Payment are made progressively throughout the treatment cycle. If the cycle is abandoned for unforeseen circumstances, payment made until that stage will not be refunded or carried forward to the next cycle.
The traditional definition of infertility is when a couple is unable to conceive after 1 year of regularly trying. However, women who are 35 years and older should preferably see a Reproductive Medicine Specialist after 6 months of repeated failed attempts, instead of waiting a whole year. Similarly, couples with conditions known to impact fertility eg. Endometriosis, blocked fallopian tubes, or semen abnormalities, are advised to seek advice much sooner.
Leading a healthy lifestyle inclusive of regular physical exercise, weight management, cutting down on alcohol consumption, smoking cessation, and stress management are some of the things that would help in your quest for a baby. Vitamins and antioxidants may also be beneficial for you and your partner.
We would generally recommend that you stop those herbs or traditional modalities that might potentially have an adverse effect on your fertility treatment and outcome. If in doubt, it might be best to refrain until after completion of your fertility treatment.
A brief medical history will be taken from you and your partner, followed by a basic gynaecological examination. Subsequently some relevant blood tests pertaining to your hormonal profile and ovarian reserve may be taken from you, while your partner produces a sample for semen analysis. These results will usually be discussed with you on the same visit, allowing an appropriate treatment plan to be drawn up for you. Where necessary, your doctor will discuss examining your fallopian tubes with you.
This decision depends on the length of time you’ve been trying, your age, your ovarian reserve, the cause of your infertility, your partner’s semen analysis, and naturally, your preference. Together, we’ll help you plan a regime that best suits your needs.
Both are treatments offered for infertility. Intra-uterine insemination (IUI) uses milder ovarian stimulation medication to create a smaller number of eggs in your ovaries. For the fertilisation process, sperm is introduced directly into your womb via a thin catheter. The sperm will then have to find the egg and fertilise it for pregnancy to happen.
In-vitro fertilisation (IVF) utilises oral or injectable fertility medication for ovarian stimulation, with the aim of collecting more eggs, which are then fertilised with your partner’s sperm in our laboratory. One of these successfully fertilised eggs, now called an embryo, is then transferred into your womb for implantation and pregnancy to occur. IVF offers significantly higher pregnancy success rates.
No, on the contrary, you can continue with your normal daily schedule and activities. The only day you will need to be off work is on the day of your egg collection in an IVF cycle. However, this being a day-care procedure, means you get to go back home to rest a few hours after the egg collection. We would normally also give you a few days off work after your embryo transfer, but, you can opt to go back to work sooner, should you choose to, with no negative impact to your treatment outcome whatsoever.
Studies indicate that pregnancy rates begin to fall after the 3rd or 4th failed IUI cycles. Therefore, you might want to consider other treatment options at this point, unless there is a strong justification to attempt further IUI cycles. This will naturally also be based upon your specific preferences.
Once you have decided on your treatment, you can generally commence IVF with the onset of your next menstrual cycle. From this date, it typically takes approximately 10-12 days before your eggs are collected. Your embryo/s will be replaced into your womb 2 to 5 days after the egg collection. A pregnancy test will be scheduled 2 weeks after the egg collection.
In a typical cycle, you will be seen at the beginning of your menstruation to commence on injectable fertility hormones. Subsequently, 2 to 3 visits will be scheduled for the purpose of monitoring your response to the medication, via ultrasound scans and hormonal blood tests. Following that, your 4th and 5th visits will be for egg collection and replacement of your embryos, respectively. Lastly, your 6th visit will be for you pregnancy test.
Pre-implantation genetic screening is an option for couples attempting IVF. As its name suggests, an embryo’s genetic material is tested for normality before it’s returned to its mother’s womb for implantation.
PGS offers an added measure of increasing the chance of a healthy pregnancy for couples undergoing IVF. The largest cause of IVF failure and miscarriages is due to chromosomally abnormal embryos, and PGS can help detect these.
No, because each IVF cycle stimulates eggs from a pre-specified finite number of eggs meant only for that particular cycle; and these are from the batch of eggs that would have been discarded anyway, in a natural non-IVF cycle, since the body only selects 1 egg to grow per menstrual cycle. Hence, in an IVF cycle, we attempt to collect more eggs from this monthly pool which otherwise are destined to be discarded by the body.
In such instances, we would examine your partner and run some blood and genetic tests. Where possible, we could attempt to retrieve sperm directly from his testicles. This sperm would then be used to fertilise your eggs, collected from an IVF cycle.
A woman’s increasing age is the most important defining factor against fertility treatment success, especially beyond age 35. Women therefore, have the option of preserving their future fertility potential via IVF and embryo preservation. Alternatively, women can instead opt to freeze their unfertilised eggs for future use. Additionally, IVF and egg/embryo preservation is the preferred method for fertility preservation in women who are undergoing cancer treatment which has been known to adversely impact their future fertility.