Our Pregnancy Success Rate

The Key to Our Pregnancy Success Rate Having to go through repeated miscarriages and failed embryo transfers can be heartbreaking. However, opting for the right treatment at the right time has a high potential to improve the patient’s chance of conceiving and increase our pregnancy success rate. It is important to do the necessary tests to find out the problems and try appropriate treatment. There are various treatment options to treat your fertility issues and help you to get pregnant.  Improving the Odds For some couples, having a child can be a difficult process due to physiological factors. Did you know that up to 25% of clinical pregnancies end up in failure? Clinical pregnancy here refers to the pregnancy verified by the doctor through an ultrasound or fetal heartbeat. There are various reasons for clinical pregnancy to fail, but I believe that the combination of the right treatment at the right time can increase the chances of successful pregnancies.   Reasons for Failure There is a number of reasons why some patients did not achieve live birth or clinical pregnancy. Here are a few reasons why your IVF might have failed. –     Chromosomal Abnormalities For an IVF process to be successful, there must be a ‘chromosomally normal’ embryo where the number of chromosomes is perfectly normal. If it is not, it will lead to failure of the procedure or worse, a miscarriage. The abnormal chromosomes affect the quality of the embryo. In many cases, this condition occurs more commonly in women over 35. –     Age Chances of miscarriage increase as you grow older. You gradually lose the best eggs. If you are 35 and above, you have a higher risk of getting a miscarriage. At 35, the percentage of miscarriage is about 20%. At age 40, the percentage increases to 40% and at 45, it shoots up to 80%. Thus, when you conceive, there is a high chance that the embryos may be abnormal. –     Blood disorder Another possible reason is when you suffer from blood disorders which affect the immune system. A condition that can occur is Anti-Phospholipid Syndrome. It refers to abnormal clots forming behind a growing placenta, leading to miscarriages. –     Health issues Women with underlying health issues, such as uncontrolled diabetes or thyroid problems, may have chances of miscarriages. A womb with an abnormal shape can also be a contributing factor in miscarriages. The womb should be of normal shape and dimension with a smooth inner lining. Besides that, if the woman has a polyp or uterine fibroid making the womb lining irregular, it can also cause miscarriages. What aspects do we look into before suggesting the right treatments? Once the problem is detected, the treatment can be decided. The treatment will be personalised according to the patient’s chances of conceiving. To personalise the treatment, there are four areas that we look into: –     Ultrasound Scan of The Womb and Ovaries Ultrasound scans are done to check for problems in the womb and ovaries. It can detect abnormal structures of ovaries or unusual growths like fibroids or cysts. –     X-Ray To Check For Blocked Fallopian Tubes This X-ray test is done to check the uterus and fallopian tubes. It can help detect fertility problems that occur from blocked fallopian tubes. If the tubes are blocked, the sperm can’t travel to the egg or fertilized egg cannot pass through to the uterus. This leads to infertility problems. –     Hormonal Blood Test This test helps to identify hormonal imbalances that can affect infertility. The blood test checks a hormone called progesterone. It checks whether a low level of progesterone influences the infertility rate. The Anti-Mullerian hormone level is also tested to check the ovarian reserve which refers to testing how many eggs you have. Other tests include checking the level of Follicle-stimulating hormone (FSH), Luteinizing hormone (LH), thyroid and prolactin in the blood. –     Sperm Test Sperm tests check the health of the sperm. It helps to determine if there is any sperm dysfunction that may cause failure in pregnancy. If there are low sperm counts, there may be lifestyle changes you have to make. Moreover, you might be given medications to increase sperm production. You may also have to undergo ICSI or IVF treatment depending on the sperm count.  What are the treatment options available? There are many treatments available for infertile couples. However, finding the proper treatment at the right time is the key to our pregnancy success rates. Here are a few treatment options that may be suggested by your fertility doctor after assessing your condition.   –     Timed Intercourse Firstly, we can advise couples to have intercourse around the most fertile day of the woman’s ovulation cycle. Timed intercourse is simple and can be effective for some couples. Firstly, you have to determine your ovulation or fertility window. It is usually 12 to 14 days before the next period starts. Having intercourse during this time increases the chances of pregnancy. –     Prescribing Hormonal Medications We can also prescribe hormonal medications to help regulate or induce ovulation. The medicine helps to increase the production of eggs in a woman. –     Intrauterine Insemination (IUI) IUI is suggested for patients who do not have complicated infertility issues. The husband’s sperm is processed and injected directly into the womb during this treatment. The semen sample collected will be washed to concentrate the sperm and remove the seminal fluid. It will then be injected near the patient’s ovulating time to increase conceiving. IUI procedure can increase the success rate of conceiving by 15% to 20%. The Test Tube Option In Vitro Fertilization (IVF) It is popularly known as a ‘test tube baby.’ A woman is given a hormonal injection for ten days during this process. It will help the eggs to mature quickly. After that, we will extract the eggs while you are under anesthesia. Upon egg retrieval, sperm is injected directly into the egg to fertilise. We will then