Ask a Fertility Specialist: Dr Eeson Sinthamoney from Sunfert International Malaysia

Ask a Doctor ForumCategory: Obstetrics & GynaecologyAsk a Fertility Specialist: Dr Eeson Sinthamoney from Sunfert International Malaysia
dr. Eeson Sinthamoney asked 2 years ago
I am Dr Eeson Sinthamoney, the Director & Fertility Specialist at Sunfert International, one of Malaysia's most technologically advanced IVF centres.  I trained in Malaysia, Singapore and the United Kingdom and completed two fellowship trainings in Reproductive Medicine. My previous work experience includes:
  • Founding Head of Department for Obstetrics and Gynaecology at Hospital Ampang
  • Consultant Obstetrician & Gynaecologist at Hospital Kuala Lumpur
  • Consultant Obstetrician & Gynaecologist at Pantai Hospital Kuala Lumpur
  • Currently: Director & Fertility Specialist at Sunfert International
I have been an active council member of the Obstetrical and Gynaecological Society of Malaysia (OGSM) for many years, and was appointed the immediate past-president of the Society. I have helped thousands of couples fulfil their dreams of starting a family. Learn more about Sunfert International here: https://patients.smarterhealth.my/hospital/sunfert-international-fertility-centre/ Learn more about me here: https://patients.smarterhealth.my/specialist-doctor/eeson-sinthamoney/ I am excited to be here to share/discuss Fertility with everyone. I will be actively answering questions. Whether you've got questions about what the IVF process is like, how you can find out how fertile you are and plan ahead for pregnancy, or you want advice, ask me anything! === Want to ask a question? Submit your question at the bottom of this page. Don't forget to include your name and email address to get notified when the doctor answers your question.
11 Answers
Syifa Puteri answered 2 years ago
We plan to do a gender selection program since our three children are all girls. Can  you explain more about the program?
dr. Eeson Sinthamoney replied 2 years ago

Pre-implantation genetic screening (PGS) is the 'gold standard' method of embryo selection. It involves culturing the embryo to day 5 or 6 when it is called a blastocyst. A few cells are then taken from the blastocyst and some sophisticated tests are done to show if these embryos are genetically normal or not. The reason for this is because a gentically normal embryo has a greater potential to implant (make you pregnant) and also reduce the risk of you having a miscarriage. When these genetic tests are done (called PGS or now PGT – A), we will be able to differentiate the genetically normal embryos from the abnormal embryos. Your time take to get pregnant is therefore reduced.

When we look at the genetics of the embryo – we can also know if the embryo is male or female, but this is a subsidiary finding of doing these sophisticated tests. By the way – these tests will also identify the problem embryos like those that cause 'Down Syndrome' – so these kind of genetic conditions are avoided.

Kusumo Retnowati answered 2 years ago
Is there any program if I want to have a son? My first child is a girl, and I want to have a boy for the second child. Thanks in advance, Doc.
dr. Eeson Sinthamoney replied 2 years ago

Pre-implantation genetic screening (PGS) is the 'gold standard' method of embryo selection. It involves culturing the embryo to day 5 or 6 when it is called a blastocyst. A few cells are then taken from the blastocyst and some sophisticated tests are done to show if these embryos are genetically normal or not. The reason for this is because a gentically normal embryo has a greater potential to implant (make you pregnant) and also reduce the risk of you having a miscarriage. When these genetic tests are done (called PGS or now PGT – A), we will be able to differentiate the genetically normal embryos from the abnormal embryos. Your time take to get pregnant is therefore reduced.

When we look at the genetics of the embryo – we can also know if the embryo is male or female, but this is a subsidiary finding of doing these sophisticated tests. By the way – these tests will also identify the problem embryos like those that cause 'Down Syndrome' – so these kind of genetic conditions are avoided.

Siti Khotijah answered 2 years ago
Doc, I am 43 years old and pregnant with my fourth child. Is it safe for me to get pregnant after 40? Are there any tips for women above 40 to take care of herself and her baby?
dr. Eeson Sinthamoney replied 2 years ago

As long as you are otherwise healthy, there should be no significant risk to yourself because of the pregnancy. However there is an increased risk of certain abnormalities in the baby such as Down Syndrome. This can be detected later at about 11 to 12 weeks of pregnancy by doing certain special screening tests for abnormalities.

Aisyah Puteri answered 2 years ago
Doc, I am 30 years old and have been married for 7 years but I still don’t have a child. I have experienced miscarriages 3 times. I have consulted an OBGYN multiple times, and I was previously diagnosed with a Bicornuate Uterus. Do you think IVF would be the solution for me to have children, considering the abnormal shape of my womb?
dr. Eeson Sinthamoney replied 2 years ago

We need to make a distinction between recurrent miscarriages and infertility.

If you are able to get pregnant easily but have a miscarriage then the problem is recurrent miscarriage. There are certain tests that should be done to identify the cause. A true bicornuate uterus is not a cause for recurrent miscarriages. However it is VERY important to know how the bicornuate uterus was diagnosed.

Sometimes a uterine septum can be confused with a bicornuate uterus. A septum can be the reason for recurrent miscarriage.

If you are having difficulty in conceiving (in addition to the recurrent miscarriage), then IVF may be an option.

Kariyanti Anty answered 2 years ago
I have been married for 5 years but still have no child. I have never consulted about my fertility with an OBGYN. I read an article about polycystic ovary syndrome (PCOS) and the symptoms are similar to what I have been experiencing. What should I do to get pregnant? Is IVF a good option?
dr. Eeson Sinthamoney replied 2 years ago

There are many symptoms associated with PCOS. The most common one is irregular cycles. Irregular cycles are due to non-ovulation. If your cycles are not regular, this is the most likely reason for you not being pregnant. That said, there are many other causes and it would be best if you sought an opinion. Remember that age is everything. The younger you are, the easier it is to conceive.

Rara Yulia answered 2 years ago
I am a 25 year old female. I have a history of cysts and undergone laparoscopy to remove my fallopian tube 2 years ago. Will IVF work for my condition?
dr. Eeson Sinthamoney replied 2 years ago

Yes IVF would be a good option in your situation as you have endometriosis and only one tube. Other options like intrauterine insemination may be a rather inefficient option since it requires tubes to be patent and certainly having only one tube makes conception less likely successful.

Imelda Yusavitri answered 2 years ago
 Doc, I have been married for 6 years without children. I can’t decide to do insemination or IVF. Can you tell me the difference?
dr. Eeson Sinthamoney replied 2 years ago

"Insemination" or also called "intrauterine insemination" involves placing specially prepared sperm from your husband into the uterine cavity at around the time of ovulation. You may have also been given some medication before this to stimulate the ovaries to produce two extra eggs. Therefore by placing a concentrated number of sperm in the cavity nearer to the tubes and with more than the usual one egg, this will increase the chances of pregnancy.

That said, international data show pregnancy rates with IUI approx 20 to 25% max per attempt.

IVF is very different because after we stimulate the ovaries to produce about 10 eggs, we then have to retrieve these eggs, inseminate (or inject) them with sperm, to form an embryo and then to culture the embryo for about 5 days before we transfer the embryo back into the womb.

Pregnancy rates with IVF can reach 50 to 60% depending on age and number of embryos transfered.

Therefore in IUI, fertilization cannot be seen or confirmed. But in IVF, we make fertilisation happen and observe further development of embryo before placing the embryo back into womb.

Marthinapasalli answered 2 years ago
Good afternoon, Doctor. I have a child who is 11 years old. I am planning to have my second child. It has been 3 years since I had a surgery to remove my cysts, and until now my pregnancy plan shows no result. Is there any solution? 🙏🙏
dr. Eeson Sinthamoney replied 2 years ago

Although it would depend on the type of surgery and type of cyst, the two important issues that need to be considered in yourself are:

a. Fallopian tubes – Are they still normal patent or blocked? Because tubal damage when you have cysts is very common

b. Egg numbers – Ovarian reserve is the total number of eggs left in your ovary. This can be reduced when you have cysts especially Endometriosis. The egg numbers fall even more after surgery unfortunately. With lower egg numbers, getting pregnant can become more difficult.

Do a simple blood test called AMH – this is very important.

Jenny answered 2 years ago
Doctor, I had risky sex with my ex boyfriend around 9 months ago. Now I want to test for sexually-transmitted diseases (STDs) such as HIV. Can I do it now? How long is the window period for HIV? If after 9 months, the STD test result is negative, does it mean it is safe for me to get pregnant?
dr. Eeson Sinthamoney replied 2 years ago

Yes you can certainly check for STD and HIV now. The window period using the newest tests is now very short, sometimes just a few days. Therefore it is now safe for you to get pregnant.

Vina answered 2 years ago
Doctor, I have been married for 6 months. I am 32 years old, but I have yet to conceive. After an examination, it turns out my left fallopian tube is blocked. I have undergone diathermy therapy and saline-infusion sonogram (SIS) but to no improvement. Please give me your advice, Doctor.
Siska answered 2 years ago
My name is Siska, and I am 32 years old. For the past 2 months, I have had my period, each time lasting for more than 2 weeks, but there is only a little blood that comes out. The blood is smelly. My discharge looks like a piece of wet tissue but it is not smelly. Please provide me with an explanation. Thank you.

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