GUIDE FOR INTERNATIONAL PATIENTS

1

Is there any preparation before I start IVF treatment at your centre?

Yes. We need you to have a medical assessment, either with your local doctor, or have an initial visit at our centre. Both husband and wife also need to have the following tests done before starting IVF.

These are:

Wife - Transvaginal pelvic ultrasound, Pap smear, Blood tests – Anti Mullerian Hormone, Rubella antibody, Infective screen (Hepatitis B, Hepatitis C, HIV and syphilis screening)

Husband - Semen analysis, Infective screen blood tests (Hepatitis B, Hepatitis C, HIV and syphilis screening)

2

How long is the whole IVF treatment?

We have tailored two options for our international patients convenience:

A. Fresh Embryo Transfer: Single Visit (21 days*)

This option is for patients who want to stay on for the entire treatment option in a single visit from the start to the completion of the programme.

*Duration is subject to change based on patient’s responsiveness to the treatment We recommend that you take a flight which allows flexibility to change your date of departure where necessary

In your home country

Video or phone consultation for your initial assessment and to plan your visit

Arrive at SabahCare Fertility on the first day of your menstrual cycle to prepare for treatment on the 2nd or 3rd day Upon arrival, our fertility specialist will have a consultation with you to prepare you for the stimulation phase of your treatment.

•IVF treatment starts on day 2 or 3 of your period when you will be receiving hormone injections for 10 to 12 days

•During this time, you will come in to see the fertility specialist for scans to ensure the eggs are growing well

2 weeks

Optional: some couples may choose to stay to do the pregnancy test 2 weeks after the embryo transfer

Day 21

You can rest for 1 day before taking your flight back to your home country.

Day 20

Embryo transfer is performed between 2-5 days after Ovum Pick Up

When the ovary is ready for egg collection, the procedure of Ovum Pick Up is performed 2 days after your last injection

Day 16-19

You can take a relaxing break during this time to enjoy a holiday in Kota Kinabalu as the embryo develops in the lab

B. Frozen Embryo Transfer + PGT : Two Visits IVF Treatment Programme (16+9 days)*

If you choose to have PGT done to increase the changes of successful pregnancy and freeze your embryos for future use, this programme is best for you.

*Duration is subject to change based on patient’s responsiveness to the treatment We recommend that you take a flight which allows flexibility to change your date of departure where necessary.

In your home country

Video or phone consultation for your initial assessment and to plan your visit

Arrive at SabahCare Fertility on the first day of your menstrual cycle to prepare for treatment on the 2nd or 3rd day Upon arrival, our fertility specialist will have a consultation with you to prepare you for the stimulation phase of your treatment.

•IVF treatment starts on day 2 or 3 of your period when you will be receiving hormone injections for 10 to 12 days

•During this time, you will come in to see the fertility specialist for scans to ensure the eggs are growing well

Day 15

When the ovary is ready for egg collection, the procedure of Ovum Pick Up is performed 2 days after your last injection

You can go for a holiday around Sabah during this time when your uterus is being prepared for Frozen Embryo Transfer

Upon arrival of your 2nd trip to SabahCare Fertility, you will have a consultation with our fertility specialist to discuss about your Frozen Embryo Transfer

•Your embryo will be analysed in the lab with PGT testing.

•Our Fertility Specialist will contact you with the embryo results & discuss with you for the Frozen Embryo Transfer process

•You will be instructed to start medication in your home country

Day 7

The embryo is transferred into your womb

3

You can take a relaxing break during this time to enjoy a holiday in Kota Kinabalu or return back to your home country

Day 8-9

You can rest for 2 days before taking your flight back to your home country

2 weeks

Optional: some couples may choose to stay to do the pregnancy test 2 weeks after the embryo transfer

Who may have a different programme from the one mentioned above?

The standard duration of 3 weeks is for someone who completes the whole treatment up to the stage of fresh embryo transfer and pregnancy test. IVF treatment will be divided into two visits for the following conditions

A. For someone who has many eggs during Ovum Pick Up, the embryos obtained will be frozen. Frozen embryo transfer will be performed 2 months later. This means the first visit will be around 3 weeks (until stage of Ovum Pick Up) The second visit is also around 3 weeks (scanning by doctor to prepare for frozen embryo transfer and followed by pregnancy test 12-14 days after embryo transfer).

B. For someone who opts to do Preimplantation Genetic Testing, it is similar to A The embryos obtained will undergo biopsy for genetic testing These embryos will be frozen while waiting for the genetic testing results. Frozen embryo transfer will be performed 2 months later. This means the first visit will be around 3 weeks (until stage of Ovum Pick Up). The second visit is also around 3 weeks (scanning by

Is there any medication we need to take after completing the treatment? Will we be able to bring it out of Malaysia?

If the pregnancy test is positive, you need to continue medication to support your pregnancy With doctor’s prescription letter, you are allowed to bring it out of Malaysia.