Experts share answers to your common questions on IVF

IVF

It can be both worrying and frustrating for you and your partner when things don’t go according to plan.

Conceiving may be easy for some but can be a rugged mountain to climb for others. For folks considering in-vitro fertilisation (IVF), there must be some burning questions you can’t wait to get answers to.

Good news! In this article, we will hear from experts on IVF. Keep reading if you want more deets from Dr Roland Chieng, a specialist gynaecologist and director of Virtus Fertility Centre, and Dr Loh Seong Feei, the medical director at Thomson Fertility Centre.

#1: When is a good time to go for IVF?

According to Dr Loh, couples should go for a check-up if they aren’t successful after one year of regular, unprotected intercourse. The health professional will then evaluate the sperm’s condition, your fallopian tubes, and ovulation frequency.

Once the problem that causes infertility is identified, the doctor will recommend the most appropriate course of treatment. Other than IVF, they may suggest other methods, including inducing ovulation, surgical correction of endometriosis, and removing polyps.

#2: Is IVF an excruciating process?

Dr Chieng shares that IVF will involve daily injections of follicle-stimulating hormone under the skin. It’s pretty similar to the insulin jabs that some people with diabetes have to do daily.

While it largely depends on individual requirements, the whole procedure can take up to three weeks or even longer. It’s probably a little comforting to know that the injection needle is very fine, and there will be lesser pain after the initial apprehension.

#3: Are there any health risks with IVF?
bloatedness

Image Credits: everydayhealth.com

Ladies, unfortunately, you might encounter risks like ovarian hyperstimulation syndrome (OHSS) and multiple pregnancies.

Dr Chieng noted that OHSS is a situation where an excessive response to IVF medication results in a high number of eggs and hormone levels. Some may even have to deal with excessive bloatedness and water accumulation in the lungs and abdomen in rare, severe cases.

#4: Is it true that babies conceived via IVF have a higher risk of birth defects?

Yes, in short. Dr Loh said that test-tube babies have a slightly higher risk of birth defects or congenital malformations. However, it cannot be entirely attributed to IVF.

Since many couples who opt for IVF are older, the risk of chromosomal and structural abnormalities in their newborns is higher. In addition, individuals may also face untypical sperms with underlying genetic problems that could pass on to the little lives conceived through IVF.

#5: Will we be expecting multiple babies at one go?

Based on Dr Loh’s advice, IVF treatment can lead to multiple pregnancies and births of twins or triplets. This is because more than one embryo is usually replaced in the womb during IVF to raise the chance of conception.

But it’s also good to know that under the Singapore Ministry of Health’s regulations, only up to three embryos are transferred back into the womb. Furthermore, the ministry’s co-funding regulation has advised couples to put only two embryos in the womb. This will lessen the possibility of higher-order multiple pregnancies and the birth of three or more babies.


Need some encouragement before embarking on your IVF? Read this Singapore mum’s story on her inspiring IVF journey with her partner. Take heart!

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MOH may consider subsidising genetic disorder screening costs for IVF couples

IVF procedure

Parliamentary Secretary for Health Rahayu Mahzam revealed on Monday (Jan 4) that the Ministry of Health (MOH) is exploring the feasibility of helping to fund a treatment that enables in vitro fertilisation (IVF) couples to screen embryos for genetic defects.

At present, the procedure is accessible to patients at risk of transmitting severe genetic abnormalities caused by single gene defects or structural chromosomal differences. However, she stated that the operation’s price is high, at approximately S$10,000 to S$19,000 per cycle.

Ongoing discussions on Pre-implantation Genetic Diagnosis (PGD)
Parliamentary Secretary for Health Rahayu Mahzam and her son

Image Credits: Rahayu Mahzam

Ms Rahayu said that MOH is striving to make Pre-implantation Genetic Diagnosis (PGD) a standard clinical service for spouses who need it, and is researching whether making it available for subsidies is cost-effective.

Authorities are also in talks to charge PGD using Medisave. When ready, further information will be announced about the assessment. Ms Rahayu responded to Nee Soon GRC Member of Parliament (MP) Louis Ng’s adjournment motion on the need to offer better help for those pursuing IVF.

In her address to Mr Ng, Ms Rahayu observed that research had discovered proof that PGD could minimise the risk of severe genetic diseases. It could also improve the chances of bearing a baby to birth.

Request for IVF subsidy structure to be extended to PGD

Mr Ng had asked for the existing IVF subsidy scheme to be applied to PGD. This would give couples a rebate of 75 per cent on PGD for discounted IVF periods. “PGD is needed only by a small percentage of couples, so overall subsidy costs for the government are likely to be limited,” Mr Ng commented.

He also proposed that PGD should be permitted to be billed using Medisave but with a cap to not exhaust the budget. This has been the practice for IVF treatments. “Couples deserve their chance to have healthy children and we should support them,” he said.

Fertility as an “existential problem” for Singapore
Nee Soon GRC Member of Parliament (MP) Louis Ng

Image Credits: todayonline.com

Using data from the KK Women’s and Children’s Hospital, Mr Ng raised fertility as an “existential problem” for Singapore. Within a year of trying for a child, about 15 per cent of couples here find it tough to conceive.

Sharing some numbers, he claimed that over 7,700 assisted reproduction procedures were completed in 2017. This is a significant rise from about 5,500 in 2013. Citing his own experience, Mr Ng also told Parliament that his three daughters had been born by IVF. He and his wife could only have their first child after their seventh attempt at it.

Proposal to subsidise up to eight cycles of IVF

He recommended that the government help fund up to eight current IVF cycles (from six now). He also requested authorities to scrap the quotas for selected embryo transfer methods, enabling couples to use the subsidies for any transfer process.

The concept of “fertility leave” was also introduced by Mr Ng. This would encourage individuals to take time off work to go through IVF treatments.

“These proposals will help more couples undergoing IVF and most importantly reduce their stress levels as they embark on this stressful but potentially rewarding IVF journey,” he remarked.

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