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Dr. Heng Tung Lan

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Title: Dr. Heng Tung Lan


1
IVF, Surrogacy,IUI,ICSI Doctors And Clinics
Dr. Heng Tung Lan is a main Consultant
Obstetrician and Gynecologist honing in Parkway
East Medical Center and a shop-house unit in
Cassia Crescent. She moved on from the National
University of Singapore with a Bachelor's degree
in Medicine and Surgery in 1981 (MBBS) and began
her traineeship in Obstetrics and Gynecology at
Kandang Kerbau Hospital and Alexandra Hospital.
She acquired her Master of Medicine (OG) in 1988
and was admitted to the Academy of Medicine
Singapore in 2004.
Dr. Heng Tung Lan Gynecologist set up her private
practice in September 1993 and has since
fabricated a strong notoriety as an eminent
doctor very much preferred and regarded by her
associates and patients. Dr. Heng( SOG Heng
Clinic for Women IUI IVF Clinic ) stays
exceptionally energetic about her field of
specialization and sometimes shares her mastery
out in the open discussions and talks. She is
regularly included in various distributions to
promoteâ mindfulness for family arranging and
female ripeness issues.
2
Dr. Heng at present works her training, SOG Heng
Clinic for Women, out of Parkway East Medical
Center and a shop-house unit in Cassia Crescent.
They Provide Best Service Of IVF, IUI, ICSI and
Surrogacy.
What is Surrogacy ?
Surrogacy is the course of action when one lady
(the surrogate mother) will bear a youngster for
another lady or a couple (the expected guardians)
and surrender it during childbirth. Kinds of
Surrogacy Treatment There are two kinds of
treatment - Full or host Surrogacy in which
the surrogate (have) mother gets developing lives
that don't geneticially have a place with
her Fractional or straight surrogacy in which
the surrogate contributes her own eggs and in
this way the surrogate mother is both the
hereditary and conveying mother
3
Signs for Surrogacy
  • Patients who experience issues supporting a
    pregnancy -
  • Harmed coating of the womb - Asherman Syndrome
  • Repetitive miscarraige notwithstanding all
    conceivable treatment
  • Rehashed failiure of IVF treatment regardless of
    the production of good quality incipient
    organisms
  • Patients who have had a hysterectomy
  • Patients conceived without a womb (Rokitansky
    Syndrome)

Selecting a Surrogate Mother
The Surrogate Mother is selected legitimately by
the surrogate offices under the morals and rules
of the law and under strict supervision of the
accomplice IVF and Surrogacy Doctor. A large
group of tests and methods, points of interest of
family history and physiological directing are
done before enlisting the surrogate.
Screening and Preparing for Surrogacy Treatment
The authorizing (expected) guardians -
4
Full history and clinical examination to build up
the signs for the treatment and avoid
irresistible infections that may antagonistically
influence the surrogate mother or the potential
kid. The entire procedure including methodology
and dangers and legitimate and moral issues are
talked about Screening blood tests for the
planned mother HIV, Hepatitis B C, CMV,
Syphilis, Hemoglobin level and blood gathering
and RH Screening blood tests for the planned
father HIV and Hepatitis B C, CMV
The Surrogate Mother (Couple) Full history and
clinical examination to bar irresistible maladies
that could be passed to the infant and
conditions that may make pregnancy a specific
hazard for the surrogate mother. Methods and
dangers including passionate and mental troubles
are examined in detail. We likewise talk about
all the moral and lawful issues Screening blood
test for the surrogate mother include HIV,
Hepatitis B C, CMV, Syphilis, Rubella status,
Hemoglobin and blood gathering and
RH Directing The two gatherings should see free
guide who will present their reports to the
Internal Committee. The treatment must be
endorsed at the Committee meeting after the board
is happy with the welfare of the potential
infant.
5
Methods
Following are the method for Surrogacy - Full
Surrogacy - We have to synchronize two ladies
in a similar period of the cycle with the goal
that when the expected mother delivers the eggs,
the surrogate's womb will be responsive for the
made incipient organisms. The surrogate mother
gets an infusion (Prostap) to stop the pituitary
organ to control the ovaries (down direction).
The Prostap infusion is given either on day 21
or Day Two of the cycle and the impact goes on
for four to a month and a half. The medication
is completely powerful in around 12 days and this
is affirmed by a vaginal ultrasound output to
demonstrate a thin covering of the womb and idle
ovaries. Once the surrogate mother is down
controlled, she is on remain by sitting tight for
the proposed mother to be prepared to begin the
treatment. The convention of treatment of the
planned mother will contrast contingent upon a
few variables including age, weight, FSH level,
consistency of her cycles and whether she has had
a hysterectomy. Once the expected mother begins
the day by day infusions to create the eggs, the
surrogate mother will begin every day tablets of
Estrogen (Progynova tablets) to develop the
covering of the womb. The two ladies will be
checked by vaginal ultrasound filter. It
typically takes 12-14 days for them two to be
prepared. Once the eggs are gathered, they are
prepared by the isolated sperm. The fetuses will
be supplanted two days after the fact into the
surrogate's womb. Incomplete (Straight)
Surrogacy - This could be by Intrauterine
Insemination (IUI) or IVF utilizing the isolated
sperm of the expected father. On the off chance
that there is no huge male factor fruitlessness
the treatment can be by IUI. The patency of the
containers of the surrogate mother should be
found out either by hysterosalpingogram, (x-beam)
or laparoscopy and color tests. IUI can be done
in a characteristic cycle or ideally in an
invigorated cycle intending to create a few
eggs. The odds of pregnancy are higher with the
last mentioned yet it conveys a little danger of
a different pregnancy. On the off chance that
there is a sperm factor or the surrogate's tubes
are not open, the treatment must be by IVF where
the surrogate mother will have ovarian incitement
treatment to deliver the eggs that will be
prepared in the research center utilizing the
isolated sperm of the proposed father. The
developing lives will be moved into her womb two
days after the fact. Legitimate Issues
6
Surrogacy isn't legitimate in India. Installment
from the proposed guardians to the surrogate
mother is enabled just to cover costs. Aiming
guardians are unequivocally encouraged to look
for legitimate guidance. Expecting guardians from
abroad ought to likewise look for lawful
exhortation in their own nation. Different
Considerations Both expected guardians and the
surrogate mother (couple) ought to concede to
- Number of incipient organisms to be
supplanted/danger of a different
pregnancy Specific fetal lessening (i.e. end of
one of the hatchlings) in the event of triplet or
higher request pregnancy Screening tests for
chromosomal variations from the norm and neural
tube absconds / - amniocentesis End/continuatio
n of pregnancy if there is a variation from the
norm with the child Regardless of whether the
surrogate or the proposed mother will keep the
child if there is any innate variation from the
norm that was not distinguished antenatally The
planned guardians and the surrogate mother
(couple) should develop a relationship of trust
and care before setting out upon any
treatment Extra security on the surrogate mother
for her family Change of will of the expected
guardians for the unborn infant
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