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What is IVF?
IVF (In Vitro Fertilisation) is a widely used fertility treatment where eggs are retrieved from the woman's ovaries, fertilised with sperm in a laboratory, and resulting embryos are then transferred back into the woman's uterus. It is a complex and highly effective assisted reproductive technology that can help individuals or couples overcome various fertility issues.
What are the success rates of IVF in Singapore?
The success rates of IVF in Singapore depend on the age of the woman, the quality of the embryos, and any underlying fertility issues. Younger women have higher success rates.
For women under 35, the success rate is around 40-50% per cycle, while for women over 40, it drops to about 10-15%.
How do I qualify for IVF in Singapore?
IVF is recommended for individuals or couples in Singapore who face challenges such as blocked fallopian tubes, low sperm count or quality, endometriosis, or unexplained infertility. It can also be an option for individuals or couples who have undergone other fertility treatments without success.
Couples interested in IVF must meet the following criteria by the Ministry of Health (MOH).
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Marital status: The couple must be legally married.
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Previous IVF Cycles: Public hospitals generally allow up to three fresh and three frozen cycles under government subsidies, while private clinics may have different policies.
Health conditions: Both partners should be free of any medical conditions that would make IVF unsafe or ineffective.
How much does IVF cost in Singapore?
The cost of IVF in Singapore depends on whether it’s done at a public or private clinic and the specific treatments required. On average, a single IVF cycle can range from SGD 10,000 to SGD 15,000 at a public hospital, including medication, while private clinics may charge between SGD 20,000 to SGD 30,000 or more.
Government subsidies are available at public hospitals for eligible couples, and Medisave can be used to offset some costs. Additionally, insurance coverage for IVF may be limited, so it’s advisable to check with your provider.
What are the legal and ethical considerations of IVF?
The Ministry of Health regulates IVF in Singapore to ensure ethical practices. Some legal and ethical considerations include:
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Embryo storage: Embryos can be stored for up to 10 years, with an extension possible upon request.
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Donor eggs and sperm: In Singapore, the use of donor eggs and sperm is allowed, but it must be purely altruistic. Donors cannot be paid for their gametes, and strict guidelines ensure both anonymity and informed consent.
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Surrogacy: Commercial surrogacy is prohibited in Singapore.
Embryo disposal: Embryos that are not used or stored must be disposed of ethically, respecting the rights of all parties involved.
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What happens during an IVF cycle?
The IVF procedure typically involves several steps.
Ovarian Stimulation
First, the woman undergoes ovarian stimulation with medication to produce multiple eggs.
Egg Retrieval
The eggs are then retrieved by the doctor through a minor surgical procedure. Meanwhile, the male partner provides a semen sample or donor sperm for fertilisation.
Fertilisation and embryo culture
In the laboratory, the eggs and sperm are combined to allow fertilisation to occur. The fertilised eggs (embryos) are cultured in the lab for several days and monitored for development.
Embryo transfer
The best-quality embryos are selected and transferred to the woman’s uterus. Any additional viable embryos can be cryopreserved for future use.
Luteal phase support
After the transfer, the woman takes hormonal medications, such as progesterone, to support the uterine lining and improve the chances of implantation. She may undergo a period of rest and then return for a follow-up appointment to monitor the success of the procedure through blood tests or ultrasound examinations. Successful implantation of the embryo(s) may result in a pregnancy.
It is important to note that the specifics of the IVF procedure can vary depending on individual circumstances and the protocols used by fertility clinics. Healthcare providers work closely with individuals or couples undergoing IVF to tailor the treatment plan to their specific needs and maximise the chances of achieving a successful pregnancy.
Lifestyle changes with IVF
Before and during IVF, lifestyle optimisation can improve success rates and ensure a healthier pregnancy.
What lifestyle changes should I make before and during IVF?
Focus on your nutrition. Eating a nutrient-rich diet can support your reproductive health. Next, avoid harmful substances like smoking, alcohol, and recreational drugs, as these can negatively affect fertility and pregnancy outcomes. Lastly, incorporate stress-relief techniques to help you maintain emotional well-being throughout your journey.
Can I work during the IVF process?
Yes, many women continue to work during IVF, but it’s essential to manage stress levels and avoid physically demanding tasks, especially after embryo transfer.
Can I exercise during the IVF process?​
Light to moderate exercise is safe and can be beneficial. However, high-impact activities or vigorous exercise should be avoided during ovarian stimulation and after embryo transfer to reduce the chances of ovarian torsion and ensure proper implantation.
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What are the long-term effects of IVF on the child?
Research indicates that children conceived through IVF generally have health outcomes similar to those conceived naturally. However, some studies suggest a slightly higher risk of certain congenital abnormalities. Discuss any concerns with your IVF specialist to thoroughly understand the risks and benefits.
Our IVF doctor
Dr Daniel Koh
Obstetrician & Gynaecologist
BMBS (AUS), M.MED (O&G, SG), MRCOG (UK), FAMS (SG)
Dr Daniel Koh is an obstetrician and gynaecologist at Gleneagles Hospital in Singapore, specialising in IVF and fertility treatments. With dual subspecialty training in reproductive medicine and maternal-foetal medicine, Dr Koh is an MOH-accredited fertility specialist who has successfully helped many couples achieve their dream of parenthood through in vitro fertilisation (IVF) and other assisted reproductive techniques.
His extensive experience in IVF allows him to provide optimal guidance and care throughout the entire fertility journey, from initial consultation to successful pregnancy. Dr Koh is dedicated to helping patients navigate their fertility options with confidence and care.
He completed his medical education at Flinders Medical School and has won multiple awards for his exemplary performance and genuine care for his patients.
Our IVF clinic
IVF is a promising option for many couples in Singapore who are struggling with fertility issues. Understanding the process and other considerations can help you prepare for this journey toward parenthood.
We specialise in reproductive and maternal-foetal medicine at Daniel Koh Clinic. As an accredited fertility specialist, Dr Koh assists couples struggling with infertility using procedures like IUI and IVF, helping them fulfil their dreams of starting a family.
With his expertise in managing high-risk and complicated pregnancies, we provide comprehensive care for expectant mothers, ensuring their well-being throughout their journey.
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How do I check my fertility?To check your fertility, schedule an appointment with a fertility specialist. Our clinic conducts screening tests and ultrasound scans to evaluate ovarian reserve and overall reproductive health.
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How do you prepare your body for egg freezing?Prepare your body for egg freezing by practising a healthy lifestyle. Incorporate a balanced diet, regular exercise, and optimal body weight. Supplements to support fertility are advisable. Additionally, it would help if you also managed any pre-existing medical conditions.
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Am I eligible for egg freezing in Singapore?Women aged 21 to 37 are eligible for egg freezing in Singapore. Eligibility also depends on your medical history and overall health.
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How much does egg freezing cost in Singapore?The cost of egg freezing in Singapore varies depending on the clinic and the number of cycles required. Poor response to an egg freezing cycle may require additional cycles, increasing the total cost.
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What are alternatives to egg freezing?Alternatives to egg freezing include in vitro fertilisation (IVF) at a later age or adoption, which offers the opportunity to build a family without fertility treatments.
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Is egg freezing legal in Singapore?Yes, egg freezing is legal in Singapore.
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What is the age limit for egg freezing?The age limit for egg freezing in Singapore is 37. For women over 37, eligibility is typically assessed on a case-by-case basis.
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Does Medisave cover egg freezing?Medisave does not cover egg freezing for non-medical reasons in Singapore.
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What is the best age to freeze your eggs?The best age to freeze your eggs is between 21 and 37. Younger eggs are generally healthier and more viable.
Frequently Asked Questions
