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Fertility doctors in HK

  1. #1
    katj1004 is offline Registered User
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    Fertility doctors in HK

    I got pregnant naturally after only trying for 2 months, only for it to end in a miscarriage at 8 weeks. Almost 2 years later, my husband and I still haven't been able to conceive.

    We moved to HK a year ago and have gone to both Dr. Alex Doo and Dr. Derek Lo. The issue we had with the former was the ridiculous wait time! I like Dr. Lo; however, I feel he isn't always on top of my case. Still, we are doing our first-ever IUI with him.

    I would greatly appreciate it if anyone can recommend other fertility doctors in HK with good success rates for IUI and/or IVF. My husband and I are on the younger end at 30 and 31, respectively, but he only has 1% morphology and every cycle my uterine lining doesn't get to "optimal" thickness for implantation.

  2. #2
    StephenYong is offline Registered User
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    You could consider:
    Dr. Louis Chan (MBBS, MMed Sc. MPH, FRCOG, FHKAM, FHKCOG) who is a reproductive gynaecology specialist and a seasoned fertility expert well known in Hong Kong.
    His clinic: Hong Kong Reproductive Medicine Centre.
    Address: Suite 1228 to 30, 12/F, Ocean Centre, Harbour City, 5 Canton road, Tsim Sha Tsui, Kowloon
    Tel: 81055755 (by appointment) or 82008168
    Fax: 26829366
    Website: ivf, iui, ??, ????, ????, ????, ???? - ????????
    his Email: [email protected]

    I hope this helps.
    katj1004 likes this.

  3. #3
    StephenYong is offline Registered User
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    Sorry can't send website for the clinic: gave me the above erroneous link
    but you can google the clinic

  4. #4
    Monste is offline Registered User
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    I saw dr ho....i did 3 unsuccessful iui and then went on top ivf (second was successful)
    In hindsight wish i hadnt bothered with iui as success rates are low but doc thought we were candidates - hubby morphology slightly lower than avg...but told they pick the best boys and also put them so close not an.issue....i have pcos which was bigger issue

    Ivf was where we were successful...dr ho is very factual, not massive talker but he was open and honest to all concerns and questions.
    I would say if.u want a warm bedside manner he is not ue guy but id u r looking for results his clinic ranks well...

    Ur young too so odds in ur favour
    Goodluck

  5. #5
    katj1004 is offline Registered User
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    Thanks Stephen... We are looking for someone in Central because it's more convenient for us to visit a clinic here during office hours.

    Monste, thanks for sharing your experience. I'll look into Dr. Ho!

  6. #6
    MiniB is offline Registered User
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    I used Dr Tracey Yeung at Hong Kong Reproductive Health Centre - same clinic as Dr Carina Chan. They are based in La Gallaria so easy Central location and they have their own lab in the building next door.

    Dr Yeung has a great bedside manner and the clinic is well run with friendly nurses. I liked having a female doctor considered all the checks that are done but that might not be a factor for you. She used to be at Queen Mary and is still a consultant I believe.

    We got pregnant on our second cycle and now have a 3 week old baby boy. I also kept seeing her throughout my pregnancy for check ups which some of the other IVF doc's don't do i believe.

    I haven't seen any other IVF doc but I highly recommend her and their clinic and lab.
    katj1004 likes this.

  7. #7
    katj1004 is offline Registered User
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    Hi MiniB - Did Dr. Yeung do a 3- or 5-day transfer with you? I know most labs offer both, but it's usually up to the attending doctor which option to choose. Dr. Lo, who I'm currently seeing, advocates a 3-day transfer. I've heard there's a higher success rate with the 5-day transfer.

  8. #8
    StephenYong is offline Registered User
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    Hi folks, I think the argument of whether embryos for IVF should be replaced on day 3 or 5 post-fertilisation have raged on for decades. I will try to explain to you our thinking.

    The initial argument for placing day 3 embryos because it is believed that an embryo would develop better and have a greater chance of propagating a baby by being inside the uterus earlier, than it would by being allowed to develop into a blastocyst in an incubator. However, this view is not valid.

    The rationale for blastocyst culture and replacement on day 5 is to:
    1) improve both uterine and embryonic synchronicity (ie. mimick the natural conception as much as possible whereby the fertilised embryo inside the fallopian tube travels to and usually implants into the uterus by day 4-5 ie. blastocyst stage) and
    2) enable self selection of viable embryos (ie. "bad" embryos will die off and not reach blastocyst (day 5) stage; thus, resulting in higher implantation rates. If wait culture (Day 3) early cleaved embryos long enough, the ones that are chromosomally or genetically abnormal will die off (this is akin to natural selection) and only "competent and good" embryos will continue to grow on culture (in the lab's petri dish).

    The largest most comprehensive reviewer of current medical evidence, COCHRANE database systematic reviews in 2012 stated that "there is a small significant difference in live birth rates in favour of blastocyst transfer (Day 5 to 6) compared to cleavage stage transfer (Day 2 to 3) from 12 randomised controlled trials (RCTs). However, 4 RCT's have found cumulative clinical pregnancy rates from cleavage stage (derived from fresh and thaw cycles) resulted in higher clinical pregnancy rates than from blastocyst cycles. The most likely explanation for this is the higher rates of frozen embryos and lower failure to transfer rates per couple obtained from cleavage stage protocols. Future RCTs should report miscarriage, live birth and cumulative live birth rates to enable ART consumers and service providers to make well informed decisions on the best treatment option available".

    My conclusion from the evidence thus far is that there are merits to both day 3 and day 5 embryo transfers. Day 3 transfers are associated with a higher pregnancy rate whereas Day 5 transfers are associated with a higher live birth rate. How a doctor interprets the results will determine what that doctor chooses.

    For me, a higher live birth rate is more important because it is the end result (birth of a baby) which matters. A day 3 transfer may result in more pregnancies , but may also result in more miscarriages (because more "bad" embryos may have been transferred without being selected yet as opposed to allowing it grow until day 5 before transferring) leading to lower live birth rates.

    So which of the two embryo transfer options would be more acceptable to you? Day 3 or day 5?
    clelia likes this.

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