Fertility Center, Synphaet Ramintra Hospital (Fertility Center)

Completing families with reproductive innovations and specialized medical teams.

Currently, infertility is significantly more common due to changing lifestyles. Most couples tend to get married and are ready to start families at an older age. This increasing age is one of the key factors that reduces the chance of natural pregnancy. In medical terms, “infertility” refers to a couple having regular, unprotected intercourse for a consecutive period of 1 full year without achieving pregnancy. This issue creates a lot of anxiety for many couples.

The Fertility Center at Synphaet Ramintra Hospital (Synphaet Fertility Center) is ready to provide comprehensive care for couples wishing to have children. Our team of fertility specialists, alongside experienced embryologists and multidisciplinary teams, combines standard closed embryo culture laboratories with advanced assisted reproductive technology (ART) to increase the chance of successful pregnancy customized for each couple.

Causes of Infertility

Medical statistics indicate that infertility issues do not stem from one partner alone. It is found that approximately 50% of cases are due to female factors, 40% are due to male factors, and another 10% are unexplained. Our center therefore emphasizes evaluating both partners together to target and resolve the exact cause.

• Male factors: Abnormalities in sperm production, both in quantity (low sperm count) and quality (weak sperm or abnormal morphology), as well as male hormonal imbalances.
• Female factors:
  • Abnormal egg production or ovulation disorders.
  • Hormonal imbalances.
  • Uterine and fallopian tube abnormalities (such as blocked or narrowed fallopian tubes, uterine fibroids, and endometriosis).
  • Cervical and vaginal abnormalities, such as vaginal septums.
• Other factors: Infrequent intercourse, chronic stress, or other underlying health conditions.

Diagnostic Process for Finding Infertility Causes

To precisely identify the cause of infertility, the Fertility Center provides complete evaluations for both partners, including:

• For Women:
  • Detailed medical history, menstruation history, sexual frequency review, and comprehensive physical exam.
  • Blood tests to measure fertility-related hormone levels.
  • Ultrasound scans to examine the uterus and ovaries.
  • Hysterosalpingography (HSG) / X-ray of the fallopian tubes and uterus to evaluate fallopian tubes and uterine cavity in certain cases.
  • Laparoscopy or hysteroscopy to evaluate internal reproductive organs in detail in certain cases.
  • Genetic testing in patients with medical indications.
• For Men:
  • Easy to perform: Semen Analysis to evaluate sperm quantity and quality, which clearly provides the primary cause.

Our Treatments and Assisted Reproductive Technologies

Our Fertility Center is equipped with international medical innovations to maximize your chances of pregnancy success.

Basic Care

• Behavioral adjustments and family planning.
• Treatment of hormonal imbalances.
• Ovulation induction (ovary stimulation).
• Treatment of underlying gynecological conditions causing infertility.

Assisted Reproductive Technology (ART)

• IUI (Intrauterine Insemination): Artificial insemination where only the healthiest sperm are selected and injected directly into the uterine cavity on the day of ovulation.
• IVF (In Vitro Fertilization): Eggs and sperm are retrieved and combined in a laboratory setting for fertilization outside the body, before the resulting embryos are transferred back into the uterus.
• ICSI (Intracytoplasmic Sperm Injection): A single healthiest sperm is selected and injected directly into an egg cell using a micro-needle, ideal for severe male factor infertility cases.
• PGD (Pre-implantation Genetic Diagnosis): Screening embryos for genetic and chromosomal abnormalities before implantation to improve implantation rates and reduce the risk of inherited genetic diseases.
• Blastocyst Culture: Culturing embryos in the laboratory for 5 days to select the healthiest, highest-quality embryos before transferring them back to the uterus.
• TESE (Testicular Sperm Extraction): A minor surgical procedure to retrieve sperm directly from the testes for men who have no sperm in their ejaculate (azoospermia) or have severe sperm problems.
• Laser Assisted Hatching: Using laser technology to create a small opening in the outer shell of the embryo (zona pellucida) to facilitate easier implantation in the uterine wall.
• Egg & Embryo Freezing: Preserving eggs or embryos at ultra-low temperatures (-196°C) to maintain cell quality for future pregnancy plans.

Why Choose the Fertility Center at Synphaet Ramintra Hospital?

• ✓ Comprehensive Care from Start to Delivery: We offer all forms of advanced assisted reproductive technology (e.g., IUI, IVF, ICSI, PGD). Once pregnant, you can seamlessly transition to prenatal care and delivery at our high-standard Obstetrics and Gynecology Center.
• ✓ Specialized Medical and Embryologist Teams: Cared for by reproductive medicine specialists working with embryologists in closed laboratories that meet strict international cleanroom and humidity control standards.
• ✓ Modern Laboratories and Technologies: Equipped with advanced tools, such as laser hatching, to increase success rates at every stage.
• ✓ Multidisciplinary Team Care: Coordinated care by obstetricians, embryologists, specialized nurses, and medical specialists. If underlying conditions like diabetes are found, patients can immediately receive care from our hospital’s specialized clinics.

Q&A Frequently Asked Questions

Q: How long of trying to have a baby without success defines “infertility”?

A: If a couple has regular unprotected intercourse 2-3 times a week for a full year without achieving pregnancy, it is considered infertility, and consulting a doctor is recommended. However, if the female partner is over 35, it is advised to seek medical advice after 6 months of trying.

Q: Is infertility only caused by female factors?

A: No. Infertility causes are attributed to female factors in about 50% of cases, male factors in about 40%, and combined factors or unexplained causes in the remaining cases.

Q: Should both husband and wife be evaluated?

A: Yes, both partners should be evaluated together to find the complete causes and design a treatment plan quickly.

Q: Does everyone require In Vitro Fertilization (IVF)?

A: No. The doctor will select the most suitable method, ranging from ovulation induction medications and intrauterine insemination (IUI) to IVF or ICSI, based on indications.

Q: What is the difference between IVF and ICSI, and which is better?

A: Both are forms of in vitro fertilization (outside the body). In IVF, eggs and a concentration of sperm are placed together in a culture dish, allowing the sperm to fertilize the eggs naturally. In ICSI, a single healthiest sperm is micro-injected directly into each egg. ICSI usually yields better fertilization rates when the male partner has severe sperm issues or when the female partner’s egg shells are thick.

Q: Does age affect the chance of pregnancy?

A: Yes, significantly. Especially after age 35, the quality and quantity of a woman’s eggs decline, so couples planning to have children should seek consultation as early as possible.