12 Doctors

IVF in Malaysia

12 Doctors
Cost  |  Success rates  |  Egg donation  |  Age limit  |  Doctors If you’re looking for the best doctors for IVF in Malaysia, you’ll notice that some of the experts mentioned above have experience of over 40 years in the field and have set up some of the most successful IVF clinics in the world.However, before you sign up for fertility treatments, you must consider the clinic’s location, overall standards, cost of in vitro fertilization, doctor’s availability, staff behavior, among other factors, as every clinic has their own strengths and you must find the expert that is right for you. What is the cost of IVF in Malaysia? While the cheapest IVF in Malaysia costs only RM 9,000, the prices at higher end clinics go upto RM 30,000.Below is the range of the average IVF fee:IVF – ICSI RM 9,900 – RM 30,000IVF + Genetic testing RM 30,000 RM 30,000 – RM 45,000Egg freezing RM 15,000 – RM 21,000Donor egg IVF RM 22,000 – RM 31,000 + donor feeDonor sperm IVF RM 22,000 – RM 31,000 + donor feeIVF with surgical sperm extraction RM 20,000 – RM38,000Intra-uterine insemination RM1,000 – RM3,000IVF cost is always influenced by your individual factors, such as the medication required, number of eggs and embryos, additional services, and any extra testing, if required. What is the success rate of IVF in Malaysia? The best IVF clinics in Malaysia report success rates of upto 82% in IVF, which are among the highest in the world. Ofcourse, your age, gamete quality, overall health will always be responsible for your own IVF success and you must find the doctor you feel most comfortable with. Is donor egg IVF in Malaysia legal? Yes, IVF with donor eggs is allowed and very well regulated in Malaysia. The process involves thorough testing, counselling, and examination of all parties. What is the age limit for IVF in Malaysia? There is no age restriction for IVF, but some of the best fertility clinics in Kuala Lumpur will allow women upto 53 years or menopause, whichever comes first. Donor eggs and donor embryos are recommended for women over 45 years, but it really depends upon your personal factors. Can unmarried woman do IVF in Malaysia? No, the Malaysian IVF law requires you to be married to be eligible for IVF and Malaysian fertility clinics may require both partners to commence the treatment. As a single woman, you can have your eggs frozen and plan for IVF in future. The Cryotec method of egg vitrification is the most advanced in the world that allows the doctors to achieve close to 100% freeze-thaw survival of eggs and embryos.Doctors for IVF in Malaysia
4 Doctors

IVF in Mexico

4 Doctors
Cost  |  Safety  | Doctors Planning for IVF in Mexico can be the safe, smooth experience you want it to be if you find the right clinic and doctor that you feel comfortable. The first step is to have your fertility tests done, set up a consultation with the doctor, and then figure out your options.You’ll find some of the best fertility clinics in Tijuana, Cancun or Puerto Vallarta are run by highly qualified doctors, and offer world-class fertility services at a fraction of the cost. How much does IVF cost in Mexico? The lower cost of in vitro fertilization in Mexico is a major draw for most people, and rightly so.IVF – ICSI $5,000 – $8,200IVF + Genetic testing RM 30,000 $9,000  – $12,500Egg freezing $3,500 – $5,000Donor egg IVF $6,500 – $11,500Donor sperm IVF $6,000 – $10,000IVF with surgical sperm extraction $6,500 – $8,500Intra-uterine insemination $700 – $1,500Surrogacy Please enquireThe cost also varies with your individual preferences and any extra services you choose to opt for – hysteroscopy, embryo glue, embryoscope, etc. Normally the clinics offer a pay as you go plan that allows you to customize the plan to your own needs. Many clinics also offer packages for IVF Mexico with fixed prices. Is IVF in Mexico safe? Besides the local population, IVF clinics in Mexico also serve a large number of American and Canadian patients every year and majority of our clients reported that they felt secure and cared-for by their Mexican doctors. If you have any concerns, you can start by comparing your options and requesting an online consultation with your preferred doctor. Reading reviews and hearing from patients who’ve been there before, also helps.Doctors for IVF in Mexico
7 Doctors

IVF in Thailand

7 Doctors
Cost  |  Donor eggs  |  Legal guidelines  |  Doctors The growing number of IVF clinics in Thailand is a testament to the country’s standing in artificial reproductive technology. This British couple, after failing four IVF cycles in the UK over 14 years, decided to get IVF in Thailand in their one last try, and gladly returned with twins.Besides Thai nationals and the expats settled here, we regularly serve couples from Australia, New Zealand, China, Hong Kong, Japan, Canada, the UK, USA, and many other countries looking for infertility treatments in Thailand. What is the cost of IVF in Thailand? IVF costs depend upon the clinic you choose, doctor’s experience, standards of equipment and specialization and whether you choose any extra services such as genetic testing, embryoscope, hysteroscopy, embryo glue, etc.The average cost of IVF in some of the best IVF clinics in Thailand is as below:IVF – ICSI THB 199,990 – THB 350,000IVF + Genetic testing THB 350,000 – THB 620,000Egg freezing THB 190,000 ++IVF + surgical sperm extraction with PESA/TESE THB 250,000 – THB 390,000Intra-uterine insemination THB 30,000 – THB 72,000The cost of treatment is also decided by the amount of medication required in your individual case, the number of embryos you choose to freeze, and any extra testing, if required in your medical situation. Is donor egg IVF allowed in Thailand? No, IVF with commercial donor eggs was banned by the Government of Thailand and registered clinics do not offer this service.If, however, you have a donor in your family that qualifies according to their laws, your Thai fertility clinic may arrange to get permission from the ethics committee for donor egg IVF. What are the legal guidelines for fertility treatments in Thailand? The following are not legally allowed:Commercial surrogacy Commercial egg donor Commercial sperm donor IVF for single mothers or fathersMarried couples of any nationality need to bring their valid marriage certificates for IVF treatments in Thailand.Doctors for IVF in Thailand
2 Doctors

IVF in Denmark

2 Doctors
Cost  |  Age limit  |  Legal regulations  |  Doctors IVF in Denmark is available under the public health-care system for locals and at quite an affordable price for foreign patients. More than 25% of Danish couples have been estimated to suffer from infertility but a 2023 report finds that the interest in fertility treatment was quite low due to lack of awareness. There are a few fertility clinics in Denmark that have highly experienced doctors with over 30 years of international experience. How much does IVF cost in Denmark? The cost of IVF in Denmark starts around $3,150 or DKK 22,000. For Danish residents, IVF is free in Denmark. Public health services in the country cover upto 3 IVF cycles for all Danish residents. For people of other nationalities, the costs are as below:IVF – ICSI €3,500 – €4,800IVF + Genetic testing RM 30,000 €7,500 –  €8,800Egg freezing €2,000 – €2,800Donor egg IVF €6,700 – €8,500Donor sperm IVF €3,700 – €4,500IVF with surgical sperm extraction €4,300 – €5,000Intra-uterine insemination €300 – €400If you opt for extra services like AHA (assisted hatching) with Saturn Laser, genetic testing, chromosome analysis, the package will be upgraded accordingly. What is the age limit for IVF in Denmark? While there is no upper age limit for men, women are allowed to get IVF only upto the age of 46 years. Women between the ages of 40 and 46 years can avail any fertility treatment at private clinic. The age limit to get IVF at any public fertility clinic in Denmark is 40 years for women. What are the legal regulations for IVF in Denmark? The regulations for Artificial Reproductive Technology in Denmark are quite liberal as below:IVF is allowed for heterosexual as well as homosexual couples IVF for single women is allowed Pre-genetic testing is allowed if it is medically indicated Embryos and eggs may be frozen for a maximum of five years ‘Parent suitability’ is must for any client You have the right to report any patient safety incidentDoctors for IVF in Denmark
3 Doctors

IVF in India

3 Doctors
Cost  |  Legal guidelines  |  Doctors The first IVF in India was performed successfully back in 1981, resulting in the birth of Durga, just three months after the world’s first IVF baby, Louise Brown, was born in Britain. In the four decades since then, thousands of babies have been born at numerous fertility clinics in India as more doctors cater to the growing demand of pregnancy via IVF. Some of the best IVF doctors in India are listed here; after you’ve considered the location, experience, reviews, and the exact specialization that you need, you can request an appointment and consult. How much does IVF cost in India? IVF prices in India are highly variable doctor’s expertise, the standard and location of the clinic, the technology and equipment they use, and overall success rates. The prices vary so much that lower end clinics may charge only around a third of what some of the top-end fertility clinics charge in India. So, you need to be careful and select the IVF clinic that meets your needs well. The costs of IVF treatments in India are in the below range:IVF – ICSI ₹120,000 – ₹350,000IVF + Genetic testing RM 30,000 ₹250,000 –  ₹450,000Egg freezing ₹100,000 – ₹250,00Donor egg IVF ₹170,000 – ₹450,000Donor sperm IVF ₹150,000 – ₹380,000IVF with surgical sperm extraction ₹200,000 – ₹400,000Intra-uterine insemination ₹4,500 – ₹15,000Surrogacy Only altruistic surrogacy within familyPre-implantation genetic testing (PGT) may be done for checking chromosomal abnormalities and genetic diseases but it is strictly prohibited for gender selection. Please do not enquire about any gender preference services, it is strictly illegal in India. What are the legal guidelines for Indian IVF clinics? The lack of proper regulation means that IVF laws in India are quite liberal, but you must note the below:Commercial surrogacy has been declared illegal by the government of India Gender selection is strictly illegal and a punishable offence If you need egg or sperm donors, they cannot be known individuals. The donor programs in India require complete anonymity of the donor.India is a huge country that offers some of the lowest costs of medical services but it also means you need to be very careful in selecting the right IVF clinic. Do not just go for the chepaest IVF service you find.Most people only take 1-2 chances at IVF and you must do your research to find best fertility clinic in India that meets your requirements and makes you feel comfortable and cared-for.Doctors for IVF in India
1 Doctors

IVF in Cyprus

1 Doctors
Cost  |  Age limit  |  Egg donation  |  Genetic testing  |  Doctors If you’re planning for IVF in Cyprus, you have a large number of choices in clinics, doctors, and services. There are numerous IVF clinics in both North and South Cyprus that cater to the island country’s population as well as the thousands of foreigners who come here for affordable fertility treatments. Some fertility experts in Cyprus have over 40 years of experience in the field and you can avail their expertise for your fertility problems. How much does IVF cost in Cyprus? The cost of IVF in Cyprus varies with the doctor’s expertise, clinic standards, and the facilities they offer. IVF prices in Cyprus are in the below range:IVF – ICSI €4,500 – €6,800IVF + Genetic testing RM 30,000 €7,000 –  €9,800Egg freezing €2,500 – €3,800Donor egg IVF €5,600 – €8,500Donor sperm IVF €4,700 – €5,500IVF with surgical sperm extraction €5,300 – €6,000Intra-uterine insemination €400 – €700Surrogacy Please enquireIf you opt for extra services like AHA (assisted hatching) with Saturn Laser, genetic testing, chromosome analysis, the package will be upgraded accordingly. What is the age limit for IVF in Cyprus? According to the Cyprus law, the age limit for IVF is 50 years for women. However, women over 50 and upto 53 years can apply to the Board of Medically Assisted Reproduction in the country and get special permission for IVF. Is surrogacy in Cyprus legal? Surrogacy in North Cyprus is legal and allowed for everyone. In South Cyprus, surrogacy is only allowed for local residents. Is egg donation IVF in Cyprus allowed? Donor egg IVF is legal and well-regulated in Cyprus. You can get a batch of frozen donor eggs or higher a donor for fresh eggs. Infact, some of the high-quality egg banks in Cyprus are accredited by:EU Tissues & Cells Directive The US FDA Health Canada HFEAThey allow you to take 2 to 10 eggs (depending upon your preference and budget) that are genetically tested for 302 recessive genes. Is genetic testing allowed in Cyprus? Yes, pre-implantation genetic testing (PGT) is allowed and it is now routinely used in IVF to find:Any abnormality in the number of chromosome sets Chromosomal translocation Single gene disordersDepending upon your requirement and genetic history, a proper genetic testing technique will be advised. For example, the 5 probe FISH method in minimalist and screens the X, Y, 13, 18, and 21 chromosomes, which are considered the most important.For specific genetic diseases, a different method, called PGT-M, can be employed. Discuss your requirements with your doctor and decide what’s best for you.Doctors for IVF in Cyprus

In vitro fertilization (IVF) is the process of fertilization of a woman’s egg with sperm, under controlled conditions in a special laboratory, resulting in the formation of embryos.

The resultant embryos are allowed to grow for 3-5 days and the best quality embryo is transferred back into your uterus.

IVF is the gold standard for couples who have problems conceiving naturally.

In vitro fertilization IVF

Cost of IVF

IVF is an expensive treatment, with no guarantee of success. The cost of IVF can vary greatly with the location and standard of your clinic.

The average general cost for one cycle of IVF could be around $20,000 if you are in the UK, US or Canada; around $6,000 – $8,000 in Europe, and $4,000 – $12,000 in Asian countries.

These costs include medications, but do not include additional service such as, embryo freezing, the use of donor eggs or genetic testing.

IVF success rates

Success rates in IVF are misleading as they are not suggestive of the individual factors that can influence IVF outcome in different patients.

Success in IVF depends on many different factors, which include:

  • Maternal age and quality of eggs
  • Quality of sperm
  • Uterine lining
  • General body health
  • Lifestyle factors

Instead of relying on general success rates, it’d be better to ask your IVF doctor for the chances of success in your specific situation.

Data shared by the US CDC for 2017 reveals that the average success rates for IVF (considering fresh and frozen embryo transfer) are:

  • 26.6% in women under 35
  • 27.5% in women between 35 and 37
  • 26.9% in women between 38 and 40
  • 25.5% in women over 40

However, this data based on age groups is not indicative of whether or not you can conceive with IVF. For any questions, consult with one of our trusted IVF experts.

Success in IVF

IVF risks and side effects

Medication side effect

Although the safety of fertility drugs has long been established, there are certain side effects that you may experience with these medications. Different women’s bodies react differently to these hormones. While some face bloating and dizziness, other women don’t feel anything. In case you feel anything out of the ordinary, let your doctor know immediately.

Ovarian hyper stimulation syndrome (OHSS)

This is a rare but serious complication of IVF. It occurs when the fertility medications cause too many follicles to be produced in the ovaries. This can occur if you are very sensitive to the medications and will usually develop a week after egg collection.
OHSS is more likely in patients of PCOS, so you have to be more careful if you have polycystic ovaries. Symptoms include:

  • bloating and discomfort in the abdomen
  • nausea and vomiting
  • shortness of breath
  • dizziness/fainting

You may require lower doses of fertility medication if this occurs; please consult your doctor.

Ectopic pregnancy

With IVF treatment, you may have a slightly increased risk of ectopic pregnancy—when the embryo implants somewhere outside of the womb. A simple ultrasound scan is done after your pregnancy is confirmed, to rule this out.

Multiple pregnancies

The risk of multiple pregnancies is increased if more than one embryo is transferred to the uterus. This carries additional risks to you and your baby, hence why the number of embryos transferred is carefully considered.

Who needs IVF?

IVF is usually recommended if you have been trying to conceive naturally for over a year, with no success. But if you are over the age of 35 years, you should approach the doctor if you haven’t been able to conceive, even after trying for six months.

However, IVF is not considered as a first line treatment for everyone and depending upon the cause of infertility, you may be offered other treatments that are less invasive and usually less expensive.

To determine whether or not you need IVF, the doctor will run a few tests—it is usually a semen analysis for the man and a list of fertility tests for the women, to check her ovulation status, ovarian reserve, uterine lining, etc.

Am I a candidate for IVF?

IVF can help you if you have:

  • Age-related infertility
  • Anovulation
  • Polycystic ovarian syndrome (PCOS)
  • Endometriosis or pelvic adhesions
  • Blocked fallopian tubes
  • Poor egg quality
  • Low AMH or poor ovarian reserve
  • Low sperm count
  • Poor sperm mobility
  • Unexplained infertility

Also, to be a suitable candidate for IVF, you should be in good health so you are able to carry a pregnancy, once it is established.

What’s the recommended age for IVF?

The age of a patient can influence how successful IVF treatment may be. A fertility study published by Fertility and Sterility in 2003, concluded that age is a more important factor for IVF success as compared to FSH levels and that increasing maternal age correlates with a reduced implantation and pregnancy success rate.

IVF over the age of 40 has lower chances of success as both egg quantity and egg quality have usually declined by then. For this reason, many fertility clinics have an age limit for performing IVF. This age limit varies depending on the clinic but it is usually around 50 years.

If you are in your 40s and have been found to have a low ovarian reserve, you may be offered IVF with donor eggs.

How is IVF performed?

If you are referred for IVF treatment, you will be prescribed either an Agonist treatment cycle or an Antagonist treatment cycle, which takes lesser time. An agonist cycle slowly down-regulates your hormones prior to starting the treatment. Whereas, with an antagonist cycle you will be injected with drugs starting on day 2 of your period, to stop the release of certain hormones.

Both treatment options have similar success rates. The Antagonist treatment cycle is usually offered in most cases.

A cycle of IVF is performed in distinct, key steps, as described below:

  1. At the start of your period: You will need to make an appointment to see your fertility doctor on day one or two of your period. Your doctor will be able to prescribe medications to stimulate a period if you do not have any or if they are irregular.
  2. Suppression of your hormones: Agonist cycle: At around day 21 of your cycle, your doctor will take a sample of blood from you and start you on a course of drugs to suppress your hormones. These drugs will be GnRH analogues, which suppress FSH (follicle stimulating hormone) and LH (luteinizing hormone) production and prevent premature ovulation. They will be prescribed to you for 12-28 days in the form of either an injection, pills, or a nasal spray. You will probably be able to administer your own injections at home. This treatment will temporarily make your ovaries dormant, so that they do not release eggs. This is necessary to prepare your body for the stimulation of ovulation. Be aware: The timings of these treatments may be changed by your doctor, in order to optimize your treatment based on how your body responds. Side Effects of GnRH analogues: Some women report that they experience headaches, hot flushes, night sweats and mood swings when taking these drugs. For the antagonist cycle, you will start from the next stage of treatment.
  3. Ovarian stimulation: A course of FSH injections will be prescribed to you over 5-12 days to stimulate the ovaries to make multiple follicles and eggs. You will also continue with the GnRH analogue during this time, unless otherwise advised. Antagonist cycle: If the GnRH analogue drugs are not needed, you may be prescribed an LH antagonist, after stimulation has started, to prevent ovulation.The doctor will perform an ultrasound after 5 days of stimulation, to check for follicular number and growth and the lining of your uterus. Follicle size: A mature follicle, in which an egg will grow, measures 18-30mm. It is normal to see 10-12 follicles, although this can vary. At least 3-4 mature follicles are needed for egg collection. Uterus lining: The uterus lining needs to be at least 7mm for a healthy transfer.The doctor may also take a blood sample to carry out some checks on your hormone levels, including progesterone and estrogen levels. Side effects of FSH drugs:Some women report bloating and discomfort as the eggs mature.
  4. Trigger injection: Once the follicles have reached the appropriate size, the doctor will prescribe you a HCG (human chorionic gonadotrophin) injection. This causes the eggs to mature and loosen their attachment to the follicle, to enable collection.All other drugs are stopped at this point.You will normally then wait 34-38 hours before egg retrieval.
  5. Egg retrieval: You will be sedated for egg retrieval, also known as ovum pick-up (OPU). A small, hollow needle will be passed through the vagina and into the ovaries where the eggs will be collected, using an ultrasound to locate them. As many eggs as possible will be collected and stored in an incubator until fertilization. This procedure normally takes around 30 minutes. Side effects:Following this procedure, you may experience some mild period-like pains and a small amount of bleeding from the vagina.Following this you will be given some medication to help optimize the lining of your womb, ready for transfer of the embryo.Also, at this point, the sperm will be collected and prepared.
  6. Fertilization: The eggs and sperm will be combined in a dish and left for 16-20 hours under controlled conditions to enable fertilization. The eggs will be checked the following day to determine if fertilization has occurred.The ICSI protocol may be used here in cases of poor sperm quantity or quality to optimize results.
  7. Embryo culture: Successfully fertilized eggs are assessed 2-3 days later for growth and quality. Doctors can transfer the zygotes at this stage or wait until day 5, when they reach blastocyst stage. Transferring blastocyst is associated with higher chances of success.At this stage the embryos may be frozen (if they are good quality) and genetic testing can be carried out if required, and if you have signed up for PGD and PGS testing.
  8. Embryo transfer: The best quality embryos will be picked by the doctor for transfer to the uterus.This procedure does not require sedation. It is similar to a smear test and may cause slight discomfort during the procedure.After this, the embryos are left to implant into the uterus wall, which can take anywhere between 1-10 days.You may be advised to follow some simple guidelines to improve the chance of successful implantation, for example:
    • Avoid long baths
    • No sex for 2 weeks
    • Limit activity for the day of transfer and take it easy for a few days afterwards
    • Take recommended pregnancy vitamin supplements and eat a balanced diet

Read the step-by-step details of IVF procedure, so you know what to expect before starting going to the doctor’s office.

How many embryos should be transferred in IVF?

Whilst transferring more than one embryo can increase the pregnancy rate with IVF, it can also increase the chances of a multiple pregnancy. Multiple pregnancies carry additional risks.

The main goal of IVF treatment is to provide you with a single, healthy baby.

However, each case is different and your doctors will look at your age and health to weigh up the risks and benefits for multiple embryo transfer.

Research has shown that older women may benefit from transferring two embryos instead of one, as the benefits outweigh the risks. Discuss in detail with your doctor to decide how many embryos to transfer in your IVF cycle, given your unique situation.

Transferring three or more embryos is usually not recommended as it could cause complications.

What happens to leftover embryos after IVF?

There are a number of options available to couples, including:

  1. Storing for future useIf you believe that you will want to expand your family in the future and infertility may still be an issue, you may opt to store your frozen embryos for use in the future.
  2. Embryo donationYou may wish to donate your embryos to other couple who are struggling with infertility. This is a very personal choice and it is important to think this through fully first.
  3. Donate embryos to medical researchEmbryos can be used not only to better understand and to improve fertility treatments, but also to understand genetic conditions. This could make a vital contribution to medical understanding and treatment.
  4. Dispose embryosAgain, this is a decision that should be well thought through, but should you wish to, your fertility clinic can organize for the appropriate disposal of the leftover embryos.

What if my IVF fails?

Most patients as themselves “what if my IVF fails?”. This is a possibility that needs to be considered, as pregnancy in IVF is not guaranteed and infact, success rates in IVF are rather low. There are several options that may be considered if this happens:

  1. Try further cycles of IVFThere could be several reasons for failure of IVF, and if your doctor is able to figure out a certain cause in your case, it may be addressed in subsequent cycles. Preimplantation genetic testing may also be a viable option in future cycles, as it has been proven that PGS improves IVF success.
  2. SurrogacySome couples feel that they are unable to go through the process of IVF again as it poses risk to the health of the mother. Also, if your IVF failure was due to implantation failure, you may need to hire a surrogate.
  3. Consider donor eggsPoor egg quality is the main reason for IVF failure in majority of the cases; healthier eggs from a donor may be recommended (especially if you are over 35 years of age)
  4. AdoptionThis is a very personal decision but worth considering if your doctor tells you that your chances of conceiving are very low. You may also consider this if several cycles have failed, as the emotional and financial burden can be overwhelming.


IVF failure is something that needs to be discussed carefully and patiently, both with your partner and with your medical team.

IVF involves a large commitment of time and money; it affects your physical health and may cause an emotional upheaval. It is important for you to learn as much as possible about the procedure, before deciding to undergo IVF.

Hopefully this information has answered a lot of your questions regarding IVF. However, if you have any further questions about the process, please reach out to us and consult with one of our expert counselors or fertility doctors.

References:

SART National Summary report: https://www.sartcorsonline.com/rptCSR_PublicMultYear.aspx

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