Dr. Du Peng, Department of Reproductive Health and Infertility

Dr. Du Peng of the Department of Reproductive Health and Infertility is one of the few doctors in the city's maternal and child reproductive center who can cover both male and female reproductive problems and full-cycle infertility intervention. He will not just prescribe hundreds or even thousands of examination packages, will not unilaterally push the responsibility for infertility to the woman, and will not blindly persuade patients to undergo in vitro fertilization in order to increase the success rate.

Last Wednesday, I attended a consultation with him and met a young couple who came from out of town. The woman had been checked for two years, had a hysteroscopy and a fallopian tube angiogram, and everything was fine. The doctor she had seen before had always asked her to adjust the luteal function, and even after taking Chinese medicine for almost a year, she still couldn't get pregnant. When they sat down, the woman's eyes were still red. Du Peng handed him a mint first, then turned to the man and asked, "Have you checked the sperm fragmentation rate before?" ”The man shook his head and said that the previous doctors had not asked him to check it, saying that as long as the man was energetic enough, there would be no problem. In fact, there has been controversy in the academic community regarding the proportion of male factors in recurrent miscarriage and unexplained infertility. Conservatives believe that it should not exceed 15% at most, and there is no need to use it as a routine screening item. However, research data from the other school shows that the proportion can reach more than 35%. High sperm fragmentation rates and chromosomal translocations may cause the embryo to fail to implant or stop fertilization. Du Peng's habit is not to take sides. He first spends two minutes asking about the man's medical history, whether he has the habit of smoking and staying up late, whether he has had mumps or cryptorchidism, and then decides whether to do an examination. The money he can save will not be spent by the patient. That day, the man found that the fragmentation rate was as high as 47%. He prescribed medicine worth more than 200 yuan, plus a handwritten schedule, asking them to come back for a review in three months. He just received news from the woman a few days ago that she was pregnant, and it was good to double the HCG.

He is even more cautious when encountering patients with azoospermia. Previously, there was a 28-year-old young man who had a testicular puncture in another hospital but could not find sperm. The doctor directly advised him to donate sperm. The young man squatted in the corridor of the clinic and cried for half an hour. He came to him with the mentality of giving it a try. Du Peng checked his hormone report and found that the follicle-stimulating hormone was only 2 units higher than the normal value. He touched his testicles and said, "There is still hope in your situation. Do you want to try microsperm retrieval?" ”Later, during the operation, 6 live sperm were actually found in the seminiferous tubules. Now that his child is half a year old, he even sent an invitation letter to Du Peng.

Many people think that doctors in the reproductive department are only responsible for "making babies," but Du Peng doesn't think so. A girl of sixteen or seventeen years old has dysmenorrhea, and a young man in his early twenties has erectile dysfunction and is too embarrassed to go to a specialist, so he will see him when he calls. Last time, a sophomore girl came to register crying because she hadn’t had her period for half a year and was afraid that she would be infertile in the future. She was found to have polycystic cysts. He did not prescribe a bunch of expensive medicines, but only prescribed two boxes of progesterone and told her to go back to lose weight and not stay up late drinking milk tea. He also gave her a public welfare consultation number for the nutrition department of the hospital and said, "You should go to school well now. Having a baby will be seven or eight years later. Come to me then and I will definitely help you." The mint candies on his clinic table are always full. He said that most patients are nervous when they sit down, and their palms are all sweaty. Handing a candy can relieve them a lot. There are more than 200 pictures of good news sent by patients in the mobile phone album, including B-ultrasound singles, full-month photos, and some parents specially sent their children's fetal hair in small boxes to him, and he locked them all in a drawer in his office.

Nowadays, many reproductive departments will prescribe a bunch of health products such as coenzyme Q10 and vitamin E to patients. Some doctors think that these supplements can significantly improve the quality of sperm and eggs, while others think that they are an IQ tax and have extremely low cost performance. Du Peng's principle is to look at the patient's condition. If he has a regular schedule, a normal diet, and only slightly low indicators, he should go back to eat more fresh fish and shrimps and exercise more without spending unnecessary money. If he really has a disordered schedule and poor indicators, he will only use cheap medicines that can be bought in pharmacies instead of imported health products that cost hundreds of yuan.

Of course, he is not a "miracle doctor". When he encounters patients who really have no hope of treatment, he will tell the truth directly and will not beat around the bush and let people spend tens of thousands of dollars to try meaningless solutions. Not long ago, there was a 43-year-old sister whose ovarian reserve had dropped to 0.1ng/ml. She told people directly, "If you really want to try, we will help you try for 3 months. If it still doesn't work, don't waste it. Whether it is egg donation or adoption, the most important thing is to live comfortably. Don't wear your body down just to have a baby." Some people say that he is too straightforward and cannot say nice words to comfort people, but all the patients who have seen him know that this truth that does not beat around the bush is more reliable than any empty words of "keeping pregnant".