Reproductive medicine · Boao Lecheng cluster
Female Infertility Treatment in China, Hainan
A third transfer, and again it did not take; the endometrium will not grow on any dose. Honestly, up front: we do not arrange IVF here and we do not promise a pregnancy — in one trip, the Hainan cluster looks for the reason the transfers keep failing. The first step is free: Dr Yang reads your records and answers in writing whether there is any point in flying. "You do not need to come" is an answer too.
About the condition
Before you think about travelling
Some situations rule out flying, and they come first. Sharp pain low in the abdomen, bleeding and weakness after a missed period — a possible ectopic pregnancy, which is an emergency. A rapidly swelling abdomen after stimulation, breathlessness, little urine — that looks like ovarian hyperstimulation syndrome: a hospital near home, not a flight. Sudden one-sided pain after stimulation — possible ovarian torsion, also an emergency.
Beyond that, the main resource is time, and it does not come back: after thirty-five the number and quality of eggs fall every year, and no method restores them. Three failed transfers without a search for the cause are not a reason to "try once more" — they are a reason to stop and work it out. Whether there is any indication for a trip can be seen from your records, without going anywhere.
Why people come
The situations we see most often
If one of these is yours, it is worth establishing the stage and the options.
- The transfers do not take
Good-quality embryos, and the same result every time. Nobody has looked for the reason — only "let's try again with a different protocol".
- The endometrium stays thin
Oestrogen at the maximum dose, and the lining will not grow. There were curettages in the past, and nobody has mentioned adhesions in the uterine cavity.
- Low reserve, and no answer
AMH is low, the response to stimulation is poor. Your physician suggests a donor programme, and you want to know whether any other options exist.
- A diagnosis of "unexplained infertility"
Every test is "normal", and there is no pregnancy in the third year. The uterine cavity, the tubes and your partner were checked long ago, or not fully.
- The pregnancy does not hold
It starts and ends in the early weeks, and not for the first time. Clotting, hormones and genetics have each been discussed separately, and there is no whole picture.
Standard care first
What is normally done before anything else
We do not propose replacing proven treatment. On the contrary: without it, any next step loses its meaning.
It starts with the standard work-up of the couple — and most often the cause is found at that level. What should have been done at home, with your physician, not instead of one:
- The partner's semen analysis — first, before anything else: very often the cause lies wholly or partly with the man, while only the woman is examined and treated for years
- Tubes and the uterine cavity — tubal patency checked and the cavity looked at: a polyp, adhesions, a septum or chronic endometritis noticeably lower the chances of any transfer until they are dealt with
- Hormones and reserve — AMH, antral follicle count, thyroid, prolactin, insulin. This explains a poor response to stimulation and shows whether there is a resource for your own eggs
- Genetics — karyotype of both partners after repeated miscarriage and, where indicated, genetic testing of embryos before transfer. Large centres at home do this; there is no reason to fly for it
- What depends on you — weight, smoking and alcohol for both partners, vitamin D if deficient. Dull, but this part of the list genuinely affects the odds and needs no flight
If all of this has been done and there is still no answer — send your records: Dr Yang will say whether there is any point looking further, and what exactly a trip would add.
Where a programme begins
No programme starts without a work-up
Diagnostics come first: they decide whether the method is indicated in your case and to what extent. From here there are two possible next steps.
The regenerative approach
What the cluster additionally considers
On medical grounds — as an addition to standard care, never instead of it.
- The cause first, then the transfer
Repeated failure is not a diagnosis but a symptom, and it usually has a cause nobody looked for. In one trip the picture is assembled whole: ultrasound with endometrial thickness and blood flow on the right day of the cycle, hormones and reserve, clotting and immunology where they genuinely change the plan, hysteroscopy with biopsy — at the physician's decision, if the cavity has not been examined or was examined long ago. At home that is six months across different consulting rooms; here it is a few days and one report.
- What exists for your diagnosis, and what does not
There is no cellular programme for infertility on the zone's list. PRP and cell-based approaches for thin endometrium and Asherman's syndrome are investigational: only a physician prescribes them after seeing you, if there are grounds, and they are not sold as part of a package. With a depleted reserve, eggs do not come back, and a donor programme remains a donor programme. The comparison is not with the rest of China but with what you can get at home: if the same is done in your city, there is no reason to fly for it.
- How the result is measured
The result of the trip is not a pregnancy — it is a named cause and a plan. The report sets out endometrial thickness and structure in numbers, chronic endometritis confirmed or ruled out, the state of the cavity after hysteroscopy, the hormone profile, what was found and what was excluded. Checkpoints are written so that your fertility specialist can work from them. If you have been told there is no treatment, we do not promise that we have one. Sometimes the records show a trip would give nothing but lost time and money — we say so plainly.
Methods
Which directions may be considered
What suits your case is determined by a physician after diagnostics.
Diagnostics built around your case
Four days and three nights, around 150 markers. For infertility the programme is extended: AMH, pelvic ultrasound, hysteroscopy — at the physician's decision.
Second opinion on your records
The first answer decides whether you travel. A second opinion is a full written assessment of your history of protocols, to take to your fertility specialist.
Cellular technologies in the cluster
What the pilot zone permits, and how a technology is admitted to it. Why infertility is not on that list — above on this page.
Traditional Chinese medicine
Led by Master Zhi Ning. In infertility the remit is narrow: sleep, stress, the cycle, recovery after stimulation. TCM does not remove the cause of infertility and does not replace IVF.
Plainly about the limits
When the regenerative route is not for you
This matters more than any marketing: knowing in advance when the method is not considered.
There are situations where our answer is: there is no point in coming. The main ones:
- You are already pregnant — every programme is postponed, and that is your physician's decision, not ours. A positive test is a reason for monitoring near home, not for a flight
- The couple's work-up is not finished — no semen analysis, tubes and cavity not examined, reserve not measured. All of this is available at home at a fraction of the cost of a trip — start there
- You need a donor egg or surrogacy — with a depleted reserve or no uterus, cell-based approaches will not bring eggs back or create a uterus; these programmes exist at home, and there is no reason to fly to Hainan for them
- Expecting cells or PRP to "grow" the endometrium — these approaches have no proven effectiveness, no one anywhere can promise the outcome, and we will not support such a trip
If the cluster physician says there is no reason to come and the work-up can be finished at home, we pass that on as it stands. The review is free — and a refusal is a result too. We do not sell a method — we organise access to a physician's decision. Send your records · Write on WhatsApp
How it works
From your records to coming home
- 11. You write — we read
Write on WhatsApp or send your records through the form. Phone photographs are fine, a complete file is not needed; you can even start without documents — describe the situation in words. Records in Russian Dr Yang reads in the original; other languages we translate first. Free.
- 22. The answer: is there any point in coming
A written answer, usually within one or two working days: does it look as though the cause was never sought, what is missing from the records, and whether there are grounds for a trip. No diagnosis is made online.
- 33. Route and estimate before tickets
We put your case to the hospital: what is added to the work-up, whether hysteroscopy is needed, and on which day of the cycle it is best to arrive. The estimate comes in writing before you buy tickets.
- 44. Arrival and diagnostics
No visa is needed for up to 30 days if you fly to the island directly: a non-stop flight to Sanya, then a road transfer to the cluster, where the coordinator meets you and interprets at appointments. Any procedure is decided by the physician in person, and a refusal is as much a physician's result as a go-ahead.
- 55. Going home
You leave with a report, the numbers and a plan for your fertility specialist. Complications after you return are managed by physicians where you live: neither we nor the cluster hospital can help at a distance, and that has to be accepted before the trip.
Why here
What the Boao Lecheng cluster offers
- Dr Yang reads Russian in the original
A partner physician of the cluster whose medical training was in Russia. Russian-language records and IVF protocols he reads in the original, nothing lost in translation; records in other languages are translated before the review.
- What is available on your dates — in writing
Whether the hospital takes your case and what is available on your dates, we confirm in writing. If the drug you need is not in the zone, you learn that before you buy a ticket.
- You pay the hospital directly
The hospital issues the bill and you pay its price — no mark-up on medicine. We earn on organising the trip, and that is a separate line in the estimate.
- Licensed hospitals do the treating
We are not a clinic and we do not treat. Care is delivered by the state hospitals of the cluster — they hold the licences and the responsibility; we answer for the organisation and for making sure you are understood correctly. Boao Lecheng is a pilot zone where medicines and technologies unregistered in the rest of China are legally available.
Common questions
The essentials
Send your scans — and get a straight answer
A specialist physician in the cluster will look at your stage and say whether the regenerative route is worth considering. The review is free; we do not diagnose online.