The HEALTH : Xtra October 2018 | Page 17

Xtra THE MALAYSIAN Medical Council Guideline 2006 states that eggs har- vested are not to be stored for more than five years. However, if the patient chooses to extend, a request in writing may be sent to the Ministry of Health for another extension of five years. As for the quality of the eggs, appli- cation of older technology may lead to deterioration. With the changing times, newer technology has proven to be able to preserve the eggs for as long as 10 years. The preservation process usually involves eggs being placed in liquid nitrogen at around -196°C. As a safety measure, the incubator is attached to an alarm system that alerts the centre if the temperature changes. RAISING AWARENESS Dr Wong Pak Seng E GG freezing is a method that has been developed over the years to help women to conceive at a later, more preferable date. One may choose to focus more on her career, while others - to avoid losing the opportunity to be pregnant due to current illness. FALLING UNDER TWO CATEGORIES “There are two categories of patients who resort to egg freezing,” explained Sunfert International’s fertility specialist, Dr Wong Pak Seng. “Patients who undertake egg freezing services for medical reasons are usually motivated by the likeliness of losing their eggs reserve due to several complications. These usually involve surgery to remove their cyst, genetic problems that lead to early menopause or in some cases, diseases such as breast cancer and lymphoma. Therefore, presenting them with an option to freeze their eggs allows them to regain the oppor- tunity to have a child,” said Wong. As for non-medical reasons, women who are well educated usually know very well that the fertility rate decreases after 35 and the option to freezing their eggs earlier is avail- able. Major companies such as Google and Facebook have even offered the option to freeze their eggs through employee benefit. However, due to the lack of awareness in Malaysia, women mostly resort to egg freezing when they feel they are not rushing to start a family anytime soon. THE HARVESTING PROCESS The egg freezing process has a similar take to an In Vitro Fertilisation (IVF) procedure. “Without injections to stimulate the ovaries, women only produce one egg per month, therefore in order for more eggs to be harvested, follicle stimulating hormone injections are needed. After getting injected, doctors look at a production of eight to 12 eggs. During this time, the patient is then put under mon itoring and by day 14, the eggs are harvested.” “During the harvesting procedure, a vagi- nal scan is done followed by a fine needle that goes straight to the ovary in order to harvest the eggs. The cleaning up of the eggs is then Despite a bump in awareness for eggs preservation in the country, there are still ample room for more. However, the procedure has been met with some resistance by some. It is found that religious outlooks are viewing the whole thing as going against the act of nature. Sunfert International’s fertility specialist, Dr Wong Pak Seng said that it is important for the public to know the addition of egg freezing as an option that provides opportunity for women to conceive. With the ever-evolving technology used in the procedure, egg freezing has become less invasive and may turn out to be an important investment for a lot of women looking to bare children. done in the lab prior to the freezing.” “As technology involved in egg freezing has evolved over the years, chances of eggs sur- viving have increased from 60 percent to over 95 percent. Even if the harvested eggs turn out to be immature, these can be cultured in the lab until maturity.” PREPARATION PRIOR TO PROCEDURE Women who choose to go through the egg freezing programme has to undergo several preparation. “Those socially freezing their eggs can take vitamins such as folic acid, vitamin D and E, followed by an increased protein intake such as eggs, fish and chicken. This recommenda- tion is done two months prior to the process in order to build up the health.” Doctors also generally forbid smoking. Moderate consumption of alcohol is fine and the recommended intake would be a glass of red wine per day at most. Sunfert International’s fertility specialist, Dr Wong Pak Seng, explained that there are two categories of patients who resort to egg freezing Better Tech, Better Preservation 15 Egg Freezing A Viable Option