For many couples, in-vitro fertilisation (IVF) offers a viable option to overcome fertility challenges. However, despite advancements in medical science, myths and misconceptions still surround the procedure and can discourage individuals from considering it.
In this article, Dr Christopher Ng, an experienced Consultant Obstetrician & Gynaecologist at GynaeMD Women's and Rejuvenation Clinic, debunks some of the most common myths about IVF by providing clear, scientific information to guide patients on making decisions.
Fact: While IVF enhances the chances of conception, it does not assure success in every case. Success rates vary based on several factors, such as the age of the woman, the quality of the embryos and the specific fertility issue at play. According to Singapore's Ministry of Health, the average ART success rates from 2017 to 2021 are:
Managing expectations is key. Couples should be prepared for the possibility of undergoing more than one IVF cycle or considering alternative options if needed.
Fact: IVF is not exclusively for older women. While fertility does decline with age and many women over 35 do pursue IVF, younger women may also need this treatment. Conditions such as endometriosis, polycystic ovary syndrome (PCOS), or unexplained infertility can affect women of all ages, and IVF can be a suitable option for them too.
Fact: IVF is rarely the first line of treatment. Most specialists recommend starting with less invasive options, such as lifestyle changes, fertility medication, or procedures like superovulation intrauterine insemination (SOIUI). IVF is usually considered when these approaches do not lead to pregnancy. At GynaeMD, the focus is on tailoring treatment plans to each patient’s needs, beginning with the least invasive methods before moving to IVF.
Fact: Age plays a major role in IVF outcomes. Younger women generally experience higher success rates because of better egg quality and overall reproductive health. As women get older, especially beyond 40, success rates decline due to a natural reduction in ovarian reserve and a higher risk of chromosomal abnormalities in eggs.
Fact: Although IVF can be expensive, financial support is available in Singapore. Couples can tap on MediSave, which allows withdrawals of $6,000 for the first cycle, $5,000 for the second and $4,000 for subsequent cycles, up to a lifetime limit of $15,000.
Fact: In the past, transferring multiple embryos increased the chances of twins or triplets. However, advances in IVF techniques and policies now encourage single embryo transfer (SET), which aids in reducing this risk. At GynaeMD, decisions about embryo transfer are made in close consultation with patients, balancing safety with the best possible outcomes.
Fact: IVF can address a wide range of fertility issues, including those related to male infertility. Male infertility causes, such as low sperm count or poor sperm motility, contribute to 30–40% of infertility cases. In these situations, IVF may be combined with intracytoplasmic sperm injection (ICSI), a technique where a single sperm is injected directly into an egg to support fertilisation.
Reality: Not all IVF treatments are identical. Success rates and protocols can vary between infertility clinics depending on the technology used, the quality of care and the expertise of the medical team. Choosing a clinic that offers evidence-based treatment and personalised care is crucial for achieving the best outcomes.
Having a clear understanding of the facts about IVF is essential for making informed choices. With expert guidance from Dr Christopher Ng, couples can navigate their fertility journey with confidence, clarity and reassurance. Contact us to schedule a consultation and take the next step toward your parenthood.