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    Infertility in Singapore

    Not every couple is fortunate enough to start a family naturally. In such cases, couples need to opt for the best possible medical treatments that will help them in achieving parenthood. Infertility treatments are one of the pillars in offering the desired results to the couple who want to have babies. Infertility issues surround couples where the female partner is unable to get pregnant. This makes it essential for such couples to utilize the facilities and services available under the concept of infertility treatments. Singapore is one such developing country which offers infertility treatment services at an affordable cost. Patients traveling to Singapore from other parts of the world need to understand various aspects associated with the infertility treatments when pursued in this Southeast Asian country. The Government of Singapore has created several amendments in its law books associated with infertility treatments to ensure that patients can receive the quality treatments for conceiving babies with success. The Ministry of Health has published the numbers of the successful Assisted Reproductive Therapy (ART) cycles. This number which were successfully conducted in the year 2014 was much more than that of 2013 which was worth appreciating. The increase is recorded at a rise of 500 to 1000 cycles every year which is a commendable growth. Also, the number of fertility centres present of Singapore is growing at a steady pace. The Government of Singapore ensures that infertility treatments are carried out efficiently such that the performed treatments achieve the desired success rates. The concerned ministry has also published guidelines which have specific mentions for the IVF procedures performed at different infertility centres of the country.

    IVF procedures in Singapore

    IVF stands for In Vitro Fertilization. IVF procedures are one of the most recommended types of infertility treatments performed under the expertise of infertility experts. Every country across the world has its own set of regulations associated with infertility treatments especially that of IVF procedures. Singapore has also set certain regulations for patients who are planning to opt for IVF procedures in the country. (Source : A Gynaecologist's Complete Guide to IVF in Singapore - 2019) Singapore has emerged as one of the destinations which have planned about its journey on the path of IVF procedures in such a way that the patients can reap the benefits of the infertility treatments. As per one of the recent researches, the rise in the infertility levels among the couples of the modern generation has fueled the growth of the IVF treatment market. One of the interesting facts which are published is that in the industry of IVF treatments, pharmaceuticals section has made rapid growth and it is predicted that this industry section will grow to a great extent.

    Fertility clinics are an important part of the crucial infertility medicine field. Their role is evident in the present scenario of IVF procedures in countries like Singapore. Cryobanks also play an important role in ensuring success for IVF procedures. There are various international centres which have their cryobanks which serve the purpose of providing couples with high-quality eggs and sperm for the benefit of the patients. Cryobanks are utilized by the couples as these medical organizations help in the preservation of the sperm or egg which helps outpatients when they progress towards execution of the family planning goals. Such medical centres aid in the successful birth of the baby for a couple planning for the same. The cryopreserved eggs and sperm are useful in increasing the success rates of the infertility treatments performed at the top infertility centres in the country of Singapore. An increasing number of fertility clinics are taking a step forward to start with the cryobank services for the comfort of the patients. This indicates that IVF treatments and associated medical advances play an important role in the success of IVF procedures. Along with infertility treatments, various additional procedures are also performed for treating infertility issues among couples.

    Procedure of IVF in Singapore

    In Vitro Fertilization procedure comprises of a series of steps which are performed under the guidance of the infertility specialists. The infertility specialist and embryologist play an important role in performing and progressing the IVF procedure. The medical steps which are performed for treating patients with the procedure are specified below:

    Infertility specialists hold counseling sessions for couples who need medical expert guidance for conceiving a baby. This is the first step of the infertility treatments and it is combined with infertility diagnosis of the patients. Counseling sessions are also useful in clarifying doubts of patients who are in a dilemma whether they should go for infertility treatments or not. Once the treatment type is recommended and confirmed, the treatment starts in the respective infertility centre which offers the desired results to the couples.

    Ovarian stimulation procedure is the first step which takes place concerning the woman. Here, a series of injections are given to the patient. The step of giving injections starts on the second day of the menses in the female partner. This is combined with ultrasound scans which are performed for a time frame of a few days to a week. A final trigger injection is given to the female patient. This is followed by the egg retrieval procedure which is the first medical procedure step in the In Vitro Fertilization.

    The egg retrieval procedure is performed 36 hours after the final trigger injection is given to the patient. This phase of egg retrieval procedure is performed under the general anesthesia which is performed in the infertility clinic itself. This step is also known as egg aspiration procedure. When the egg retrieval procedure is performed, sperm retrieval procedure is also conducted. The healthy sperm are retrieved from the male partner or taken from the sperm donor.

    Once the eggs and sperm are collected from the couple, then the embryo is formed in the laboratory with the expertise of embryologist. The embryo formed is at times subjected to Preimplantation Genetic Diagnosis (PGD) test which is useful for couples to know whether their baby will have any kind of genetic disorders or not.

    Once the embryo is confirmed with no presence of genetic defects, then the embryologist transfers the embryo into the uterus of the woman. The patient is then asked to rest for the next 2 weeks until she is tested for the presence of pregnancy. Once pregnancy is achieved, the pregnant woman is asked to take care of her health and follow certain measures during her pregnancy.

    These are the steps which are followed while performing IVF procedure at some of the top infertility centres in the country of Singapore. It is advised to couples to make sure that they consult an experienced infertility specialist when planning for a baby.

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    Preimplantation Genetic TEST

    Preimplantation Genetic test is a medical test which is performed with a particular aim and benefits couples planning for a baby. Preimplantation Genetic Testing mainly involves Preimplantation Genetic Screening (PGS) and Preimplantation Genetic Diagnosis (PGD). PGD test was performed for the first time in the year 1990. Now, it stands as a prominent option as a prenatal diagnosis alternative. Preimplantation Genetic Diagnosis is more commonly performed than Preimplantation Genetic Screening test. PGD test is performed under the guidance of the medical specialist who possesses prior experience in conducting this medical test. One of the best aspects of these medical tests is that even unaffected carrier who have potential chances of passing disease-causing genes can also be detected successfully as a result of this genetic test. Couples who are planning for a baby must know about the ins and out of both the types of genetic testing. Presence of less or more number of chromosomes can result in the occurrence of genetic disorders such as Trisomy 13 or even Down's Syndrome (Trisomy 21). Down's syndrome is a very common genetic disorder which is passed to the next generation and therefore IVF procedure gives a chance to the couples to get the lab-formed embryo checked and know if any defects are present in the embryo. Some of the other major health conditions which can be passed from the potential parents to the baby include Thalassemia, cystic fibrosis, and certain other types of blood disorders. (Source : What is Preimplantation Genetic Testing?) Another less known benefit of this significant test is that it helps in diagnosing translocations in the members of a couple. Such translocations contribute to causing problems in the babies born as a result of the IVF procedure with the couple in focus. PGD test is suggested and performed so that the genetic disease affected embryo can be separated from the healthy ones. Then, only the healthy embryos are transferred into the uterus of the woman. On the other hand, PGS test is conducted to screen out the presence of any kind of chromosomal abnormalities in the embryo itself. This ensures that no such embryo is implanted into the woman's uterus which can lead to a miscarriage of the pregnancy. This saves time and energy of the couple and helps them get only a healthy embryo implanted for their IVF procedure.
    PGD test is quite commonly utilized in various IVF procedures conducted at different infertility centres. In Singapore, Preimplantation Genetic Testing is one of the most discussed aspects of infertility treatments especially that of In Vitro Fertilization (IVF) procedures. PGD and PGS test are available only on request in some of the top infertility centres in Singapore.

    The steps involved in Preimplantation Genetic Testing include the following:

    • The testing procedure is performed right after the formation of embryo in the IVF laboratory at the infertility centre.
    • The embryo is allowed to develop in the medical laboratory for two to three days.
    • After this, few cells (usually one or two cells) are removed from the embryo and sent for Preimplantation Genetic Testing.
    • Preimplantation Genetic Testing is a quick medical procedure which is performed after the infertility specialist confirms the requirement of this medical test.
    • The cells are tested in the embryology laboratory, then the couples are informed about the results. Accordingly, the couple takes the right measures concerning the embryo formed in the embryology laboratory.
    • The embryo is transferred to the uterus of the woman after the infertility specialist declares which embryo is a healthy one.
    • After this, the pregnancy test is performed in the respective woman. This completes the procedure of PGD test and purpose of the same.

    PGD test is available only at select hospitals in Singapore. Such hospitals have mentioned that the facility of performing Preimplantation Genetic Diagnosis (PGD) or Preimplantation Genetic Screening (PGS) test is available only on request. Couples will be surprised to know that the utilization of the PGD/PGS test will improve the chances of success with IVF procedure right after one IVF cycle. It is recorded that success rates of Single IVF cycle increase with the implementation of the PGD test in the respective cases.

    When is PGD test recommended in IVF treatments?

    Patients are recommended with PGD test in IVF procedures in the following cases:

    • IVF cycle failures in the past of the couple
    • History of recurrent miscarriages for the woman
    • Presence of Polycystic Ovarian Syndrome (PCOS)
    • Presence of conditions such as Hemophilia in either of the partners
    • Occurrence of Premature Ovarian Failure
    • Earlier occurrence of menopause in the woman
    • Couples who want to go for family balancing
    • Age of the mother is above 38 years of age
    You can get a FREE appointment booked with one of the top infertility and surrogacy specialists by contacting us at +91 8929020600

    Surrogacy Laws in Singapore

    Surrogacy procedures in Singapore are one of the most discussed topics at the time of planning to have a baby with surrogacy. IThe healthcare professionals and top authorities have varied opinions about the active implementation of the surrogacy procedure. The lawyers, medical specialists, and couples opting for the procedure believe that surrogacy procedure must help two women at the same time in equality. This includes financial benefit for the surrogate and achievement of parenthood for the female partner in the couple. Experts believe that in the coming years surrogacy procedure will be recommended and executed for the welfare of the couples who are unable to conceive with other infertility treatments.

    However as per the current Legal norms Surrogacy is not allowed in Singapore. So, Ela with its wide network of Doctors and Hospitals across the globe - helps you in completing your dream of having your own baby through surrogacy from countries where its legally allowed. Please feel free to reach out to Ela Team if you are from Singapore and you are looking for Surrogacy treatments.

    Cryopreservation procedures

    Cryopreservation techniques have taken a significant place in the lives of the couples who are planning for infertility treatments. As we discussed above, cryopreservation procedures are held in the medical laboratories associated with infertility centres. The cryopreserved eggs and sperm are stored in the cryobanks. Couples opting for the procedure need to take a subscription for the egg or sperm freezing procedures. Egg freezing is one of the latest types of cryopreservation techniques. Cryopreservation procedures are also popularly known as freezing procedures. As per one of the reports published by the Lee Kuan Yew School of Public Policy it is concluded that the advanced procedures of egg freezing are allowed on request. This is allowed only for women where there are significant chances of losing fertility levels because of the medical treatments such as chemotherapy. Social concerns pose to be a sensitive matter for most of the couples who are planning to opt for infertility treatments but have several doubts in their minds. The Ministry of Health (MOH) in Singapore has also published several reports in the year 2014 specifying about the challenges which women often tend to face when they decide to get married at a later stage of their lives. The authorities and medical experts believe that more information is required with relation to egg freezing procedures to confirm that there will be no side effects on the health of the growing baby and mother because of such medical procedures. You will be surprised to hear that embryo freezing have a better rate of live births at 80% to 90% when the live birth rate of 30% to 50% achieved with the help of egg freezing are compared. Also, patients traveling to Singapore for their infertility treatments need to keep in mind that egg donors are not compensated for their egg donation activity. One of the appreciating facts associated with this is that couples who are using donor eggs and want to get them frozen for later use can pay for the basic expenses which was incurred during the donation process. (Source: What patients may not know about fertility treatments in Singapore) Sperm freezing along with egg freezing procedures also play an important role in helping couples in starting a family. Sperm and egg freezing becomes a topic of concern for individuals who are undergoing some kind of major infertility treatment. This includes cancer treatments which usually take a toll on the health of the patients. One of the major fears of the patients is that because of the cancer treatment conducted to improve the health of the patients, their fertility rates are also affected accordingly. This indicates that the fertility levels of the patients suffer due to some of the major treatments such as that of cancer treatments. The laws associated with sperm freezing procedures are not yet definite. This makes it important for patients to know about the respective country's laws before planning and progressing with the cryopreservation techniques. Presently, Singapore has no specific laws related to sperm freezing and egg freezing which does not provide complete freedom for the patients to undergo these procedures. Social egg freezing procedures are a hot topic but till now no particular amendments are published in favor of couples who want to opt for the respective medical treatment.

    Medical tourism in Singapore

    Medical tourism is a significant aspect of the healthcare sector across different parts of the world. Singapore is one of the top Asian countries which has achieved laurels and appreciation for its dedication in offering patients with the best possible treatments. The authorities responsible for the functioning of the medical tourism sector are putting their best foot ahead to ensure that the patients visiting this country receive the quality treatments at the best possible prices. Singapore is one of the most magnificent and attractive destinations across the world. So, the authorities are working their best to bring the country on the top in the list of the countries offering medical tourism services to foreign patients who require the same. The healthcare organizations in the country are making efforts to improvise the prices of the medical treatments available in the top medical institutions and organizations. (Source : Singapore tops for Medical Tourism, but rivals catching up quickly)

    This primarily involves bringing the cost of the medical treatments at an affordable rate which will be beneficial for patients willing to opt for the treatment in the country. Medical tourists from different parts of the world travel to Singapore for their medical treatments especially infertility procedures. The countries from which patients visit Singapore include the United States, Canada, Indonesia, Thailand, Taiwan, South Korea, and the Netherlands. The cost of infertility treatments such as In Vitro Fertilization (IVF) procedures is substantially lower than the above-mentioned countries. Out of these countries, patients from Australia, UK, Thailand, and Hong Kong stay at the top in visiting this beautiful country for their infertility treatments.

    Fertility centres in Singapore

    Fertility centres in Singapore offer a wide range of healthcare services in the domain of infertility procedures. Here are some of the fertility centres which have achieved success in offering infertility diagnosis till treatments for the benefit of the patients.

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