Stages in Fertility Treatment

Treatment Stages

Below is a guide to what you can expect throughout your journey at Thomson Fertility Centre:


1. Preliminary evaluation and ovulation induction

The first step if there is no pregnancy after the recommended time limit is to see your gynaecologist. Some preliminary tests will be done, such as blood tests, ultrasound scans, and a sperm analysis.

A course of fertility tablets will be prescribed to ensure that you ovulate. If a pregnancy still does not occur within six months, a further continuation of medication is unlikely to result in pregnancy.


2. A physical check

The next step to consider would be to check the fallopian tubes. These days, it is recommended that this be done through “keyhole” surgery, or laparoscopy, which involves inserting a small telescope into the abdomen through the navel. This has the advantage of checking if the internal organs are normal and healthy; whether the tubes are blocked; and if the ovaries are close to the “mouth” of the tube.


3. Superovulation and Artificial Insemination

Superovulation and Artificial Insemination (SO-AI) is the second phase of treatment. This involves daily injections to boost your natural hormones. This has the aim of inducing the growth of up to three eggs.

At the time of ovulation, your partner’s prepared sperm will be put into your womb in a simple and painless procedure.  


4. Simplified In-Vitro Fertilisation

In-Vitro Fertilisation (IVF) -- more commonly called the “test tube baby programme” -- is the next step if SO-AI fails. IVF is the preferred treatment if the fallopian tubes are blocked or when there is insufficient sperm for SO-AI.

Simply put, IVF involves extracting eggs from the body and mixing them with sperm in the laboratory. These fertilised eggs, called embryos, are then placed in the womb. At most other centres, IVF requires frequent ultrasound scans and blood tests. In all, one can expect about 15 visits to the clinic. furthermore, a period of hospitalisation may be required afterward.


At Thomson Fertility Centre, however, a simplified IVF does away with almost all the blood tests. The number of injections are reduced to a minimum – an average of 15 injections over one month are required in comparison to 70 injections in other IVF centres. This allows the number of visits to be reduced to about eight in total, and hospitalisation is rarely required.  Despite being much simpler and more convenient for you, there is no compromise to safety, while your chances of becoming pregnant are still as high.