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Fertility preservation

It may be necessary to preserve your fertility before cancer and other treatments that might impact fertility. Eggs, sperm, embryos and ovarian tissue can be frozen for people who face losing their fertility because of cancer treatment or another reason.

Helpful tools
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Fertility preservation for men

There are a number of reasons people look to preserve their fertility into the future. One reason is to preserve fertility before entering into cancer treatment, and another is for people who think their fertility may decline before they are ready to have children.

Sperm may be frozen as back up for fertility treatment, for people who think their fertility may decline before they are ready to have children, or as ‘insurance’ before a vasectomy.

Options for fertility preservation may exist prior to and after cancer treatment, however it is very important that if you have time before you start your treatment, you speak with a fertility specialist - to ensure you have the full picture.

The process

  • During a vasectomy: sperm can sometimes be banked during a vasectomy reversal by taking sperm from the epididymis during the operation.

Why freeze and store sperm?

  • Many treatments for cancer can have the potential to affect your ability to conceive naturally. This risk is influenced by the type and extent of your disease*.
  • Sperm can be frozen and stored long-term for people who face losing their fertility due to medical treatments.
  • *For more information about your individual fertility risk, please talk to your Oncologist, Urologist, Endocrinologist or other appropriate specialist.

Using frozen sperm

There are two types of treatment when using frozen sperm - the choice depends on the number and quality of the sperm collected, and whether the cycle includes donor oocytes.

Sperm freezing is straight forward and many people will have enough sperm in one ejaculate for several IVF cycles. If there are enough good quality sperm after thawing then the first approach may be to try IUI treatment, keeping some sperm in reserve for IVF later if IUI is not successful. If you want to consider IUI as an option, you will almost certainly need to freeze three or more semen samples.

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Fertility preservation for women

Women can preserve their fertility:

  • Before cancer and other treatments that might impact fertility. Eggs, embryos and ovarian tissue can be frozen for people who face losing their fertility because of cancer treatment or another reason. We can offer fertility preservation at short notice prior to cancer treatment.
  • egg freezing: for women who think their fertility may decline before they are ready to have children. The right time to try to have a baby depends on your unique circumstances. It's an incredibly personal decision. If you're not in a position to try for a baby now, egg freezing may be an option to help preserve your fertility. 
  • embryo freezing: If a woman has a partner, it is better to freeze embryos than eggs. Embryo freezing has been around longer than egg freezing and clinics have a lot more experience with embryo freezing as it is part of routine IVF treatment.
  • ovarian tissue cryopreservation: This technique involves removing one or both ovaries surgically and freezing thin slices of ovarian tissue. The slices are transplanted back to the woman once cancer treatment has finished.

Ask at your clinic about our egg freezing packages and our IVF packages.

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Preparation - if freezing before treatment

Preparation - if freezing before treatment

Most people facing fertility preservation before treatment, (eggs, embryos or ovarian tissue), won’t have enough time to make changes to lifestyle or to follow the tips for becoming ‘fertility fit’ If you do have time before egg freezing, the key messages are:

  • stop smoking
  • take folic acid
  • reduce caffeine and alcohol
  • discuss medications with your doctor

Speak to our fertility specialists - our doctors are here when you want to explore issues arising from storing sperm, eggs, or embryos and when you need support.

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Good to know

  • Storage time limit: Malaysia Medical Council guidelines limit storage of sperm, eggs or embryos to a maximum of five (5) years initially, which can be extended up to ten (10) years upon written request before you reach the ten year limit.
  • Consent: You will need to sign a consent form as part of storing sperm, eggs or embryos.
  • Contact information: So that we are able to contact you, it is important to keep your contact details up to date using the form below.
  • Cryopreservation maintenance: Annual cryopreservation maintenance charges are applicable for storage of your sperm, eggs or embryos. We may discard material if you default in paying storage fees, or we can’t contact you after six (6) months.

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The Biological Clock

This tool indicates:

  • Natural conception per month if you have no fertility issues
  • IVF success rate at the same age
  • When to seek help after months of unsuccessful attempts

If you are concerned at any stage – we recommend booking a doctor appointment or a free nurse consultation. The sooner you make a plan the better your chances in the long term.

When to seek advice early

  • If you have polycystic ovaries, endometriosis, or have been through a cancer diagnosis; we recommend you get in touch quickly so we can talk you through all your options and give you the greatest possible chance of success.
  • If you’re a single woman considering motherhood in the future; it’s best to approach us early and consider egg freezing as this can be an option for you while you have a higher ovarian reserve and healthier eggs.
Set your age and the months you’ve been trying to conceive
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Your chance of having a baby per month for fertile couples
Your chance of having a baby per IVF cycle (if experiencing infertility)

Body Mass Index calculator

Being overweight or underweight can reduce fertility, so it is important to keep your body weight within the normal healthy range.

Body Mass Index (BMI) is an indication of your body weight and can be calculated by dividing weight by height. You should aim for a BMI of between 20 and 25, as this will optimise your chances of conception.

Woman’s BMI below 19

Even in these modern times, nature knows best. If a woman's BMI falls below 19, the body senses famine and ovulation is switched off to prevent the risk of having a baby with malnutrition. Excessive exercise can reduce body fat and increase muscle mass to a point where periods cease for the same reason. Risk of miscarriage is also increased in women with a low BMI.

Being underweight

If a woman's BMI falls below 19, the body senses famine and ovulation is switched off to prevent the risk of having a baby with malnutrition. Excessive exercise can reduce body fat and increase muscle mass to a point where periods cease for the same reason. Risk of miscarriage is also increased in women with a low BMI.

BMI’s greater than 30

This can reduce fertility by 50%. Pregnancy for women with a 30+ BMI is often associated with problems such as maternal diabetes, high blood pressure, big babies and increased risk of caesarean section.

Add your height and weight to calculate your BMI