Dr. Sumithra Devi Valiapan, Fertility Specialist

Dr. Sumithra Devi Valiapan, Fertility Specialist Fertility Specialist, Obstetrician & Gynaecologist
(1)

18/11/2025

15 years of waiting to see this 10 weeks pregnancy scan for this 44 years old Mum.

Despite low AMH, some patients can still have 2-3 pregnancies from 1 IVF cycle, especially younger women. Here's an exam...
17/11/2025

Despite low AMH, some patients can still have 2-3 pregnancies from 1 IVF cycle, especially younger women.

Here's an example of my patient with low ovarian reserve:

Married 2010.
AMH 4 pmol/l in 2022, at age 38 years old.

One IVF cycle in October 2022, after 12 years of marriage. 4 eggs collected, 3 ICSI, 3 fertilized, 3 blastocysts frozen.

1st FET in January 2023, 1 blastocyst 5AB transferred, pregnant, delivered a baby girl in September 2023.

2nd FET on 6th November 2025, 1 blastocyst 5BB transferred, pregnancy test positive today, B-hCG 952 mIU/ml. Mum is currently 41 years old. Due date will be in July 2026.

And, we still have another blastocyst frozen, 4BB 😃.

So, do not despair if your AMH is low, there's still a good chance of successful fertility treatment. But, here's a tip: Finding a really good fertility centre will definitely help 😁.

2 big problems: a. AMH 1pmol/l in 2024, at 38 b. Age 40 years old currently Lovely couple, m...
16/11/2025

2 big problems: a. AMH 1pmol/l in 2024, at 38
b. Age 40 years old currently

Lovely couple, married in 2023; started fertility treatment in 2024. Tried 2 IVF cycles at their 2 previous fertility centres, did not have any blastocysts.

Came to see me at Sunfert@Bangsar South in December 2024, we did another 4 IVF cycles, made 5 blastocyst in total. Do remember, she has very low ovarian reserve. Did PGTA, had 3 usable embryos.

1st frozen embryo transfer (FET) - biochemical pregnancy.
2nd FET - currently ongoing pregnancy. Fingers crossed 🤞, all goes well until delivery.

This couple made several good decisions:
1. They started fertility treatment fairly early, 1 year after marriage.
2. They didn't give up after their 1st two failed IVF cycles
3. The did not waste much time before coming to see me at Sunfert@Bangsar South
4. They agreed to accumulate embryos over several IVF cycles

Most probably, changing Fertility Specialists & Fertility Centres did the trick.

Dont let anyone tell you to stop, unless you're ready to stop yourself.

Fun fact: the night before their pregnancy test, 3 people had poor quality sleep:
i) the Mum
ii) the Dad
iii) the Fertility Specialist 🤣

Mosaic embryos can implant & make healthy babies. And, not all euploid embryos will implant. This patient had 2 frozen e...
16/11/2025

Mosaic embryos can implant & make healthy babies. And, not all euploid embryos will implant. This patient had 2 frozen embryo transfer (FET) cycles.

1st FET with a euploid 5BC embryo - failed.

2nd FET with 2 mosaic embryos, 5BA & 4CC - her pregnancy test came back positive last week.

So, don't despair, you still have a very good chance of having a baby even if you're transferring mosaic embryos.

First thing that came to my mind when I saw this pineapple plant fruiting in a pot at home was, 'this baby fruit reminds...
16/11/2025

First thing that came to my mind when I saw this pineapple plant fruiting in a pot at home was, 'this baby fruit reminds me of an embryo being cultured in one of our incubators at Sunfert@Bangsar South. Left to grow in a safe and protected environment'.

But, I know, the 1st thing that's in your mind when you see this pic is, 'who on earth grows pineapples 🍍 in pots???' 🤣

Love this comment 😄. I think only Fertility Warriors je yang happy kalau suasana rumah tiba-tiba berubah jadi huru-hara ...
31/10/2025

Love this comment 😄. I think only Fertility Warriors je yang happy kalau suasana rumah tiba-tiba berubah jadi huru-hara dan bersepah kan 🤣? Mama ni, lifestyle dia sangat terurus 9 tahun pertama perkahwinan dia; lepas dapat si-Adrian.... I leave it to your imagination-lah 🤣 😂 🤣.

WE HAVE A HAT-TRICK ❤️! 3 successful embryo transfers in a row! I can't believe it, but I'm extremely happy 😀! I remembe...
31/10/2025

WE HAVE A HAT-TRICK ❤️! 3 successful embryo transfers in a row! I can't believe it, but I'm extremely happy 😀!

I remember saying to her, "I don't think you or I are special enough, that God will give us 3 successes in a row. We better brace ourselves for failure this time round. 3 successful embryo transfers in a row is an extremely rare occurrence".

'2 in a row' successful pregnancies occurs pretty often in my clinic; but, this is my first '3 in a row' successful pregnancy! Am feeling truly blessed.

Her 3rd pregnancy test was today. Despite not knowing her pregnancy test outcome, she brought me beautiful flowers and lovely sweets. Thankfully her result came back positive ❤️! Now, I can enjoy her flowers and sweets without feeling guilty 😃.

♡ IVF March 2020 at Sunfert@Bangsar South - collected 8 eggs - 5 blastocysts frozen, non PGT tested
♡ Her 1st frozen embryo transfer (FET) 29.6.2020 - Ammar
♡ Her 2nd FET 20.10.2022 - Ahmad
♡ Her 3rd FET 22.10.2025 - pregnancy test today - positive
♡ And, we still have 2 more blastocysts frozen

Her due date will be in July 2026. Am praying 🙏 all goes well in this pregnancy too. Good luck Mum & Dad ❤️.

2014: Mama kahwin39 years old: 1st IVF in 202240 years old: 1st embryo transfer in 202340 years old: Delivered her 1st b...
28/10/2025

2014: Mama kahwin
39 years old: 1st IVF in 2022
40 years old: 1st embryo transfer in 2023
40 years old: Delivered her 1st baby in 2023, 9 whole years after marriage

Farish Adrian will be 2 years old in a week's time, 5th November. So he brought us a cake and some cheese tarts. Happy Birthday handsome boy!

There's a quote we've all heard: Insanity is doing the same thing over & over again, & expecting different results. My s...
24/10/2025

There's a quote we've all heard: Insanity is doing the same thing over & over again, & expecting different results.

My suggestion: If your IVF & embryo transfers keep failing, ask your doctor, 'What's your plan for me moving forward, is there anything else we should be doing?'. Then decide if you're happy with the answer.

Here's a lovely couple, married since 2017, came to see me with a distinct air of hopelessness & dismay after 2 failed embryo transfer cycles with 5AA & 4BA embryos. They still had 5 frozen blastocysts with their previous Doctor, which they subsequently moved over to me.

I rolled up my sleeves (metaphorically), & gave them a list of things I thought we should do. I told them that there wasn't robust evidence backing the things I wanted to try next, but by this stage, they just wanted a baby & agreed with whatever I had planned. This of course, made life easier for me, no resistance to what I do best.

This is what we did:
● Immune & clotting screen for Mum
● PGTA tested all 5 remaining embryos - we then found that we only had 3 mosaic embryos to work with; 1 was a low mosaic embryo & 2 were high mosaic embryos
● Endometrial receptivity analysis - we found out that her lining was not receptive
● Endometrial cavity microbiome assessment - nothing abnormal turned up
● Changed up their frozen embryo transfer (FET) protocol completely, compared to their previous FET cycles
● Added immune-modifiers for her FET protocol
● Waited until we had a good endometrial lining pattern & thickness before doing her FET
● Mapped out exactly where I wanted to replace her embryo within her uterus
● Made sure my sonographer (the person who scans the uterine cavity while I'm doing the FET) knew exactly where I wanted to unload the embryo
● Said a silent prayer during her FET & told her to do the same 🙏

♡ 1st FET with me 30.9.25 - used 1 low mosaic embryo
♡ PREGNANCY TEST 10.10.25 - POSITIVE
♡ 1st scan today, 24.10.25 - we saw baby 👶 & her heartbeat ❤️
♡ As always, I told them to take things 'one day at a time' (but I'm thrilled nevertheless, though in front of them, I'm a cool 😎 cat🐈)
♡ Due date mid June 2026, praying all goes well for this really sweet & very soft spoken couple
♡ Hoping they'll still remember me in the future & send me a pic of their lil baby girl

18 blastocysts frozen. Isn't that excessive? In normal circumstances, yes. But, this 37 year old woman has been diagnose...
23/10/2025

18 blastocysts frozen. Isn't that excessive? In normal circumstances, yes. But, this 37 year old woman has been diagnosed with breast cancer. She's starting chemotherapy soon, which may permanently knock out her ovaries and lead to Premature Ovarian Failure and Infertility.

Since she hasn't completed her family yet, we decided to freeze some embryos for future use. Hopefully we've made enough good quality embryos to complete her family once she's good and ready to expand her family size. She won't have a 2nd chance at this. I needed to get this right the 1st time round.

This is what we have frozen:
5AA x 2, 5BA x 5, 5AB x 2, 4AB x 3, 4BA, 5BB x 2, 3BB x 2, 4CC. Some of them will undergo PGTA.

*Best wishes, I'm sure you'll do well 🙏*

Can you do 'back - to - back' IVF cycles?
21/10/2025

Can you do 'back - to - back' IVF cycles?

Embryo 'Spa Days' 😄
21/10/2025

Embryo 'Spa Days' 😄

Address

Unit 2-2, Level 2, Nexus, 7 Jalan Kerinchi, Bangsar South
Kuala Lumpur
59200

Telephone

+60376228688

Website

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