Hope for New Year : 2018

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

Published in The Star Newspaper ( Fit For Life) https://www.star2.com/health/2018/03/10/theres-always-hope/

“The time is always right to do what is right” , “ Time waits for no one” , “ It takes time to build a castle” .

There are many proverbs about time . One thing for sure, time does fly and it’s already 2018 !

Time can be your good friend or enemy. For those with family and children, it’s fun to watch your little ones grow.

For those who are in the midst of their parenthood journey , time can be their greatest fear with each passing year.

There are many couples who kept their hopes high and persisted in their journey towards parenthood. They did achieve their goal .

I’m going to share some spirit-lifting real patient’s journey which will inspire your own journey.


Mr & Mrs Jacob (not their real name) walked into my consultation room sometime in the late 2016.

They were a bit hesitant when they walked into my room. They slowly took their seats . They looked at each other probably deciding ‘who’ and ‘how’ to start the conversation.

I broke the silence by greeting them first ,“ Good morning, how can I help you?”

“ Doc, we have been married for 7 years,” the husband started. “We have not got a child yet” .

“ Have you both done any fertility test?” I asked.

Both of them looked at each other. It took a few seconds before his wife finally started talking.

“ We have not managed to have sex since our marriage” his wife said with some difficulty.

“ Well, if that’s the main reason, then the treatment is very easy !” I said with enthusiasm.

I could see that they both couldn’t believe my reply. 

“Really, doc? We thought we had a major issue” said the wife.

Continue reading “Hope for New Year : 2018”

Male Infertility Test Simplified


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


Have you ever gone through a fertility assessment before? For couples who had done it , you would know that it can sometimes look very complicated with all those internal ultrasound (transvaginal) scans, blood tests, x-ray tests and sperm test for a male partner.

In this article, I will simplify the fertility tests for a male partner. I’ll start with sperm test and go on to other tests required when a man has no sperm (azoospermia).

For a man , the most important test is a semen analysis (sperm test). About a third of couples, the problem lies with the male partner and thus it is very important to do this test.

“A 70 year old man can still reproduce, so this can’t be a major issue right?” . Its a yes and a no. It is true that a man continues to produce sperm but the QUALITY of the sperm deteriorates as he ages. Low sperm quality equals to lower chance to conceive.

What is a sperm test ?

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Astro V Buzz : Male Infertility (Video)

By Dr Agilan Arjunan, KL Fertility Centre (Malaysia)

Male infertility is beginning to be recognised as a major cause of infertility. At least 40% – 50% of IVF cases are due to male infertility such as poor sperm quality or azoospermia (no sperm ).

Listen to Dr Agilan’s interview about male infertility.  Watch here.



The Future of Male Infertility


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

Male factor is the cause for about 1/3 of infertility. However, the role of male- cause infertility is in the rise and many researches has confirmed this fact. Nevertheless, male partner is often the “forgotten” partner in the equation of fertility treatment. The focus has always been the female. Hence, we see today many investigations and treatments are focused on the female.

To conceive a baby, we need female egg (oocyte), male sperm and a healthy womb (uterus). In the treatment of male-cause infertility, sperm is usually retrieved either my masturbation (in mild -moderate male infertility) or by a surgical procedure (in severe male infertility). In the event the sperm in not retrieved, donor sperm is advised. The next step is usually IVF/ICSI (In-Vitro Fertilisation / Intra-Cytoplasmic Sperm Injection) or sometimes IUI (Intrauterine Insemination) with donor sperm. Treatment for the couple is highly dependent on the availability of mature sperm, either from the partner or from a donor.

Continue reading “The Future of Male Infertility”