How does age impact fertility?
As women age, the quantity and quality of eggs start to decline and your best chances of conceiving are before age 35. By the time you reach 40, your chances of natural pregnancy will diminish significantly and IVF success rates won’t be as high as they are for younger women.
Our overall success rate is around 65–80%. However, individual success rates can be estimated from factors such as medical and personal history, age, ovarian reserve, and semen quality.
In vitro fertilization (IVF) is a process where eggs are surgically removed from a woman’s ovaries and mixed with her partner’s sperm in the lab to produce embryos. These embryos are then implanted into the woman’s uterus.
The first IVF baby was born in 1978. Overall, there is no increased risk of physical, mental, and psychological abnormalities for babies born from IVF compared with babies born from natural conception.
The IVF process usually takes around 15 days. After your period ends, we will apply fertility medications daily for around 8–10 days. The egg retrieval procedure will begin two days later. We recommend you rest for at least one day after the operation.
You can make an appointment with our fertility doctor at your convenience. Normally, the IVF program can be started immediately after consultation.
According to Thai laws and regulations, we require your and your partner’s passports and marriage certificate.
We recommend you make an appointment from our website or contact our staff at +66-2-494-8320 to check availability.
In the egg retrieval procedure, you will be put under local anesthesia for 10–20 minutes, so there will be no pain. After the operation, some patients may feel a slight discomfort in the pelvic area, which can be relieved by over-the-counter painkillers.
Transferring chromosomally normal embryos enables us to avoid delivering babies with Down syndrome or other congenital abnormalities. Miscarriage rates can also be reduced from 15–30% in non-PGS cases to 5–7% in PGS cases.
One or two embryos can be transferred in each cycle to avoid multiple pregnancy, which may be harmful to both the mother and the babies.
There are no limits to the number of IVF cycles you can have. You can decide to stop or to continue IVF treatment according to your prognosis, budget, and availability.
The Royal Thai College of Obstetrics and Gynecology recommends that IVF treatment should be provided to women under 50 years of age.
After a failed attempt, you can usually repeat an IVF cycle after resting for at least one month.
There are many kinds of medicines and herbal products that can interfere with the IVF medicine, resulting in less than unexpected follicular growth and abnormal bleeding during the operation. It’s important to consult with our doctor to avoid adverse effects during treatment.
You may find intercourse uncomfortable when the ovaries are enlarged during the stimulation procedure. When it is time for an insemination or the production of sperm to be used in IVF, you will be advised to abstain from intercourse for 48 hours or more.
Low-impact exercise can be done during stimulation. We recommend avoiding exercise a few days before and after the egg retrieval procedure and embryo transfer.
It is perfectly fine to continue having acupuncture during your treatment cycle. In fact, some studies suggested that acupuncture may help patients feel better during IVF treatment and improve the outcome.
You can take vitamins and supplements that are recommended by our fertility specialist to improve egg/sperm quality.
You might not be ready for a baby right now, but you might decide on having one later. Freezing your eggs buys you time and can give you more choices in the future.
Eggs/embryos/sperm can be frozen for up to 10 years without any impairment of their quality.