Meet The Expert: Dr Paul Tseng

It is not unusual to have some episodes of vaginal spotting when using the progestogen(Crinone) inserts. They can dry the vaginal skin and cause superficial abrasions which bleed when the pessary is inserted. In addition, some centres also use low-dose aspirin as a supplementary drug to enhance blood flow to the endometrium. These have the effect of thinning the blood and cause minor bleeds which seem to be worse then they actually are. The vaginal bleeds are not necessarily a sign of failed implantation.

Great question. This is a complex discussion that requires the input of both your gastroenterologist and IVF doctor. Current evidence states that the transmission of viral hepatitis in assisted reproduction is possible, but the degree of risk is unknown. Your partner who is negative for Hep B should be vaccinated against Hep B. Once his anti-hepatitis B surface antibody titer (HBsAB) is positive, you can commence with IVF treatment.

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”.

Hi,I am sorry to hear about what you are going through. PCOS is a relatively common condition that affects many women. Women who have PCOS do face more challenges with regards to fertility due to the lack of ovulation during their menstrual cycle. However, this definitely does not mean that a woman with PCOS cannot get pregnant! There have been many women out there with PCOS who have successfully gotten pregnant, both either naturally, or via assisted reproductive methods.

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. I am loathe to quote results because it really depends on the medical reasons for doing IVF.