FAQ

Frequently Asked Questions

Whether you’re exploring assisted reproductive technologies, seeking information on fertility assessments, or simply curious about our services, this comprehensive guide aims to provide clarity and support on your journey towards building the family you envision. If you don’t find the answers you’re looking for here, our team is always ready to assist you personally.

Infertility is a medical condition characterised by the inability of an individual or a couple to achieve pregnancy or maintain a pregnancy to term, despite regular and unprotected sexual intercourse for an extended period of time – 1 year for people aged 30 and below and 6 months for those aged 30 and above.

No, it is a problem involving both men and women. Men and women are almost equally affected. That’s why the men also have to be actively involved in the treatment of infertility.

About 1 in 10 couples are diagnosed as infertile. It is more common as age of the women increases and can be as high as 1 in 3 couples at the age of 35 years and above.

The values obtained in a semen analysis can vary according to the recent change in physical health and the duration of abstinence prior to semen collection. As such, it is advisable to repeat the semen analysis if the test is abnormal, or as suggested by your fertility doctor.

While there is  no miracle drug that promises improvements over night, the quality of a male’s sperm is affected by factors such as lifestyle, medical history and genetics. It is important to consult your fertility doctor for an in-depth understanding of your results and discuss ways and solutions to make adjustments which will gradually improve the overall result of you next spem test!

For most men, a 2-3 day break is ideal. This period gives the “sample” an opportunity to regenerate. Too “old” a sample raises the risk of poor motility, white cells, and other problems of “old” sperm. (An “old” sample would be one that is taken after more than 7 days of abstinence).

Day 1 is the first day you see a red flow, not just intermittent spotting.

Absolutely not. Normally, 30 eggs in a woman’s ovary will grow and develop every month, but only one of them will become fully mature and released, while the rest will degrade and reabsorbed by the body. In COH, drugs are given to stimulate several eggs to become fully mature simultaneously.

A lead follicle should be at least 17 mm before you can have your hCG shot. This will induce the follicle to ovulate after 36 hours.

Follicles grow approximately 1 to 2 mm a day.

The vast majority of Clomid pregnancies occur during the first 4-5 ovulatory cycles. You should try at least 2-3 cycles of Clomid before moving on to IUI.

Once you have had two IUI cycles, you might consider moving to IVF because the chance of a successful IUI cycle is reduced after two cycles. In addition, if you have blocked tubes, then IUI will not help. Thus, you should proceed directly to IVF treatment.

Admission is not necessary for IVF cycle as both egg-pick-up and embryo transfer are outpatient procedures.

You can have the result two weeks after the treatment. This can be confirmed by raised serum beta-hCG as early as 10 days after IUI/embryo transfer or gestational sac by ultrasound 3 weeks after the procedure

The incidence of congenital malformations in IVF pregnancies ranges from 2% nation-wide. It is slightly higher than that of natural conceiving pregnancies. But the increased risk is attributable to maternal factors and not from any aspect of the IVF procedure as IVF mothers are older and produce poorer quality eggs.

The miscarriage rate is higher in ART pregnancy compared to natural pregnancy. In ART pregnancy, the miscarriage rate is about 20% while the natural pregnancy’s is 10%.

You may email your queries to inquiry@metro.com.my for assistance. 

The average length of IVF cycle from controlled ovarian stimulation until confirmation of pregnancy is 6 weeks.

You will need to pay us 8 to 15 visits for one cycle of IVF.

Yes, you can still get pregnant although your husband has no sperm (azoospermia). This can be achieved by surgical sperm retrieval (MESA, PESA, TESE) if the cause of no sperm is caused by vas deferens (sperm tube) or sperm donation if the cause is primary azoospermia.

Yes, if you cannot produce eggs because of menopause or premature ovarian failure, you can still get pregnant through egg donation and IVF. The success rates of getting pregnant via egg donation are as good or even better than a normal IVF cycle.