The pregnancy rate for the general population in 20% per month. This means that one out of every five couples who attempt to conceive will be successful. The average time taken to conceive is 5 months and 85% of couples conceive within a year. However, 15% of achieved pregnancies can end in pregnancy loss due to miscarriage or an ectopic pregnancy.
A woman's age is important as fertility declines with age. Other factors that can affect fertility rate include smoking, alcohol, stress and diet. Smoking more than 15 cigarettes a day significantly reduces a woman’s fertility and a man’s sperm count. Similarly, excessive alcohol consumption, drugs and certain medication also reduce fertility in both men and women. Chronic stress may also cause changes in hormones that interfere with the development of eggs. It can also interfere with the immune system and increase the likelihood that a woman’s body will reject an embryo.
Before you embark on a fertility programme, Mount Elizabeth Fertility Centre will help assess your fertility potential. Prior to treatment, both partners have to be checked for Hepatitis B, Hepatitis C, VDRL, HIV and rubella immunity. The female partner may also be checked for the chlamydia antigen.
For the female partner:
A pelvic ultrasound, ovulation testing and hormonal assays may be performed for the wife to determine if any physical issues may hinder fertilisation or implantation, such as endometrial polyps. Hormonal assays will help our doctors determine the ovarian reserve and optimise the dosage of medications required for stimulation.
For the male partner:
A physical examination, testicular ultrasound, semen analysis, and hormonal assays can be performed to determine any physical or mechanical issues that may hinder sperm production, sperm quality, or block the ejaculation of sperm.
Basic Assisted Reproductive Technique (ART) counselling is necessary if you are referred to Mount Elizabeth Fertility Centre for IVF treatment. Counselling is a prerequisite and is provided by a qualified staff nurse. Additional counselling by trained psychologists can be arranged should you feel the need for more support. Your referring doctor will schedule an appointment with Mount Elizabeth Fertility Centre for your basic counselling.
During the course of treatment, you may experience a range of emotions including denial, confusion, anger and isolation. Counselling can help you cope with these feelings. Sometimes, just hearing how others have coped can help too.
Prior to embarking on any fertility treatment, it is important to establish optimal health. A healthy diet, vitamin supplements and exercise are key to optimising a couple’s chances of success.
Couples should plan a balanced, healthy diet and engage in regular exercise for at least 3 months prior to the desired conception cycle.
Women planning for pregnancy should consider folate supplementation of a minimum of 4mg a day. Adequate folate supplements can reduce the incidence of birth defects affecting the brain, spinal cord, and heart.
For both men and women, iron, other minerals and vitamin C supplements can help reduce the risk of anaemia. Men may require additional supplements such as zinc and carnitine.
If necessary, our doctors and trained staff will advise you on the required intake of vitamin and mineral supplements. For more information, you can make an enquiry here.
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