Dr Moses Abe
MBBS, FRCPI (Ireland), FRCOG (UK), FRANZCOG (Aus/NZ)
A. Subfertility is common. 1 in 7 couples experiences difficulty in achieving pregnancy.
A. Even though fertility tends to decline with age, most children nowadays are born to women in their 30’s. We advise seeking advice from fertility expert early for assessment in order to take better control of your fertility as well as discuss your options. This may be egg freezing.
A. Endometriosis is common. It affects up to 1 in 5 of women of childbearing age, with the vast majority having children. 50% of women with endometriosis do not have symptoms. It is advised that you discuss your symptoms or concerns with your Doctor early, so that appropriate referral can be made to establish a diagnosis and offer treatment. Endometriosis tends to reduce fertility and could have a significant impact on the quality of life. Act early. Ultrasound and laparoscopy are important diagnostic tools.
A. 22% of women have what Doctors refer to as polycystic ovaries on pelvic ultrasound scan. This is common. However polycystic ovarian syndrome is an assessment made by Doctors based on your symptoms and further tests such as hormone levels. It is associated with reduced fertility mainly due to infrequent ovulation. This is treatable with life style changes and ovulation induction treatments. IVF is sometimes required.
A. This is common and does not indicate a sinister cause. In fact, having a child or children already is associated with a significantly better chance of conception when undergoing fertility treatment.
A. No. Most young couples will achieve pregnancy within 6 to 12 months of seeing fertility expert without the need for IVF. Overall, about one in three subfertile women will require assisted conception (IUI & IVF).
A. Social Egg Freezing and indeed Fertility treatments are patient-friendly, especially for those travelling interstate and from overseas. Telehealth is available for initial consultations and assessments. Bloods tests and Ultrasound scans can be easily facilitated without the need to travel.
You are required to attend physically on the day of eggs harvest. It is performed as a short-day procedure under anaesthetic with early return to work.
A. 1. Male problems, mainly sperm issues; 2. Female problems, mainly ovulation related, endometriosis and fallopian tubes issues; 3. Others, which could be male or female, as well as unknown.
A. Adopt an overall healthy lifestyle. Balanced diet or diet as recommended by your dietician as appropriate. Exercise and physical activities such as walking are not only important to boost your physical health but also to enhance your mental health. Avoid smoking, binge drinking and non-prescribed drugs. Pre-conception folic acid is essential. Engage in activities, nutrition and natural remedies that help in reducing the level of stress. Consideration should always be given to wellness practitioners for guidance and support. Good luck!