QUESTIONS ABOUT FERTILITY TREATMENTS
Do I need a referral to set an appointment with a specialist at Genesis?
What kind of fertility treatment would I be expecting from Genesis?
Fertility treatments may vary depending on the underlying cause and severity of your condition. Here are some examples of the more common fertility treatments:
- Ovulation induction medication may be prescribed. If applicable, tubal patency testing may be required.
- If the sperm concentration is low, medication may be prescribed to enhance sperm production. The couple may go for artificial insemination (IUI) if the sperm counts are acceptable.
- If the sperm is profoundly poor or the tubes are blocked, ART (Assisted Reproductive Technology) treatment may be required such as In-Vitro Fertilization (IVF) or Intracytoplasmic Sperm Injection (ICSI).
- In the case of zero sperm count (azoospermia), MESA (micro epididymal sperm aspiration) or TESE (testicular sperm extraction) may be required depending on the classification of azoospermia.
- If there is presence of endometriosis or cysts or fibroids, laparoscopic surgery may be required.
- The couples may resort to acquiring eggs through gamete donation (egg or sperm donation) if the female partner’s eggs fail to fertilise or create embryos that cannot sustain an ongoing pregnancy, ovarian failure due to chemotherapy, premature ovarian failure; or if the male partner’s has azoospermia condition. Gamete donation is also an option for couple who have high risk of passing on a serious genetic condition to their children. (for non-muslim only).
Must I follow a strict lifestyle or dietary restrictions during the fertility treatment?
You may want to consider this period as your preparatory period for a healthy pregnancy. Light exercise, intake of balanced healthy foods and vitamins, keeping yourself well hydrated as well as sufficient sleep are recommended.
It is best to avoid the intake of unhealthy substances such as alcohol, caffeine, and other potentially harmful substances.
It is also important to stop smoking before starting your IVF treatment as studies have shown that smoking can be toxic to your eggs and cause damage to sperms’ DNA.
Always stay positive as lowering stress levels may help improve your IVF success rates.
How long does the IVF process take?
Are there any side effects from IVF treatment?
Generally, the risks of IVF will be discussed with you before you begin your treatment. It is very important that you are fully aware of all the possible risks associated with IVF treatment.
Here are some of the minor discomforts that you may feel during the IVF treatment:
- Mild Fertility Drug Reaction
You may experience a mild reaction to fertility drugs such as hot flushes, headaches and restlessness. Symptoms usually disappear after a short time but if they do not, you should consult your doctor.
- Ovarian Hyper-Stimulation Syndrome (OHSS)
Fertility drugs used to stimulate egg growth may lead to OHSS where fluid accumulates in the abdomen and sometimes chest cavity causing abdominal discomfort and/or breathing difficulties. The ovaries also enlarge and can become painful. You may feel bloated and experience nauseas. Severe cases are rare, but you should alert your doctor immediately if you have any of these symptoms.
- Multiple Pregnancies
To increase the chances of getting pregnant, your doctor may transfer more than one embryo into your womb. However, it may also increase your chances of having twins/ triplets and potentially leading to pre-term labour.
When will I know if I’m pregnant after IVF?
Pregnancy test is done using blood test two weeks after the day of egg retrieval. Pregnancy can be confirmed by ultrasound 30 to 40 days after aspiration.
Can we have intercourse during treatment cycle?
You and your spouse are strongly recommended to abstain from intercourse to avoid any unplanned multiple pregnancies or an ectopic pregnancy. However if you are on a natural or frozen-thawed cycle, we advise you to speak to your nurse or doctor.
Will have breast tenderness or feel bloated during the IVF process?
Some bloating and tenderness is common during the IVF process, but if it is excessively painful, you should discuss this with your doctor.
Do I need to keep my IVF medications refrigerated?
All injectable medications need to be kept refrigerated during the course of your treatment. Your nurse coordinator will advise you on the storage of the medications.