Dr Tseng is an experienced fertility specialist, obstetrician and gynaecologist who is well known for his holistic approach to fertility treatment recognising the importance of assisted reproductive technology coupled with traditional complementary therapies to achieve the best results for patients.
Dr Paul answered questions from readers on:
- Cost of IVF in Singapore
- Success rate of IVF in Singapore
- Health risks of IVF to child and the mother
- Causes of failures in IVF
There are different protocols that are used for different types of patients. It is best you attend the Counselling sessions that are held by the IVF Centres to understand more about how they conduct their programs, as each fertility specialist has his/her own preferences.
I think many patients have different concerns and misinformation about what IVF entails. Some think its very painful, some think it is very time consuming and others are concerned about the cost of the procedure.
Costs differ between IVF centres but a ballpark figure of $10,000 -15,000 per cycle would be an estimate.
The variance is because of Professional fee differences, laboratory fees and amount of drugs used. You will have to request this from the centres that you are interested to have your IVF done in.
How do I optimize my chances of IVF success, and what are the success rates of IVF treatment in Singapore?
I personally believe that the success of IVF is directly dependent on the health of the Woman and her husband.
Eating well, as in eating nutrient rich foods helps to ensure proper cell function at every level. Minimising toxic chemicals, quitting smoking and not consuming contaminated foods and drinks helps reduce cell damage.
I also believe that complementary Medicine such as those offered by TCM and acupuncture contribute positively to a successful outcome.
Age has a direct correlation to the quality of the eggs in a woman. The older the woman, particularly above 35 years, the higher the chance of the eggs losing their quality.
The quality of the eggs also dictate the quality of the embryo, and hence the success in achieving a healthy pregnancy.
We used to resort to surgery to unblock damaged and obstructed tubes. This was a time when IVF was in its infancy and results unpredictable. The situation has since changed for the better.
IVF results are much better and the discomfort much less than undergoing surgery to unblock a tube.
It is also now not recommended as first line treatment as the damaged tube would most likely have many areas of damage and blockages that it would be very difficult to retain a healthy portion of the tube-hence the reason you have had 2 ectopic pregnancies.
Hopefully, two weeks after your Embryo transfer. This would depend on whether it was a fresh transfer or Frozen embryo transfer. A fresh transfer is one where the transfer is done on the same cycle as the egg retrieval.
The only painful part of the whole IVF process is the Oocyte retrieval and this is very often done under a light General Aneaesthetic.
The daily injections of the stimulant are very often bearable-like an “ant-bite”.
I am happy to say IVF in this day and age carries very few risks to the women undergoing such treatment. The most dreaded was the Hyperstimulation Syndrome where the number of eggs retrieved was in the region of above 30.
The present protocols are safer and reduce dramatically the incidence of these complications.
Many large scale studies have been conducted and so far the consensus is that there is no difference in health between naturally conceived babies and IVF babies.
If the tubes are blocked or damaged, there is no point in doing IUI. If the sperm count is so low, again there is no point in doing an IUI.
It may be a point in doing an IUI as an interim procedure before embarking on IVF.
Although it does not carry the same success rates as IVF, it is much less of a discomfort and definitely a much cheaper procedure.
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