
<br/>但是，中国赴美产子的大潮已经开始引起了美国从民间到官方的反弹。在2010年，美国众议院就开始讨论修改相关条款，取消赋予在美国出生的外国人公民权的权利。美国国会资深参议员格雷厄姆也曾表示：“中国和世界其他地方的富人拿着旅游签证来美国度假村，在度假村生孩子，度假村里有医院，生完具有美国公民身份的孩子，转身就回中国去了。 我不认为这是我们想要给予公民的方式。公民身份必须去争取，必须受到尊重。那就是我试图要做的事情。”
<br/>
<br/>格雷厄姆还表示，他准备提出修宪案，修改已经“过时”的“出生公民权”定义。
<br/>
<br/>尽管第一批做美国梦的中国父母并不是来自大陆，而是来自台湾——他们早在十几年前就已经登陆美国，生了一批拥有美国国籍的宝宝，并且为美国带来了带有中华文化特色的月子中心。
<br/>

今天打算再买球。

> I generally have normal NKs and cytokines outside of pg (only one
<br/>high
<br/>> cytokine result after LIT) but in pg my NKs go high (22-24% by
<br/>6w),
<br/>> however, my cytokines stay fine. BUT, I have had severe TNFa
<br/>damage
<br/>> via pathology despite the normal cytokines. I also have +ATA,
<br/>+APA,
<br/>> heteroMTHFR, DQ match.
<br/>>
<br/>> I am 39w4d. I tried Humira but had an allergic reaction and did
<br/>LIT
<br/>> twice last fall (2004). We conceived (Dec 04) beginning Enbrel on
<br/>CD1
<br/>> (IVIG prior cycle preconception), lovenox around CD10, basa, vits
<br/>> etc..... Actually, thought we missed ovulation so progesterone
<br/>wasn't
<br/>> started until a +hpt at CD30-ish. We did IVIG without retesting
<br/>around
<br/>> 6w....twice more during first trimester and 3 more times in
<br/>second.
<br/>> Enbrel was continued to 12w. Progesterone until 16w.
<br/>Lovenox/clexane,
<br/>> basa, vits continued until now.
<br/>>
<br/>> So, hopefully we are a success in the making!
<br/>>
<br/>> Take care,
<br/>> NikiH
<br/>

But now I am further thinking about how to optimize
<br/>my endometrium line to be more thicker, more volume,
<br/>better blood flow.
<br/>I think not only the immun system should be optimal
<br/>on time of transfer but also the endometrium should
<br/>be best prepared. I will no more transfer embyros
<br/>in a lining of only 7-8 (which I often had on time of
<br/>transfer in the past)
<br/>
<br/>I read (Dr. Sher) about the possibility taking Viagra while on
<br/>stimualtion for one week (each day 3 x 25 mg vaginal).
<br/>But I have fear about the viagra-risks and I am not
<br/>sure if there could be any bad effects for me or the embryo.
<br/>
<br/>Did anybody take Viagra ? What experiances ?
<br/>
<br/>An other question I am thinking about:
<br/>Should I take the Estradiol-Valerat-Pills, which I take
<br/>orally in the first half of IVF/FET-cycle (in hope to get
<br/>a thicker endometrium), should I take these Estradiol-pills
<br/>also in the second half of cycle ?
<br/>I am confused, because most of doctors and patients
<br/>say that I should take it each day during the whole cycle.
<br/>On the other side Dr. Beer told me NOT to take Estradiol
<br/>in the second half of IVF/FET-cycle. If I understood
<br/>him well, he means that the Estradiol could have a bad
<br/>effect on implantation.
<br/>
<br/>Is anybody the same opinion that it is better to stop
<br/>the Estradiol-pills in luteal phase and only give the
<br/>progesteron-shots ?
<br/>I TOOK VIAGRA TO INMORVE MY LINING AND IT WORKED.  I WAS USUALLY A 6-8 LINING AND TWICE I USED VIAGRA ALONG WITH TERBUTALINE (YOU MUST USE BOTH TO BE REALLY EFFECTIVE)  AND FIRST TIME GOT IT TO A 12 AND SECOND TIME TO A 10!!!!!!!!!!!!!!!  THAT TUFF WORKS AND YES DR SHER WAS MY DR.  
<br/>  NOW AS FOR THE ESTROGEN PILLS I DID ESTROGEN IN OIL SHOTS TO HELP AND IT WORKED TOO NOT THE PILLS.  I DID THE PILLS AND GOT MY LINING TO AN 8 BUT THE SHOTS HELPED TO GET TO THE 12.
<br/>  YOU WOULD NEED WHAT IS CALLED AN ESTORGEN PRIMING PROTOCOL BUT SOME WOMEN THINK AND FEEL THAT THE ESTROGEN INCREASES IMMUNE RESPONSE.  NOW I DID IT ALL AND DID TWO PRECONCEPTION IVIg AND HUMIRA THE ENTIRE TIME AND I AM PG WITH TWINS HOWEVER I DID TRANSFER FIVE 8 CELLED EMBRYOS!  SO YOU NEED TO DECIDE BUT I WSA HAPPY WITH HWHAT DR SHER AND I DID.  JENNY
<br/>
<br/>
<br/>
<br/>  
<br/>
<br/>But now I am further thinking about how to optimize
<br/>my endometrium line to be more thicker, more volume,
<br/>better blood flow.
<br/>I think not only the immun system should be optimal
<br/>on time of transfer but also the endometrium should
<br/>be best prepared. I will no more transfer embyros
<br/>in a lining of only 7-8 (which I often had on time of
<br/>transfer in the past)
<br/>
<br/>I read (Dr. Sher) about the possibility taking Viagra while on
<br/>stimualtion for one week (each day 3 x 25 mg vaginal).
<br/>But I have fear about the viagra-risks and I am not
<br/>sure if there could be any bad effects for me or the embryo.
<br/>
<br/>Did anybody take Viagra ? What experiances ?
<br/>
<br/>An other question I am thinking about:
<br/>Should I take the Estradiol-Valerat-Pills, which I take
<br/>orally in the first half of IVF/FET-cycle (in hope to get
<br/>a thicker endometrium), should I take these Estradiol-pills
<br/>also in the second half of cycle ?
<br/>I am confused, because most of doctors and patients
<br/>say that I should take it each day during the whole cycle.
<br/>On the other side Dr. Beer told me NOT to take Estradiol
<br/>in the second half of IVF/FET-cycle. If I understood
<br/>him well, he means that the Estradiol could have a bad
<br/>effect on implantation.
<br/>
<br/>Is anybody the same opinion that it is better to stop
<br/>the Estradiol-pills in luteal phase and only give the
<br/>progesteron-shots ?
<br/>I TOOK VIAGRA TO INMORVE MY LINING AND IT WORKED.  I WAS USUALLY A 6-8 LINING AND TWICE I USED VIAGRA ALONG WITH TERBUTALINE (YOU MUST USE BOTH TO BE REALLY EFFECTIVE)  AND FIRST TIME GOT IT TO A 12 AND SECOND TIME TO A 10!!!!!!!!!!!!!!!  THAT TUFF WORKS AND YES DR SHER WAS MY DR.  
<br/>  NOW AS FOR THE ESTROGEN PILLS I DID ESTROGEN IN OIL SHOTS TO HELP AND IT WORKED TOO NOT THE PILLS.  I DID THE PILLS AND GOT MY LINING TO AN 8 BUT THE SHOTS HELPED TO GET TO THE 12.
<br/>  YOU WOULD NEED WHAT IS CALLED AN ESTORGEN PRIMING PROTOCOL BUT SOME WOMEN THINK AND FEEL THAT THE ESTROGEN INCREASES IMMUNE RESPONSE.  NOW I DID IT ALL AND DID TWO PRECONCEPTION IVIg AND HUMIRA THE ENTIRE TIME AND I AM PG WITH TWINS HOWEVER I DID TRANSFER FIVE 8 CELLED EMBRYOS!  SO YOU NEED TO DECIDE BUT I WSA HAPPY WITH HWHAT DR SHER AND I DID.  JENNY
<br/>
<br/>
<br/>
<br/>  
<br/>
<br/>But now I am further thinking about how to optimize
<br/>my endometrium line to be more thicker, more volume,
<br/>better blood flow.
<br/>I think not only the immun system should be optimal
<br/>on time of transfer but also the endometrium should
<br/>be best prepared. I will no more transfer embyros
<br/>in a lining of only 7-8 (which I often had on time of
<br/>transfer in the past)
<br/>
<br/>I read (Dr. Sher) about the possibility taking Viagra while on
<br/>stimualtion for one week (each day 3 x 25 mg vaginal).
<br/>But I have fear about the viagra-risks and I am not
<br/>sure if there could be any bad effects for me or the embryo.
<br/>
<br/>Did anybody take Viagra ? What experiances ?
<br/>
<br/>An other question I am thinking about:
<br/>Should I take the Estradiol-Valerat-Pills, which I take
<br/>orally in the first half of IVF/FET-cycle (in hope to get
<br/>a thicker endometrium), should I take these Estradiol-pills
<br/>also in the second half of cycle ?
<br/>I am confused, because most of doctors and patients
<br/>say that I should take it each day during the whole cycle.
<br/>On the other side Dr. Beer told me NOT to take Estradiol
<br/>in the second half of IVF/FET-cycle. If I understood
<br/>him well, he means that the Estradiol could have a bad
<br/>effect on implantation.
<br/>
<br/>Is anybody the same opinion that it is better to stop
<br/>the Estradiol-pills in luteal phase and only give the
<br/>progesteron-shots ?
<br/>I TOOK VIAGRA TO INMORVE MY LINING AND IT WORKED.  I WAS USUALLY A 6-8 LINING AND TWICE I USED VIAGRA ALONG WITH TERBUTALINE (YOU MUST USE BOTH TO BE REALLY EFFECTIVE)  AND FIRST TIME GOT IT TO A 12 AND SECOND TIME TO A 10!!!!!!!!!!!!!!!  THAT TUFF WORKS AND YES DR SHER WAS MY DR.  
<br/>  NOW AS FOR THE ESTROGEN PILLS I DID ESTROGEN IN OIL SHOTS TO HELP AND IT WORKED TOO NOT THE PILLS.  I DID THE PILLS AND GOT MY LINING TO AN 8 BUT THE SHOTS HELPED TO GET TO THE 12.
<br/>  YOU WOULD NEED WHAT IS CALLED AN ESTORGEN PRIMING PROTOCOL BUT SOME WOMEN THINK AND FEEL THAT THE ESTROGEN INCREASES IMMUNE RESPONSE.  NOW I DID IT ALL AND DID TWO PRECONCEPTION IVIg AND HUMIRA THE ENTIRE TIME AND I AM PG WITH TWINS HOWEVER I DID TRANSFER FIVE 8 CELLED EMBRYOS!  SO YOU NEED TO DECIDE BUT I WSA HAPPY WITH HWHAT DR SHER AND I DID.  JENNY
<br/>But now I am further thinking about how to optimize
<br/>my endometrium line to be more thicker, more volume,
<br/>better blood flow.
<br/>I think not only the immun system should be optimal
<br/>on time of transfer but also the endometrium should
<br/>be best prepared. I will no more transfer embyros
<br/>in a lining of only 7-8 (which I often had on time of
<br/>transfer in the past)
<br/>
<br/>I read (Dr. Sher) about the possibility taking Viagra while on
<br/>stimualtion for one week (each day 3 x 25 mg vaginal).
<br/>But I have fear about the viagra-risks and I am not
<br/>sure if there could be any bad effects for me or the embryo.
<br/>
<br/>Did anybody take Viagra ? What experiances ?
<br/>
<br/>An other question I am thinking about:
<br/>Should I take the Estradiol-Valerat-Pills, which I take
<br/>orally in the first half of IVF/FET-cycle (in hope to get
<br/>a thicker endometrium), should I take these Estradiol-pills
<br/>also in the second half of cycle ?
<br/>I am confused, because most of doctors and patients
<br/>say that I should take it each day during the whole cycle.
<br/>On the other side Dr. Beer told me NOT to take Estradiol
<br/>in the second half of IVF/FET-cycle. If I understood
<br/>him well, he means that the Estradiol could have a bad
<br/>effect on implantation.
<br/>
<br/>Is anybody the same opinion that it is better to stop
<br/>the Estradiol-pills in luteal phase and only give the
<br/>progesteron-shots ?
<br/>I TOOK VIAGRA TO INMORVE MY LINING AND IT WORKED.  I WAS USUALLY A 6-8 LINING AND TWICE I USED VIAGRA ALONG WITH TERBUTALINE (YOU MUST USE BOTH TO BE REALLY EFFECTIVE)  AND FIRST TIME GOT IT TO A 12 AND SECOND TIME TO A 10!!!!!!!!!!!!!!!  THAT TUFF WORKS AND YES DR SHER WAS MY DR.  
<br/>  NOW AS FOR THE ESTROGEN PILLS I DID ESTROGEN IN OIL SHOTS TO HELP AND IT WORKED TOO NOT THE PILLS.  I DID THE PILLS AND GOT MY LINING TO AN 8 BUT THE SHOTS HELPED TO GET TO THE 12.
<br/>  YOU WOULD NEED WHAT IS CALLED AN ESTORGEN PRIMING PROTOCOL BUT SOME WOMEN THINK AND FEEL THAT THE ESTROGEN INCREASES IMMUNE RESPONSE.  NOW I DID IT ALL AND DID TWO PRECONCEPTION IVIg AND HUMIRA THE ENTIRE TIME AND I AM PG WITH TWINS HOWEVER I DID TRANSFER FIVE 8 CELLED EMBRYOS!  SO YOU NEED TO DECIDE BUT I WSA HAPPY WITH HWHAT DR SHER AND I DID.  JENNY
<br/>
<br/>
<br/>
<br/>  
<br/>
<br/>
<br/>
<br/>
<br/>  
<br/>
<br/>