在接受体外人工受孕前是件极为需要伴侣之间的慎周考虑和共识来达到建立完整家庭的决定。这样一来，成功怀孕的几率相对提高。 但是，在进行体外人工受孕时应该遵循哪些谨慎的步骤和措施？ 这里有一份应遵循的清单，以便您的体外人工受孕程序顺利进行，并有更大的机会获得积极的结果。 建立一个健康的家庭始于正确的知识，通过访问以下链接了解有关体外人工受孕的更多信息：https://www.drnavdeepfertility.com/improving-the-odds/ [ngg src=”galleries” ids=”7″ display=”basic_thumbnail” override_thumbnail_settings=”1″ thumbnail_width=”400″ thumbnail_height=”400″ thumbnail_crop=”0″ images_per_page=”10″ number_of_columns=”2″ display_view=”caption-view.php”]
ஐ.வி.எவ் – இன் செய்யக்கூடாதவை வெளிச் சோதனை முறை கருக்கட்டல் (ஐ. வி. எவ்) சிகிச்சையின் முதல் கட்டம்– மருத்துவரின் ஆலோசனையை பின்பற்றுதல். பல காரணிகள் ஐ. வி. எவ் சிகிச்சையின் வெற்றியை குறைக்கலாம் , ஆனால் இதை நாம் எளிதாக தவிற்க்க முடியும். ஐ. வி.எவ் சிகிச்சையை கருதும் தம்பதியர்கள் செய்யக்கூடாத விசயங்களின் ஒரு பட்டியல் இங்கே உள்ளது. இதை தவிர்த்தால் ஐ. வி. எவ் சிகிச்சை சீராகவும் கர்பம் அடையும் சாத்தியம் அதிகரிக்கவும் கூடும். ஒரு ஆரோக்கியமான குடும்பத்தை சரியான விசயங்கள் அறிந்து தொடங்குங்கள். பின்வரும் இணைய இணைப்பில் மேலும் ஐ .வி. எவ் பற்றி கற்றுக்கொள்ளுங்கள். https://www.drnavdeepfertility.com/improving-the-odds/ [ngg src=”galleries” ids=”6″ display=”basic_thumbnail” override_thumbnail_settings=”1″ thumbnail_width=”400″ thumbnail_height=”400″ thumbnail_crop=”0″ images_per_page=”10″ number_of_columns=”2″ display_view=”caption-view.php”]
ஐ வி எவ்-இன் செய்யக்கூடியவை வெளிச் சோதனை முறை கருக்கட்டல் (ஐ வி எவ்) சிகிச்சை மேற்கொள்ளவது தம்பதியர்கள் தேர்வு செய்யும் முக்கியமான வாழ்க்கை முடிவாகும். ஒரு குடும்பத்தைத் தொடங்குவதற்க்கான வாய்ப்பை ஒருவர் மிக கவனமாக எடுத்துக்கொள்ள வேண்டும். இப்படிச் செய்வதால் வெற்றிக்கரமாக கர்பமடையும் சாத்தியத்தை அதிகரிக்க முடியும். ஆனால், ஐ வி எவ் சிகிச்சை மேற்க்கொள்ளும் பொழுது கடைப்பிடிக்க வேண்டிய கவனமான வழிகளும் நடைமுறைகளும் என்ன? இதனை பற்றி வருத்தம் படும் தம்பதியர்களுக்கு , ஐ வி எவ் சிகிச்சை சீராகவும் அதிகமான சாத்தியங்களுடன் நல்ல முடிவுகள் கிடைப்பதற்க்காகவும் செய்யக்கூடிய ஒரு பட்டியல் இங்கே உள்ளது. ஒரு ஆரோக்கியமான குடும்பத்தை சரியான விசயங்கள் அறிந்து தொடங்குங்கள். பின்வரும் இணைய இணைப்பில் மேலும் ஐ வி எவ் பற்றி கற்றுக்கொள்ளுங்கள். : https://www.drnavdeepfertility.com/improving-the-odds/ [ngg src=”galleries” ids=”5″ display=”basic_thumbnail” override_thumbnail_settings=”1″ thumbnail_width=”400″ thumbnail_height=”400″ thumbnail_crop=”0″ images_per_page=”10″ number_of_columns=”2″ display_view=”caption-view.php”]
Successful in-vitro fertilisation (IVF) starts with the basics – following the doctor’s advice. A number of other factors may also impact the success of IVF, and can quite easily be avoided. For couples considering IVF, here’s a list of Don’ts to follow so your IVF procedure goes through smoothly and with a greater chance of achieving pregnancy. Starting a healthy family in turn starts with the right knowledge. Learn more about IVF by visiting the following link: https://www.drnavdeepfertility.com/improving-the-odds/ [ngg src=”galleries” ids=”4″ display=”basic_thumbnail” override_thumbnail_settings=”1″ thumbnail_width=”400″ thumbnail_height=”400″ thumbnail_crop=”0″ images_per_page=”10″ number_of_columns=”2″ display_view=”caption-view.php”]
Undergoing in-vitro fertilisation (IVF) is a major life decision for couples choosing to do so. The chance of starting a family is one that should be taken with utmost care. In doing so, the potential for a successful pregnancy will improve. But, just what are the careful steps and measures that should be adhered to when going through IVF? For couples who are wondering, here’s a list of Do’s to follow so your IVF procedure goes through smoothly and with greater prospects for a positive outcome. Starting a healthy family in turn starts with the right knowledge. Learn more about IVF by visiting the following link: https://www.drnavdeepfertility.com/improving-the-odds/ [ngg src=”galleries” ids=”3″ display=”basic_thumbnail” override_thumbnail_settings=”1″ thumbnail_width=”400″ thumbnail_height=”400″ thumbnail_crop=”0″ images_per_page=”10″ number_of_columns=”2″ display_view=”caption-view.php”]
[siteorigin_widget class=”WP_Widget_Media_Image”][/siteorigin_widget] [siteorigin_widget class=”WP_Widget_Media_Image”][/siteorigin_widget] “Where is my sperm?” As the title denotes, infertility issues could be due to medical conditions in men, but fear not, many of these problems can be managed. Read on to know more about Dr. Navdeep’s insights on this somewhat unspoken topic published in Star Health on Sunday, 8 August 2021. Source: https://www.thestar.com.my/lifestyle/health/2021/08/11/when-something-is-wrong-with-his-sperm
A marriage followed by a beautiful home with two kids – ultimately, this would be every couple’s dream of an ideal life. However, things don’t always go as planned. For some couples, conceiving a child is not as straightforward as expected. “Infertility treatments have come a long way from what they used to be. There are many ways a couple can get that much-needed help. All they have to do is take that step to seek it,” said Dr Navdeep when asked on his views about couples having trouble conceiving. Infertility: An invisible disease Often times, couples do not realise that they have a problem with infertility at all until they really start trying to conceive. According to the World Health Organization (WHO), infertility is a disease of the male or female reproductive system defined by the failure to achieve a pregnancy after 12 months or more of regular unprotected sexual intercourse. Fertility declines with age, more for women than men. Acknowledging the fact that getting the right help for infertility can be a somewhat time-sensitive matter, Dr Navdeep suggests that a couple seeks professional help from a Fertility Specialist within 6-12 months after trying to conceive without a positive outcome. However, one should seek immediate help if one feels there could be some underlying medical condition. For a woman, if she has irregular menstrual cycles or heavy, long and painful periods, it is reason enough to send alarm bells ringing to have it checked by a specialist immediately. There could be a possibility that she may have Endometriosis or Polycystic Ovarian Syndrome (PCOS) that needs to be addressed as early as possible to enable conception. A common misconception is that infertility is mostly a woman’s issue. It is truly a myth. Almost half of the time, it proves to be a male-related issue. If a man has problems with ejaculation or erectile dysfunction (ED), he should not wait to have it checked as it could be a major contributing factor to infertility. Sense of awareness Why does a couple not seek professional help with infertility? According to Dr Navdeep, since infertility is not a matter of life and death, some don’t feel the urgency for it. They put it off as something that would happen eventually, but many a time, it doesn’t happen due to underlying medical conditions that need to be addressed. This is why Dr Navdeep feels that it is important for couples to educate themselves on infertility so that no time is wasted on achieving pregnancy. The time and age factor cannot be overstressed here. A taboo subject Sometimes, religious sentiments and cultural taboos are also reasons why a couple does not take that step forward to get an IVF (in vitro fertilisation) done. “Some of them see IVF as an unnatural way of conception. While I see IVF as a God-sent method to help many childless couples conceive and hold that little precious one in their arms, I respect their point of view and religious beliefs,” said Dr Navdeep. These couples, however, come in to seek help to boost their fertility through medications and supplements. They are also in acceptance of achieving a pregnancy through Intra Uterine Insemination (IUI) which is a procedure that involves the placing of sperms inside a woman’s uterus to facilitate fertilisation. A burden on the pocket Ranging from about RM15,000 to RM20,000, IVF can be quite a heavy burden on the pocket. Unlike other medical procedures, IVF is not covered by insurance and the monetary burden can hurt couples who are just starting their married lives. Empathising on this situation, Dr Navdeep was pleased to advise couples that the government has recently allowed for the withdrawal of the EPF Account II for the purpose of fertility treatments. In this new development, legally married couples below the age of 55 can make withdrawals for the IVF, IUI and ICSI (Intracytoplasmic Sperm Injections) procedures. Apart from that, the government also allows for tax relief of up to RM6,000 on expenses incurred for medical treatments of serious illnesses, which include expenses incurred on fertility treatments. At the crossroads: Career or pregnancy? Many career women have stood at this crossroads in their lives: get pregnant now or focus on their career and delay pregnancy. It is a tough choice and totally unfair to women to have to choose between the two. To this, Dr Navdeep suggests egg freezing for women when they are at a younger age (around 25-30 years old) so they can plan to get pregnant later without compromising the quality of the eggs and reducing the chances of pregnancy. While preserving eggs does not necessarily guarantee conception, one thing certain will be access to better quality embryo when the woman is ready to get pregnant. The right support Trying to conceive can be an absolutely trying time in a relationship. Couples who have been trying to conceive for a long time can start to grow impatient. Helplessness may play out in the form of arguments, dissatisfaction or resentment. To these couples, Dr Navdeep advises that they keep calm and seek the right support. With the support offered by Fertility Counsellors at his center, a couple’s fertility journey need not be such a lonely one. Couples can seek the assistance of a counsellor when they feel ‘stuck’ or overwhelmed by the options and decisions they need to make, or if they feel like they just want to have someone to whom they can express their feelings. A decade of change Infertility treatment has advanced so much from what it used to be a decade ago. Many childless couples have had the opportunity to hold that little precious one of their own, something they probably thought they’d never be able to do. The journey to achieving that little blessing could not have been an easy one. Each couple going through infertility has their own different story to tell. One thing for sure, most of them have gone through many ups and
For the 7 over billion people on planet Earth, the year 2020 will be anything but normal. However, in spite of quarantines, the pandemic has done more in this year than the last one hundred to bring us together as one global nation. As the year closes, Dr Navdeep shares his conviction on preserving fertility for the nation as he reinstates his firm and steadfast belief that nobody is infertile. Pressing Predicament In 2018, it was revealed that the fertility rate in Malaysia was at its lowest in the last 55 years. At 1.8 babies per woman, it was a 1.3% drop from 2017, which recorded 1.9 babies per woman. Plainly put, this implies that the number of children produced by a woman during her reproductive years is insufficient to replace herself and her partner. Whilst it is true that the age factor constitutes to female infertility, it is only one facet of infertility. There are other causes that afflict men and women, some of which are beyond our control but many of which are well within our responsibility. Thus, it is very possible for us to preserve the state of fertility of our nation, of course spurred by the coming together of policy and people to make it happen. Powerful Possibilities Recently, we have seen a dramatic rise in countries actively taking up the banner to protect and restore national birth rates. These include initiatives by governments, private organisations and people from all walks of life. A report in the Financial Times in November of this year highlighted the Japanese Prime Minister’s call for in vitro fertilisation to be covered on the national health insurance to raise Japan’s fertility rate, which stood at 1.36 children per woman in 2019. In January this year, Prime Minister Viktor Orban announced that Hungary will provide free in vitro fertilisation treatment to couples at state-run clinics to address the country’s population that has been falling steadily for four decades. Down south, Singapore’s dropping birth rates have prompted its government to encourage privately run companies, organisations and community groups to come together to promote the value of family, alongside government programmes that help couples marry, start and bring up their families. Similarly in the United Kingdom, private organisations are mooting ideas and initiatives to make the UK the safest place in the world to give birth vis-a-vis pre-conception campaigns. On the home front, the availing of Employee Provident Funds for fertility treatment is a sign that something has to be done to arrest the birth rate downward spiral. Probable Premises For no lack of trying, addressing infertility is and continues to be a daunting task. The truth of the matter is infertility is multifaceted and we must be aware of all probable premises. There really is a lot more, besides women having babies later, that adds up to falling birth rates. Endometriosis, a painful disease encountered by women, can lead to infertility. Often times, sufferers, find it difficult to get a medical professional to pay attention to their complaints. Endometriosis is a very real threat to infertility and we should pay more attention to patients with complains of bad stomach cramps. Polycystic Ovarian Syndrome (PCOS), also a common occurrence, affects how the ovaries work and impedes ovulation, thus leading to infertility. Unfortunately, unless a patient sees a doctor, PCOS can go largely undetected. For those who know me, you would know my position on male infertility. Although there is rising awareness among couples that both husband and wife may be party to infertility, there are still gentlemen who are blindsided by the fact that they could be the cause of the condition. I believe that with adequate awareness, more couples will step forward together to get themselves checked. Other troubling factors include diseases such as cancer. As many as 10 percent of cancer diagnoses are made to those under the age of 45 and aggressive treatments may result in infertility or sterility for some. In such scenarios, it is important that we are aware of our fertility options such as Oocyte Preservation. Not the least is the ubiquitous question of lifestyle. There is an alarming concern about maladies such as diabetes, hypertension and obesity. Observing a healthy and balanced lifestyle from the time one is a child is the only way to transcend these problems – but can we opt to choose health over unhealthy nutritional habits? Persevering Preservation Taking care of one’s health, educating the young and couples on preconception health and paying more attention to women and men’s health issues that could potentially lead to infertility could make all the difference in building a thriving population for our country. The advancements and strides made in Assisted Reproductive Techniques (ART) over the decade offer much hope to couples but the pressing issue is how this help would be made accessible to those in need. Surely, concerted and complementary efforts from both government and private practices could pave the way for us to see exponential benefits. A curative approach could mean that fertility services are made the mainstay in all government hospitals as with subsidised options for costlier procedures. A preventive approach could come in the form of fertility preservation awareness in schools, whilst an intent to encourage couples to have larger families could come in the form of better and bigger tax rebate incentives. It would also do well if insurance organisations consider making infertility coverage pertinent as should medical practitioners be in the timely referral of patients for fertility-related specialist help. Personally, I believe that nobody is infertile. We all just need a little help along the road of building a family. Dr Navdeep Singh Pannu is a Fertility Specialist whose effervescent personality and positive attitude continue to be a source of comfort to couples on their quest to build a family. He is the Medical Director of TMC Fertility and Women’s Specialist Centre, which has been recently awarded the 2020 Malaysia Fertility Company of the Year by Frost and Sullivan 2020
The Many Possibilities “It is the little things that we do in combination that add up to become one big, happy success story,” said Dr Navdeep when asked about the usage of EmbryoGlue in his IVF procedures. He added, “If one thing doesn’t work and there is a possibility that something else might, then why not, especially if it is for the benefit of making a couple’s dream of conceiving a child come true.” The IVF process is often a journey of hope for couples. For Dr. Navdeep, he is committed to ensuring that they are provided with significant medical procedures options. Considering the amount of effort put in by a couple, including the physical and emotional challenges they go through in the whole IVF process, Dr. Navdeep and team take every possible step to help couples achieve their goal of becoming proud parents. With time and money being two of the most important considerations for a couple going through an IVF, add-ons such as EmbryoGlue, which helps increase chances of implantation, play a very important role in contributing to the success of an IVF. Knowledge is key and knowing such an option is available lets a couple be more prepared on what to expect at the end of the whole IVF journey. Implantation after an Embryo Transfer Embryo transfer is probably one of the highest points in an IVF process for most people. It is the last step before the two-week wait period begins, before one knows if the transferred embryo has implanted and hopefully hears those magical words of “Congratulations, you’re pregnant.” So, what really happens inside the womb after an embryo transfer? After this procedure, the embryo is expected to naturally implant itself in the womb. The embryo moves around the womb before stabilising at one point. A chemical reaction occurs between the embryo cells and the womb lining where the embryo embeds itself into the womb lining. All conditions need to be perfect here, where the inner lining of the womb and embryo have to be in sync. This is when the embryo attaches to the endometrial blood supply and a person eventually becomes pregnant. At this point, the hormone progesterone enriches the uterus lining and helps sustain the growing embryo. Implantation, however, may not always occur naturally as expected. There could be a number of factors affecting implantation of the embryo. This includes unhealthy embryos where an embryo looks good in the lab but may have defects, causing it to stop growing. Apart from that, unreceptive womb lining is another reason why implantation may not occur where deranged hormones cause the womb lining to be out of sync with the embryo. A Beneficial Add-on The EmbryoGlue is known to be an add-on that helps increase the chances of pregnancy. So, what is the composition of the EmbryoGlue and how does it work? It is not an actual glue, but it acts like glue by increasing the chances of implantation of the embryo to the womb. It is an implantation promoting transfer medium that consists of a high concentration of hyaluronan and recombinant human albumin, both of which promote implantation. It is uniquely developed to mimic the conditions in the female uterus in order to help embryos implant after an embryo transfer. Before the embryo transfer is to take place, the embryos are taken out from the incubator and placed in a medium enriched with EmbryoGlue for a duration of between 30 minutes to 3 hours. This is to bind the substance to the embryos. The EmbryoGlue causes the embryo transfer medium to thicken, becoming more similar to the uterine fluids. The thickening of the medium improves its ability to mix with the uterine fluids which helps to prevent the embryo from drifting. The EmbryoGlue acts as an adhesive for the embryo as it implants itself in the wall of the womb. The EmbryoGlue seems to be highly beneficial for women above the maternal age of 42 and with a history of implantation failures after IVF. Seeing some increase in pregnancy rates with the usage of EmbryoGlue, Dr. Navdeep has chosen to use the EmbryoGlue consistently for all of his IVF cases in his center regardless of patients’ age and history. It is his part in doing whatever it takes to help couples realise their dream of conceiving that child so wished for. Costing only about a few hundred ringgit, the EmbryoGlue is quite affordable and worth using considering its benefits. Since the EmbryoGlue’s medium conditions are quite similar to that of the uterine fluids, there has been no known risks to the embryo or the patient from its usage. Getting It Right at the First Attempt Going through the whole IVF journey can be physically and emotionally challenging for a couple; it is really no walk in the park. With this in mind, Dr. Navdeep believes in doing everything possible to get it right the first time an IVF procedure is carried out. Weighing its benefits, couples undergoing IVF can rest assured that adding on the EmbryoGlue during the embryo transfer stage helps in enhancing implantation. Although this does not guarantee a pregnancy, it certainly helps to increase the chances of a couple hearing, “You’re pregnant”, words they have been so eagerly awaiting to hear. You are sure to have many questions. In addressing infertility, the sooner you have them answered, the better. Do list them down and call 03-8069 9333 (TMC Fertility & Women’s Specialist Centre, Puchong) or 03-62871000 (Thomson Hospital, Kota Damansara) or email ask@drnavdeepfertility.com to make an appointment to consult with Dr Navdeep.
Conceiving a child starts with both parents’ health, so couples should embark on a healthy diet and take the appropriate supplements before trying to get pregnant. THERE is significant data to suggest that the relationship between nutrition and fertility is consequential in promoting conception. Results from studies examining the role nutrition plays in improving fertility in men and women underpin that healthy food choices can positively affect the state of reproductive functions. Even more pertinent is mounting evidence that couples with good nutritional profiles had a healthy pregnancy and positive foetal development. Researchers from the Harvard T.H. Chan School of Public Health and Harvard Medical School in the United States recently published research done on the impact of diet on fertility. Their findings reaffirmed that nutrients such as folic acid, vitamin B12 and omega-3 fatty acids, as well as diets built on vegetables, fruits, herbs, nuts, beans and whole grains, had a positive impact on women attempting to get pregnant naturally. The same dietary prescription was also found to improve the quality of semen among men. Conversely, unhealthy diets such as those rich in red and processed meats, potatoes, sweets and sweetened drinks were found to be negative for fertility health in both genders. With couples undergoing assisted reproductive techniques, it was found that women may be more likely to conceive if they are on an antioxidant-rich diet. A study conducted in Netherlands on pre-conception diets and their association with the chances of getting pregnant in women undergoing fertility treatment, suggested that obese women and men (defined as having a body mass index of more than 30) and those suffering from poor nutrition (those with a body mass index of less than 20) could suffer heightened risks of infertility. Closer to home, studies have revealed that in addition to avoiding certain types of vegetables and fruits due to food taboos or the lack of nutrition knowledge, pregnant women in Malaysia do not consume enough of this important food group. In some of my own patients, observance of a healthy diet leading to the reduction of 10% of their body weight if they are obese, has led to their success in conceiving naturally. In other instances, a prescription of supplements taken over a few months, coupled with better dietary choices, seems to have made all the difference. I have also had cases where husbands have been successful in improving their sperm count simply by observing a healthier diet and exercise. — Positive Parenting Undergoing fertility treatments can be tough physically and psychologically, so it is crucial for couples to support one another all the way. In fact, the MCO has also brought forth favourable outcomes that illustrate the importance of balancing mind, body and soul.Quite a number of couples under my care have found themselves in the family way without the need of any assistance during this period.The increased time spent together at home may have given them the opportunity to reconnect, while the time saved from commuting due to working from home might have given them more time for exercising and preparing healthier home-cooked meals. What to eat Aside from factors such as age and genetics, which we cannot control, nutrition is a factor that is well within our purviews to manage. Simply put, the diet one observes during pregnancy is the same diet that should be practiced before pregnancy. And fathers-to-be are not exempt either! Fruits and vegetables are rich in antioxidants and are great for general wellbeing. The healthier a couple is, the better their chances are to conceive. Hence, ensure that at least half your plate at every meal is composed of fresh fruits and vegetables of any type, and avoid over-frying your vegetables. Plant-based fats, taken in moderation, can help promote regular ovulation and general fertility. Trans fats, on the other hand, should be avoided. These can be found primarily in foods such as commercial baked and snack foods, animal products, fried foods and certain margarines. This type of fat can cause insulin resistance that could inhibit ovulation. Instead, indulge in more complex, but good carbohydrates rich in fibre, like whole grains. For protein, zinc and iron, eat more eggs, fish and meats that have been trimmed of fat. Fish and egg yolks are an excellent source of DHA (docosahexanoic acid) and omega-3 fatty acids that help develop a baby’s nervous system. Plant protein from beans, nuts, seeds and tofu are also packed with healthy fats. Also, consume one or two servings a day of whole milk or other full-fat dairy foods, such as yoghurt, and less of non-and low-fat dairy. With sugar, less is more and it would be prudent to cut down on sugar intake. Drink coffee and alcohol in moderation and opt for whole foods over processed options. I encourage couples – yes, both husband and wife, not just the wife – to take a daily multivitamin that contains at least 400mcg of folic acid and 40 to 80mg of iron, as well as pre-natal vitamins like vitamins C and E, selenium, and zinc. In addition to what can be ingested, it is encouraged that we get a daily dose of vitamin D3, either by simply stepping out into the sun, especially in the morning, or from supplements if daily sun exposure is not possible. Adequate intake of this vitamin improves the immune system and enhances fertility potential. Mind and body In addition to nutrition, stress management is also an important aspect of a healthy lifestyle. Most of us are prone to work stress and I often advise couples to compartmentalise. Don’t take your work home with you, and vice versa, don’t allow home concerns to affect you at work. Talk to your doctor if you are feeling overwhelmed – don’t feel embarrassed or apprehensive about getting help. Proper and adequate sleep is another important aspect of our general wellbeing. Alongside repairing damage in our bodies, sleep is our best detox for a balanced hormonal profile. So be sure to get
