杉山妇产科集团

Sugiyama Clinic Group

为海外患者提供定制化的诊疗服务

(只有新宿院接受海外患者)

拥有超过70年历史的杉山妇产科集团,在众多医师和工作人员的共同努力下建立了安全的医疗体系,为女性及其家庭的未来提供支持与帮助。
尤其是在需求较高的高难度试管婴儿技术方面,本院积极接纳来自海外的患者,是诊疗的一大特色。拥有专业知识和卓越技术的医生会倾听您的想法,提供建议和治疗。治疗方针会根据年龄、不孕时长、个人情况等因素进行灵活地调整。患者、医生和工作人员将作为一个团队,朝着共同的目标努力。
目前,只有新宿院接受海外患者。

Customized Care for Patients from Overseas

(The Shinjuku Clinic is the only location accepting overseas patients)

With over 70 years of history, the Sugiyama OB-GYN Group is supported by a highly skilled team of doctors and staff, ensuring a safe system to support the future of women and their families.
Our clinic is uniquely positioned to actively support patients from overseas, especially in high-demand in vitro fertilization (IVF) technologies.Experienced and knowledgeable doctors are here to listen to your concerns, provide guidance, and develop a personalized treatment plan. Treatment approaches may vary depending on your age, duration of infertility, and personal circumstances.
Together with you, the doctors, and the staff, we form a team working towards your goals.
Currently, the Shinjuku Clinic is the only location accepting overseas patients.

通过视频了解杉山妇产科集团新宿分院

Introducing Sugiyama Obstetrics and Gynecology Shinjuku via Video

中文翻译服务

我院配有翻译工作人员来协助您。若您希望自带翻译人员,可能会产生额外费用,详情请咨询。

  • *患者的家属无法作为翻译陪同。
  • *翻译人员仅限女性(丈夫、伴侣无法作为翻译陪同)。
    如果无法进行日语对话,我们将无法提供诊疗服务。

Chinese Interpretation Fees

Patients’ family members cannot accompany as interpreters. Interpretation services are provided by female interpreters only (partners or husbands cannot accompany as interpreters). If you are unable to converse in Japanese, we will have to decline the appointment. Medical consultations with an interpreter are not covered by insurance and are limited to IVF treatments only.

  • *Family members of patients cannot accompany as interpreters.
  • *Interpreters must be female. (Husbands and partners cannot accompany as interpreters.)
    If you cannot communicate in Japanese, we will be unable to provide treatment.

杉山妇产科集团试管婴儿的诊疗特色

Features of Sugiyama Obstetrics and Gynecology IVF

近年来,随着不孕不育治疗的高速发展,通过ART(辅助生殖技术:试管婴儿),以往被认为无法怀孕的夫妇现在也可以实现怀孕。同时另一方面,由于不孕症的信息泛滥,许多患者在接受治疗时可能抱有错误的认知或理解。在本院,我们会为您提供正确的知识说明,同时给出适合的必要的治疗建议。若您有希望进行或不希望进行的检查或治疗项目,请随时向我们提出,以确保您对怀孕的意愿不被误解或错误的知识所影响。让我们重视与患者的沟通,携手推进治疗过程。

Recent advancements in infertility treatment have led to rapid development in ART (Assisted Reproductive Technology), allowing couples previously thought to be unable to conceive to achieve pregnancy. However, misinformation regarding infertility treatment is widespread, leading many to seek help with misconceptions. Our clinic provides clear, accurate information and actively recommends necessary treatments. Please feel free to express any tests or treatments you desire or wish to avoid. We aim to ensure that hope for pregnancy is never extinguished due to misunderstandings. Communication between you and your physician is paramount as we move forward with treatment.

2022 年辅助生殖技术(ART)妊娠率・活产率和流产率

诊疗流程

Treatment Process

STEP1: 翻译人员安排或咨询

请自行安排翻译人员。患者家属不能作为翻译人员陪同,且翻译人员需为女性。
若无法安排翻译,您可以联系我院的翻译工作人员。如需此服务,请联系 info@sugiyama.or.jp

STEP1: Arranging for an Interpreter

Please arrange for your own interpreter. Family members accompanying you cannot act as interpreters. Additionally, interpreters must be female. The interpreters we can provide at our clinic are limited to Japanese-Chinese language support. If you require an interpreter for English or any other language, you must arrange for one yourself.

STEP2: 预约

请通过本院的预约系统获取ID并进行预约。在预约页面的“日程咨询”一栏中填写是否有陪同的翻译以及翻译人员的姓名。若希望使用本院的翻译服务(已完成步骤1的咨询),本院的工作人员将协助您完成ID获取及预约的全过程。

STEP2: Scheduling an Appointment

Obtain an ID through our clinic’s appointment system and proceed to book your reservation. When selecting your preferred date and time, please specify whether you will bring an interpreter and provide the interpreter’s name in the “Scheduling Notes” section.

STEP3: 预约确认

确认诊疗日期后,我们将通过邮件通知您。预约确认邮件将发送至ID注册的邮箱或步骤1咨询时提供的邮箱。

STEP3: Appointment Confirmation

Confirm your appointment date from the available options, and you will be notified via email. The confirmation email will be sent to the email address used for ID registration or the email address used in Step 1.

STEP4:诊疗开始

请根据预约的诊疗日期制定前往日本的行程。有关整个诊疗过程所需的在日滞留时间等疑问请在预约时一并咨询。
另外,我们目前不负责办理赴日签证或交通安排。

STEP4:Start Treatment

Please arrive in Japan on your appointment date. For inquiries about the necessary duration of stay for treatment, please ask at the time of reservation. We do not assist with visa arrangements or transportation for travel.

杉山妇产科集团新宿分院提供的先进医疗技术

新宿分院是专注于试管婴儿治疗的生殖医疗中心。作为日本国内首屈一指的医疗机构,提供一流的先进技术和优质的生殖医疗服务。

Advanced Treatments Available at Sugiyama Obstetrics and Gynecology Shinjuku

Our clinic specializes exclusively in IVF, continuously evolving with advanced technologies, providing some of the highest quality IVF services available in Japan.

胚胎植入前遗传学检测(PGT-A、PGT-SR)

Preimplantation Genetic Testing(PGT-A, PGT-SR)

胚胎植入前遗传学检测(PGT-A)

Preimplantation Genetic Testing for Aneuploidy (PGT-A)

PGT-A(胚胎染色体非整倍体检测)是指在体外受精获得的胚胎移植前,对其染色体进行检测的过程。

PGT-A refers to the genetic testing performed on embryos obtained through IVF to check for chromosomal abnormalities before implantation.

PGT-A检测方法

在胚胎发育至囊胚阶段后,对滋养外胚层的一部分进行活检,取出少量细胞并提交至检测机构进行染色体数目检测。

PGT-A Methodology

After fertilization, embryos are cultured until the blastocyst stage, where a small sample of the trophectoderm is biopsied, and several cells are extracted for analysis. These cells are submitted to a testing facility to evaluate chromosomal numbers.

检测注意事项
  • 当胚胎的状态不佳(例如,滋养外胚层细胞稀少)时,采集的细胞数量可能不足以进行检测。此外,采集到的细胞状态可能导致无法进行检测或无法得到检测结果。在这种情况下,仍需支付费用。未进行检测的胚胎不意味着其存在异常,移植是可能的。如果您希望不进行未检测胚胎的冷冻保存(即废弃),请提前告知我们。
  • 关于性染色体(性别),除非存在数量异常,否则我们无法告知。
  • 检测结果显示异常的胚胎,如果患者希望,仍可以进行移植及冷冻保存或延长保存期限。(如果保存期限到期而未进行续期手续,将予以废弃。)
  • 即使检测结果正常,也不能保证100%避免怀孕或流产。与一般怀孕一样,即使没有异常,仍然可能发生原因不明的流产。
  • 本次检测是采集胚胎的滋养外胚层(将形成胎盘的细胞)进行检测,因此无法100%检测内细胞团(将形成胎儿的细胞)。已报告的检测精度为99.4%。
  • 如果希望进行本次检测,需在取卵前向医生申请。请提交申请表。
Testing Considerations
  • If the blastocyst condition is not optimal (e.g., insufficient trophectoderm cells), there may not be enough cells for analysis, and testing may not be possible. Additionally, the state of the extracted cells can affect the ability to test or yield results. Fees will still apply in such cases. Not being able to test does not imply the blastocyst is abnormal, and transfer may still be feasible. If you prefer not to cryopreserve (discard) blastocysts that cannot be tested, please inform us in advance.
  • Information regarding sex chromosomes (gender) cannot be disclosed except in cases of numerical abnormalities.
  • If testing reveals abnormalities, embryo transfer and cryopreservation can proceed at the patient’s request (please note that if the preservation period expires without renewal procedures, disposal will occur).
  • Even with normal test results, we cannot guarantee 100% avoidance of pregnancy loss, as unexplained miscarriages may still occur even in normal pregnancies.
  • This test samples the trophectoderm (cells that will form the placenta), meaning 100% testing of the inner cell mass (cells that will become the fetus) is not possible. The accuracy is reported to be 99.4%.
  • If you wish to undergo this testing, you must apply to your physician prior to egg retrieval, and we ask for the submission of an application form.
优点
  • 成功移植正常胚胎后,妊娠率将提高。
  • 成功移植正常胚胎后,流产率将降低。
缺点
  • 可能需要较长时间才能获得正常胚胎进行移植。
  • 当前可实施的患者有限。
  • 对于马赛克胚胎,结果的判断可能较为困难。
Benefits of PGT-A
  • Higher pregnancy rates when transferring normal embryos.
  • Lower miscarriage rates when transferring normal embryos.
Drawbacks of PGT-A
  • Obtaining normal embryos may take longer, delaying transfer.
  • Currently, the procedure is limited to specific candidates.
  • Results may indicate mosaic embryos, complicating interpretation.

着床前诊断(PGT-SR)

Preimplantation Genetic Testing for Structural Rearrangements (PGT-SR)

  • *检测方法与上述PGT-A相同。

PGT-SR(Preimplantation Genetic Testing for Structural Rearrangements)主要面向习惯性流产患者,检测特定染色体之间的结构异常,旨在预防胚胎移植后的流产。

Note: The testing method is the same as PGT-A.

PGT-SR primarily targets patients with recurrent miscarriage, assessing structural chromosomal abnormalities between specific chromosomes to prevent miscarriage after embryo transfer.

世界最尖端Geri Timelapse (加湿型恒温定时胚胎培养箱)

Advanced Cultivation Technology:Geri Time-Lapse Incubator

Geri Timelapse (加湿型恒温定时胚胎培养箱) 作为目前技术最先进的培养箱,可以连续动态观察胚胎的发育过程,记录胚胎发育过程中受精卵裂的时间及形态等各种参数信息,通过这些参数可以更有效地选择发育潜能最好的胚胎。同时可以将开关培养箱的次数控制到最小,因此可以将培养箱中的温度及PH浓度等参数维持稳定,为胚胎提供一个稳定优质的培养环境。

The Geri Time-Lapse Incubator allows constant observation of embryos, facilitating accurate assessments of fertilization. Additionally, minimizing the opening of the incubator helps maintain stable temperature and pH levels, providing optimal cultivation conditions.

Geri Timelapse(加湿型恒温定时胚胎培养箱)/Geri Time-Lapse Incubator

最大特色

Key Features

  1. 该设备最大的特点是实现了传统时间延续培养箱所无法达到的加湿培养,因此预计可以获得更好的培养结果。本诊所已在丸之内院和新宿院共引进28台世界顶级培养设备,所有培养均在该设备下进行。
  2. Eeva AI分析软件能够在D3胚胎阶段,甚至在胚胎发育至囊胚之前,判断哪些受精卵是理想的。(使用分析软件需另付费用,且不进行24小时录像。)
  1. A significant feature of this equipment is its ability to perform humidified cultivation, which was previously impossible with conventional time-lapse incubators. Our clinic has installed 28 units of world-class cultivation equipment across our Marunouchi and Shinjuku locations, ensuring all cultivation procedures utilize this technology.
  2. The Eeva AI analysis software can evaluate which embryos are most viable by the D3 embryo stage, prior to reaching the blastocyst stage (additional fees apply for the analysis software; 24-hour recording is not conducted).
Geri Timelapse(加湿型恒温定时胚胎培养箱)//Geri Time-Lapse Incubator
Geri Timelapse(加湿型恒温定时胚胎培养箱)//Geri Time-Lapse Incubator

难治性着床不全及不育症专科门诊

Specialized Clinic for Recurrent Implantation Failure and Recurrent Pregnancy Loss

难治性着床不全及不育症专科门诊致力于探究着床不全和不育症的原因。在试管婴儿治疗中,通常40岁以下的患者在接受4次或4次以上良好胚胎移植后,有超过80%的患者都能够成功怀孕。因此,如果移植了4个以上良好胚胎且超过3次移植都未能怀孕的话,则称为“难治性(反复)着床不全”。虽然对着床不全原因的探究还存在有待突破的地方,但是目前在本院可以通过积极开展子宫内膜着床窗口期检查(ERA)、子宫内膜组织诊断及子宫内细菌培养等检查方式进行排查。

This clinic conducts investigations into the causes of implantation failure and recurrent pregnancy loss. It is reported that in IVF, over 80% of patients under 40 can achieve pregnancy after transferring four or more good-quality embryos. Therefore, failure to achieve pregnancy after transferring at least four good embryos across three or more cycles is classified as “recurrent implantation failure.”
While there are limitations to identifying the causes of implantation failure, our clinic actively conducts Endometrial Receptivity Analysis (ERA), endometrial tissue examination, and endometrial bacterial culture tests.

难治性着床不全症的PRP(Platelet Rich Plasma = 多血小板血浆)疗法

Platelet-Rich Plasma (PRP) Therapy for Recurrent Implantation Failure

多血小板血浆(PRP)用于不孕治疗,即从患者自身血液中提取高浓度的血小板注入子宫内,以激活子宫内膜并期望提高着床效果。血小板含有促进细胞生长的物质和与免疫相关的物质,因此通过PRP疗法激活子宫内膜,从而提高受精卵着床的可能性。

PRP therapy involves injecting a high concentration of platelets extracted from the patient’s own blood into the uterus to activate the endometrium and enhance implantation success. Since platelets contain substances that promote cell growth and are involved in immune responses, PRP therapy is thought to enhance the endometrial environment, potentially increasing the likelihood of embryo implantation.

子宫内膜着床能力(ERA)检测

在体外受精中,对于多次移植良好胚胎仍未怀孕的反复着床失败病例进行的检测。

Endometrial Receptivity Analysis (ERA)

This test is performed for cases of recurrent implantation failure, where multiple transfers of good embryos have failed to result in pregnancy.

子宫内膜组织检查

当需严格诊断慢性子宫内膜炎时,通过采集子宫内膜组织并在显微镜下确认浆细胞进行检查。

Endometrial Tissue Examination

To accurately diagnose chronic endometritis, endometrial tissue is sampled, and plasma cells are examined microscopically.

子宫内细菌培养检查

旨在识别子宫内感染的致病菌。通过此检测,可能能够找到有效的抗菌药物。

Endometrial Bacterial Culture Test

This test aims to identify causative bacteria of endometrial infection. Identifying these bacteria can help find effective antimicrobial treatments.

卵子冷冻(未受精卵冷冻)保存

Egg Freezing (Oocyte Cryopreservation)

本院也提供卵子冷冻(未受精卵冷冻)保存服务。请充分理解以下内容,并谨慎考虑是否进行此项服务。

Our clinic also offers egg freezing services. Please consider the following information carefully before proceeding.

卵子冷冻保存的优点

Benefits of Oocyte Cryopreservation

卵子冷冻保存是指在年轻时将优质卵子进行冷冻保存。卵子会随着年龄的增长而老化,质量也会下降。然而,并不是所有希望生育的女性都能在年轻时生育。通过将卵子在体外冷冻保存,为将来的怀孕做好准备。然而,解冻后卵子的存活率并不高。为了怀孕,建议尽早制定怀孕计划。

Egg freezing involves preserving high-quality eggs while you are young. Eggs age and their quality diminishes over time. However, not all women wishing to conceive can do so at a younger age. Cryopreservation of eggs provides a safeguard for future pregnancies. However, it should be noted that the survival rate of thawed eggs is not very high. We recommend planning your pregnancy as early as possible.

卵⼦(未受精卵)冷冻的未来妊娠率

Future Pregnancy Rates Using Frozen Eggs

被采集的卵子中,只有成熟卵子可以进行冷冻保存。此外,成熟卵子的受精率和妊娠率因采卵时的年龄而异。妊娠率是指在解冻后卵子存活且与精子受精,且受精卵质量良好的情况下的妊娠率。

Only mature eggs can be frozen from those collected. Even among mature eggs, the fertilization and pregnancy rates vary depending on the age at which the eggs were harvested. Pregnancy rates are calculated based on the survival of the thawed eggs and successful fertilization by sperm, along with the quality of the resulting embryos. The age indicated refers to the age at which the eggs were harvested.

● 冷冻卵子在解冻后的存活概率可参考以下报告

解冻卵子存活的概率:80%至95%
解冻卵子与精子注入后的受精率:60%至80%

● The survival rate of thawed eggs has varied in reports.

The survival rate of thawed eggs is estimated to be between 80% and 95%.
The fertilization rate when sperm is injected into thawed eggs is estimated to be between 60% and 80%.

● 1颗冷冻卵子在解冻后,卵子存活并成功受精(显微受精),且得到优良受精卵后的怀孕几率如下:

30岁以下 约35%
31-34岁 约30%
35-37岁 约25%
38-39岁 约20%
40岁以上 低于15%

因此,考虑到卵子的存活率和随后的着床率,建议冷冻保存5个以上(最好10个以上)卵子。

● Pregnancy rates per egg after thawing frozen eggs, when the eggs survive, are fertilized (via intracytoplasmic sperm injection), and good-quality embryos are secured:

Under 30 years old : Approximately 35%
31-34 years old : Approximately 30%
35-37 years old : Approximately 25%
38-39 years old : Approximately 20%
40 years and older : 15% or lower

Therefore, considering the survival rate of the eggs and subsequent implantation rates, it is desirable to freeze and store at least 5 eggs (preferably more than 10).

卵子冷冻保存方法

Method of Egg Freezing and Storage

卵子冷冻保存使用专用容器。每个容器最多可容纳3个卵子。冷冻保存的费用按容器计算。保存期限自采卵日起按年计合同。续期时需要提交续期申请书及费用。如果在续期预计月份过后未完成续期手续(同意书、费用),将被视为“无续期意愿”,并予以废弃。此外,建议每年续期时进行卵巢年龄激素(AMH)检查和超声检查,以评估未来怀孕的可能性。

Specialized containers are used for egg freezing and storage. Each container can hold a maximum of 3 eggs. Fees are charged per container for freezing and storage. The storage period is contracted on an annual basis from the date of egg retrieval. If you wish to extend the storage period, a renewal application form and fee will be required. If the renewal procedures (agreement form and fee) are not completed more than one year after the planned renewal month, it will be considered as “no intention to extend,” and the eggs will be discarded. Additionally, it is advisable to conduct ovarian age hormone (AMH) tests and ultrasound examinations at the time of annual renewal, if possible, to assess the potential for future pregnancies.

使用未受精卵的注意事项

Using Unfertilized Eggs

  • 1.卵子一经冷冻,再次使用时只能采用试管婴儿的方式。且原则上需要使用显微受精。请在计划进行试管婴儿治疗前的数月内来院咨询。
  • 2.在进行试管婴儿治疗时(使用冷冻卵子)必须提供精子
  • 3.实际的解冻后卵子存活率可能比预想的要低。解冻后的所有卵子出现变性且无法用于受精的情况也是有可能发生的。在这种情况下费用将不予退还,还请提前知悉。
  • 4.卵子解冻后,通过试管婴儿治疗获得多个受精卵时,在技术上可以对受精卵再次进行冷冻保存。然而,本院也将遵循各相关政府机构和学会的指导方针进行使用。
  • 1. If you use an egg that has been frozen once, it must be through in vitro fertilization. Most of these cases will involve intracytoplasmic sperm injection. Please visit us for a consultation a few months before you wish to undergo in vitro fertilization.
  • 2.Sperm is required when performing in vitro fertilization (using frozen eggs).
  • 3.The survival rate of frozen eggs once thawed in the future is expected to be challenging. It is possible that all eggs may degenerate and not be usable for fertilization. Please understand that in such cases, no fees will be refunded.
  • 4.If multiple fertilized eggs are obtained through thawing and in vitro fertilization, it is technically possible to freeze and store these fertilized eggs again. However, our clinic will follow the guidelines of various government ministries and academic societies.
生殖医疗中心(先进的不孕治疗・日间内窥镜手术)
东京都新宿区西新宿1-19-6 山手新宿大楼
诊疗时间
8:30〜12:00 / 14:00〜16:00(星期二、星期四、星期六) 15:00〜19:00(月、星期三、星期五)
Reproductive Medicine Department
(Advanced Infertility Treatment and Outpatient Endoscopic Surgery)
1-19-6 Nishi-Shinjuku, Shinjuku-ku, Tokyo,
160-0023 Japan
Business Hours
8:30 AM - 12:00 PM / 2:00 PM - 4:00 PM(Tue, Thu, Sat) 3:00 PM - 7:00 PM (Mon, Wed, Fri)
联系我们 / Contact Us