From how long will it take to what do I need to do? Questions are constantly being raised about fertility treatments. Obstetrician, Gynaecologist and Fertility Specialist at TMC Fertility Centre, Puchong branch, Dr. Chong Kuoh Ren demystifies your burning questions on fertility treatments.
- My husband and I are thinking of seeking fertility treatments. When is the best time for us to visit a fertility specialist?
Examination during different times of the menstrual cycle will reveal different information. For example, during the first few days of menses, there shouldn’t be any obvious cysts detected, therefore any cysts seen early in the cycle is unusual, and can be identified easily. During the middle of the cycle, the response of the ovaries and the endometrium (lining of the womb) can be assessed. A week before the menses is due, evidence whether ovulation has occurred or not can be determined. So, any time of the cycle is a good time to visit a fertility specialist.
- I have undergone a vasectomy earlier in my life. I recently got married and my wife and I are planning on starting a family. I would like to enquire if the process can be reversed?
Reversal of vasectomy can be done by a urologist as a day-care procedure. Good outcome is expected if reversal is done within 10 years of the original vasectomy. The longer the interval between the original procedure and the reversal surgery, the more likely sperm antibodies or other blockages may develop.
- I hear about Pre-Implantation Genetic Testing for Monogenic and (PGT-M) Pre-Implantation Genetic Testing for Aneuploidy and (PGT-A). What are PGT-M and PGT-A? How will this benefit my baby and are there any risks involved with these tests?
PGT-M and PGT-A testing is done in conjunction with an IVF cycle, whereby one or two cells from growing Day 3 embryos (sometimes Day 5 as well) are removed and tested for genetic diseases or abnormalities. Only those tested ‘normal’ will be transferred back to the womb.
PGT-M is helpful when either one of the couple have a certain inheritable disease, such as Thalassemia or Sickle Cell Disease and they do not wish to pass on the gene to their children.
PGT-A is used to screen the embryos for normal chromosome numbers (46 chromosomes in humans). PGT-A is recommended for the following patients:
- Patients undergoing IVF at an advanced age, more than 38 years old (due to a higher percentage of abnormal embryos produced by this age group)
- Patients with repeated IVF failures at any age
- Patients with repeated miscarriages
- Patients with chromosomal problems (for example, translocations)
There is a small risk of traumatising the embryos when the test is done, therefore it should be done in a centre that has experience with the technology.
Dr Chong Kuoh Ren
Obstetrician & Gynaecologist and Fertility Specialist
TMC Fertility & Women’s Specialist Centre (http://www.tmcfertility.com).
For more enquiries or to schedule an appointment, please call: +60 3 8076 7111 or email us at email@example.com
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