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IVF = In-Vitro Fertilization, is getting a new ‘hot-cake’ in Singapore, after just couple of days from the rally and announcement of financial assisted for married couple to do IVF procedures.

Impressive, so now ne of the reason might have been just brought up to light… married couples failed to concieve and due to expensive price of IVF, they just decided not to have child(ren) or they just keep trying the usual normal method of attempts.

How much does it cost actually currently? Based on the article, its price-tag to have baby by this way is just simple S$6,000 to S$10,000. Ironically, where 600 women every years undergone for the procedures, while plenty more of women also undergone abortion procedures which can easily and ‘off-the-shelf’ available in private clinics, furthermore it is legal for a women to go for abortion in this country for just relatively a small fraction of the IVF procedure price-tag, it’s just cost less then 10% in actual price.

While the major Women and Children hospital in Singapore is having the rate of 600 year-on-year basis women receiving IVF procedures, they are now preparing to the overwhelming new request increase by not just 10-20% but a shoot up of 66% by their capacity for this procedures.

The move that expected to shoot up the request from women to undergo ‘Assisted Reproduction Technology’ procedures by 50% subsidy, a very much funding provided not only for first timer or second time attempt, but all the way up to third attempts to do the procedures, that means an easily reach the figure of at least S$9,000 in order to support the procreation.

How and what does exactly this In-Vitro Fertilization do, the following close-to 30mins video will provide pretty much information about it:

And now back to actual caused on why these married couples have difficulties to conceive naturally and had to undergo these expensive procedures (well, even though it is subsidized), perhaps the following ‘small-homework’ will pretty much provide some info:

From this website article:

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=28642

A woman’s alcohol intake is associated with decreased fecund-ability even among women with a weekly alcohol intake corresponding to five or fewer drinks. This finding needs further corroboration, but it seems reasonable to encourage women to avoid intake of alcohol when they are trying to become pregnant.

As alcohol consumption is widespread and increasing in many countries, even a minor effect on fertility is of public health interest

Some studies have found that women with high alcohol intake take longer to become pregnant, but none have found that moderate intake has an effect

The probability of conception in a menstrual cycle decreased with increasing alcohol intake in women, even among those drinking five or fewer drinks a week

Women who are trying to conceive should be encouraged to avoid intake of alcohol

The incidence of infertility is high and expected to increase. Intake of alcohol is a possible causal factor of public health importance as consumption is widespread and increasing in many countries. In experimental animals alcohol is known to decrease steroid hormone concentrations, inhibit ovulation, and interfere with sperm cell transportation through the fallopian tube.

ALCOHOL and their drinking habits, might probably one of the cause, where Singapore’s society is well-known one of them with their social drinking habits, some of them call as after-work ‘cool-down’ drinking. Singapore, where pubs and clubbings is become more and more identical to social life of people, not only on their adults and productive age, but its getting to touch down on young adult age.

Is that actually all on the probable cause? Based on the following article from New York Times:

http://query.nytimes.com/gst/fullpage.html?sec=health&res=9B06E6DD1639F937A15756C0A963948260

Women who smoke are less fertile than nonsmokers and it takes them longer to become pregnant when they try to conceive, according to a new report.

A survey of pregnant women found that smokers were 72 percent as fertile as nonsmokers in a typical month. In their first month of trying to conceive, 38 percent of the nonsmokers became pregnant, as against 28 percent of the smokers. After six months of trying o conceive, the study said, 90 percent of the nonsmokers succeeded, as opposed to only 76 percent of the smokers.

It also found that heavy smokers had more difficulty conceiving than did light smokers.

And what are the impact of all to the IVF Procedures, wil the subsidize funds go the right way and hit it effectiveness?

Based on this website article: http://www.medscape.com/viewarticle/577174

Cigarette smoke affects spermatozoa structure and function; sperm DNA is damaged by tobacco compounds. Spermatozoa from smokers have reduced fertilizing capacity and embryos display lower implantation rates. Ovarian aging is accelerated in smokers and oocyte number and maturation are negatively affected by cigarette smoke. Clinical parameters of IVF cycle outcome are worse in female smokers. This is also the consequence of impaired uterine receptiveness.

Cigarette smoking has been reported to affect reproductive function in many ways. Some of these effects may impair the likelihood of spontaneous pregnancy, while some others may even hamper IVF success probability.

And an article from BBC News: http://news.bbc.co.uk/1/hi/health/4578527.stm

Women undergoing IVF should avoid other people’s smoke to have the best chance of a successful pregnancy, say experts.

Smoke from other people’s cigarettes more than halved the likelihood that a transferred embryo would take and grow, a team of Canadian researchers found.

It is already known that smoking can hamper a woman’s fertility, but this latest study hints that exposure to others’ smoke might be just as bad.

The McMaster University research is published in Human Reproduction.

And a commentary as stated in the same website: “It is already established that smoking adversely affects IVF outcome and fertility” – Dr Richard Kennedy, spokesman for the British Fertility Society.

While now in Singapore, more and more smoker-couples with either men or women, the chances of these people to get pregnant is getting less and less, and expect to be the receptors of subsidize funding for IVF, will the money goes the right way and will improve the birthrate, seems to be another questions unanswered.

Street71.

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