[LIFE & STYLE PODCAST] Infertility & IVF: The Journey, The Science, The Hope

Sinar Daily

[LIFE & STYLE PODCAST] Infertility & IVF: The Journey, The Science, The Hope  Did you know one in six people struggle with infertility, but hardly anyone talks about it?   In this episode of the Life & Style Podcast, we’re breaking the silence with Dr Natasha Ain Mohd Nor, a fertility expert who has walked this path herself.  From IUI and IVF to egg freezing and lifestyle tips, Dr Natasha spills the facts, busts the myths and gets real about how age, stress and modern living impact our chances of conceiving, especially in today’s Malaysian society.  Watch it now on our website www.sinardaily.my,  YouTube and Facebook and don’t forget to like, share and subscribe for more powerful stories and real talk!  #Infertility #IVFMalaysia #FertilityAwareness #DrNatashaAin #SinarDaily #LifeStylePodcast #IVFJourney  -------------------------------------------------  Be sure to join us at the Siang Malam Karangkraf Carnival – where the fun never stops!  🗓️ July 25–27 🕘 9am – 12 midnight 📍 Dataran Karangkraf, Seksyen 15, Shah Alam

Transcript

00:00:00Hi, Assalamualaikum and a very good afternoon to all our Sina Delis Life and Style Podcast viewers.

00:00:06Welcome back with me, I'm Dr Nurhamiza Zoukifri, will be your host and your moderator for the session today.

00:00:12So the topic today is infertility, in vitro fertilization, the journey, the science, the hope.

00:00:20So the reason why we choose the topic infertility is because this is to celebrate in conjunction

00:00:26of the World Infertility Awareness Month, which we celebrate in the whole month of June.

00:00:32So going to the statistics, globally we know that one of six people, approximately about 17.5%

00:00:40of the adults, are experiencing infertility affecting both men and women across the country

00:00:46and also all the region and income levels as well.

00:00:50Female infertility is a significant contributor, particularly concentrated in medium to high

00:00:56socio-demographic index regions, including the east of Asia.

00:01:01And as we all know, worldwide, the number of the fertility rate is declining tremendously.

00:01:07And Malaysia also is one of the statistics.

00:01:10So infertility is more common than what we think of.

00:01:16But it's rarely being spoken about.

00:01:18And also it's rarely being, I mean, people, they usually they keep to themselves.

00:01:23So because of that, this is why we have our expert panel today, Dr. Natasha Ain Binti Muhammad Nur.

00:01:31She is a specialist in reproductive medicine as well as also an obstetric and gynecologist

00:01:36from KL Fertility Centre Damansara.

00:01:39So at the same time, she's just not only a fertility specialist.

00:01:43She's also, she was a patient who underwent, who undergone the infertility journey

00:01:50and had underwent multiple IVF procedures.

00:01:54Right, Dr. Natasha?

00:01:55Yes, that's correct.

00:01:56And Alhamdulillah, she had given birth to a pair of twins and they are now in their teens, 14 years old.

00:02:03Alhamdulillah.

00:02:04Okay, so in this session, we will try to unravel the fact, debunk all the myth as much as we can

00:02:11and also to walk through the emotional and medical journey of the patients.

00:02:17I mean, of how, I mean, the patient would be experiencing throughout the infertility journey

00:02:22and especially in today's Malaysian context.

00:02:26Whether you are planning to have a family, you are a part of the TTC, trying to conceive warrior and fighters,

00:02:34or you are also supporting your, maybe your loved ones, your friends,

00:02:38or you're just someone who's curious about fertility science.

00:02:41This is the podcast that you don't want to miss.

00:02:43Okay, so without any further ado, let's dive into the matter per se.

00:02:48So my first question to Dr. Natasha, can you explain the different types of infertility?

00:02:54Because we know we have male infertility, woman infertility.

00:02:57We also have the unexplained ones.

00:02:59It doesn't, I mean, it's not, neither man, neither woman is the cause of it.

00:03:04So, and how common each in your practice, I mean, each of the category?

00:03:08Because when we talk about infertility, common perception is,

00:03:12oh, it's always, they will always shift to see the woman is the problematic ones.

00:03:18But from your experience, could you just elaborate in terms of this, Dr. Natasha?

00:03:22Okay, so in terms of subfertility, we have a few causes.

00:03:27In general, we would divide the causes of subfertility.

00:03:3130% is due to female causes.

00:03:3430% and increasing, it's due to male causes.

00:03:39A combination of male and female, another 30%.

00:03:41And also unexplained, perhaps about 10%.

00:03:45So like you mentioned, lots of misconceptions.

00:03:48It's always the female issue.

00:03:50But I think more and more that we have issues from the male side.

00:03:54So when we are investigating for subfertility or infertility,

00:03:59we do emphasize that the male partner comes.

00:04:02And one of the things that we would want to investigate is doing a semen analysis

00:04:06to just make sure that there are no issues from the male side

00:04:10in terms of their sperm number, quality and their movement.

00:04:14Okay, so like you said, 30% are from the females.

00:04:1830% also nowadays is from the male.

00:04:20And increasing.

00:04:21And increasing.

00:04:22So bear in mind, it's not 70% female and 30% male or 0% male.

00:04:28So it's almost equal nowadays.

00:04:31So men also should come, like you said, during the fertility assessment

00:04:37to get their sperm check, right?

00:04:39Okay, so in Malaysia, since you have talked about the infertility,

00:04:45the percentage for men and women,

00:04:47so what are some of the most common causes and etiology of infertility

00:04:51that you have seen in today, I mean in Malaysia nowadays

00:04:55or in the recent past decade, I would say, over the years in Malaysia?

00:05:00For example, the lifestyle that we have going through,

00:05:03I mean nowadays, everything is always, we are always on the move,

00:05:07the stress and then obesity.

00:05:10I mean, malnourish or overnourish also is not, I mean, it's a problem, isn't it?

00:05:15So, and also late marriages, you can see nowadays, not just female,

00:05:20males also, they are going more towards married at the later ages.

00:05:26So does this also impact the fertility rates in Malaysia?

00:05:30So I think there's several causes, one of the more common things

00:05:34that I see would be, I think quite a lot of those

00:05:38who are under the fertility journey knows, it's called PCOS or PCOS.

00:05:43So this is a term to basically a condition where there is ovulation issues.

00:05:48The female does not ovulate and the reason for this is mainly due

00:05:52to hormone imbalance and one of the main reasons are due

00:05:56to actually being, have excessive weight, overweight or obese.

00:06:01Like you were mentioning, we are actually one of the,

00:06:04we are the king and queen of obesity in Southeast Asia

00:06:08and we have been remaining champion, reigning champion

00:06:11for the last six, seven years.

00:06:13Something that I hope to actually, you know, create awareness,

00:06:17public awareness that we do need to tackle this issue

00:06:19because it will affect across the board, not in terms of other medical illness,

00:06:24but also in terms of sub-fertility.

00:06:27It's very reversible.

00:06:28So something that we should address.

00:06:30So aside from the PCOS, also like you're right,

00:06:34there's a delay in, you know, setting down.

00:06:36Maybe perhaps get married earlier, but you know, things get,

00:06:39you know, things happen, you're working, you're trying to settle down.

00:06:42So there's not only a delay in marriage, a delay in actually starting a family.

00:06:48So both increases in age, you know, this would actually cause a reduction

00:06:53in egg quality, your egg number.

00:06:56Not only that, men always also have their own biological clock.

00:07:00So men also will have a decline in their sperm when they hit 35 to 45 years old.

00:07:06Apart from female, unfortunately, it's a gradual,

00:07:08but we start to have a reduced in decline, a gradual decline by late 20s.

00:07:14Late 20s, okay.

00:07:15Much, much earlier.

00:07:16Yeah.

00:07:16But a bit more prominent when we're perhaps about more than 35 years old.

00:07:20Okay.

00:07:21All right.

00:07:22So I guess Dr. Natasha already covered my next question

00:07:26because we were talking about the biological clock.

00:07:28So having said that, because normally we also think that the biological clock

00:07:33is for the females because they will reach their menopause age,

00:07:36whereas the men can produce sperm throughout their whole life journey, isn't it?

00:07:42But like what Dr. Natasha has mentioned,

00:07:44the sperm quality will reduce at the age of 30 to 35.

00:07:48I mean, around that age.

00:07:50But the females is much more earlier, at the age of 20.

00:07:55Unfortunately, females, the main difference is we do not reproduce any more eggs.

00:08:00Okay.

00:08:00Okay, we are born with all the eggs that we have,

00:08:02even though when we are in our mummy's tummy, right,

00:08:05we already are all million eggs.

00:08:07All females have had one to two million eggs within us.

00:08:11But as soon as we hit reproductive age,

00:08:14it drops down to 300,000 and declines with each month,

00:08:18despite us using or not.

00:08:20For males, yes, unfair or not being fair,

00:08:23they reproduce like, you know, daily, right?

00:08:26They reproduce daily.

00:08:27But when they get a bit older, the reproduction becomes less efficient.

00:08:31So they will produce perhaps more, less sperm or perhaps less quality sperm.

00:08:37Okay.

00:08:37And also for males, you know, even though they can have babies even the age of 80, right,

00:08:43but there are increasing studies to show that male partners who are older

00:08:49and having, trying to reproduce or having babies,

00:08:53there are increased risk of, you know, fetal abnormalities such as autistic.

00:08:59All right.

00:09:00And also mental disorders such as schizophrenia.

00:09:03Okay.

00:09:03And not only that, also there are increased risk for the female partner

00:09:08during their pregnancies, such as preeclampsia,

00:09:11which means severe high blood pressure, miscarriages.

00:09:14So male do play an important role.

00:09:17So we want to both have both partners conceive as much as possible at an earlier age

00:09:22because of all our biological changes.

00:09:25All right.

00:09:25So having said that regarding the biological clock,

00:09:29so that's where the next question would be.

00:09:32When is the right time for the couple to actually seek medical attention?

00:09:38Because like what Dr. Nasya mentioned,

00:09:40they might be, I mean, they are married early at the age of 20, 21, 22,

00:09:45but they decide to be because they are only 20,

00:09:47so they probably want to wait until a bit 28 or 29.

00:09:52So, but when is the time that they have to,

00:09:55it's like a ring a bell, there's a red flag sign,

00:09:57maybe after a year of trying to conceive,

00:09:59well, we call the infertility period,

00:10:02they can't conceive naturally.

00:10:04So when is the right time for them to actually embark in this infertility journey?

00:10:08Okay, I suppose we do have guidelines,

00:10:11but right time is different thing for different patients or couples.

00:10:15So if you feel you are at all concerned, you can go at any time.

00:10:20But the guideline is if you have regular cycle,

00:10:24you don't have any unknown conditions such as gynae conditions,

00:10:27such as endometriosis, PCOS, irregular period,

00:10:31then you can wait for at least a year if you're less than 35.

00:10:36If you're more than 35 years old for the female partner,

00:10:40it's best to seek help after you have regular cycle,

00:10:43regular, you know, trying to get conceived after six months.

00:10:46But like I say, it's a guideline.

00:10:48There is no reason if you feel you are concerned at any time

00:10:52to seek medical help, otherwise from any doctors,

00:10:56either from your GP, your gynae, or even straight to a fertility specialist,

00:11:00whenever you feel you have any concern at all regarding your fertility status.

00:11:06Oh, okay.

00:11:07So for example, if you have such as like gynecological issues,

00:11:11that your period is not regular,

00:11:12so you can actually seek earlier, I mean, like help from the...

00:11:16For sure.

00:11:17Yeah, for sure.

00:11:17Don't wait.

00:11:18I think one of the things I would like to, you know,

00:11:21emphasize for those who are trying to get pregnant,

00:11:24do not delay treatment, right?

00:11:26Being and trying to get pregnant at an earlier age,

00:11:29it's always, it's faster, it's easier and cheaper.

00:11:32Right.

00:11:33Yeah, and it's also safer because like Dr. Natasha said,

00:11:36as you get older, I mean, the risk for the baby,

00:11:41for the mother also will be increased

00:11:44in terms of the pregnancy-related complications, right?

00:11:46Yeah, for sure.

00:11:47Okay.

00:11:48So in Malaysia, is infertility considered, I mean, a taboo?

00:11:55I mean, you know, sometimes we always see in the dramas, in the TV,

00:11:58I mean, they have showed that whenever you have,

00:12:02the couple is unable to conceive,

00:12:06usually they try to hide it from the family,

00:12:09they don't open it up to, I mean, their loved ones,

00:12:12especially their close family.

00:12:14So what do you have to say in terms of this?

00:12:16How is the stigma affecting patients coming forward for help in Malaysia especially?

00:12:22I think previously we do have this issue in terms that it's a stigma,

00:12:26it's a taboo to speak regarding subfertility, you know,

00:12:30because, you know, nobody wants to be blamed for any subfertility issues.

00:12:35It can cause lots of marital disharmony.

00:12:38But I think with a lot of awareness, right,

00:12:42especially from, you know, well-known people, artists, right,

00:12:46where they open up and tell that they too face this problem

00:12:50because, you know, like you mentioned,

00:12:51one in six couples do face some form of subfertility.

00:12:54So it's not uncommon.

00:12:57A lot of patients think they are alone in this, you know,

00:13:00when a lot of people do suffer and since now we have social media,

00:13:04a lot of awareness are created.

00:13:06And I think this has break down the barrier in society

00:13:09to open up about things like subfertility.

00:13:13So a lot of people are, you know, being open that, you know,

00:13:16I conceived through IVF.

00:13:17So there's no issues in that.

00:13:19It's a natural, you know, I did conceive, you know,

00:13:24it still doesn't lessen me as a mother.

00:13:26It doesn't lessen me as, you know, delivering the child through,

00:13:30you know, even IVF or, you know, I had caesarean.

00:13:32It's nothing.

00:13:33So I think this is a great step forward for society to, you know,

00:13:38to reduce this taboo or stigma.

00:13:40So a lot of people will be more open to step forward

00:13:43to say that I do have some issues.

00:13:46I need help.

00:13:46Yeah.

00:13:47Because what I can see nowadays,

00:13:49even I have friends who are, I mean,

00:13:51having, who underwent IVF and also still struggling doing IVF.

00:13:57So sometimes they share with me in terms of from the Western,

00:14:01from the Instagrams and also TikToks,

00:14:04because how it's so open in the Western countries,

00:14:07they even show their daily injections,

00:14:09even if it's not,

00:14:10because sometimes we are afraid to show,

00:14:13I mean, the vulnerability of we're doing IVF

00:14:15because in case that it doesn't,

00:14:17it doesn't, you know, be a success.

00:14:20But actually it's not something that we should be ashamed

00:14:23or be, you know, like shy.

00:14:25Isn't it, Dr. Natasha?

00:14:26I think you can be open.

00:14:28Depends on certain people, right?

00:14:30I think it's good that you are open in terms of,

00:14:32you know, sharing.

00:14:34But if it's going to backfire,

00:14:36like sharing too much sometimes can backfire

00:14:38because it creates a bit of unnecessary stress for the couple.

00:14:42So I think it depends on the couple itself.

00:14:44If they feel comfortable about sharing, that's good.

00:14:48But if you don't feel comfortable,

00:14:49especially like you say it's stressed,

00:14:50whether it works or not,

00:14:52then maybe perhaps, you know,

00:14:53you would probably keep it first and later share later.

00:14:56So it depends on the individual.

00:14:59But I mean by them sharing,

00:15:00you know, it opened eyes and, you know,

00:15:03by sharing the experiences,

00:15:04other couples can learn

00:15:06and perhaps, you know,

00:15:07then go through the, you know,

00:15:09fertility or IVF procedure a bit more,

00:15:11you know, well-informed.

00:15:13And, you know,

00:15:13but I suppose don't scare yourself too much

00:15:16because whatever other people are going through

00:15:18may not be what you will be going through.

00:15:21So be open-minded.

00:15:24Keep positive.

00:15:25Don't, like, you know,

00:15:26be too negative about certain things

00:15:28because, you know,

00:15:29a lot of my patients go,

00:15:30oh, but I heard that, you know,

00:15:31a lot of people don't get pregnant the first time.

00:15:33Like, I got pregnant the first time.

00:15:35So, like, you know,

00:15:36so you don't compare yourself too much.

00:15:38I mean, they do share during the social media,

00:15:41oh, how many I've got,

00:15:42what grade you have

00:15:43and things like that.

00:15:44but I think sometimes

00:15:45it's not comparing between apple to apple.

00:15:49So you have to be prepared that,

00:15:51you know, anything,

00:15:52do ask your own doctor

00:15:53because sometimes what they do,

00:15:55they ask another doctor

00:15:56who probably don't know your actual background.

00:16:00So there are pros and cons

00:16:02for sharing on social media.

00:16:03But, yeah, like you said,

00:16:05lots of advantages.

00:16:06Also, we want to see some pitfalls

00:16:08sharing on social media.

00:16:10True.

00:16:10Because, like we always say,

00:16:12if you are ready to receive

00:16:14what would be the comments

00:16:16and the backfire,

00:16:17if you are ready for that,

00:16:18then, of course,

00:16:18you can share it on the social media.

00:16:20But, of course, I do,

00:16:21I mean, a lot of them

00:16:22also learn a lot from them.

00:16:24I mean, those who actually

00:16:25gone through a lot of cycles

00:16:26and because different cycle,

00:16:29I mean, different,

00:16:30every time you fail one procedure,

00:16:33you always have a different,

00:16:34I mean, the doctors

00:16:35will try to add on a different thing.

00:16:37So sometimes it's an eye-opener

00:16:39for those who are first-timer,

00:16:41you know,

00:16:41or maybe those who are here in Malaysia.

00:16:43And, yeah,

00:16:45so it's a very good thing

00:16:46for us to have all this

00:16:47TTC group support, right?

00:16:52Okay, so since we have talked about,

00:16:55I mean, not just IVF,

00:16:56basically trying to conceive,

00:16:58normally what is the first step?

00:17:00Since we know

00:17:01when this couple should seek for help, right?

00:17:04If they are having regular cycles

00:17:06for a year,

00:17:07I mean,

00:17:07they don't have any other issues

00:17:08and if they don't conceive,

00:17:10so this is actually a red flag sign

00:17:13that you should actually start

00:17:14seeking medical attention.

00:17:16So maybe, Dr. Natasha,

00:17:17you can share some of her journey

00:17:18also from personal point of view,

00:17:20from medical point of view.

00:17:22The first step for the couples

00:17:24who want to start

00:17:26the fertility treatment,

00:17:27I mean,

00:17:28what are the things

00:17:28that they would be going through

00:17:30and how long does it take

00:17:32from the first time

00:17:32that they appear at your clinic

00:17:34and then doing all the tests

00:17:36and also whatever procedures

00:17:37which is necessary

00:17:38and before the initiation

00:17:40of the treatment itself?

00:17:42Okay, I suppose it varies

00:17:43from where you are,

00:17:44where you are for your journey

00:17:46and which facility,

00:17:49medical facilities,

00:17:50you are, you know,

00:17:51seeking treatment

00:17:52because obviously

00:17:53when you are in a government setting,

00:17:55it will be different

00:17:56from the private setting.

00:17:57In a private setting,

00:17:58it will be different

00:17:59from whether you are seeing

00:18:00a general practitioner,

00:18:01a gynecologist

00:18:02or you're seeing

00:18:03a fertility specialist.

00:18:04For us,

00:18:05for fertility specialist,

00:18:06time is important.

00:18:07We do not like to delay.

00:18:09We would like to complete

00:18:10all testing

00:18:10within the next one to two months.

00:18:12Okay.

00:18:12So basic testing

00:18:13needs to be a blood test

00:18:14which will check blood group,

00:18:16make sure there are

00:18:17no sexually transmitted disease,

00:18:19there are no thalassemia,

00:18:21check your rubella status,

00:18:22check your vitamin D level

00:18:24which is important

00:18:25for egg quality implantation.

00:18:27We then check your hormones,

00:18:28make sure there is no imbalance.

00:18:30Also, then,

00:18:32that's blood test

00:18:32for both men and female,

00:18:34husband and wife.

00:18:35Then we'd also check

00:18:36for the tubes,

00:18:37right,

00:18:38whether it's blocked or not.

00:18:39So there are several ways

00:18:40in checking for the tubes.

00:18:42And the most important,

00:18:44but not, you know,

00:18:45which we should not forget

00:18:46is the sperm.

00:18:47Right.

00:18:48So from the male side,

00:18:50it's actually quite easy

00:18:51because you need

00:18:52just a blood test

00:18:52in a sperm test,

00:18:53done,

00:18:54within one setting.

00:18:55Right.

00:18:56But for the female,

00:18:58it's basically,

00:18:58we need to follow the cycle.

00:19:00Right.

00:19:00So we need to follow the cycle.

00:19:02You have your period,

00:19:03so that's the early cycle

00:19:04of the period.

00:19:04Then it will be different

00:19:05from the mid cycle.

00:19:06So people go like,

00:19:07why are you scanning me

00:19:08over and over?

00:19:10Because different cycles

00:19:11at different phases

00:19:12is different.

00:19:13Where you are

00:19:14on your second day

00:19:14of your period

00:19:15is different from where,

00:19:16what the uterus

00:19:17and the ovaries

00:19:17will look like

00:19:18at your mid cycle.

00:19:20And from cycle to cycle,

00:19:21from this month,

00:19:22January, February, March,

00:19:23it's different.

00:19:24Right.

00:19:25So we are actually monitoring

00:19:26and getting to know

00:19:27and seeing what you do

00:19:29on a normal basis

00:19:31so we can anticipate

00:19:33how we're going to move forward.

00:19:35Okay.

00:19:35Right.

00:19:36So we see lots of things.

00:19:38Sometimes they,

00:19:38you know,

00:19:40would show,

00:19:40okay,

00:19:40this is a scan done

00:19:41by my gynae.

00:19:43I mean,

00:19:43it's not like a chest extra.

00:19:45So I will need to scan myself.

00:19:47I mean,

00:19:48I'm happy to see

00:19:48like chest extra

00:19:49and things

00:19:50but for ultrasound,

00:19:51it's better

00:19:52to be doing

00:19:53the ultrasound myself.

00:19:54It depends on

00:19:54when I'm doing it,

00:19:56which cycle.

00:19:57Right.

00:19:57So after that's done,

00:19:58I think that's been

00:19:59in one to two months.

00:20:00It should be done.

00:20:01And depending

00:20:02where you want

00:20:03to move forward,

00:20:04depending on the results,

00:20:05you are ready

00:20:05to move towards treatment

00:20:07which is suitable.

00:20:08All right.

00:20:08And it depends on

00:20:09how fast the couples

00:20:10want to move

00:20:11or where they are.

00:20:13Like, you know,

00:20:13younger couples,

00:20:14we can wait.

00:20:15But sometimes younger couples

00:20:16don't want to wait anyway.

00:20:17So actually,

00:20:18I will have to then

00:20:19depend on the patients

00:20:20what they want to do.

00:20:21Okay.

00:20:22And some couples

00:20:23would want to do

00:20:24things faster.

00:20:25Like, they go like,

00:20:26what?

00:20:26IUI 10, 15%,

00:20:27forget about it.

00:20:28I want IVF.

00:20:29I've got, you know,

00:20:30the means,

00:20:30the social means.

00:20:31I've got the money.

00:20:32I want to move fast.

00:20:33So we actually do

00:20:34then recommend

00:20:35accordingly.

00:20:37All right.

00:20:37Yeah.

00:20:37So things to anticipate

00:20:39for gynae.

00:20:40We do do scans.

00:20:42And majority of the time,

00:20:43we do vaginal scan.

00:20:44Okay.

00:20:44Right.

00:20:44Then you can only

00:20:45see accurately

00:20:47and clearly

00:20:48the ovaries.

00:20:49So be prepared

00:20:50that we do

00:20:51vaginal scan.

00:20:53So most of them,

00:20:54I think one of the things

00:20:55they are not prepared

00:20:55like,

00:20:56oh, you're going to scan me now?

00:20:57Like today?

00:20:58Like, yeah,

00:20:58why not?

00:20:59I mean, you're here.

00:21:00It's difficult to take

00:21:01time off from work.

00:21:02Right.

00:21:02Which is very,

00:21:03another important consideration.

00:21:05You will need

00:21:06to make allowance

00:21:08for, you know,

00:21:09time,

00:21:10which a lot of people

00:21:10are working.

00:21:11So, you know,

00:21:12we need to make sure

00:21:13that whenever we see

00:21:14in clinic,

00:21:14we are doing

00:21:15whatever we can

00:21:16so that we minimize

00:21:17time in clinic

00:21:18and, you know,

00:21:19clinic visits.

00:21:20Okay.

00:21:21You were mentioning

00:21:22just now about the,

00:21:23like,

00:21:24in the movement,

00:21:25I mean, females,

00:21:25we have the biological

00:21:27claw in terms of their eggs.

00:21:28Yeah.

00:21:28So, is there any blood test

00:21:30that actually can tell

00:21:31not really how many,

00:21:33how much eggs is left

00:21:34but what is probably,

00:21:37am I,

00:21:37am I in a,

00:21:38I mean,

00:21:38in the group

00:21:39that the eggs

00:21:39is sufficient enough

00:21:41or how is it?

00:21:41I mean,

00:21:42maybe you could just tell us,

00:21:44share with us about that.

00:21:45So, we do have

00:21:46some investigation

00:21:47in order to,

00:21:48you know,

00:21:49maybe perhaps advise

00:21:51a female

00:21:52or a woman

00:21:53where you are

00:21:54at your,

00:21:55for your fertility potential.

00:21:56So, there is

00:21:57one blood test

00:21:58called AMH

00:22:00which is

00:22:01anti-mullerian hormone.

00:22:02It basically measures

00:22:03the hormone

00:22:04that is released

00:22:05by the follicles

00:22:05which is inside

00:22:07the ovaries.

00:22:08Okay.

00:22:08It tells us

00:22:09the number of the eggs

00:22:10but it does not tell you

00:22:12the potential

00:22:12of you becoming

00:22:13pregnant.

00:22:14Okay.

00:22:15So, you have to

00:22:16sort of take

00:22:16into consideration

00:22:17not only

00:22:18the level

00:22:19of the blood test

00:22:20but you would also

00:22:21correspond to the scan

00:22:23because another way

00:22:24that we check

00:22:24also the number

00:22:26of eggs

00:22:26we do a scan

00:22:27that's why

00:22:28you need to do

00:22:28a vagina scan

00:22:29and we count

00:22:30the little round

00:22:31cysts in the ovaries.

00:22:33Okay.

00:22:33Right?

00:22:33That's called

00:22:33enterofollicle count.

00:22:35It will vary

00:22:36right from

00:22:36you know,

00:22:37cycle to cycle

00:22:38but we roughly

00:22:39will have an average

00:22:40sort of number.

00:22:41So, usually

00:22:41I'll count right

00:22:42and left follicles

00:22:43I'll go

00:22:43okay,

00:22:44you've got

00:22:44maybe 10.

00:22:45Okay.

00:22:46And some months

00:22:47you go

00:22:47you've got two

00:22:47like a bad month

00:22:48so we don't

00:22:49start cycle

00:22:50like IVF

00:22:50on that month.

00:22:51All right.

00:22:51So, this one

00:22:52but bearing in mind

00:22:54patients will go

00:22:54can I get pregnant

00:22:55until you actually

00:22:56really try to get pregnant

00:22:57you will know

00:22:59whether you have

00:22:59a problem or not.

00:23:00I understand.

00:23:00But I would advise

00:23:01based on people

00:23:02go so should I

00:23:03take an AMH

00:23:04or not?

00:23:05Well, I think

00:23:06you should.

00:23:06You should do AMH

00:23:07you should do

00:23:08the enterofollicle count

00:23:09and AMH

00:23:10studies have shown

00:23:11if you have less

00:23:12number of AMH

00:23:13for your age

00:23:14then maybe

00:23:15you will have

00:23:16a bit of delay

00:23:17in conceiving.

00:23:18Okay.

00:23:19Right.

00:23:19So, we want to take

00:23:19the necessary precaution

00:23:21like if you go

00:23:21like I'm 29

00:23:22I want to get pregnant

00:23:24at 35.

00:23:25Okay.

00:23:25Like shall I wait?

00:23:27So, that's some

00:23:27of the questions

00:23:28that go.

00:23:28So, we'll do

00:23:28this assessment

00:23:29but bear in mind

00:23:30that things change

00:23:31according to your

00:23:32lifestyle

00:23:33according to your genes

00:23:34so you know

00:23:35this is sort of

00:23:36like a snapshot

00:23:36so if I say

00:23:38like it's good

00:23:39at the moment.

00:23:40All right.

00:23:40Right.

00:23:41But whenever you're ready

00:23:41don't delay

00:23:43fast is better

00:23:44younger is better.

00:23:47Okay.

00:23:48So, it's AMH

00:23:49for those who

00:23:49want to get

00:23:50themselves screen

00:23:51I mean

00:23:52they have AMH

00:23:54blood tests

00:23:55which can be done

00:23:56in the government

00:23:57settings

00:23:57in the private

00:23:58settings

00:23:58but make sure

00:24:00that's just

00:24:00a number

00:24:01that I mean

00:24:02they could just

00:24:04tell you

00:24:04probably roughly

00:24:05how many eggs

00:24:06are you in a good

00:24:07site that your

00:24:07eggs is sufficient

00:24:08enough

00:24:09but that

00:24:09it doesn't go

00:24:10proportionally

00:24:11that you will

00:24:12get pregnant

00:24:12based on the numbers

00:24:13I mean

00:24:14of course

00:24:15if it's lower

00:24:15the chances

00:24:16would be lower

00:24:16but having

00:24:17a sufficient amount

00:24:18that does not

00:24:19mean that

00:24:19oh if you do

00:24:20IVF

00:24:20it will be

00:24:21confirmed.

00:24:22My advice

00:24:22you have less

00:24:23number of AMH

00:24:24go seek

00:24:25infertility

00:24:26advice

00:24:27so then

00:24:28we can have a chat

00:24:29we can

00:24:29assess better

00:24:31because sometimes

00:24:32you have low AMH

00:24:33I can see in the

00:24:33soft media

00:24:34a bit of sharing

00:24:35my AMH

00:24:36is low

00:24:37this is the end

00:24:38of me

00:24:38I will never

00:24:39become a mother

00:24:40so I think

00:24:41that's the best

00:24:42step to take

00:24:43if you're at all

00:24:43worried

00:24:44especially if your

00:24:44AMH is low

00:24:45seek specialist

00:24:47treatment

00:24:48fertility specialist

00:24:49treatment

00:24:49so that you

00:24:50know where you

00:24:51are

00:24:51and we can

00:24:52do the

00:24:52necessary

00:24:52treatment

00:24:53which is

00:24:55required

00:24:55okay

00:24:56all right

00:24:56so that's a

00:24:57take home message

00:24:58for all those

00:24:58ladies out there

00:25:00so since you

00:25:01did mention

00:25:02something about

00:25:02IUI

00:25:03and then we

00:25:03also have

00:25:04IVF

00:25:04this is especially

00:25:05the terms

00:25:06that is

00:25:06very very

00:25:07common for those

00:25:08who are

00:25:08in the TTC

00:25:10journey

00:25:10okay

00:25:10trying to

00:25:11conceive journey

00:25:11so maybe

00:25:12you could

00:25:12break down

00:25:12as the

00:25:13difference

00:25:13between

00:25:14IUI

00:25:15intrauterine

00:25:15insemination

00:25:16and also

00:25:16in vitro

00:25:17fertilization

00:25:18I mean

00:25:18just by the

00:25:20name

00:25:20of course

00:25:21you know

00:25:21what is

00:25:21the difference

00:25:22between

00:25:22those two

00:25:23but

00:25:23which

00:25:24group

00:25:25of

00:25:25patients

00:25:25maybe

00:25:26they can

00:25:27try with

00:25:27IUI

00:25:28some of

00:25:28them

00:25:28with

00:25:29IVF

00:25:29and what

00:25:30would

00:25:30be

00:25:30the

00:25:30success

00:25:30rate

00:25:31between

00:25:31these two

00:25:31right

00:25:32so IUI

00:25:33basically

00:25:33stands for

00:25:34intrauterine

00:25:34insemination

00:25:35and IVF

00:25:36is in vitro

00:25:37fertilization

00:25:38so the

00:25:38fertilization

00:25:39occurs outside

00:25:41for IVF

00:25:42and the

00:25:42fertilization

00:25:43occurs inside

00:25:44for IUI

00:25:45so IUI

00:25:46is super

00:25:46simple

00:25:47basically

00:25:47we will

00:25:48put the

00:25:49female partner

00:25:51or the

00:25:51wife

00:25:52on some

00:25:52medications

00:25:53fertility tablets

00:25:54just to make

00:25:55the eggs a little

00:25:55bit

00:25:55one or two

00:25:56enough

00:25:56and then

00:25:57we'll then

00:25:58monitor the

00:25:58follicles

00:25:59and once

00:25:59it gets to

00:26:00a certain

00:26:00size

00:26:01where the

00:26:01egg is

00:26:01mature

00:26:02and usually

00:26:02this falls

00:26:03anytime

00:26:04between

00:26:04day 11

00:26:04to day 15

00:26:05of the

00:26:06cycle

00:26:06means she's

00:26:07ready for

00:26:08the process

00:26:09and we

00:26:09give one

00:26:09injection

00:26:10to basically

00:26:11make the

00:26:12egg ovulate

00:26:13or rupture

00:26:13and it's

00:26:15fertile time

00:26:16and the

00:26:16husband on

00:26:17that day

00:26:17would then

00:26:18come to

00:26:19the lab

00:26:20or the

00:26:20fertility

00:26:21center

00:26:21or bring

00:26:22it from

00:26:22home

00:26:23and we'll

00:26:24just

00:26:24inseminate

00:26:25a processed

00:26:26sperm

00:26:26which means

00:26:26we basically

00:26:27take the

00:26:28best

00:26:29swimming

00:26:29sperm

00:26:30or the

00:26:30fastest

00:26:30moving

00:26:31sperm

00:26:31so that

00:26:32we get

00:26:32the best

00:26:32pregnancy

00:26:33rate

00:26:33inside

00:26:34the

00:26:34uterus

00:26:34now

00:26:35how we

00:26:35put it

00:26:35is just

00:26:36a very

00:26:36small

00:26:36fine

00:26:37plastic

00:26:37catheter

00:26:38put it

00:26:39through

00:26:39the vagina

00:26:40through

00:26:40the

00:26:41cervix

00:26:42feels like

00:26:43a pap smear

00:26:44or less

00:26:45painful

00:26:45okay

00:26:46so it's

00:26:46really super

00:26:47simple

00:26:47then you

00:26:48will wait

00:26:48for two

00:26:49weeks

00:26:49whether your

00:26:49period

00:26:50comes or

00:26:50not

00:26:50if your

00:26:51period

00:26:51does not

00:26:52come

00:26:52possibility

00:26:53you may

00:26:53be

00:26:53pregnant

00:26:54and we

00:26:54have

00:26:55like

00:26:55you know

00:26:55very

00:26:55simple

00:26:55tablets

00:26:56after the

00:26:56IUI

00:26:57super

00:26:58simple

00:26:58you can

00:26:59continue

00:26:59your

00:27:00activity

00:27:01as usual

00:27:01pregnancy

00:27:02rate

00:27:02unfortunately

00:27:03is about

00:27:0310 to

00:27:0315%

00:27:04for each

00:27:05cycle

00:27:05for the

00:27:06younger

00:27:06ones

00:27:06cost

00:27:07maybe

00:27:08roughly

00:27:08about

00:27:082 to

00:27:093 thousand

00:27:09depending on

00:27:10how much

00:27:11hormones you're

00:27:11using

00:27:12and which

00:27:12setting you

00:27:13are doing

00:27:13now for IVF

00:27:15it's different

00:27:15it's much more

00:27:16strenuous

00:27:17you're going to

00:27:17start on your

00:27:18second day or

00:27:18third day of

00:27:19your period

00:27:19depends on

00:27:20the protocol

00:27:21but majority

00:27:22of the time

00:27:22second day or

00:27:23third day of

00:27:24your period

00:27:24and then

00:27:25you'll be

00:27:26injected

00:27:26okay

00:27:27injected

00:27:28daily

00:27:28I'm sure

00:27:29you've been

00:27:30through it

00:27:30right

00:27:31majority

00:27:32will be

00:27:33injected

00:27:33daily

00:27:34for at

00:27:34least

00:27:34a good

00:27:3510 to

00:27:3512 days

00:27:36with scanning

00:27:36maybe

00:27:372 to

00:27:373 times

00:27:37in between

00:27:38and on

00:27:39the day

00:27:39usually

00:27:39again

00:27:40mid cycle

00:27:40anytime

00:27:41between

00:27:41day 12

00:27:42to day 16

00:27:43of the

00:27:43period

00:27:43you will

00:27:44be ready

00:27:45for an

00:27:45egg pickup

00:27:46it's all

00:27:47done as

00:27:48a daycare

00:27:48procedure

00:27:48nothing at

00:27:49the tummy

00:27:50you will

00:27:51be asleep

00:27:51right

00:27:52a light

00:27:52sleep

00:27:52so you

00:27:53won't

00:27:53have

00:27:53any

00:27:53pain

00:27:54and

00:27:54you'll

00:27:54be

00:27:54then

00:27:55the needle

00:27:56will go

00:27:57through your

00:27:57vagina

00:27:57nothing

00:27:57through the

00:27:58tummy

00:27:58you're asleep

00:27:59half an

00:27:59hour

00:27:59procedure

00:28:00you go

00:28:01home

00:28:01at lunch

00:28:01time

00:28:02most of

00:28:02the time

00:28:03so no need

00:28:03to stay

00:28:03overnight

00:28:04in hospital

00:28:04then we do

00:28:05the fertilization

00:28:06in the embryo

00:28:07the embryologies

00:28:08in the IVF

00:28:09lab

00:28:09and usually

00:28:10we'll wait

00:28:11at least

00:28:115 to 7

00:28:12days

00:28:12to see

00:28:13how many

00:28:13total

00:28:13of fertilized

00:28:14egg

00:28:15or what we

00:28:15call embryo

00:28:16that we are

00:28:17able to

00:28:18vitrify

00:28:19or what we

00:28:19able to

00:28:20freeze

00:28:20and utilize

00:28:21right

00:28:22so then

00:28:23after that

00:28:24usually

00:28:24it's going

00:28:25to be

00:28:25either

00:28:25a fresh

00:28:26or frozen

00:28:27embryo

00:28:27transfer

00:28:28now fresh

00:28:29means

00:28:29anytime

00:28:30between

00:28:303 days

00:28:30or 5 days

00:28:31after the

00:28:32egg pickup

00:28:32you will

00:28:33have a

00:28:33transfer

00:28:34procedure

00:28:35similar

00:28:35like an

00:28:36IUI

00:28:36similar

00:28:36like a

00:28:37Peps

00:28:37Mugia

00:28:38super simple

00:28:39no sedation

00:28:40you'll be

00:28:40fine

00:28:40right

00:28:41you don't

00:28:42need the

00:28:42sedation

00:28:42right

00:28:43and then

00:28:44after that

00:28:44you will

00:28:45wait

00:28:45and you'll

00:28:46be giving

00:28:46some

00:28:47medication

00:28:47some

00:28:48is

00:28:48oral

00:28:48form

00:28:49some

00:28:49are

00:28:49vagina

00:28:49suppositori

00:28:51some

00:28:51may

00:28:51require

00:28:52injections

00:28:52okay

00:28:53so you

00:28:53will

00:28:53then

00:28:54do

00:28:54that

00:28:54for

00:28:54maybe

00:28:5410

00:28:55to

00:28:5512

00:28:55days

00:28:55do

00:28:56urine

00:28:57pregnancy

00:28:57test

00:28:57or

00:28:58a

00:28:58blood

00:28:58test

00:28:58okay

00:28:59so then

00:29:00you will

00:29:00know

00:29:00whether you

00:29:01have

00:29:01conceived

00:29:02or you

00:29:03have not

00:29:03conceived

00:29:04now

00:29:04pregnancy

00:29:04now pregnancy

00:29:04rate

00:29:05depends

00:29:05on the

00:29:06age

00:29:06of the

00:29:07female

00:29:0730

00:29:08to

00:29:0839

00:29:09years

00:29:09old

00:29:09we are

00:29:09looking

00:29:09at

00:29:1040

00:29:10to

00:29:1050

00:29:11percent

00:29:11pregnancy

00:29:12rate

00:29:12but overall

00:29:13if you

00:29:13see

00:29:13it's

00:29:1430

00:29:14to

00:29:1540

00:29:15in a

00:29:16good

00:29:16lab

00:29:16in a

00:29:17good

00:29:17center

00:29:17we're

00:29:17looking

00:29:17at

00:29:1840

00:29:18to

00:29:1850

00:29:18percent

00:29:19between

00:29:1930

00:29:20to

00:29:2039

00:29:20years

00:29:21old

00:29:21of

00:29:21the

00:29:21female

00:29:22partner

00:29:22it

00:29:23will

00:29:23drop

00:29:23at

00:29:2440

00:29:24years

00:29:25old

00:29:25we

00:29:25drop

00:29:25to

00:29:2520

00:29:2627

00:29:26percent

00:29:27and

00:29:27drop

00:29:27much

00:29:28faster

00:29:28statistically

00:29:30more

00:29:31than

00:29:3145

00:29:31your

00:29:32pregnancy

00:29:32rate

00:29:33would

00:29:33be

00:29:33less

00:29:34than

00:29:34one

00:29:34percent

00:29:34so

00:29:35that's

00:29:36something

00:29:36that we

00:29:36need

00:29:37to

00:29:37always

00:29:38tell

00:29:38the

00:29:38patient

00:29:38some

00:29:39of

00:29:39the

00:29:39myth

00:29:39if

00:29:40they

00:29:40do

00:29:40IVF

00:29:41is

00:29:41100

00:29:41percent

00:29:41it's

00:29:42not

00:29:42right

00:29:43so

00:29:43age

00:29:44then

00:29:44comes

00:29:44into

00:29:45the

00:29:45medicine

00:29:46sometimes

00:29:46you go

00:29:46doctors

00:29:47trying to

00:29:47push

00:29:47me

00:29:47for

00:29:47IVF

00:29:48no

00:29:48we

00:29:48look

00:29:48at

00:29:48your

00:29:48age

00:29:49right

00:29:49we

00:29:50know

00:29:50this

00:29:50is

00:29:51the

00:29:51things

00:29:51that

00:29:51we

00:29:51experience

00:29:52statistically

00:29:53and

00:29:53also

00:29:54on a

00:29:54day-to-day

00:29:55basis

00:29:55we

00:29:56do

00:29:56struggle

00:29:56when

00:29:57the

00:29:58wife's

00:29:59age

00:29:59is

00:30:00much

00:30:00more

00:30:00older

00:30:01of

00:30:01course

00:30:01we

00:30:02know

00:30:02about

00:30:02the

00:30:02ovarian

00:30:03hyperstimulation

00:30:04syndrome

00:30:04right

00:30:05which

00:30:05most

00:30:06of

00:30:06those

00:30:07who

00:30:07are

00:30:07going

00:30:07through

00:30:07IVF

00:30:08they

00:30:08would

00:30:08be

00:30:09worried

00:30:09in

00:30:09terms

00:30:09of

00:30:09that

00:30:10what

00:30:10are

00:30:10the

00:30:10percentage

00:30:11and

00:30:11what

00:30:12would

00:30:12be

00:30:12the

00:30:12symptoms

00:30:13and

00:30:13what

00:30:13is

00:30:14it

00:30:14actually

00:30:14okay

00:30:15so

00:30:15one

00:30:16of

00:30:16the

00:30:16more

00:30:17important

00:30:18potential

00:30:18complications

00:30:19it's

00:30:20called

00:30:20ovarian

00:30:20hyperstimulation

00:30:21because

00:30:22when

00:30:22we

00:30:22actually

00:30:22do

00:30:23IVF

00:30:23we

00:30:23are

00:30:23stimulating

00:30:24with

00:30:24hormones

00:30:25and

00:30:25that

00:30:26would

00:30:26make

00:30:26the

00:30:27eggs

00:30:27grow

00:30:27right

00:30:28and

00:30:28not

00:30:28only

00:30:29one

00:30:29eggs

00:30:29all

00:30:29of

00:30:29the

00:30:30eggs

00:30:30grow

00:30:30so

00:30:30ovarian

00:30:31hyperstimulation

00:30:31when

00:30:32there

00:30:32is

00:30:32overstimulation

00:30:33of

00:30:34the

00:30:34ovaries

00:30:34and

00:30:35that

00:30:35will

00:30:35lead

00:30:36to

00:30:36changes

00:30:36in

00:30:37the

00:30:37bodies

00:30:37where

00:30:38there's

00:30:38accumulation

00:30:39of

00:30:40fluid

00:30:40right

00:30:41becomes

00:30:41our

00:30:41blood

00:30:42vessel

00:30:42becomes

00:30:42leaking

00:30:43and

00:30:43there's

00:30:43accumulation

00:30:44of

00:30:45fluid

00:30:46inside

00:30:46the

00:30:46cavity

00:30:47such

00:30:47as

00:30:48the

00:30:48stomach

00:30:48not

00:30:49the

00:30:49stomach

00:30:49actually

00:30:49in

00:30:50the

00:30:50pelvis

00:30:50it

00:30:52could

00:30:53be

00:30:53also

00:30:53in

00:30:53the

00:30:53lungs

00:30:53right

00:30:54now

00:30:54this

00:30:54is

00:30:55perhaps

00:30:55more

00:30:56of

00:30:57it's

00:30:57going

00:30:57to

00:30:57be

00:30:57a

00:30:58pass

00:30:58because

00:30:59the

00:30:59way

00:30:59we

00:30:59stimulate

00:31:00and

00:31:00the

00:31:00way

00:31:00we

00:31:00identify

00:31:01patients

00:31:01those

00:31:02who

00:31:02are

00:31:02high

00:31:03risk

00:31:03are

00:31:03young

00:31:04patients

00:31:04with

00:31:05high

00:31:05ovarian

00:31:05reserve

00:31:06PCOS

00:31:07patient

00:31:07and

00:31:08those

00:31:08who

00:31:08are

00:31:08teen

00:31:09right

00:31:09so

00:31:10this

00:31:10will

00:31:10be

00:31:10the

00:31:11patients

00:31:11that

00:31:11we

00:31:11identify

00:31:12as

00:31:13being

00:31:13high

00:31:13risk

00:31:14for

00:31:14developing

00:31:14ovarian

00:31:15hypostimulation

00:31:15we

00:31:16need

00:31:16to

00:31:16identify

00:31:17and

00:31:18then

00:31:18take

00:31:18the

00:31:19necessary

00:31:19precaution

00:31:19use

00:31:20either

00:31:21lower

00:31:21dosage

00:31:21or

00:31:22change

00:31:22their

00:31:22regime

00:31:22and

00:31:23monitor

00:31:23them

00:31:23closely

00:31:24the

00:31:25way

00:31:25we

00:31:25trigger

00:31:26it

00:31:26also

00:31:26have

00:31:26been

00:31:27a

00:31:27game

00:31:27change

00:31:28that

00:31:28we

00:31:28trigger

00:31:29with

00:31:29different

00:31:30medication

00:31:31that

00:31:31would

00:31:32actually

00:31:32potentially

00:31:33eliminate

00:31:34the

00:31:34risk

00:31:34of

00:31:35OHSS

00:31:35so

00:31:36you

00:31:36might

00:31:36be

00:31:36feeling

00:31:36a

00:31:37bit

00:31:37bloated

00:31:37so

00:31:37what

00:31:37happens

00:31:38is

00:31:38common

00:31:39symptoms

00:31:39will

00:31:39be

00:31:39feeling

00:31:40a

00:31:40bit

00:31:40bloated

00:31:41and

00:31:42your

00:31:43tummy

00:31:43will

00:31:43be

00:31:43distended

00:31:44like

00:31:44you

00:31:44being

00:31:45pregnant

00:31:45but

00:31:46the

00:31:47things

00:31:48we

00:31:48don't

00:31:48want

00:31:48is

00:31:49becoming

00:31:49short

00:31:50of

00:31:50breath

00:31:50means

00:31:52there's

00:31:53probably

00:31:53over

00:31:54distension

00:31:54or

00:31:55maybe

00:31:55there's

00:31:55some

00:31:55lung

00:31:56accumulation

00:31:56so

00:31:57it

00:31:58can

00:31:58be

00:31:58fatal

00:31:59it

00:31:59can

00:32:00also

00:32:00cause

00:32:00blood

00:32:01clots

00:32:01in

00:32:01the

00:32:02legs

00:32:02so

00:32:03these

00:32:03are

00:32:03potentially

00:32:04fatal

00:32:04conditions

00:32:05so

00:32:06the

00:32:07most

00:32:07important

00:32:07things

00:32:08are

00:32:08the

00:32:08steps

00:32:09taken

00:32:09during

00:32:10the

00:32:11procedure

00:32:11itself

00:32:12when

00:32:12we

00:32:13are

00:32:13stimulating

00:32:13we

00:32:13are

00:32:13already

00:32:14monitoring

00:32:14closely

00:32:15the

00:32:15way

00:32:15we

00:32:15trigger

00:32:16the

00:32:17last

00:32:17injection

00:32:17to

00:32:17make

00:32:18sure

00:32:18that

00:32:18we

00:32:18trigger

00:32:19we

00:32:19use

00:32:20specific

00:32:21medication

00:32:21and

00:32:22monitoring

00:32:23close

00:32:23monitoring

00:32:24so

00:32:24I

00:32:24think

00:32:24by

00:32:24doing

00:32:24all

00:32:25those

00:32:25you

00:32:25probably

00:32:26only

00:32:26have

00:32:26mild

00:32:27OHSS

00:32:28but

00:32:28the

00:32:30fatal

00:32:30ones

00:32:30the

00:32:30really

00:32:30bad

00:32:31ones

00:32:31maybe

00:32:311-3%

00:32:32which

00:32:33we

00:32:33are

00:32:33I

00:32:34think

00:32:34with

00:32:34all

00:32:34this

00:32:34intervention

00:32:37it

00:32:38probably

00:32:38become

00:32:39non-existent

00:32:40so

00:32:40fertility

00:32:43specials

00:32:43are

00:32:44well

00:32:45trained

00:32:45so

00:32:46we

00:32:46don't

00:32:46have

00:32:46this

00:32:47majority

00:32:47Alhamdulillah

00:32:49because it

00:32:50can be

00:32:50quite

00:32:50worrying

00:32:51so

00:32:52the

00:32:52last

00:32:52time

00:32:53we

00:32:53had

00:32:53COVID

00:32:53so

00:32:54we

00:32:54stimulated

00:32:54and

00:32:55sometimes

00:32:55if

00:32:56they

00:32:56have

00:32:56COVID

00:32:56we

00:32:56actually

00:32:57have

00:32:57to

00:32:57abandon

00:32:57the

00:32:58case

00:32:58so

00:32:59not

00:33:00good

00:33:00because

00:33:01all

00:33:01the

00:33:01ails

00:33:01are

00:33:01inside

00:33:02and

00:33:02I'm

00:33:04glad

00:33:04we

00:33:04overcome

00:33:05that

00:33:05so

00:33:06what

00:33:06we

00:33:06do

00:33:06we

00:33:06need

00:33:06to

00:33:06prioritize

00:33:07safety

00:33:08over

00:33:09getting

00:33:09pregnant

00:33:09unfortunately

00:33:10so

00:33:11less

00:33:11perhaps

00:33:12sometimes

00:33:12is

00:33:12better

00:33:13and

00:33:13identifying

00:33:14those

00:33:14high

00:33:15risk

00:33:15groups

00:33:15are

00:33:15very

00:33:16important

00:33:16and

00:33:17to

00:33:17make

00:33:17sure

00:33:18that

00:33:18we

00:33:18have

00:33:18a

00:33:180%

00:33:19moderate

00:33:20to

00:33:20severe

00:33:21OHSS

00:33:21in

00:33:22our

00:33:22clinic

00:33:22for

00:33:22IVF

00:33:23so

00:33:24you

00:33:25did

00:33:25mention

00:33:26regarding

00:33:26the

00:33:26success

00:33:27rate

00:33:27for

00:33:28the

00:33:28IUI

00:33:28is

00:33:28about

00:33:2810

00:33:29to

00:33:2915

00:33:29percent

00:33:30for

00:33:31IVF

00:33:31it's

00:33:31about

00:33:32depending

00:33:32on

00:33:32the

00:33:32age

00:33:33but

00:33:33if

00:33:33it's

00:33:33less

00:33:34than

00:33:3540

00:33:3539

00:33:36years

00:33:36old

00:33:37it's

00:33:37about

00:33:3740

00:33:37to

00:33:3850

00:33:38in

00:33:38a

00:33:38very

00:33:38good

00:33:39center

00:33:3930

00:33:40to

00:33:4040

00:33:40percent

00:33:41so

00:33:41I

00:33:42mean

00:33:42it's

00:33:43some

00:33:44sort

00:33:44of

00:33:44it's

00:33:45not

00:33:45logical

00:33:46if

00:33:47a

00:33:47place

00:33:47or

00:33:48a

00:33:48center

00:33:49would

00:33:49claim

00:33:49that

00:33:49there

00:33:50would

00:33:50be

00:33:50100

00:33:50success

00:33:51rate

00:33:51or

00:33:51like

00:33:5298

00:33:52percent

00:33:52because

00:33:52that

00:33:53is

00:33:53a bit

00:33:53too

00:33:53high

00:33:54overachiever

00:33:54right

00:33:55then you

00:33:56go like

00:33:56are you

00:33:56sure

00:33:57it's

00:33:59impossible

00:33:59I think

00:34:00even

00:34:00for

00:34:00the

00:34:00younger

00:34:01ones

00:34:01less than

00:34:0130

00:34:01we

00:34:02may

00:34:02look

00:34:02at

00:34:0260

00:34:0370

00:34:03percent

00:34:03okay

00:34:04I

00:34:04think

00:34:04in

00:34:05some

00:34:05centers

00:34:05if

00:34:05they

00:34:05say

00:34:06that

00:34:06you

00:34:06know

00:34:06some

00:34:07centers

00:34:07say

00:34:07go

00:34:07yeah

00:34:08you

00:34:08sure

00:34:08but

00:34:09I

00:34:09think

00:34:09it's

00:34:10audited

00:34:11we

00:34:11do

00:34:12achieve

00:34:1260

00:34:12to

00:34:1370

00:34:13percent

00:34:13in

00:34:14the

00:34:14less

00:34:14than

00:34:1430

00:34:15years

00:34:15old

00:34:15because

00:34:16they

00:34:16have

00:34:16good

00:34:16egg

00:34:16quality

00:34:17it's

00:34:17probably

00:34:17just

00:34:17a

00:34:17tube

00:34:18sub-block

00:34:18or

00:34:18just

00:34:19some

00:34:19sperm

00:34:19issue

00:34:19which

00:34:20will

00:34:20be

00:34:20overcome

00:34:20by

00:34:21the

00:34:21IVF

00:34:21procedure

00:34:22itself

00:34:22I

00:34:37so

00:34:37Alhamdulillah

00:34:38we

00:34:38want

00:34:39to

00:34:39maintain

00:34:39to

00:34:40be

00:34:40at

00:34:40the

00:34:40higher

00:34:40international

00:34:41level

00:34:42with

00:34:42our

00:34:42success

00:34:43rate

00:34:43so

00:34:43Alhamdulillah

00:34:44we

00:34:44are

00:34:44doing

00:34:44quite

00:34:45well

00:34:45with

00:34:45a lot

00:34:46of

00:34:46hard

00:34:46work

00:34:46a lot

00:34:47of

00:34:47teamwork

00:34:48so

00:34:48it's

00:34:49not

00:34:49easy

00:34:49and

00:34:50there

00:34:50is

00:34:51a lot

00:34:51of

00:34:51high

00:34:51expectation

00:34:52from

00:34:52patients

00:34:52which

00:34:54we

00:34:54would

00:34:54strive

00:34:55to

00:34:55do

00:34:55our

00:34:55best

00:34:56but

00:34:56like

00:34:56I

00:34:56said

00:34:56it's

00:34:57not

00:34:57going

00:34:57to

00:34:57be

00:34:5790

00:34:58to

00:34:58100

00:34:58percent

00:34:59you

00:34:59may

00:34:59need

00:35:00to

00:35:00do

00:35:00several

00:35:00cycles

00:35:01but

00:35:01we

00:35:02aim

00:35:02to

00:35:02hopefully

00:35:03minimise

00:35:04and

00:35:04shorten

00:35:05your

00:35:05journey

00:35:06towards

00:35:06parenthood

00:35:07because

00:35:07it's

00:35:08really

00:35:08important

00:35:08to

00:35:09not

00:35:09delay

00:35:09the

00:35:10pregnancy

00:35:10being

00:35:11too

00:35:11long

00:35:11on

00:35:11a

00:35:11fertility

00:35:12journey

00:35:12because

00:35:13a lot

00:35:13of

00:35:14patients

00:35:14will

00:35:14probably

00:35:14stop

00:35:17doing

00:35:17it

00:35:18so

00:35:18we

00:35:18want

00:35:18to

00:35:18reduce

00:35:18all

00:35:19this

00:35:19and

00:35:19get

00:35:20you

00:35:20pregnant

00:35:20soon

00:35:21because

00:35:22sometimes

00:35:23if you

00:35:23keep

00:35:23on

00:35:23trying

00:35:24and

00:35:24you

00:35:24don't

00:35:25achieve

00:35:25what

00:35:26you

00:35:26have

00:35:26been

00:35:27trying

00:35:27so

00:35:27hard

00:35:28so

00:35:28some

00:35:28of

00:35:30they

00:35:30would

00:35:30just

00:35:30be

00:35:31tired

00:35:31or

00:35:31they

00:35:32just

00:35:32want

00:35:32to

00:35:32give

00:35:32up

00:35:32isn't

00:35:32it

00:35:33so

00:35:33I

00:35:33do

00:35:33understand

00:35:34the

00:35:34importance

00:35:34that

00:35:35time

00:35:35is

00:35:35essence

00:35:37so

00:35:38do

00:35:39not

00:35:39delay

00:35:39they

00:35:39will

00:35:40just

00:35:40push

00:35:40it

00:35:40because

00:35:41I

00:35:41remember

00:35:41going

00:35:41for

00:35:42her

00:35:42talk

00:35:42she

00:35:42just

00:35:42like

00:35:43I'll

00:35:43try

00:35:43probably

00:35:43once

00:35:44IUI

00:35:44if

00:35:44doesn't

00:35:45work

00:35:45for

00:35:45you

00:35:45straight

00:35:46away

00:35:46IVF

00:35:46so

00:35:47we

00:35:48can

00:35:48see

00:35:48the

00:35:48point

00:35:49there

00:35:49we

00:35:50were

00:35:50talking

00:35:50about

00:35:51the

00:35:51success

00:35:51rate

00:35:52but

00:35:52how

00:35:52about

00:35:52other

00:35:53things

00:35:53this

00:35:53is

00:35:53all

00:35:54talking

00:35:54about

00:35:54the

00:35:55internal

00:35:56or

00:35:56maybe

00:35:56the

00:35:57quality

00:35:57or

00:35:57the

00:35:58age

00:35:58how

00:35:58about

00:35:58other

00:35:59external

00:35:59factors

00:36:00for

00:36:00example

00:36:00we

00:36:00talk

00:36:01about

00:36:01the

00:36:02lifestyle

00:36:02the

00:36:02stress

00:36:04factors

00:36:04exercise

00:36:05yoga

00:36:05nowadays

00:36:06we

00:36:06have

00:36:06acupuncture

00:36:07as

00:36:07supplementary

00:36:09I

00:36:09mean

00:36:09there

00:36:09are

00:36:10papers

00:36:10which

00:36:10have

00:36:10come

00:36:11out

00:36:11regarding

00:36:11this

00:36:11so

00:36:12how

00:36:12would

00:36:13that

00:36:13contribute

00:36:14to

00:36:14the

00:36:14success

00:36:15rate

00:36:15so

00:36:15whenever

00:36:16a

00:36:16couple

00:36:16comes

00:36:17for

00:36:17sub

00:36:18fertility

00:36:18actually

00:36:19we

00:36:19do

00:36:19lifestyle

00:36:20intervention

00:36:22you

00:36:22will

00:36:23assess

00:36:23their

00:36:23lifestyle

00:36:24you

00:36:24will

00:36:25also

00:36:25start

00:36:25from

00:36:25basic

00:36:26things

00:36:26it's

00:36:27important

00:36:27to

00:36:28take

00:36:28care

00:36:28of

00:36:28yourself

00:36:28a lot

00:36:29of

00:36:29people

00:36:29it's

00:36:32stressful

00:36:32so

00:36:33we

00:36:34sometimes

00:36:34forget

00:36:35to

00:36:35take

00:36:35care

00:36:35of

00:36:35ourselves

00:36:36so

00:36:37we

00:36:37need

00:36:37to

00:36:37start

00:36:38from

00:36:38basic

00:36:38taking

00:36:39care

00:36:39of

00:36:40ourselves

00:36:40in

00:36:41terms

00:36:41of

00:36:41eating

00:36:42healthly

00:36:42majority

00:36:43that's

00:36:43how

00:36:43we

00:36:43do

00:36:44have

00:36:44our

00:36:44obesity

00:36:44epidemic

00:36:46I

00:36:46would

00:36:46say

00:36:46on

00:36:47the

00:36:47rise

00:36:47people

00:36:47are

00:36:47just

00:36:48eating

00:36:48far

00:36:48too

00:36:49much

00:36:49and

00:36:50unhealthy

00:36:50food

00:36:50and

00:36:51processed

00:36:51food

00:36:51get

00:36:52back

00:36:52to

00:36:52basics

00:36:52eat

00:36:53lots

00:36:53of

00:36:54balanced

00:36:55healthy

00:36:55diet

00:36:56make

00:36:56sure

00:36:57that

00:36:57the

00:36:57portions

00:36:57are

00:36:57good

00:36:58and

00:36:58make

00:36:58sure

00:36:58you're

00:36:59not

00:36:59eating

00:36:59at

00:36:59the

00:37:00late

00:37:00night

00:37:00so

00:37:01we

00:37:01do

00:37:02that

00:37:02and

00:37:02then

00:37:02we

00:37:02need

00:37:03to

00:37:03sleep

00:37:03not

00:37:048-10

00:37:05hours

00:37:05sleeping

00:37:06whenever

00:37:06we

00:37:07actually

00:37:07do

00:37:07have

00:37:08a

00:37:08biological

00:37:09clock

00:37:09in

00:37:09terms

00:37:10of

00:37:10where

00:37:10we

00:37:10should

00:37:11sleep

00:37:11in

00:37:11order

00:37:12to

00:37:12get

00:37:12the

00:37:12maximum

00:37:12we

00:37:13need

00:37:13our

00:37:14body

00:37:14to

00:37:14recover

00:37:20late

00:37:20I

00:37:21woke

00:37:21up

00:37:21at

00:37:218

00:37:21still

00:37:22you

00:37:23need

00:37:23to

00:37:24sleep

00:37:24earlier

00:37:24so

00:37:24we're

00:37:24looking

00:37:25at

00:37:25maybe

00:37:2510-11

00:37:26o'clock

00:37:27wake

00:37:27up

00:37:27early

00:37:28early

00:37:28is

00:37:28always

00:37:28better

00:37:29and

00:37:30then

00:37:30your

00:37:30body

00:37:30get

00:37:30into

00:37:31the

00:37:31rhythm

00:37:32and

00:37:33they

00:37:33would

00:37:33probably

00:37:33repair

00:37:34themselves

00:37:34better

00:37:35you'll

00:37:35probably

00:37:35have

00:37:36less

00:37:36issue

00:37:36with

00:37:36obesity

00:37:37less

00:37:38issue

00:37:38with

00:37:38having

00:37:39issues

00:37:39in

00:37:39sleeping

00:37:40so

00:37:41all

00:37:41those

00:37:41things

00:37:41smoking

00:37:42vaping

00:37:43same

00:37:43you can't

00:37:44have

00:37:45both

00:37:45of

00:37:45those

00:37:45smoking

00:37:46and

00:37:46vaping

00:37:46is

00:37:47bad

00:37:47we'll

00:37:47also

00:37:48supplement

00:37:49because

00:37:50we can't

00:37:51have

00:37:51a lot

00:37:51of

00:37:52things

00:37:52from

00:37:52our

00:37:52diet

00:37:53so

00:37:53we

00:37:54do

00:37:54supplement

00:37:54for

00:37:55those

00:37:56who

00:37:56are

00:37:56trying

00:37:56to

00:37:57conceive

00:37:57folic

00:37:58acid

00:37:59good

00:37:59multivitamin

00:38:00fish

00:38:01oil

00:38:01vitamin

00:38:02D

00:38:02and

00:38:03for

00:38:03egg

00:38:04quality

00:38:04we'll

00:38:04probably

00:38:05add

00:38:05on

00:38:05coenzyme

00:38:06Q10

00:38:06for

00:38:07those

00:38:07who

00:38:07have

00:38:07PCOS

00:38:08or

00:38:08PCOS

00:38:09we might

00:38:09add

00:38:09inositol

00:38:10so

00:38:11all

00:38:11those

00:38:11you

00:38:12need

00:38:12to

00:38:12discuss

00:38:13with

00:38:13your

00:38:13doctor

00:38:14which

00:38:15one

00:38:15would

00:38:15be

00:38:15suitable

00:38:16I know

00:38:17it's

00:38:18a lot

00:38:18of

00:38:18tablets

00:38:18sometimes

00:38:20but

00:38:20those

00:38:21are

00:38:21the

00:38:21simple

00:38:22things

00:38:22that

00:38:23we

00:38:23want

00:38:23exercise

00:38:24because

00:38:24that

00:38:24helps

00:38:25in

00:38:25terms

00:38:25of

00:38:25reducing

00:38:26excessive

00:38:27weight

00:38:28it

00:38:28also

00:38:28gives

00:38:29you

00:38:29happy

00:38:29hormones

00:38:29help

00:38:30you

00:38:30sleep

00:38:31better

00:38:31and

00:38:33we

00:38:33don't

00:38:33want

00:38:33you

00:38:33to

00:38:33do

00:38:33excessive

00:38:34marathon

00:38:35it's

00:38:36not

00:38:36the

00:38:36time

00:38:36to

00:38:36do

00:38:36marathon

00:38:37when

00:38:38you

00:38:38are

00:38:38trying

00:38:38to

00:38:38conceive

00:38:39because

00:38:39it

00:38:39creates

00:38:40additional

00:38:40hormone

00:38:41which

00:38:41is

00:38:41cortisol

00:38:42excessively

00:38:43so

00:38:43we

00:38:43want

00:38:43you

00:38:43to

00:38:43do

00:38:46yoga

00:38:52you

00:38:52can

00:38:52do

00:38:52walking

00:38:53is

00:38:53good

00:38:54cycling

00:38:54swimming

00:38:55all

00:38:56those

00:38:56are

00:38:57good

00:38:57just

00:38:57see

00:38:57what

00:38:58you

00:38:58want

00:38:58to

00:38:58do

00:38:58stress

00:38:59people

00:38:59say

00:39:00oh

00:39:00I'm

00:39:00stressed

00:39:00that's

00:39:01why

00:39:01I'm

00:39:01sub

00:39:02fertile

00:39:02and

00:39:03also

00:39:04the

00:39:04fertility

00:39:04treatment

00:39:05will

00:39:05give

00:39:05you

00:39:05stress

00:39:05right

00:39:06so

00:39:07what

00:39:07we're

00:39:07going

00:39:07to

00:39:08do

00:39:08we're

00:39:08going

00:39:08to

00:39:08see

00:39:09you

00:39:09know

00:39:09your

00:39:09own

00:39:10body

00:39:10you

00:39:10know

00:39:10your

00:39:10own

00:39:11situation

00:39:11we

00:39:12need

00:39:12to

00:39:12manage

00:39:12stress

00:39:13lots

00:39:14of

00:39:14studies

00:39:15have

00:39:15shown

00:39:15whether

00:39:15stress

00:39:17cause

00:39:18sub

00:39:18fertility

00:39:19it's

00:39:20difficult

00:39:20to

00:39:21do

00:39:21that

00:39:21a lot

00:39:22of

00:39:22different

00:39:22contradictory

00:39:23studies

00:39:24but

00:39:25to

00:39:25me

00:39:25I

00:39:25think

00:39:26minimize

00:39:26and

00:39:27manage

00:39:27your

00:39:27stress

00:39:28as

00:39:28much

00:39:29as

00:39:29possible

00:39:29you

00:39:29will

00:39:29have

00:39:30stress

00:39:30you

00:39:31can't

00:39:31be

00:39:31stress

00:39:32free

00:39:320%

00:39:32so

00:39:33we're

00:39:33just

00:39:33going

00:39:34to

00:39:34minimize

00:39:34if

00:39:35it's

00:39:35going

00:39:35to

00:39:36be

00:39:36your

00:39:36work

00:39:36try

00:39:37to

00:39:37see

00:39:37whether

00:39:37you

00:39:37can

00:39:38find

00:39:38some

00:39:38balance

00:39:38in

00:39:39your

00:39:39work

00:39:39try

00:39:40to

00:39:40see

00:39:40whether

00:39:40you

00:39:40can

00:39:41get

00:39:41some

00:39:41more

00:39:45eventually

00:39:46we

00:39:46need

00:39:46that

00:39:46when

00:39:47you

00:39:47have

00:39:47a

00:39:47child

00:39:47you

00:39:48need

00:39:49to

00:39:49adapt

00:39:49anyway

00:39:50and

00:39:50you

00:39:50need

00:39:50to

00:39:50change

00:39:51anyway

00:39:51what's

00:39:52better

00:39:52than

00:39:52to

00:39:52start

00:39:53slowly

00:39:54now

00:39:54before

00:39:54you

00:39:55have

00:39:55the

00:39:55child

00:39:55cause

00:39:56it's

00:39:56going

00:39:56to

00:39:57be

00:39:57a

00:39:57whole

00:39:57driven

00:39:57lifestyle

00:39:58you

00:39:58need

00:39:58to

00:39:58adapt

00:39:58right

00:39:59so

00:40:00all

00:40:00those

00:40:00things

00:40:00are

00:40:01important

00:40:01so

00:40:01lifestyle

00:40:02changes

00:40:03is

00:40:03definitely

00:40:04one

00:40:04of

00:40:04the

00:40:04things

00:40:04that

00:40:04we

00:40:05will

00:40:05cover

00:40:05right

00:40:06all right

00:40:07so

00:40:07remember

00:40:08be

00:40:09a part

00:40:09of

00:40:09the

00:40:095

00:40:09a.m

00:40:10club

00:40:10because

00:40:10sleep

00:40:11early

00:40:11wake

00:40:12up

00:40:12early

00:40:12not

00:40:12the

00:40:12other

00:40:12way

00:40:13around

00:40:13it's

00:40:13basically

00:40:14because

00:40:14they

00:40:14say

00:40:14this is

00:40:14an

00:40:15important

00:40:15time

00:40:15where

00:40:15your

00:40:16cell

00:40:16regenerates

00:40:17are

00:40:17about

00:40:17that

00:40:18midnight

00:40:18until

00:40:19that

00:40:193

00:40:194

00:40:19o'clock

00:40:20in the

00:40:20morning

00:40:20so

00:40:20it's

00:40:21okay

00:40:21for you

00:40:21to

00:40:21sleep

00:40:21early

00:40:22but

00:40:22you

00:40:22can

00:40:23wake

00:40:23up

00:40:23at

00:40:234

00:40:23or 5

00:40:24o'clock

00:40:24that's

00:40:24good

00:40:24enough

00:40:25for

00:40:25the

00:40:25hormones

00:40:28and also

00:40:28for

00:40:28the

00:40:29revitalization

00:40:31so

00:40:32maybe

00:40:33you

00:40:33could

00:40:33just

00:40:33share

00:40:34a

00:40:34little

00:40:34bit

00:40:34in

00:40:34terms

00:40:34of

00:40:35the

00:40:35advances

00:40:36in

00:40:37the

00:40:38technology

00:40:38in

00:40:39Malaysia

00:40:39because

00:40:40now

00:40:40we

00:40:40have

00:40:41heard

00:40:41about

00:40:42PGT

00:40:42pre-implantation

00:40:44genetic

00:40:44testing

00:40:44and then

00:40:45we

00:40:45also

00:40:45have

00:40:45ERA

00:40:46so

00:40:47sometimes

00:40:48in

00:40:48those

00:40:49people

00:40:49who

00:40:49treat

00:40:51IVF

00:40:52or

00:40:52fertility

00:40:53journey

00:40:53like

00:40:53an exam

00:40:54so

00:40:54what

00:40:54are

00:40:55the

00:40:55checklists

00:40:55I

00:40:55have

00:40:55to

00:40:56do

00:40:56because

00:40:56I

00:40:56do

00:40:56get

00:40:56questions

00:40:57I

00:40:57mean

00:40:57like

00:40:57we

00:40:58do

00:40:59discuss

00:40:59among

00:40:59those

00:41:00TTC

00:41:00warriors

00:41:00right

00:41:01so

00:41:01what

00:41:01do

00:41:02you

00:41:02do

00:41:02or

00:41:02what

00:41:02you

00:41:02have

00:41:05to

00:41:05say

00:41:05in

00:41:06terms

00:41:06of

00:41:06that

00:41:06I

00:41:06mean

00:41:06what

00:41:06is

00:41:07PGT

00:41:07what

00:41:07is

00:41:08ERA

00:41:08who

00:41:08needs

00:41:08all

00:41:09these

00:41:09things

00:41:09actually

00:41:10okay

00:41:10for

00:41:11me

00:41:11the

00:41:11advances

00:41:12in

00:41:14IVF

00:41:14to me

00:41:15the

00:41:15best

00:41:16would

00:41:16be

00:41:16if

00:41:16you

00:41:16can

00:41:17have

00:41:17only

00:41:17one

00:41:17injection

00:41:18for

00:41:18stimulation

00:41:19one

00:41:19injection

00:41:20for

00:41:20trigger

00:41:20and

00:41:21that's

00:41:21it

00:41:21you

00:41:22know

00:41:22that

00:41:22would

00:41:22be

00:41:22super

00:41:23fantastic

00:41:23you

00:41:23know

00:41:24but

00:41:24I

00:41:25suppose

00:41:25a

00:41:26lot

00:41:26of

00:41:26advances

00:41:26we

00:41:27want

00:41:27to

00:41:28make

00:41:28IVF

00:41:29treatment

00:41:30or

00:41:30fertility

00:41:31treatment

00:41:31as

00:41:31patient

00:41:32friendly

00:41:32as

00:41:32possible

00:41:33with

00:41:33you

00:41:34know

00:41:34less

00:41:35injections

00:41:35important

00:41:36make

00:41:37it

00:41:37more

00:41:37flexible

00:41:37instead

00:41:38of

00:41:38waiting

00:41:38for

00:41:38second

00:41:39day

00:41:39third

00:41:39day

00:41:39make

00:41:40it

00:41:40more

00:41:40flexible

00:41:41and

00:41:41also

00:41:41the

00:41:42duration

00:41:43and

00:41:43obviously

00:41:44the

00:41:44increase

00:41:45in

00:41:45success

00:41:46rate

00:41:46lots

00:41:47of

00:41:48advances

00:41:48obviously

00:41:49when they

00:41:49first

00:41:49come

00:41:50out

00:41:50you

00:41:50be

00:41:50like

00:41:50wow

00:41:51this

00:41:51is

00:41:51it

00:41:51this

00:41:51is

00:41:52a

00:41:52game

00:41:52changer

00:41:52but

00:41:53with

00:41:53time

00:41:54a

00:41:55lot

00:41:55of

00:41:55all

00:41:55these

00:41:55advances

00:41:56doesn't

00:41:57you

00:41:57know

00:41:58it

00:41:59doesn't

00:41:59improve

00:42:00as much

00:42:01as we

00:42:01hope

00:42:01for

00:42:02so

00:42:02that's

00:42:03why

00:42:03we

00:42:03go

00:42:03back

00:42:03to

00:42:03the

00:42:04same

00:42:04basic

00:42:04things

00:42:04preparation

00:42:05is

00:42:06important

00:42:06the

00:42:07couple

00:42:07needs

00:42:07to

00:42:08do

00:42:08lifestyle

00:42:08changes

00:42:09things

00:42:10that

00:42:10they

00:42:10can

00:42:10do

00:42:10because

00:42:11and

00:42:11do

00:42:11not

00:42:11delay

00:42:11seeking

00:42:13treatment

00:42:14age

00:42:14is

00:42:14still

00:42:14a

00:42:15very

00:42:15important

00:42:15thing

00:42:16now

00:42:16if

00:42:17they

00:42:17fail

00:42:17the

00:42:17IVF

00:42:18then

00:42:19we

00:42:19talking

00:42:19about

00:42:19why

00:42:20it

00:42:20fails

00:42:20so

00:42:21even

00:42:21though

00:42:21the

00:42:22embryo

00:42:22place

00:42:22is

00:42:23nice

00:42:24right

00:42:24it

00:42:24looks

00:42:25wow

00:42:25grade A

00:42:26beautiful

00:42:27but

00:42:27you're not

00:42:28pregnant

00:42:28right

00:42:29so

00:42:29this is

00:42:30where

00:42:30sometimes

00:42:31that we

00:42:31have

00:42:31the

00:42:31PTTA

00:42:32so

00:42:32PTTA

00:42:33is

00:42:33for

00:42:34those

00:42:34who

00:42:34have

00:42:34doing

00:42:35IVF

00:42:36treatment

00:42:36where

00:42:37we

00:42:37can

00:42:37actually

00:42:37biopsy

00:42:38the

00:42:39embryos

00:42:40which

00:42:40are

00:42:40day

00:42:405

00:42:41or

00:42:41day

00:42:426

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00:42:53need

00:42:54to

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00:42:55day

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00:42:56and

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00:43:03do

00:43:04day

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00:43:12the

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00:43:13the

00:43:14biopsy

00:43:15or

00:43:15genetic

00:43:16testing

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00:43:18has

00:43:18to be

00:43:18day

00:43:185

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00:43:24an

00:43:24issue

00:43:24if

00:43:25it's

00:43:25an

00:43:25ideal

00:43:26situation

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00:43:28have

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00:43:29those

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00:43:31you

00:43:32know

00:43:32it's

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00:43:34can

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00:43:41know

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00:43:42put

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00:43:42a

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00:43:44a

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00:43:45if

00:43:45you

00:43:45still

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00:44:15to

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00:44:33one

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00:44:47going

00:44:47to

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00:44:49on

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00:44:51a

00:44:51price

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00:44:53need

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00:44:53see

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00:45:12okay

00:45:12all

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00:45:14have

00:45:14mentioned

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00:45:16cannot

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00:45:17away

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00:45:33of

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00:45:35this

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00:46:10day

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00:46:18day

00:46:185

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00:46:22all

00:46:23those

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00:46:26be

00:46:27zero

00:46:27so

00:46:28I

00:46:28think

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00:46:29who

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00:46:30to

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00:46:31maybe

00:46:32it's

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00:46:33in

00:46:33all

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00:46:36the

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00:46:37we

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00:46:39sperm

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00:46:46it's

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00:46:48women

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00:46:49just

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00:46:50environment

00:46:50we

00:46:51are

00:46:51getting

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00:46:55IVF

00:46:56we

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00:47:02common

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00:47:04we

00:47:04just

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00:47:05taboo

00:47:05now

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00:47:07IVF

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00:47:14at

00:47:15the

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00:47:16IVF

00:47:16is

00:47:16totally

00:47:16a

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00:47:18okay

00:47:18ballgame

00:47:19so

00:47:20sometimes

00:47:21in the

00:47:21IVF

00:47:21babies

00:47:22or

00:47:22the

00:47:23mother

00:47:23what

00:47:24would

00:47:24be

00:47:25in

00:47:25terms

00:47:25of

00:47:26are

00:47:26they

00:47:26at

00:47:26higher

00:47:27I

00:47:27mean

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00:47:28risk

00:47:29in

00:47:29terms

00:47:29of

00:47:29especially

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00:47:30they

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00:47:31with

00:47:31hormones

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00:47:32it

00:47:32the

00:47:32mother

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00:47:33loaded

00:47:33with

00:47:33hormones

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00:47:36those

00:47:37who

00:47:37in

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00:47:38of

00:47:39the

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00:47:42cancer

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00:47:43what

00:47:44this

00:47:44population

00:47:45of

00:47:45IVF

00:47:46mothers

00:47:47and

00:47:47how

00:47:47about

00:47:47the

00:47:48babies

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00:47:48there

00:47:48any

00:47:49side

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00:47:50on

00:47:50the

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00:47:50the

00:47:51mother

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00:47:51being

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00:47:52with

00:47:52loads

00:47:52of

00:47:52hormones

00:47:53okay

00:47:53I

00:47:53think

00:47:54in

00:47:54terms

00:47:54of

00:47:55that

00:47:55there

00:47:55is

00:47:55a

00:47:56few

00:47:56things

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00:47:57terms

00:47:57of

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00:48:00have not

00:48:01shown

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00:48:02the

00:48:02IVF

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00:48:03has

00:48:05caused

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00:48:11important

00:48:12like

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00:48:13cancer

00:48:13uterine

00:48:15cancer

00:48:16cervical

00:48:16cancer

00:48:17it

00:48:17has not

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00:48:18proven

00:48:18so

00:48:18that's

00:48:19good

00:48:19in

00:48:20terms

00:48:20of

00:48:20adverse

00:48:21effect

00:48:21like

00:48:22potential

00:48:22in

00:48:23terms

00:48:23of

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00:48:24not

00:48:25significant

00:48:26right

00:48:27so

00:48:27that's

00:48:27something

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00:48:28like

00:48:28autism

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00:48:28things

00:48:29like

00:48:29that

00:48:29we

00:48:29actually

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00:48:31to

00:48:32it

00:48:33is

00:48:33known

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00:48:34fatale

00:48:35couples

00:48:35may

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00:48:36some

00:48:36genetic

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00:48:37right

00:48:38so

00:48:38that

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00:48:39also

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00:48:40confounding

00:48:40factor

00:48:41causing

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00:48:42to

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00:48:43a

00:48:43bit

00:48:43more

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00:48:46the

00:48:46reason

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00:48:49right

00:48:49and

00:48:50another

00:48:51thing

00:48:51also

00:48:52if

00:48:52they

00:48:52do

00:48:52get

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00:48:56like

00:48:57I

00:48:57mentioned

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00:48:58fathers

00:48:59do

00:48:59have

00:49:00increased

00:49:00risk

00:49:00of

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00:49:01child

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00:49:05risk

00:49:05of

00:49:05autism

00:49:06so

00:49:06far

00:49:08no

00:49:08studies

00:49:09have

00:49:09shown

00:49:10that

00:49:12there's

00:49:12an

00:49:12increased

00:49:12risk

00:49:13of

00:49:13all

00:49:13these

00:49:13cancers

00:49:14and

00:49:14also

00:49:14adverse

00:49:15effects

00:49:15on

00:49:15the

00:49:16offspring

00:49:16which

00:49:16is

00:49:17good

00:49:17how

00:49:18about

00:49:18super

00:49:19babies

00:49:19people

00:49:20always

00:49:21say

00:49:22sometimes

00:49:23IVF

00:49:23is

00:49:23not

00:49:24just

00:49:24because

00:49:24they

00:49:24want

00:49:24to

00:49:24conceive

00:49:25sometimes

00:49:26I

00:49:26mean

00:49:26I'm

00:49:26not

00:49:26sure

00:49:27how

00:49:27is

00:49:27it

00:49:27in

00:49:27Malaysia

00:49:28but

00:49:28in

00:49:28the

00:49:28West

00:49:28sometimes

00:49:29they

00:49:29can

00:49:31basically

00:49:31construct

00:49:32what

00:49:33kind

00:49:33of

00:49:33babies

00:49:33or

00:49:34what

00:49:34is

00:49:34their

00:49:34offspring

00:49:35so

00:49:35what

00:49:36do

00:49:36you

00:49:36have

00:49:36to

00:49:36say

00:49:36about

00:49:36super

00:49:37I

00:49:37think

00:49:37so

00:49:37far

00:49:38not

00:49:38yet

00:49:38we

00:49:39probably

00:49:39right

00:49:40which

00:49:40is

00:49:41not

00:49:41legally

00:49:41in

00:49:41Malaysia

00:49:42we

00:49:42probably

00:49:42can

00:49:42see

00:49:42girl

00:49:43or

00:49:43boy

00:49:43but

00:49:44I

00:49:44think

00:49:44we

00:49:44can't

00:49:45choose

00:49:45yet

00:49:45the

00:49:45genetic

00:49:45but

00:49:46I

00:49:46feel

00:49:46that

00:49:47because

00:49:47it's

00:49:48perhaps

00:49:48the

00:49:48couple

00:49:49was

00:49:49really

00:49:50looking

00:49:51forward

00:49:51to

00:49:51the

00:49:51pregnancy

00:49:52so

00:49:52after

00:49:53delivery

00:49:53they

00:49:53might

00:49:53be

00:49:53eating

00:49:54better

00:49:54taking

00:49:55care

00:49:55of

00:49:55health

00:49:56it

00:49:56changes

00:49:56and

00:49:57then

00:49:57they

00:49:57perhaps

00:49:58be

00:49:58more

00:49:58attentive

00:50:00to

00:50:00the

00:50:00children

00:50:01so

00:50:02it

00:50:02seems

00:50:03that

00:50:03the

00:50:03children

00:50:04are

00:50:04intelligent

00:50:05have

00:50:07all

00:50:07these

00:50:07positive

00:50:07benefits

00:50:08but

00:50:08perhaps

00:50:09all

00:50:09these

00:50:09other

00:50:09things

00:50:10has

00:50:11actually

00:50:11contributed

00:50:12to

00:50:13us

00:50:13in

00:50:13super

00:50:14babies

00:50:15from

00:50:15IVF

00:50:16babies

00:50:16I

00:50:16think

00:50:17all

00:50:17those

00:50:17who

00:50:18are

00:50:18ongoing

00:50:18the

00:50:18TCC

00:50:19journey

00:50:19it's

00:50:20such a

00:50:20precious

00:50:21if you

00:50:21get

00:50:22pregnant

00:50:22and

00:50:22you

00:50:22have

00:50:23the

00:50:23baby

00:50:23it's

00:50:23a

00:50:23precious

00:50:24pregnancy

00:50:24so

00:50:25I

00:50:25think

00:50:25most

00:50:26of

00:50:26the

00:50:26future

00:50:27mothers

00:50:27or

00:50:27those

00:50:28who

00:50:28are

00:50:28going

00:50:28through

00:50:28the

00:50:28journey

00:50:28they

00:50:29would

00:50:29actually

00:50:29let

00:50:30go

00:50:30most

00:50:31of

00:50:31the

00:50:31things

00:50:31even

00:50:32their

00:50:32career

00:50:32just

00:50:32to

00:50:33really

00:50:33focus

00:50:33to

00:50:34become

00:50:34a

00:50:34mother

00:50:40the

00:50:41cost

00:50:42and

00:50:43finance

00:50:43I

00:50:43mean

00:50:43how

00:50:44is

00:50:44it

00:50:44in

00:50:44Malaysia

00:50:44as

00:50:45a

00:50:45government

00:50:45subsidising

00:50:47or

00:50:48I

00:50:48mean

00:50:48because

00:50:48the

00:50:49cost

00:50:49I'm

00:50:49sure

00:50:50it's

00:50:50about

00:50:50roughly

00:50:5115

00:50:52to

00:50:52I

00:50:52mean

00:50:52to

00:50:53begin

00:50:53with

00:50:53of

00:50:54course

00:50:54with

00:50:54the

00:50:54additional

00:50:55test

00:50:55at least

00:50:562

00:50:56to

00:50:575

00:50:57K

00:50:57even

00:50:57to

00:50:58freeze

00:50:58the

00:50:59embryo

00:50:59also

00:50:59is

00:51:00another

00:51:00different

00:51:00cost

00:51:00right

00:51:01so

00:51:01are

00:51:02there

00:51:02any

00:51:03government

00:51:03support

00:51:03schemes

00:51:04or

00:51:04initiatives

00:51:05that

00:51:05they

00:51:06have

00:51:06done

00:51:06that

00:51:07could

00:51:07ease

00:51:07in

00:51:08terms

00:51:08of

00:51:08future

00:51:11couples

00:51:11so

00:51:12we

00:51:12do

00:51:12have

00:51:12support

00:51:13from

00:51:13the

00:51:14government

00:51:14which

00:51:14is

00:51:14good

00:51:14I

00:51:15think

00:51:15we

00:51:15waiting

00:51:15for

00:51:16it

00:51:16and

00:51:16finally

00:51:16came

00:51:16out

00:51:16we

00:51:17can

00:51:17take

00:51:17out

00:51:17the

00:51:17EPF

00:51:18money

00:51:18I

00:51:18think

00:51:18that

00:51:19has

00:51:19actually

00:51:19allowed

00:51:20lots

00:51:20of

00:51:20younger

00:51:21couples

00:51:21to

00:51:22start

00:51:22their

00:51:23treatment

00:51:23right

00:51:23so

00:51:24that's

00:51:24really

00:51:24good

00:51:24in

00:51:25terms

00:51:25of

00:51:25you

00:51:25can

00:51:25take

00:51:25from

00:51:26your

00:51:26account

00:51:26two

00:51:26now

00:51:27you

00:51:27have

00:51:27the

00:51:27account

00:51:27three

00:51:28so

00:51:28at

00:51:28least

00:51:29that

00:51:29ease

00:51:30the

00:51:31financial

00:51:31burden

00:51:31then

00:51:32they

00:51:32don't

00:51:33delay

00:51:33their

00:51:33treatment

00:51:34so

00:51:34that

00:51:34is

00:51:35another

00:51:36one

00:51:36also

00:51:36for

00:51:37tax

00:51:37incentive

00:51:38you

00:51:38can

00:51:38claim

00:51:38don't

00:51:39quote

00:51:39me

00:51:39but

00:51:39maybe

00:51:39about

00:51:408000

00:51:40per

00:51:41year

00:51:41for

00:51:42fertility

00:51:42treatment

00:51:43now

00:51:43the

00:51:43good

00:51:44thing

00:51:44now

00:51:44that's

00:51:44from

00:51:44the

00:51:45government

00:51:45side

00:51:45also

00:51:46now

00:51:46insurance

00:51:47also

00:51:48probably

00:51:49going to

00:51:50start

00:51:50covering

00:51:51for

00:51:51fertility

00:51:51because

00:51:52like

00:51:52so

00:51:53overseas

00:51:53now

00:51:54some

00:51:54of

00:51:54the

00:51:54company

00:51:55they

00:51:55do

00:51:55cover

00:51:55for

00:51:56fertility

00:51:56so

00:51:56I

00:51:57know

00:51:57lots

00:51:57of

00:51:57Japanese

00:51:57companies

00:51:58cover

00:51:58I

00:51:59think

00:51:59also

00:52:00for

00:52:00overseas

00:52:01I

00:52:01think

00:52:02from

00:52:02Saudi

00:52:02some

00:52:03of

00:52:03the

00:52:03embassies

00:52:04to

00:52:04cover

00:52:04so

00:52:05I

00:52:05think

00:52:05that's

00:52:05a

00:52:05really

00:52:06good

00:52:06initiative

00:52:06because

00:52:07you

00:52:07know

00:52:07I

00:52:07think

00:52:08now

00:52:08I

00:52:08think

00:52:09certain

00:52:09countries

00:52:09are

00:52:09giving

00:52:10like

00:52:10a

00:52:10really

00:52:11you

00:52:11know

00:52:11money

00:52:11basically

00:52:12because

00:52:12their

00:52:13population

00:52:13is

00:52:13so

00:52:14getting

00:52:14such

00:52:14an

00:52:15alarming

00:52:15rate

00:52:15going

00:52:16down

00:52:16that

00:52:17they're

00:52:17giving

00:52:17incentives

00:52:18for

00:52:19you

00:52:19to

00:52:19have

00:52:19babies

00:52:20perhaps

00:52:20four

00:52:21day

00:52:21work

00:52:21right

00:52:22you

00:52:22we

00:52:24already

00:52:24working

00:52:24five

00:52:24days

00:52:25maybe

00:52:25I

00:52:26think

00:52:26not

00:52:29only

00:52:29to

00:52:30get

00:52:30the

00:52:30baby

00:52:30those

00:52:31who

00:52:31already

00:52:32have

00:52:33the

00:52:33baby

00:52:33because

00:52:34once

00:52:34you

00:52:34have

00:52:34the

00:52:34baby

00:52:34for

00:52:35the

00:52:35second

00:52:35baby

00:52:36it's

00:52:36really

00:52:36quite

00:52:37a

00:52:37struggle

00:52:37right

00:52:38we'd

00:52:39like

00:52:39to

00:52:39maintain

00:52:40the

00:52:40female

00:52:40in

00:52:40the

00:52:40workforce

00:52:41lots

00:52:42of

00:52:42females

00:52:42would

00:52:42love

00:52:43to

00:52:43continue

00:52:43a

00:52:43career

00:52:43but

00:52:44you

00:52:44really

00:52:45struggle

00:52:46so

00:52:47if

00:52:47there

00:52:48is

00:52:48things

00:52:48like

00:52:48daycare

00:52:49at

00:52:50the

00:52:50work

00:52:51affordable

00:52:52ones

00:52:53right

00:52:54so

00:52:54that

00:52:54would

00:52:54be

00:52:54really

00:52:55good

00:52:55affordable

00:52:56DKS

00:52:57center

00:52:57is

00:52:57great

00:52:57other

00:52:58incentives

00:52:59like

00:52:59leave

00:53:00maternity

00:53:01leave

00:53:01parental

00:53:03husband

00:53:03also

00:53:03leave

00:53:04all

00:53:04this

00:53:05would

00:53:05be

00:53:05good

00:53:05flexibility

00:53:06in

00:53:07the

00:53:07job

00:53:07I

00:53:08think

00:53:08that

00:53:08would

00:53:08also

00:53:09encourage

00:53:09more

00:53:10couples

00:53:11to

00:53:11have

00:53:12more

00:53:12children

00:53:12to

00:53:12have

00:53:12a

00:53:13bigger

00:53:13family

00:53:13size

00:53:13also

00:53:15cost

00:53:15of

00:53:16living

00:53:16cost

00:53:16of

00:53:16education

00:53:17it's

00:53:18really

00:53:18important

00:53:18for

00:53:19government

00:53:19to

00:53:20have

00:53:20more

00:53:21incentive

00:53:21good

00:53:22start

00:53:23EPF

00:53:23great

00:53:24but

00:53:24if

00:53:25you

00:53:25can

00:53:25have

00:53:25more

00:53:26other

00:53:26incentive

00:53:27will

00:53:27be

00:53:27much

00:53:28more

00:53:28welcome

00:53:29right

00:53:29yeah

00:53:30because

00:53:30I

00:53:30think

00:53:30nowadays

00:53:31Prudential

00:53:31also

00:53:32starts

00:53:32covering

00:53:33for

00:53:33fertility

00:53:34for fertility

00:53:35yes

00:53:35yeah

00:53:36it's

00:53:36good

00:53:36that's

00:53:36a good

00:53:37really

00:53:37awareness

00:53:39from

00:53:39them

00:53:40so

00:53:40that

00:53:41those

00:53:41who

00:53:41have

00:53:41just

00:53:42starting

00:53:42taking

00:53:42the

00:53:42young

00:53:42couples

00:53:43right

00:53:43you

00:53:44go ahead

00:53:44look

00:53:44at

00:53:45the

00:53:45insurance

00:53:45and

00:53:46it

00:53:46will

00:53:46be

00:53:46covered

00:53:47for

00:53:47at least

00:53:47I

00:53:47think

00:53:4815,000

00:53:48or

00:53:49something

00:53:49like

00:53:49that

00:53:49yeah

00:53:50so

00:53:50because

00:53:50nowadays

00:53:51in

00:53:51Malaysia

00:53:51slowly

00:53:52is

00:53:52an eye

00:53:52opener

00:53:53as

00:53:53compared

00:53:53to

00:53:53the

00:53:53West

00:53:54or

00:53:54other

00:53:54countries

00:53:54that

00:53:54has

00:53:55mentioned

00:53:55so

00:53:56I

00:53:56think

00:53:56slowly

00:53:57is

00:53:57getting

00:53:57into

00:53:58the

00:53:58system

00:53:59that

00:53:59they

00:53:59are

00:54:00covering

00:54:00for

00:54:00the

00:54:01IVF

00:54:01treatment

00:54:01right

00:54:02okay

00:54:03just

00:54:03coming to

00:54:03a little

00:54:04bit

00:54:04the

00:54:04last

00:54:04two

00:54:05questions

00:54:05this

00:54:06may

00:54:06be

00:54:06a

00:54:07common

00:54:07concept

00:54:07in

00:54:07the

00:54:08West

00:54:08but

00:54:08not

00:54:08so

00:54:09much

00:54:09in

00:54:09Malaysia

00:54:09maybe

00:54:10or

00:54:11just

00:54:11it's

00:54:12not

00:54:12being

00:54:12publicized

00:54:12much

00:54:19like

00:54:20we

00:54:20just

00:54:20mentioned

00:54:21those

00:54:21who

00:54:21got

00:54:21married

00:54:22early

00:54:22but

00:54:23they

00:54:23don't

00:54:23want

00:54:23to

00:54:23have

00:54:24the

00:54:24children

00:54:25yet

00:54:25but

00:54:26you

00:54:26know

00:54:26as

00:54:26time

00:54:27passes

00:54:27by

00:54:27the

00:54:28quality

00:54:28would

00:54:28drop

00:54:29so

00:54:29do

00:54:30we

00:54:30have

00:54:30can

00:54:31they

00:54:31actually

00:54:32freeze

00:54:32their

00:54:33eggs

00:54:33or

00:54:33their

00:54:33sperm

00:54:34and

00:54:34how

00:54:34about

00:54:35those

00:54:35who

00:54:35are

00:54:35not

00:54:35married

00:54:36I

00:54:36mean

00:54:36who

00:54:36does

00:54:36not

00:54:37have

00:54:37any

00:54:38potential

00:54:39yet

00:54:39to

00:54:39get

00:54:40married

00:54:40and

00:54:40they

00:54:40want

00:54:40to

00:54:41preserve

00:54:42their

00:54:42eggs

00:54:42how

00:54:43is

00:54:43that

00:54:43so

00:54:44for

00:54:44Malaysia

00:54:44the

00:54:45guidelines

00:54:46are

00:54:46egg

00:54:47freezing

00:54:48for

00:54:48non-Muslim

00:54:49and

00:54:50also

00:54:51for

00:54:52muslim

00:54:52actually

00:54:53unfortunately

00:54:54not yet

00:54:54so

00:54:55you

00:54:55can't

00:54:55freeze

00:54:55the

00:54:56egg

00:54:56but

00:54:57I

00:54:57think

00:54:57there

00:54:57are

00:54:58reasons

00:54:58for

00:54:58if

00:54:58there's

00:54:58health

00:54:59reasons

00:54:59like

00:54:59cancer

00:55:00and

00:55:00things

00:55:00like

00:55:00that

00:55:01so

00:55:02now

00:55:02egg

00:55:02freezing

00:55:03I

00:55:04think

00:55:04it

00:55:04has

00:55:04not

00:55:04we

00:55:05thought

00:55:05it

00:55:05will

00:55:05be

00:55:05catching

00:55:06up

00:55:06and

00:55:06everybody

00:55:06will

00:55:07go

00:55:07and

00:55:07freeze

00:55:08my

00:55:08egg

00:55:08and

00:55:08things

00:55:09but

00:55:09actually

00:55:09the

00:55:10trend

00:55:10has

00:55:10not

00:55:10catch-up

00:55:11there

00:55:12is

00:55:12still

00:55:12a

00:55:12low

00:55:12pick-up

00:55:13rate

00:55:13for

00:55:13egg

00:55:13freezing

00:55:14even

00:55:14I

00:55:15think

00:55:15formulations

00:55:16and

00:55:16the

00:55:16non-Muslims

00:55:17not so

00:55:18much

00:55:19I

00:55:19think

00:55:19it's

00:55:20partly

00:55:20due

00:55:20to

00:55:21cost

00:55:21it

00:55:22is

00:55:22quite

00:55:22expensive

00:55:22and

00:55:23it's

00:55:23not

00:55:24a

00:55:24guaranteed

00:55:24thing

00:55:25that

00:55:25you

00:55:25freeze

00:55:26your

00:55:26eggs

00:55:26you

00:55:27will

00:55:27have

00:55:27pregnancy

00:55:28you

00:55:29need

00:55:29to

00:55:29aware

00:55:29that

00:55:30we

00:55:30are

00:55:30freezing

00:55:30the

00:55:31eggs

00:55:31sometimes

00:55:32we

00:55:32need

00:55:32a

00:55:33bigger

00:55:33number

00:55:33of

00:55:34eggs

00:55:34because

00:55:34we

00:55:35need

00:55:35to

00:55:35fertilize

00:55:36it

00:55:36so

00:55:36like

00:55:38for

00:55:38embryos

00:55:39maybe

00:55:39you

00:55:39can

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00:55:39maybe

00:55:40three

00:55:40or

00:55:40four

00:55:40it's

00:55:40already

00:55:41a

00:55:41fertilized

00:55:41egg

00:55:41now

00:55:42eggs

00:55:43when

00:55:43we

00:55:43freeze

00:55:44it

00:55:44you

00:55:44need

00:55:44to

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00:55:45fertilized

00:55:45with

00:55:45the

00:55:46partner

00:55:46sperm

00:55:46so

00:55:47not

00:55:48necessarily

00:55:48it's

00:55:48not

00:55:49like

00:55:49insurance

00:55:50like

00:55:50yeah

00:55:51for

00:55:51sure

00:55:51I'm

00:55:51going

00:55:51to

00:55:52have

00:55:52a

00:55:52baby

00:55:52by

00:55:53freezing

00:55:53my

00:55:53eggs

00:55:53so

00:55:53all

00:55:54those

00:55:54things

00:55:54probably

00:55:55with

00:55:56the

00:55:56cost

00:55:56issue

00:55:57would

00:55:57have

00:55:58has

00:55:58led

00:55:59to

00:55:59not

00:56:00such

00:56:00a

00:56:00high

00:56:06freezing

00:56:06and

00:56:07cost

00:56:07issue

00:56:08and

00:56:08actually

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00:56:09you

00:56:09want

00:56:09to

00:56:09freeze

00:56:09eggs

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00:56:10need

00:56:10to

00:56:11be

00:56:11at

00:56:11a

00:56:11younger

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00:56:12preferably

00:56:13late

00:56:1320s

00:56:14early

00:56:1430s

00:56:14will

00:56:15be

00:56:15good

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00:56:17for

00:56:17freezing

00:56:18they'll

00:56:18be

00:56:18like

00:56:18okay

00:56:19I'm

00:56:1940

00:56:19now

00:56:19I'm

00:56:20ready

00:56:20now

00:56:20you

00:56:21need

00:56:24probably

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00:56:2515

00:56:25or

00:56:2520

00:56:26eggs

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00:56:27know

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00:56:27certain

00:56:28age

00:56:28and

00:56:29we've

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00:56:30like

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00:56:31know

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00:56:33career

00:56:33or

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00:56:34get

00:56:34to

00:56:3540

00:56:35meet

00:56:35their

00:56:35ideal

00:56:36partner

00:56:36fertilize

00:56:37it

00:56:37and

00:56:38there's

00:56:38nothing

00:56:38to

00:56:38transfer

00:56:39right

00:56:40so

00:56:40it's

00:56:40such

00:56:41heartbreaking

00:56:41to

00:56:41me

00:56:42it's

00:56:42not

00:56:42going

00:56:42to

00:56:43be

00:56:43an

00:56:43insurance

00:56:43policy

00:56:44for

00:56:44you

00:56:44to

00:56:45secure

00:56:45your

00:56:46motherhood

00:56:47so

00:56:48when

00:56:49you're

00:56:49ready

00:56:49again

00:56:50do not

00:56:51delay

00:56:51because

00:56:52we

00:56:52need

00:56:52to

00:56:52put

00:56:53back

00:56:53in

00:56:53because

00:56:53sometimes

00:56:53we

00:56:54have

00:56:54a

00:56:54normal

00:56:54embryo

00:56:55put

00:56:55it

00:56:55back

00:56:56in

00:56:56no

00:56:57pregnancy

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00:56:58at

00:56:58the

00:56:58end

00:56:59of

00:56:59the

00:56:59day

00:56:59it

00:56:59depends

00:56:59on

00:57:00the

00:57:00age

00:57:01of

00:57:01the

00:57:01mother

00:57:01when

00:57:02they

00:57:02conceive

00:57:03so

00:57:03it

00:57:04plays

00:57:04a

00:57:04big

00:57:04role

00:57:05not

00:57:05just

00:57:05the

00:57:06eggs

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00:57:07at

00:57:08the

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00:57:08time

00:57:08like

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00:57:08said

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00:57:09if

00:57:09you

00:57:09freeze

00:57:09the

00:57:10eggs

00:57:10because

00:57:10I

00:57:11also

00:57:11have

00:57:11the

00:57:11concept

00:57:11that

00:57:12when

00:57:12you

00:57:12freeze

00:57:12the

00:57:12eggs

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00:57:13so

00:57:13it

00:57:14will

00:57:14be

00:57:14at

00:57:14the

00:57:15age

00:57:15of

00:57:1525

00:57:15but

00:57:16the

00:57:17most

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00:57:17is

00:57:17it's

00:57:18different

00:57:18when

00:57:18you

00:57:18fertilize

00:57:28being

00:57:29frozen

00:57:30at

00:57:30that

00:57:30particular

00:57:31age

00:57:31then

00:57:31after

00:57:32that

00:57:32transfer

00:57:32you

00:57:32can

00:57:33probably

00:57:33delay

00:57:33a little

00:57:34bit

00:57:34but

00:57:34having

00:57:34an

00:57:35egg

00:57:35freeze

00:57:35at

00:57:36an

00:57:36area

00:57:36yeah

00:57:37I've

00:57:37got

00:57:37a lot

00:57:38of

00:57:38patients

00:57:38coming

00:57:38at

00:57:3840

00:57:39like

00:57:40frozen

00:57:40embryos

00:57:41and

00:57:42had

00:57:42twins

00:57:42maybe

00:57:43so

00:57:43they

00:57:43come

00:57:44back

00:57:44maybe

00:57:44four

00:57:44or

00:57:45five

00:57:45years

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00:57:45so

00:57:46now

00:57:46they

00:57:46are

00:57:46like

00:57:4640

00:57:47go

00:57:47like

00:57:47how

00:57:48now

00:57:48I

00:57:48mean

00:57:49like

00:57:49you

00:57:49know

00:57:49I

00:57:49said

00:57:49well

00:57:50you

00:57:51got

00:57:51young

00:57:52embryos

00:57:53from

00:57:53your

00:57:54younger

00:57:54age

00:57:54but

00:57:55of

00:57:56course

00:57:56you

00:57:56know

00:57:56you're

00:57:5640

00:57:57make

00:57:57sure

00:57:57that

00:57:57you

00:57:57are

00:57:58fit

00:57:58and

00:57:58healthy

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00:57:59know

00:57:59optimize

00:58:00your

00:58:00health

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00:58:02it

00:58:03carries

00:58:03also

00:58:03the

00:58:03risk

00:58:03when

00:58:04you've

00:58:04been

00:58:0440

00:58:04implantation

00:58:05issues

00:58:05might

00:58:06reduce

00:58:06and

00:58:07also

00:58:07hypertension

00:58:08and

00:58:09diabetes

00:58:09right

00:58:10so

00:58:11all

00:58:11those

00:58:11things

00:58:12you

00:58:12need

00:58:13to

00:58:13take

00:58:13into

00:58:13consideration

00:58:14so

00:58:14we

00:58:15are

00:58:15now

00:58:15having

00:58:15patients

00:58:16coming

00:58:16in

00:58:17to

00:58:17complete

00:58:18your

00:58:18you

00:58:18know

00:58:19embryos

00:58:19whatever

00:58:20they're

00:58:20frozen

00:58:22whether

00:58:23shall

00:58:23I

00:58:23not

00:58:24shall

00:58:24I

00:58:24transfer

00:58:25or

00:58:25I

00:58:26keep

00:58:27it

00:58:27or

00:58:27throw

00:58:27it

00:58:28so

00:58:29all

00:58:29those

00:58:29things

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00:58:30you

00:58:30freeze

00:58:30your

00:58:30embryo

00:58:31right

00:58:32this

00:58:32is

00:58:32something

00:58:33that

00:58:33you

00:58:33want

00:58:33to

00:58:33think

00:58:33about

00:58:34but

00:58:34embryos

00:58:35are

00:58:35not

00:58:35a

00:58:35living

00:58:36thing

00:58:36from

00:58:37Muslim

00:58:37part

00:58:38we

00:58:39do

00:58:39discard

00:58:40embryos

00:58:40if

00:58:40it's

00:58:41abnormal

00:58:41so

00:58:41you

00:58:42need

00:58:42to

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00:58:42your

00:58:43hate

00:58:44religion

00:58:44because

00:58:45I

00:58:45think

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00:58:46have

00:58:46different

00:58:47opinions

00:58:47some

00:58:48say

00:58:48embryos

00:58:49are

00:58:49a

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00:58:51excess

00:58:52embryo

00:58:53creation

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00:58:54didn't

00:58:54have

00:58:54a

00:58:55discussion

00:58:55with

00:58:55the

00:58:55couple

00:58:56whether

00:58:57this

00:58:57is

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00:58:59terms

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00:58:59their

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00:59:02mean

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00:59:02even

00:59:03in

00:59:04a

00:59:04Muslim

00:59:05couple

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00:59:06are

00:59:06married

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00:59:08their

00:59:08eggs

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00:59:09their

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00:59:13embryos

00:59:13so

00:59:14they

00:59:14go

00:59:14I

00:59:14want

00:59:14to

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00:59:18then

00:59:19it

00:59:19belongs

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00:59:20both

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00:59:22an

00:59:22embryo

00:59:22it

00:59:23belongs

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00:59:23one

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00:59:25the

00:59:25partner

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00:59:26or

00:59:27the

00:59:27partner

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00:59:29or

00:59:29divorce

00:59:29you

00:59:30can't

00:59:31use

00:59:31it

00:59:31so

00:59:32you

00:59:32have

00:59:33to

00:59:33discard

00:59:33you

00:59:34can't

00:59:35use

00:59:35without

00:59:35the

00:59:35other

00:59:36person's

00:59:36permission

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00:59:38it's

00:59:38half

00:59:39yours

00:59:39so

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00:59:42we

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00:59:43our

00:59:43session

00:59:44for

00:59:44today

00:59:44this is

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00:59:45very

00:59:45interesting

00:59:46topic

00:59:46what

00:59:47would

00:59:47be

00:59:48your

00:59:48message

00:59:48to

00:59:48the

00:59:49couples

00:59:49out

00:59:49there

00:59:50who

00:59:50are

00:59:50feeling

00:59:51lost

00:59:52or

00:59:52maybe

00:59:52ashamed

00:59:53or

00:59:53maybe

00:59:54devastated

00:59:54after

00:59:55several

00:59:56times

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00:59:57this

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01:00:00to

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01:00:22think

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01:00:23a lot

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01:00:25give up

01:00:25hope

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01:00:26early

01:00:26right

01:00:27be

01:00:28be

01:00:28consistent

01:00:28love

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01:00:35inshallah

01:00:36majority

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01:00:40dream

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01:00:47so

01:00:48my

01:00:48prayers

01:00:48for

01:00:49all

01:00:49those

01:00:49couples

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01:00:53hope

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01:00:54be

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01:00:56then

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01:00:56help

01:00:57and

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01:01:00right

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01:01:01a lot

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01:01:02feel

01:01:02for

01:01:02them

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01:01:03a

01:01:03long

01:01:04journey

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01:01:05sometimes

01:01:05people

01:01:06oh

01:01:06dear

01:01:06long

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01:01:09not

01:01:09the

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01:01:10we

01:01:10move

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01:01:12their

01:01:13pregnancy

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01:01:16your

01:01:16pregnancy

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01:01:17having

01:01:18all

01:01:18this

01:01:18emotional

01:01:20rollercoaster

01:01:21understand

01:01:23because

01:01:23I

01:01:23remember

01:01:24one of

01:01:24my

01:01:24friends

01:01:25who

01:01:25told

01:01:25me

01:01:25I

01:01:26still

01:01:26remember

01:01:26from

01:01:27the

01:01:27initial

01:01:27time

01:01:28when I

01:01:29wanted to

01:01:29start

01:01:29all this

01:01:29TTC

01:01:30journey

01:01:30as

01:01:32long

01:01:32as

01:01:32she's

01:01:33not

01:01:33menopause

01:01:34as

01:01:35long

01:01:35as

01:01:35she

01:01:35still

01:01:35can

01:01:36financially

01:01:36pay

01:01:37for

01:01:37the

01:01:37treatment

01:01:38she

01:01:38would

01:01:38go

01:01:39all

01:01:39out

01:01:39about

01:01:39it

01:01:39so

01:01:40I

01:01:40think

01:01:40that

01:01:40would

01:01:41actually

01:01:41keep

01:01:41all

01:01:42of

01:01:42the

01:01:42ladies

01:01:43females

01:01:44out

01:01:44there

01:01:44to

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01:01:44going

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01:01:46before

01:01:47we

01:01:47end

01:01:48to

01:01:48all

01:01:48our

01:01:48audience

01:01:49don't

01:01:49forget

01:01:49to

01:01:49follow

01:01:50all

01:01:50Sina

01:01:50Daily

01:01:51social

01:01:51media

01:01:52platforms

01:01:52and

01:01:52also

01:01:53download

01:01:53Sina

01:01:53Daily's

01:01:54new

01:01:54and

01:01:54improved

01:01:55mobile

01:01:55application

01:01:56so

01:01:56before

01:01:57I

01:01:57end

01:01:57in a

01:01:59nutshell

01:01:59just

01:02:00a few

01:02:00notes

01:02:01I would

01:02:02say

01:02:02to

01:02:02all

01:02:02the

01:02:02TTC

01:02:03fighters

01:02:03out

01:02:03there

01:02:04never

01:02:05give

01:02:05up

01:02:06never

01:02:07surrender

01:02:07continue

01:02:08praying

01:02:09insha

01:02:09Allah

01:02:10you

01:02:10will

01:02:10get

01:02:10there

01:02:10and

01:02:11IVF

01:02:11is

01:02:11not

01:02:12a

01:02:12race

01:02:12it's

01:02:13not

01:02:13an

01:02:13exam

01:02:13it's

01:02:14a

01:02:14journey

01:02:14so

01:02:15you

01:02:15have

01:02:15to

01:02:18session

01:02:18next

01:02:19month

01:02:19insha

01:02:19Allah

01:02:19Assalamualaikum

01:02:48Sina

01:02:49Sina

01:02:50Sina

01:02:51Sina

01:02:52Sina

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