Fertility

Your husband and yourself would certainly benefit from having a thorough assessment of your fertility status. Do refer to the Ministry of Health website for information on subsidies for IVF and how you may make use of it. You would need to be under the care of an IVF specialist to undergo the IVF programme. 

If you have diabetes then your pregnancy has to be a planned one. You must talk to your endocrinologist. You may have to switch to medicines which are safer for the baby, and your blood sugar level has to be optimised to reduce risks of malformation in baby.

If you have signs of kidney disease, eye disease, heart disease, nerve damage then pregnancy may aggravate complications. So you would need treatment before you get pregnant. Your spouse’s blood sugar level also needs to be optimised.

Polycystic ovary syndrome (PCOS) is common with diabetes. Once your blood sugar is under control, you may need treatment for PCOS to help in ovulation.

There is still no general consensus as to whether a previous abortion will affect the chances of future pregnancies. There are medical studies that say yes and vice versa. However, abortions can have complications such as Asherman’s syndrome where the uterine cavity gets scarred resulting in infertility. Another possible complication of repeated abortions is cervical incompetence where there are repeated mid-trimester miscarriages or premature births.

The short answer is yes but you should take extra folate supplements constantly to reduce the risk of abnormalities.

This is highly unlikely.

Having a child does not only depend on you, as it also depends on the sperm donor and your own stash of eggs. Hence, it is imperative that you both have a check to minimise time wasted.

Yes, for government restructured hospitals. To help couples with the cost of ACP treatments, they can withdraw from their Medisave, up to $6,000 (first treatment cycle), $5,000 (second treatment cycle) and $4,000 (third and subsequent cycles). They can use it for treatments such as in-vitro fertilisation (IVF) and intra-uterine insemination (IUI). A lifetime Medisave withdrawal limit of $15,000 per patient for ACP also applies. 

Success rates of assisted conception procedures are likely to fall with age. Couples are advised not to delay child bearing and to seek treatment early if they have difficulties conceiving.

Read up on Kruger’s Strict Criteria, it is a useful tool to determine which semen count will survive and be sufficient.

Hysterosalpingogram (HSG), is an X-ray procedure to visualise the uterine cavity and the fallopian tube.
It would be useful to do HSG though not essential  prior to IVF. For example, if the uterine cavity reveals some fibroids, these tumours will reduce the success of IVF as failed implantation and /or subsequent miscarriage.

Saline Infusion Sonogram (SIS),  it is an alternative to HSG to detect any abnormality in the uterine cavity. It should be done before IVF.

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