Fertility News · Media

Free Fertility Webinar : Restarting Your Fertility Journey Post MCO

by Dr Agilan Arjunan, Fertility Specialist & gynaecologist , KL Fertility Centre ( Malaysia) 

Join my free online Webinar on 16th of May 2020 at 2pm. 

I’ll be talking about Steps to Restarting Your Fertility Journey Post MCO.

Can click here to register. Once registered , I’ll send you the link for the webinar before Saturday.

See you this Saturday !

 

 

Female Fertility · Fertility News · Media

Video : Basic Fertility Tests

by Dr.Agilan Arjunan, Fertility Specialist&Gynaecologist, KL Fertility Centre (Malaysia)

I made this video to help couples understand what are the basic fertility tests that they need. I have seen many couples who had spent significant amount of money doing many fertility tests that eventually did not help them.

Can watch my video on IGTV , Facebook and Youtube .

 

 

Female Fertility · Fertility News · Media

1 Minute with Dr.A : COVID-19 and Pregnancy

by Dr. Agilan Arjunan, Fertility Specialist & Gynaecologist ,KL Fertility Centre ( Malaysia) 

Top 3 questions my patients ask me regarding COVID-19 and Pregnancy :

Watch my IGTV video here : https://www.instagram.com/tv/B-FOS3Ej8CY/?utm_source=ig_web_copy_link

  1. Are pregnant women more at risk of getting COVID-19 infection ?
  • At the moment , pregnant women does not appear to be at higher risk of getting COVID-19 compared to the general population.
  • Pregnant women do undergo changes in their bodies which makes them more susceptible to other infections
  • Majority of pregnant women may show only mild to moderate flu like symptoms

 

2. Can COVID-19 cause any problem during pregnancy ?

  • Currently we do not know if COVID-19 infection causes any problem during pregnancy or to be baby after delivery.
  • Currently there is no evidence of intrauterine infection from COVID-19
  • It is assumed that probably there is no affect on intrauterine fetal growth

 

3. Can COVID-19 be transmitted from mother to baby ?

  • We do not know if COVID-19 can be transmitted from mother to baby. 

 

Sources :

  1. https://www.cdc.gov/coronavirus/2019-ncov/prepare/pregnancy-breastfeeding.html
  2. https://www.rcog.org.uk/globalassets/documents/guidelines/2020-03-21-covid19-pregnancy-guidance-2118.pdf

 

 

 

Female Fertility · Fertility News

IVF Without Injection

by Dr Agilan Arjunan , Fertility Specialist & Gynaecologist, KL Fertility Centre ( Malaysia)

Main take home point of this article : 

As a fertility doctor, I suggest a young couple who needs an IVF to discuss about IVF protocol without or with very minimal injections. In my practice , I see a good success rate if the couples are selected properly. 

IVF is associated with daily injections of hormones. These hormones are needed to stimulate grow of multiple follicles ( eggs) and to create more than one embryo per IVF cycle.

This approach is commonplace because cumulative pregnancy rate is higher when up to 10-14 eggs are collected per IVF cycle.  While a standard IVF protocol may be good to achieve a higher pregnancy rate, it also has its own disadvantages.

A standard IVF protocol carries a risk of ovarian hyperstimulation (OHSS) , longer days off work , especially after egg collection procedure and a higher total IVF cost .

Probably it’s time to look at a more gentle , perhaps an IVF without or with very minimal injections.

A recent analysis from Japan have looked into the success rate of an IVF protocol with Clomifene Citrate. For a young couple  ( female partner less than 34 yrs old) , the cumulative pregnancy rate after three IVF cycles is about 70% .

In an IVF protocol with oral tablets, the women makes only a few eggs per stimulation . Hence, she may need to repeat the IVF cycle to make more embryos. In a younger couple, generally few eggs are enough to make a good quality embryo. Furthermore , it is much more patient friendly.

On the aspect of cost,  the cost of an IVF cycle can reduce significantly and thus a couple be able to do more than one stimulation cycle .

In my practice, I normally suggest a minimal stimulation IVF for a young couple, provided they fulfil the selection criteria. I see a very good success rate with this approach while reducing the overall IVF cost.

In conclusion, younger couples who need an IVF should discuss about minimal stimulation IVF with their doctor.

Source : https://link.springer.com/article/10.1007/s10815-019-01662-z?wt_mc=alerts.TOCjournals&utm_source=toc&utm_medium=email&utm_campaign=toc_10815_37_2