by Dr Agilan Arjunan , Fertility Specialist , KL Fertility Centre (Malaysia)
This fertility forum focuses on factors ( both male and female) that determine a couple’s choice of fertility treatment. Learn important information that will help you to take your next fertility step confidently.
by Dr Agilan Arjunan, Fertility Specialist, KL Fertility Centre ( Malaysia)
Mrs M walked into the clinic with her beautiful daughter Maya, aged 5 . She is a happily married woman and conceived Maya within their first 6 months of marriage. Her pregnancy was well and Maya was delivered via a caesarean delivery.
The obvious question popped up in my mind, “ How can I help you ?”
“ Well one ain’t enough and we have been trying for a second child for the past one and a half years. I just don’t understand why i am not getting pregnant. I got pregnant with Maya easily. Surely we are not suffering from infertility. But why it is not happening again ?”
She is just one out of many women who find it difficult to believe that they are struggling for a second child or what is medically known as secondary subfertility.
What leads to secondary subfertility ? Let’s find out why.
by Dr Agilan Arjunan, Fertility Specialist , KL Fertility Centre ( Malaysia)
Treatment Options To Make Me Pregnant
A) Ovulation Induction (OI)
This method involves giving you medicine in the form of oral pills or injections to stimulate growth of eggs/oocytes in the ovary. The duration of the medication depends whether its a oral pill or injections. For example, oral pill such as Clomifene Citrate is taken from Day 2-6 of menses while injections such as Humog or Menopur is injected from day 2 till day 9/10. During this time, regular ultrasound scan will be performed to assess the growth of the follicles that contain the egg/oocyte. Once the follicles has grown to the desired , hCG injection (trigger injection) will be given to assist with ovulation.
B) Timed-Sexual -Intercourse (Timed SI)
This can be done with or without OI (refer above). If done without OI, it is known as natural cycle Timed SI. Regular ultrasound scans will be done to assess the growth of the follicle. Once desired size is achieved, trigger injection may/may not be given. Couples are generally will be asked to have sexual intercourse 24-48 hours after the trigger injection. If no trigger injection given, couple are normally advised to have sexual intercourse once the follicles has grown to appropriate size.