We Have One Goal: To Help You Have a Healthy Baby.

 

 

The first step to building a healthy baby

A diagnosis of infertility can feel overwhelming and stressful for individuals and couples who always assumed that pregnancy would come easily. At Chien Shin hospital IVF Center, we see infertility as a workable challenge.

It is our commitment to address our patient’s unique set of circumstances, medical as well as non-medical. Our physicians, counselors and staff consider patient care a team effort involving superior medical treatment and ground-breaking technology in an environment that emphasizes a compassionate, whole patient approach.

We feel strongly that the physical well being is tied to emotional well being, and we take into account all of the challenges patients may be facing. Diagnosis, treatment and the inevitable ‘waiting game’ as well as financial stress all may impact our patients and those closest to them. We are by their side every step of the way to help address each and all of these needs.

 

Mission Statement

As a unified team, guided by the highest ethical standards, we provide our patients with the best quality, individualized, compassionate fertility care.

 

Our fertility specialists

Our devoted team of physicians is recognized nationally and internationally for their extensive clinical experience, outstanding academic credentials and research contributions, as well as for their success in treating the most challenging fertility cases.

 

Chien Shin hospital clinical laboratory director, Dr. Lin Cheng Chun

, is internationally recognized for his decades of work. He and his team of extensively trained, certified embryologists are devoted to leading this field in research and new technology.

Chien Shin hospital IVF Center’s Patient Care Teams plays an integral role in assisting our patients through the entire treatment cycle.

 

Managing Patient Treatment

 

We create an individualized program that works. While we are fortunate for so many advances in fertility treatment, the options can seem daunting to someone navigating the process. Everyone who pursues fertility treatment has a unique set of circumstances. We recognize that physical, emotional and financial considerations all come into play, and we work closely with our patients to design a program that reflects all of their needs and works with their lifestyle.

 

We are available at all times. We know that a patient’s questions and concerns don’t stop after 5pm or on weekends; and in fact fertility monitoring and treatment often requires ‘off-hour’ visits. We schedule appointments on both Saturday and Sunday, and offer weekday appointments beginning at 7am and extending into the evening. Our on-call physicians are available to patients 24 hours a day, 7 days a week.

 

Our doctors stay with their patient throughout their treatment plan. The patient-doctor relationship is central to our success at Chien Shin hospital IVF center. We value the trust and confidence that develops over time between doctor and patient and understand the need for consistency. Our scheduling process allows each patient’s doctor to be available to them for consultations and procedure appointments.

 

A patient care team includes their doctor, their new patient guide, their clinical coordinator, their nurse and their medical assistant. Anytime a patient interacts with Chien Shin Hospital IVF center, in-person or by telephone, they will have a team assigned to their care.

 

How our laboratory maintains its gold standard. All egg retrievals and embryo transfers take place in our private office, and are immediately transported to our on-site laboratory.

 

Confidentiality and patient rights. Fertility treatment is highly sensitive, and our patient’s privacy is our priority. All communication involving patient care is stored electronically and handled in a strictly confidential manner.

 

Reproductive Medical Team

Dr. lin cheng chun
MD : School of medicial taipei medical university
PHD :College of life Science and technology,Jinan university

Chien shin hospital chief
Chien shin Reproductive Medical center chairman
Physician of obstetrics and gynecology department taipei medicial university hospital
Fellow,reproductive medicine center of UCLA.USA

Education&Qualification
Specialist of Taiwan association of obstetrics and gynecology/infertility/urogynecology
Member of Taiwan society of perinatology

Specialty
Infertility & IVF
Elderly infertility
Women endocrine diseases
Artificial insemination Pregnancy rate:20-30%
IVF Pregnancy rate:52%(The last two years)
The paper is published:myomectomy through uterine cervix by ring-teeth forceps and  electronic morcellator

Winning record

2012 Geneva International Exhibition of Inventions gold medal: Medical surgical tool

  • Definition of infertility
  • A couple that has tried unsuccessfully to have a child after 12 months of contraceptive-free intercourse
  • Diagnosis and treatment of infertility
  • Etiology of infertility
  • Male factors(decreased number of spermatozoa, reduced sperm motility, increase in sperm with abnormal morphology)-35%
    • Semen analysis
    • Blood test
    • Female factors(cervical、tubal occlusion、ovulation dysfunction) – 50%
    • Hormone test
    • Hystero-salpingography
    • Hysteroscopy
    • Lapascopy
    • Sonography
    • Unexplained -15%
  • Infertility treatment
  • Oral ovulation induction or ovarian hyperstimulation
  • Intrauterine insemination
  • In vitro fertilization

Medical Services of Assisted reproductive technology

  • In vitro fertilization (IVF)
    • Use gonadotropins to stimulate to produce more mature follicles, and then perform oocyte retrieval. 72~120 hours after in vitro fertilization , transfer the fertilized oocyte into the uterus cavity
    • Application
      • Bilateral fallopian tubes are completely obstructed or damaged
      • Severe oligospermia
      • Severe endometriosis
      • Unexplained infertility

  • Artificial insemination (AIH)
    • After purified and washed in the laboratory, the sperm is injected at the cervix or into the uterus cavity.
    • Application
      • The vaginal mucous discharge contains anti-sperm antibody.
      • Medium or mild endometriosis
      • Mild oligospermia (but at least 10 millions sperms per milliliter and activity higher than 30%)
      • Unexplained infertility

  • Intracytoplasmic sperm injection (ICSI)
    • A micro insemination technology. Select a sperm and inject it into the oocyte cytoplasm directly.
    • Application
      • Male infertility caused by bad fertilization
      • Anti-sperm antibody is detected
      • Severe oligospermia

  • Microsurgical epididymal sperm aspiration (MESA)
    • The sperm is directly obtained from the epididymis, which is located around the testis, and is the place where the sperm mature and stored. And then use ICSI to assist fertilization.
    • Application
      • Serious male sterility
      • No sperm in semen (azoospermia)
      • Congenital abnormality such as obstruction of the vas deferens

 

  • Testicular sperm aspiration (TESA)
    • Perform testis biopsy to get sperms form the testis, then use ICSI to assist fertilization.
    • Application
      • Serious male sterility
      • No sperm in semen (azoospermia)
      • Congenital abnormality such as obstruction of the vas deferens

 

  • Assisted hatching (AHA)
  • Semen bank
  • Oocyte/Embryo cryopreservation

High pregnancy rate in thawed embryo transfer

Who will undergo freezing embryos?

  • High quality embryos after embryo transfer during IVF cycles
  • Suboptimal endometrial condition or thin endometrium in IVF cycles
  • Severe ovarian hyperstimulation syndrome during IVF cycle

  • Sperm and oocyte donation

Who are suitable for oocyte cryopreservation?

  • Young women with family history of premature ovarian failure or severe diminished ovarian reserve
  • Single women who are worried about oocye aging
  • Failure to Obtain Sperm for IVF
  • Elective Cryopreservation to Defer Childbearing
  • Patients Receiving Gonadotoxic Therapies for Cancer and Other Medical Diseases
  • Preimplantation genetic screening (PGS)
  • Preimplantation genetic diagnosis (PGD)

Preimplantation genetic diagnosis (PGD) is a procedure which involves the removal of one or more nuclei from oocytes or embryos (blastomeres or trophoectoderm cells) to test for problems in gene sequence or chromosomes prior to implantation. It provides new hope of having unaffected children and avoids the possibility of terminating an affected spontaneous pregnancy for genetic parents carrying an affected gene or a balanced chromosomal status

  • Who needs In vitro fertilization
  • Unable to be pregnant after intrauterine insemination more than three times
  • Bilateral fallopian tubal occlusion
  • Severe decreased sperm count and motility

 

  • Who are suitable for preimplantation genetic screening?
  • Repeated implantation failure
  • Genetic disease
  • Advanced maternal age

 

 

Pregnancy rate

  • The outstanding outcome of IVF cyecles in Reproductive Center of Chien-shin hospital between 2008 and 2009 Pregnancy rate as high as 60% in less than 35 year-old women and at least 35% in advanced age women more than 35 years old

 

IVF procedure

  • Short protocol

Note: Egg Retrieval

  1. If we CAN’T see at least 3 mature follicles before egg retrieval, we will cancel the egg retrieval and start over again.
  2. The average size of follicle is between 16 to 20mm.
  3. HCG injection will be given in 34 -35 hours ahead to egg retrieval time.
  4. The whole procedure will take 30 minutes
  5. Egg Retrieval Cost: NT $ 65,000 (included technical fee, anesthesia, sperm wash, embryo culture, embryo transfer and one night stay. NOT included frozen embryo and sperm)
  6. Frozen Embryo Cost: NT $12,000 (available in 1 year. After the first year, NT $ 6000 per year.)
  7. Frozen Sperm Cost: NT $ 2,000 (available in 1 year. After the first year, NT $ 1000 per year)

 

Cycle Day 2 Blood test for (husband and wife): ABO / RH, VDRL, AIDs (the blood test result will be expired after 6 months), E2 & P4 (Please take the blood test before 4pm)

U/S (Ultrasound): Physician will perform U/S.

Document: Please fill out and sign the IVF agreement. According to the policy, please bring the marriage certificate with you.

Medication: Physician may order Lupron + Gonal-F or Femara + Gonal-F (it depends on patient’s situation) + LH. Husband needs to take Vibramycin twice a day for 10 days

Cycle Day 3 Medication: Start injecting Lupron 0.05ml (twice a day) for 5 days.
Cycle Day 5 Medication: Start injecting Gonal-F for 5 days (in the morning)
Cycle Day 7 U/S: Physician will perform U/S.

Procedure: Physician will perform a procedure called HEGA.

Medication: Anti-biotic included Vibramycin, Flagyl and Gasgel for 3 days.

Blood test: E2

Cycle Day 9 U/S: Physician will perform U/S.

Blood test: E2

Note:

1. No Sex

Cycle Day 11

(Prepared Day)

Test: CBC, CT, BT, EKG

Blood Test: P4 & E2

Medication: Inject Ovidral 2Amp (35 to 36 hours before Egg Retrieval)

Cycle Day 14

(Egg Retrieval Day)

Note:

1. Patient may have anesthesia during the procedure. Please make sure family member will come to the hospital with the patient.

2. Husband will collect sperm either at home or on 8th floor

3. Patient may go home after ER. Please make sure to remove the cotton ball from vagina before go to bed.

4. Start inserting 2 capsules of suppository medication called Utrogesteran 3 times a day for 3 days.

5. IM injection of Progesterone 2 Amp for 2 days.

Note: Embryo Transfer

  1. Embryo Transfer will be processed within 3 to 5 days (patient will have one night stay after ET).
  2. Extra Cost:
    1. ICSI fee NT $15,000-$18,000
    2. AHA fee NT $ 5,000
  • Progesterone Oil (Injectable medication): NT $ 5,000-10000
  1. The instruction after Embryo Transfer will be given on the day of ET. Please ask our nursing staff if you have any question.
Embryo Transfer

(ET Day 1)

Medication: First 3 days, patient will be injected Progesterone oil. Then, patient will have Crinone for 9 days. Oral medication called Estrade for 3 days.
ET Day 2 Medication: Inject 0.5ml of Ovidral
ET Day 4 If patient transfer embryo on Day 5, injectable medication called Miacalcic 50ml will be given on Day 4.  
ET Day 5 Medication: Inject 0.5ml of Ovidral
ET Day 8 Medication: Inject 0.5ml of Ovidral
ET Day 13 Blood Test: B-hcg and urine test (UCG)
ET Day 15 Blood Test: 2nd B-hcg
ET Day 22 Ultrasound: monitor how many sac patient has
ET Day 29 Ultrasound: monitor if fetus heart beat (FHB) is developed.

 

 

AIH (IUI) Procedure

Cycle Day 2 Blood test for (husband and wife): ABO / RH, VDRL, AIDs (the blood test result will be expired after 6 months)

U/S (Ultrasound): Patient needs to do U/S. If patient has a follicle which is greater than 1 cm, this cycle will be cancelled.

Medication: Physician may order Lupron + Gonal-F or Femara + Gonal-F (it depends on patient’s situation)

Cycle Day 3 Medication: Start injecting Lupron 0.2ml for 5 days OR start taking Femara for 5 days
Cycle Day 4 Medication: Start injecting Gonal-F for 5 days
Cycle Day 7 U/S: Patient needs to do U/S and physician will decide if patient needs to continue the injectable medication.

NO Sex until Cycle 11

Cycle Day 9 U/S: if the follicle is less than 1.6cm, patient needs to come back for another visit. If the follicle is greater than 1.6cm, LH test (urine test) will be done on same day.

Medication: if the follicle is greater than 1.6cm, inject Ovidral 1cc.

Note:

1. Please take home the semen analysis agreement (AIH agreement) and one semen container.

2. Please bring us the original ID and one copy

3. Please follow the instruction (date and time) to inject Ovidral.

Cycle Day 11

(Operated Day 1)

Semen Analysis: If the sperm collection is done at home, please make sure the container will be delivered to the lab in 1 hour. Patients may use our collection room on 8th floor.
Cycle Day 12

(Operated Day 2)

Medication:

1. Inject Ovidral 0.15ml on Operated Day 2, Day 5 and Day 8

2. Insert Utrogesteran 2 capsules (suppository) in the morning and 2 capsules before go to bed until 12 days. After finish Utrogesteran, please wait 7 days. If the period is not shown up, please come to our office and take urine test for pregnancy test.

* If the period is shown up, please come to our office on Cycle 2 for another doctor visit.

 

 

Traffic information

ADDS:No.295, Cisian 2nd Rd., Cianjin Dist., Kaohsiung City 801, Taiwan (R.O.C.)

Contact us

Clinic Hours

The office hours of our fertility center is listed in the Table.

MON TUE WED THU FRI SAT
10:00-14:00
16:00-20:00

The appointment of clinic hours can also by e-mail (hope@cshospital.com.tw), in which we will reply your appropriate time to visit our clinic in 24 hours.

 

Phone:+886-7-2613866 #116

Mobile:+886-985678917

E-mail: hope@cshospital.com.tw

Facebook: https://www.facebook.com/csivf/

Line ID: 2613866

 

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