Questions You are Too Shy To Ask Your Fertility Doctor

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

Published in Fit For Life (The Star newspaper) :

Fertility problems are not the best dinner conversations because they involve intimate issues behind closed doors. That is exactly why you can feel free to speak to your fertility specialist about what is really troubling you as a couple, because he/she would be able to talk to you frankly about making babies, with or without sex.

But to get the correct answers, it helps to ask the right questions. Here are answers to some of the most embarrassing questions every couple wants to know – but may be too shy to ask!

Q. Is position xyz more effective in getting pregnant?

Unfortunately not. There is no scientific evidence that any particular sexual position can improve pregnancy. There is, however, a link between frequency of intercourse and chances of pregnancy. Higher frequency relates to a higher probability of pregnancy.

Continue reading “Questions You are Too Shy To Ask Your Fertility Doctor”

Project Baby : Fundraising Campaign

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

 

Click here to donate

One in six couples face infertility and are in need of fertility treatment . These couples need an IVF ( test tube baby) treatment but are unable to proceed due to financial constraint. As a fertility specialist and father of 3 lovely children, I would like to share the joy a child brings into our lives. Therefore, I wish to help couples requiring IVF treatment to achieve parenthood by organising a fundraising campaign. Let’s give them the joy of parenthood ! We can make a difference in their lives !

This is a pilot project . I believe if WE can come together , we can make this project a success and it will serve as a building block for future larger projects. My target is to collect at least RM20000 , which may help 2 couples to receive an IVF treatment.

I am ” transforming” myself to become a long distance runner as I will be running a half-marathon by the end of the fundraising period.

I hope to inspire YOU into realising that YOU too can help couples struggling with infertility.

CLICK here to donate 

 

 

Fertility Genetics Simplified

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

The science involved in the treatment of infertility has rapidly advanced in the past few years . This advancement is clearly seen in the field of In-Vitro Fertilisation or IVF.

Current technology enables us to look into the genetics of human reproduction. Genetic testing also provides answers to infertility; and in some cases solutions.

Preimplantation Genetic Screening ( PGS)

IVF involves creating embryos in an IVF laboratory and replacing the embryo/embryos back into the womb.

Traditionally an embryo is graded based on its morphology ( external appearance under a microscope). The embryo/embryos with the best gradings is/are transferred back into the womb.

A morphologically-normal embryo with the best grading does not necessarily indicate that the embryo is genetically normal ( euploid embryo).

A genetically-normal embryo will lead to a successful pregnancy , assuming there are no other factors contributing to a failed embryo implantation or pregnancy.

Preimplantation genetic diagnosis (PGS) looks at the genetic normality of the embryo prior to an embryo transfer procedure.

Embryos are typically grown up to 3 to 6 days before the biopsy is performed.

Biopsy of the embryos are done when the embryo is either 3 days old or when they have reached Day 5 or 6 , known as a blastocyst.

Biopsy of the blastocyst is usually preferred because more cells are obtained from the embryo thus increasing the chances of the PGS to be performed successfully.

To be able to perform the biopsy, a small opening is made on the outer layer of the embryo , using either mechanical, chemical or laser technology.

Continue reading “Fertility Genetics Simplified”

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.

Vaginismus

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”

Fertility Forum : 6th January 2018

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

My next fertility forum is on 6th January 2018 , at KL Fertility .

It starts by 2.30pm .

In this free fertility forum , I’ll be focusing on a questions asked by nearly all couple : “When to start IUI or IVF ? ” .

See you all during the forum .