We spoke with Dr. Yeong Cheng Toh, fertility specialist and medical director of IVF(SG), to discuss the clinic’s treatment approach and provide more information to better prepare couples seeking fertility treatment.
Can you tell us more about the unique approach at IVF(SG)?
Some programmes use minimal stimulation to lower IVF fees, making it more affordable for patients. However, at IVF(SG), we take a different approach, using scientific algorithms to tailor treatments for each individual.
We calculate the appropriate drug dosage based on the patient’s weight and ovarian reserve, which are measured using Anti-Mullerian hormones (AMH). These algorithms, backed by robust scientific research, ensure that our patients receive personalised care.
Can you share more about the types of patients who typically come to IVF(SG)?
At IVF(SG), we serve a diverse range of patients, each with unique circumstances and motivations. A significant group includes those seeking personalised treatment in a private setting but facing financial constraints and limited access to medical subsidies. Some have considered going overseas for treatment but are unfamiliar with foreign clinics’ protocols.
Many of our patients have also tried IVF at public institutions without success. Some have been told to give up, especially if they’re over 44 or 45, as IVF success rates decrease significantly at that age. However, many are still hopeful and seek a second opinion or a more tailored approach.
Where do you typically start with testing, and when would you recommend advanced testing for patients?
We start by reviewing patients’ previous fertility test reports, as most have consulted other specialists before coming to us. We also review their medical history and perform physical examinations.
We check for issues like blocked fallopian tubes, ovarian reserve, and chronic medical conditions such as polyps and fibroids. These conditions may need to be addressed before proceeding with embryo transfer. Each couple is treated as individuals, with care tailored to their unique needs.
For advanced testing, like sperm DNA fragmentation testing, we discuss it with patients as an option because it is not part of our standard IVF protocol.
What should patients expect during IVF treatment, and how long are they typically monitored for?
IVF treatment takes about two weeks in total. Initially, patients meet with the doctor on day two or three of their period. A quick ultrasound is done to check the uterus, and then stimulation begins.
After the initial visit, patients return around day eight for follow-up. We assess whether egg retrieval should occur on day 11 or 12. Additional visits may be necessary to fine-tune the timing of the egg collection, but typically, it’s just three visits plus the egg collection. Each visit lasts less than 30 minutes.
Can women continue to work during fertility treatment?
The treatment process should not be too disruptive to your work. The drugs we use are primarily conventional stimulating drugs, mostly in the form of injections. Newer protocols have reduced the number of injections, making the process simpler and less intimidating for patients. For example, we can use a single injection that lasts seven days, along with oral tablets, instead of multiple injections. These advancements make IVF more manageable for patients.
