Reproductive Health Reproductive Health


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If a couple fail to conceive after trying for a year, they will be considered as subfertile. They should seek professional opinion for a detailed assessment and options of fertility treatments.
Intrauterine insemination (IUI) is a fertility treatment that uses a catheter to place washed sperms directly into the uterus, and let the sperm and egg fertilize naturally. There are different forms of IUI:
1. Natural cycle: to perform IUI on the day of a natural ovulation.
2. Oral ovulation induction drugs cycle: to take oral tablets to induce ovulation followed by IUI on the day of ovulation.
3. Superovulation cycle: to stimulate the ovaries with hormones by means of injections in order to increase the egg number. When the eggs are mature, ovulation can be induced by injection and IUI can be arranged accordingly.
In-vitro fertilization and embryo transfer (IVF) is a fertility treatment that involves getting the eggs from the woman’s ovaries, and fertilizing them with the husband’s sperms outside the body. The resultant embryos will then be transferred back into the woman’s uterus a few days later. In broad, the process involves:
1. Stimulate the growth of follicles by hormone injections. Ultrasound scans will be performed during this period to monitor the growth of the follicles.
2. When the eggs are mature, ovulation trigger will be done by means of an injection and egg retrieval can be arranged.
3. On the day of egg retrieval, the husband has to give a sperm sample for fertilization.
4. When there are embryos available, they will be put back into the woman’s uterus.
Routine antenatal visits aim at assessing the mother’s well-being. At the same time, ultrasound scan of the baby will be performed to check the growth of the baby. This information may be useful in deciding on the mode of delivery of the baby.


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