Category Archive IVF

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Options For Preterm Birth in an IVF Cycle

In Cervical Incompetence (CI), the cervix is weak & will open before the baby reach term and hence delivered prematurely at less than 37weeks.  Preterm babies may not survive, require respiratory support, feeding support, and are also at risk of infection. Managing preterm baby is stressful and costly for a couple. CI is diagnosed by past history of fetal loss or preterm delivery, shortening of cervical length & opening of internal cervix canal in the absence of labour.
Treatment is aimed at prolonging the pregnancy to 37 weeks by lifestyle changes, adequate rest, progesterone injection, progesterone pessary, cervical cerclage, dexamethasone injection (mature baby’s lungs). The cervical cerclage will strengthen the cervix by lengthening the cervix and closing the internal os. If detected before 24 weeks, a McDonald cerclage can be inserted and after which, an Arabin cerclage is used.

Patient VN, a doctor at government hospital had her 1st IVF at Metro IVF. She had low ovarian reserve (AMH=5). So, she had a fresh embryo transfer cycle using day 2 embryo to avoid loosing her 2 embryo. She successfully conceived.
However, at 26 weeks, her cervix shortened to 21mm and internal os was opening. She was diagnosed to have CI & advised lifestyle change, rest, given progesterone injection weekly. An Arabin cerclage was inserted encircling the cervix (see pic). The Cervical length increase from 2.1cm to 2.8cm & internal Os closed.

Her pregnancy continued for another 9 weeks when she went into active labour at 35 weeks. She had an emergency Cesarean surgery and delivered a healthy baby girl, photo below.

The combined treatment including Arabin cerclage has prolong her pregnancy for 9 weeks and prevented all the problems associated with preterm baby. Thus, saved her stress & cost.

AMH: hormone that measures egg reserve
Arabin cerclage: Silicon ring device inserted vaginally to encircled the cervix
ET: Embryo Transfer
Internal Os: opening at the inner end of cervical canal
McDonald cerclage: a tape that is tied around and strengthen the cervix

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Travelling For IVF Treatment

A well coordinated IVF cycle for overseas couples will ensures the comfort of the travelling couple, ensuring that the high success rate is maintained.

IVF treatment requires frequent visits & monitoring (blood tests & ultrasound scan). Frequent visits to an IVF center may not be possible for overseas patients. They can reduce travelling frequency by knowing their treatment schedules & coordinating with the IVF center and yet produce good success rate. The Overseas Phases for IVF Treatment (OPIT) can reduce travelling to Metro IVF to 2 or 3 times.
Phase 1. Appointment & online counselling via email/WhatsApp (in overseas)
Phase 2. Pre-IVF assessment & consultation (3 days in Malaysia)
Phase 3. Starting egg stimulation (in overseas)
Phase 4. Monitoring of egg growth, ovulation trigger, egg pick-up, embryo transfer (8 days in Malaysia)

N.I. , from Singapore contacted Metro IVF in 2011 after trying for 8 years. She went though the 4 OPIT phases (above), visited Metro 3 x & had her 1st IVF cycle in October 2011 with a fresh day 3 embryo transfer. She successfully conceived and delivered a healthy baby boy at the National University Hospital S’pore (NUH) in 2012.

Then, in Aug 2019, N.I.’s husband contacted us again to plan for a 2nd child. N.I. went through the 4 OPIT phases and again had a fresh embryo transfer cycle in December 2019. It was another successful cycle. She continued her pregnancy check-ups in S’pore.
On 20th August 2020, the IVF team was delighted to receive the good news; their 2nd IVF child (see photo) was safely delivered at NUH S’pore. We are glad to have the opportunity to assist this wonderful couple to have 2 children, a boy & a girl via 2 cycles of IVF.

If you have any questions on travelling to Malaysia for IVF, please feel free to reach us via

E-mail: inquiry@metro.com.my

Call: +60333412277

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Ectopic Pregnancy & IVF

Ectopic pregnancy (EP) is when an embryo implants in the fallopian tube instead of in uterus.
All ectopic pregnancy must be removed or else it will burst and cause severe bleeding. After an EP, 65% of couples will have successful pregnancy within 18 months after which they should seek fertility treatment because the other tube could be partially damaged or there are other fertility factors which when corrected will results in successful pregnancy, as seen in patient YXH below.

YXH, married for 9 years has been trying for over 3 years to have a child. Once pregnant 6 years ago but it was an EP which was operated & removed before it rupture.

She then tried naturally for another 2 years without success. She visited Metro IVF, 4 years ago and was found to have PCOS. She was advised & did her 1st IVF + FET. She successfully conceived and delivered a baby boy (3 years old boy in picture above)
In 2019, she came back for her 2nd FET cycle. She’s pregnant again and delivered a baby girl on 19th August 2020 by Cesarean surgery. Metro IVF team members are delighted to have the opportunity to assist her in building a family.
Congrats to YXH, her husband and family members.

FET: Frozen Embryo Transfer
PCOS: PolyCystic Ovarian Syndrome 

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Connection between IVF & Primary Ovarian Insufficiency (POI)

Primary ovarian insufficiency or POI is when the ovaries stop producing eggs before a woman turns 40. POI happens in 1% of women and can be confirmed with a scan (no eggs in ovary) along with low AMH levels in her blood. Women with POI will suffer infertility and if she wants to bare a child, the option is undergoing IVF with door eggs (OD – oocyte donor).

Alicia from Australia has POI when she was only 20 years old. She had 5 unsuccessful cycles of IVF with OD (using sequential protocol). However, she was determined & did not loose hope.

Day 3 embryos were transferred and Alicia was pregnant.

She traveled to Malaysia in 2017 to continue her treatment. Her 6th cycle was at Metro IVF (using concurrent protocol) with fresh embryo transfer (photo above). She was finally pregnant on her 6th cycle and delivered a healthy baby.

Alicia’s perseverance has paid off. She and her husband are blessed with a cute baby of their own.

 

 

 

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Going The Distance To Get Pregnant – 6th Time’s The Charm

“Never give up on your dreams” is one of those old clichés we often hear. Couples undergoing fertility treatment in particular IVF go on an emotional roller coaster ride. No words can describe the anxiety a couple has to face during a cycle which is emotionally, physically and financially taxing.

Mdm A and her husband had their first IVF cycle in another center. The first cycle was not successful and she undergone a myomectomy subsequently. Her subsequent 2nd and 3rd IVF at the same center ended up in failure too, that is when they decided to switch to a center with known high success rates – Metro IVF.

Putting their hopes in Metro IVF, a stimulation protocol was curated to suit the couple, coupled with close monitoring by the fertility team and counsellors. On her 3rd attempt at Metro IVF, the couple is blessed with a pair of baby boys and delivered on the 27th of February 2020.  After going through 6 years of trying, 6 IVF cycles, countless injections and emotional stress, they are finally blessed with 2 health children of their own.

When you have your heart set on something, dreams can become a reality.

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Oldest Patient To Conceive Using Own Eggs via IVF at 46 Listed On The Star Newspaper

The inspirational story of Pn. Lina’s perseverance and grit which led her to conceive a child of her own with the help of IVF using her own eggs at 46 years old was recently picked up by local newspaper – The Star. Read the full article here.

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Blessed with Twin for Chinese New Year

JW Li had been trying to have a baby since her marriage of 10 years duration. She tried 3 cycles of IVF in her homeland without success. Then, following advice from a friend, she came to MetroIVF for her 4th IVF treatment. Her treatment was faced with many challenges including travelling to and fro from China, leaves and Immigration barrier. It was all worth it when her result came. She conceived with twins!!

And just before Chinese New Year, she delivered, just in time to usher in the New Year.

 

  1st Twin

 2nd Twin

 

 

 

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We are looking for Bachelor's degree holder in biological science or any related field. Fresh graduates are encouraged to apply.

1) TRAINEE EMBRYOLOGIST

Job Description:

  1. You will undergo an extensive training in andrology and embryology laboratories.
  2. You are expected to spend most of your time in the laboratories performing clinical work, maintaining the lab standards and constantly improving the quality.
  3. You are required to keep abreast of the latest knowledge of Assisted Reproductive Technology and to develop your laboratory skills continuously.

Skills and Qualification Requirement:

  1. Possess own transport and willing to travel and relocate.
  2. Independent and enthusiastic.
  3. Proficient in English and Bahasa Malaysia. Mandarin is an added advantage.

2)FERTILITY COORDINATOR/ IVF COUNSELOR

Job Description:

  1. You will provide high standards of patient-centered care and counseling in infertility treatment and IVF.
  2. You are expected to perform maintenance of patient's record and documentation.
  3. You will need to update patient's follow up.

Skills and Qualification Requirement:

  1. Possess own transport and willing to travel and relocate.
  2. Interest to conduct academic research and write papers.
  3. Proficient in English and Bahasa Malaysia. Mandarin is an added advantage.

If you have any inquiries, please don't hesitate to contact us. Please kindly send your resume at metro.ivf@gmail.com.

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Smooth and swift IVF treatment for a couple from America

Ms Sharon  from Califonia, USA is married for 10 years and had been trying to have a baby without result. She is 36. She was visiting Malaysia when she heard of Malaysia Health Tourism and took the opportunity to have her fertility treatment in Malaysia. After much searching through the web and through contacts, she decided to have her consultation at Metroivf and her first visit was on 13-3-2017. She was found to have ovarian factor infertility from local investigations and from her past medical report which fortunately she brought along. She and her husband were so confident of MetroIvf and request to have their treatment started that same day. She was on her ninth day of her cycle and because of her irregular cycle; the attending fertility specialist Dr Tee Swi Peng decided that she can start her treatment that day. She had her egg pickup on 23-3-2017 and managed to produce 4 good embryos. However, due abnormal progesterone level, fresh embryo transfer was cancelled and the embryos were frozen. Her husband had to leave to America due to some urgent matter. Sharon stayed on to continue her FET treatment and on 17-4-2017, two frozen embryos were transferred. Three weeks later a small pregnancy sac was seen within the uterus.  Bravo! Sharon is pregnant! Her husband was so delighted to hear the best news that they have been waiting for and he came back to Malaysia and fetched her home to America. In January 2018, she delivered a healthy baby girl, a joy to the family in the cold winter. This is the smoothest, swiftest and yet successful IVF cycle for an overseas couple from America. She still has two frozen embryo for next cycle. Couple from RoseMead, USA
Hi, I'm 2 months Look here, I'm walking (March 2019)
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IVF Success Stories of a Complete Family in Sekinchan

Madam TBL from Sekinchan, Selangor had been struggling hard to have a child of her own for two years. She underwent 2 IUI cycles in 2009 in other center, without success. She then decided to come to Metro IVF for further treatment to have a baby of her own.


After consultation and investigation with our fertility specialist, Dr Tee Swi Peng, the couple was found to have male infertility. She was started on long protocol IVF treatment and egg pick-up was done on 10th December 2010. She had 8-cells-embryos transferred on 13th December 2010. Three weeks later, a single intrauterine gestational sac with fetal heart was detected. Her pregnancy progressed well and she delivered a healthy baby girl weighing 2.8 kg at Hospital Wanita Metro. At last the couple started their family.

Two years later, she returned back to Metro IVF wanting to have a second baby. She had her second IVF treatment which was unsuccessful. However, she had frozen embryos.

Six months later, she had frozen embryos transferred using her natural cycle. Five weeks later, ultrasound scan showed 2 pregnancy sacs with fetal heart present. Wow! She had twin pregnancy. Her twin pregnancy progressed well. At 20th weeks, detailed scan showed she had 2 healthy boys. Wow! The couple was very happy indeed. They delivered 2 healthy boys by Caesarean on 11 August 2015 weighing 1.97 kg and 2.05 kg.

The couple and their in-laws were extremely happy because finally they have completed their family with 2 boys and 1 girl of their own.

  Two baby boys

  Famous rice field of Sekinchan

 

  Sekinchan is in northern Selangor