Infertility Treatment Singapore

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Dr Kelly Loi
Dr Kelly Loi

Senior Consultant Obstetrician & Gynaecologist

Medical Director & Clinical Governance Officer (CGO) of Monash IVF Singapore

Medical Director of Health & Fertility Centre for Women

Infertility Treatment Singapore

Infertility affects both men and women and can make it difficult to conceive naturally. While many couples achieve pregnancy within a year of trying, some may require fertility assessment and treatment to identify underlying causes and improve their chances of conception.

What Is Infertility?

Infertility is generally defined as the inability to conceive after 12 months of regular, unprotected intercourse.

It can be classified as either primary infertility, where a pregnancy has never been achieved, or secondary infertility, where difficulty conceiving occurs after one or more previous pregnancies.

Infertility is a common reproductive health concern that can affect both men and women. Difficulties conceiving may arise from a range of male or female factors, and in some cases, no clear cause is identified despite comprehensive testing. This is known as unexplained infertility.

When Should You Seek Help for Infertility?

Fertility naturally declines with age, particularly for women. As the quantity and quality of eggs decrease over time, conception may become more challenging and the likelihood of requiring fertility treatment may increase. Seeking medical advice early can help identify potential fertility issues and provide greater clarity on the available treatment options.

You may wish to consult a fertility specialist if:

  • You are under the age of 35 and have been trying to conceive for 12 months without success
  • You are aged 35 or above and have been trying to conceive for 6 months without success
  • You have irregular, infrequent, or absent menstrual periods
  • You have been diagnosed with conditions such as polycystic ovary syndrome (PCOS) or endometriosis
  • You have experienced recurrent pregnancy loss
  • You have undergone previous pelvic surgery or treatment that may affect fertility
  • Your partner has known fertility concerns, such as abnormal semen analysis results

Early fertility assessment can help identify underlying causes and guide appropriate treatment options based on your individual circumstances.

— Schedule a Consultation at 6235 5066

What Are Common Causes of Infertility?

A combination of male and female factors is often involved in infertility. Identifying the underlying cause helps determine the most appropriate treatment approach.

Female Factors

Female infertility may be caused by conditions that affect ovulation, fertilisation, or implantation. Common causes include:

Male Factors

Male infertility is often related to issues affecting sperm production, function, or delivery. Common causes include:

  • Low sperm count
  • Poor sperm motility (movement)
  • Abnormal sperm morphology (shape)
  • Hormonal imbalances that affect sperm production
  • Lifestyle or environmental factors that may impact sperm quality

Unexplained Infertility

In some cases, fertility investigations do not identify a clear cause despite normal test results for both partners. This is known as unexplained infertility. Even without an identifiable cause, fertility treatment options may still be available based on individual circumstances.

How Is Infertility Diagnosed?

Diagnosing infertility typically involves a review of your medical and reproductive history, followed by investigations to identify factors that may be affecting conception.

Fertility Tests for Women

Depending on your symptoms, medical history, and fertility goals, your fertility specialist may recommend one or more tests, including:

  • Hormone tests to assess ovulation and reproductive hormone levels
  • Pelvic ultrasound to evaluate the uterus and ovaries
  • Ovarian reserve testing to estimate egg quantity
  • Hysterosalpingography (HSG), a radiological dye test used to assess whether the fallopian tubes are open
  • Hydrotubation, which may be performed during minimally invasive laparoscopic surgery to assess tubal patency
  • Hysteroscopy to examine the uterine cavity and identify abnormalities such as polyps—which may be removed if found—that may affect fertility

Fertility Tests for Men

Male fertility assessment may involve one or more tests, including:

  • Semen analysis to evaluate sperm count, motility, and morphology
  • Hormone testing where indicated based on medical history and initial test results

Fertility testing can provide valuable insights into your reproductive health and help determine the most appropriate treatment options based on your individual circumstances.

— Schedule a Consultation at 6235 5066

What Are the Treatment Options for Infertility?

Infertility treatment is tailored to the underlying cause, age, fertility goals, and overall health of each individual or couple. Depending on the findings from your fertility assessment, treatment options may include:

Lifestyle Optimisation and Timed Intercourse

  • Achieving and maintaining a healthy weight
  • Improving dietary and lifestyle habits
  • Managing stress
  • Timing intercourse to coincide with the fertile window

Ovulation Induction and Fertility Medications

  • Medications to stimulate ovulation
  • Treatments to address hormonal imbalances that may affect fertility

Minimally Invasive Surgery

Surgical treatment for conditions such as endometriosis, fibroids, ovarian cysts, or blocked fallopian tubes

Intrauterine Insemination (IUI)

Intrauterine insemination (IUI) is a procedure that places prepared sperm directly into the uterus around the time of ovulation to increase the chances of fertilisation

In-Vitro Fertilisation (IVF)

In-vitro fertilisation (IVF) is a treatment that involves fertilising eggs with sperm in a laboratory before transferring an embryo into the uterus

Why Early Fertility Assessment Matters

Fertility challenges can arise from a variety of factors, some of which may become more difficult to manage over time. Seeking early assessment can help identify potential issues, provide greater clarity on your reproductive health, and allow appropriate treatment options to be considered sooner.

Even when no obvious symptoms are present, a fertility evaluation may uncover underlying factors affecting conception. Early diagnosis can also help individuals and couples make informed decisions about their fertility care and family planning goals.

Tailored Fertility Treatments with Dr Kelly Loi

Infertility can affect both men and women and may arise from a variety of factors, including ovulation disorders, reproductive health conditions, sperm-related issues, or age-related changes in fertility. Identifying the underlying cause through appropriate assessment is an important step towards understanding your treatment options and planning your fertility journey.

At Health & Fertility Centre for Women, fertility care is tailored to each individual's circumstances, reproductive health, and family planning goals. Following a comprehensive fertility assessment, treatment recommendations are personalised based on the underlying factors affecting conception.

As a senior consultant obstetrician and gynaecologist, Dr Kelly Loi has extensive experience in the evaluation and management of infertility, including assisted reproductive treatments such as Intrauterine Insemination (IUI) and In-Vitro Fertilisation (IVF).

If you have been trying to conceive without success or have concerns about your fertility, schedule a consultation and discuss the next steps for your fertility care with us today.

FAQs on Infertility

In Singapore, approximately 1 in 6 couples are affected by infertility. Of these cases, around 39% are due to female infertility factors and around 26% are due to male infertility factors. Finally, in the remaining of these cases, both the male and female have factors that contribute to infertility issues.

Dr Kelly Loi

Dr Kelly Loi

Medical Director

BMBCh (Oxford), FRCOG (UK), FAMS (Singapore)

Dr Kelly Loi is the Medical Director of Health & Fertility Centre for Women and Monash IVF Singapore. She is known for her work in fertility and women’s health, with a focus on providing personalised and evidence-based care for women at different stages of their reproductive journey.

Dr Loi's clinical interests include fertility, gynaecology, obstetrics, as well as minimally invasive laparoscopic and hysteroscopic surgery. She supports women through a wide range of reproductive and gynaecological concerns, including fertility challenges, IVF treatment, pregnancy care and complex women’s health conditions.

She has also completed clinical attachments at internationally recognised institutions including Johns Hopkins Hospital and Massachusetts General Hospital, Harvard Medical School, further deepening her experience in fertility care and reproductive medicine.

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