Fertility Centre

a. Couples with reproductive problems
           • Unexplained infertility
           • Genetic problems
           • Recurrent pregnancy loss
           • Sexual dysfunction
b. Women with reproductive problems
           • Ovulatory dysfunction
           • Polycystic ovary syndrome (PCOS)
           • Ovarian cysts
           • Blocked fallopian tubes
           • Endometriosis
           • Fibroids
           • Previous tubal ligation/sterilisation
           • Uterine abnormalities
c. Men with reproductive problems
           • Low sperm count
           • Absence of sperms (azoospermia)
           •Previous vasectomy

a. Superovulation & Intrauterine Insemination (SO-IUI)
b. In-Vitro Fertilisation (IVF)
c. Intra-Cytoplasmic Sperm Injection (ICSI)
d. Embryo & Sperm Cryopreservation
e. Donor Sperm/Egg/Embryo Programmes
f. Blastocyst Culture Involves extending the culture of the embryos for 3 more days with a separate medium. It mimics more closely the natural stage of the embryo (i.e. blastocyst stage) during implantation. This programme aims to help patients who have many eggs and yet cannot conceive to increase their chances of implantation and hence achieve pregnancy.
g. In-Vitro Maturation of Oocytes (IVM) As the term IVM implies, in this treatment, immature oocytes are retrieved from the ovary and are matured in the laboratory. Once they mature, IVF or ICSI is then performed to assist in fertilising these oocytes.
h. Laser Assisted Hatching Involves breaching the outer layer of an embryo by piercing a hole to facilitate its hatching out and implantation. The hatching process can be impaired by the increased thickness of the outer layer and advanced age of the woman. This programme aims to increase the chances of implantation for the older woman.
i. Pre-implantation Genetic Diagnosis (PGD)

As reproductive surgeons with expertise in advanced microsurgery and pelvic reconstructive endoscopy, we can improve your chance of a spontaneous pregnancy or improve the success of subsequent IVF in properly selected patients. Some of the surgeries we commonly perform include:
1. Endoscopic assessment of infertility
     • Laparoscopy – key-hole surgery to assess the pelvis
     • Hysteroscopy – to assess the womb cavity
2. Laparoscopic treatment of endometriosis
3. Laparoscopic and hysteroscopic removal of fibroids
4. Laparoscopic drainage of a fluid filled fallopian tube (hydrosalpinx).
5. Surgical correction of congenital anomalies of the female genital tract

Up to 50% of infertility is due to sperm abnormalities. Our centre provides holistic management in male infertility.
Investigations conducted in our centre include:
     • Semen analysis
     • Hormonal assessment
     • Genetic studies
     • Ultrasonography
     • Testicular biopsy
Most couple with infertility related semen abnormalities are ultimately managed by assisted conception. However, surgical sperm retrieval may be needed in azoospermia (absence of sperm in semen). Sperm retrieval is successful in almost 100% of obstructive azoospermia. The procedures are performed through the skin using microsurgical techniques. Clinical services offered here are Testicular Sperm Extraction (TESE), Sperm storage prior to cancer treatment , Sperm storage for other reasons , Donor Sperm Insemination Programme.

The gynaecological endocrinology clinic offers clinical services for the diagnosis, treatment and management of hormonal problems interfering with fertility and/or menstrual cycle regularity.
The common conditions are seen at the clinic include:
     • Hyperprolactinemia
     • thyroid problems (hypothyroidism and hyperthyroidism)
     • hypogonadism
     • hirsutism (increase of face and/or body hair growth)

Sexual dysfunction can affect any couple, preventing them from experiencing satisfaction from the sexual activity. Common problems related to sexual dysfunction in men include erectile dysfunction, ejaculation disorders and inhibited sexual desire, while in women, the most common problem is that of pain during intercourse.