Reproductive Medicine

The Reproductive Medicine Center of MacKay Memorial Hospital was established in 1986. Over the past 30 years, we aim to provide superior health care services to our patients both through the use of state-of-the-art technology and the patient-centered approach.

We have passed the evaluation of the Ministry of Health and Welfare and also work as an Artificial Reproductive Technology Training Center in Taiwan to foster future medical professionals who are interested in this field.

Currently, there are five fertility specialists, five technicians, five international medical case managers and the professional team for consultation who help the infertility patients to have a baby with the most professional medical technology.

What is infertility?
★ Failure to achieve a successful pregnancy after more than 12 months of regular unprotected intercourse.
★ Earlier evaluation and treatment may be warranted based on medical history and physical findings and is warranted after 6 months for women over age 35 years.
Treatment Methods
In accordance to the Assisted Reproduction Laws in Taiwan, a legal marital status must exist between the recipients of assisted reproduction technology. The husband and wife must present a government issued marriage certificate prior to initiation of treatment.

  1. Intrauterine insemination (IUI)
    Ovulation induction → detect follicle number and size by ultrasound → adjustment of ovulation drug dosage → predict of ovulation date → sperm washing and concentration → performing intrauterine insemination.
  2. In vitro fertilization (IVF)
    Ovulation induction → detect follicle number and size by ultrasound → adjust ovulation drug dosage → predict ovulation → schedule ovum pick-up date & sperm → ovum pick-up and sperm obtainment → embryo transfer at the third or fifth day after ovum pick up → luteal phase support with progesterone.
  3. Intracytoplasmic sperm injection (ICSI)
    We inject sperm directly into the oocyte by microsurgical instruments under the microscope. The fertilization rate will thus increase and embryo transfer will be performed after the zygotes develop to embryos.
    Indications:
    * Male infertility such as azoospermia, athenospermia, and high rate of abnormal sperm morphology
    * Anti-sperm antibodies: If male and female patients have high concentrations of anti-sperm antibodies, sperm penetration of eggs will decline substantially.
    * Repeated IVF fertilization failure despite normal sperm number and activity
    For male patients with non-obstructive azoospermia, we can extract sperms from testis or epididymis by minor surgery.
  4. Laser thinning of embryonic zona pellucida for assisted hatching (AH) 
    Sometimes even good quality embryos would fail to implant upon transferred to uterus. Assisted hatching is the process in which the embryonic zona pellucida is first thinned by laser, and then embryo is transferred to uterine cavity to improve embryo hatching and implantation.
    Indications:
    * Failed of in vitro fertilization more than two times
    * Embryonic zona pellucida is too hard or too thick
    * Age more than 38 years old

Required documents
1. Both couples’ PASSPORT – original & duplicate
2. Both couples’ ID CARD – original & duplicate
3. Marriage certificate (Certified by Taipei Economic and Cultural Representative Office) – original & duplicate

💕 Story Sharing 💕

Thank you! The whole team at MacKay!

Please pass our thanks to our doctor and your IVF team. You’ve done a very good job.

If there’s anyone asking us for IVF, for sure we will recommend your IVF team.

 Phuc and Vy from Vietnam

Phuc and Vy, living in Vietnam and their first kid is an MPS boy, brought their son to MacKay for regular follow-up and treatment annually. Thus, they came to MacKay for PGD+IVF while decided to have the second child. After the PGD test and IVF procedure, they successfully have another baby, a healthy boy, after their first-time single frozen-thawed embryo transfer.

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IVF Journey - From Australia to Philippines to Taiwan

I remember doctor’s last words to me after he put the embryos inside me, “We have done everything, now everything is in God’s hand.”  Somehow it comforted me.  For the past 6 years and 5th attempt of IVFs, I lived in fear and heart aches of failures but doctor reminded me again that despite science there is God who can do all miracles impossible, despite fear there is hope if you have faith.

Because of my age of 43, I just have 5 to 10% of chance of getting pregnant. I am so happy we didn’t give up, my husband did not give up on me because finally we are pregnant!

Failed to have a twin but still grateful for what we believe is God’s greatest gift to us.

Thank you MacKay, thank you my doctor, thank you my loving husband, dad and thank you God!

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Thank you again! The MacKay team!

Thank you again to the MacKay team for helping us now have 2 beautiful boys. God bless you!

 Aileen from Philippines

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Our IVF Journey in Taiwan

“Truly, the happiest day of our life”

Thank you the team at MacKay Memorial Hospital!

 Eddie & Katz

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Truly, God is amazing!

Our gratitude and love to Dr. Lee, to IMSC, Ms. Lisa and to everybody at the IVF lab and clinic. Thank you very much!

 Edmar and Rogelyn

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Our Journey to parenthood- Marlene & Jim

In 2016, we chose to proceed with the IVF at MacKay Memorial Hospital because we want a stress free environment and a team who we know are the best in this field. Thank you all for making our dream come true.

Matthew 7:7

Ask and it will be given to you; seek and you will find; knock and the door will be opened to you.

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Michelle’s sharing

My husband and I already have a 2 year old son and when we were trying to have another baby, we were always unsuccessful. We tried for more than a year and when our friend told us about ivf in Taiwan, we were interested and asked about it from friends and since we heard so many successful cases, we booked a flight to Taiwan last Feb for the initial consultation. For the actual process, we travelled to Taiwan on April.

The experience was good. Dr. Lee and Ms. Sun already have a good system in place. Check up, explanation, procedure, etc. And so on my part, I never had any fear with the entire procedure. There were also some painful moments but everything is tolerable.

We came home around 1st week of May and found out I was already pregnant around May 10th. Confirmed heartbeat of twins by 10 weeks but lost one on 12th week. After that, we sought the help of a perinatogist (high risk ob), immunologist and endoc doctor. They all helped for me to have a healthy and safe pregnancy.

I have been recommending the Taiwan ivf team to couples who have difficulty on conceiving. They are very helpful, efficient, and the chances of success is very high. Like in my case, we were successful in one try only.

Michelle Go

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Jasslyn ‘s story

My husband and I have been married for about 3 years when we decided to undergo IVF treatment. We came to this decision not because we have experienced many failed work-ups but because we want to undergo a treatment with the highest success rate.

We learned about Dr. Robert Lee and MacKay Memorial Hospital from my relatives who have been successful with their IVF treatments. With their positive recommendations, we didn’t think twice about going to the same doctor and hospital.

Seeing as it was my first IVF treatment, I was scared of the whole procedure and worried about the medications I had to take. I was also worried of language and cultural barriers. However, Dr. Lee and the whole staff at MacKay really eased my worries by being very professional.

 I also found it easy to communicate with Dr. Lee and the whole staff at MacKay because they can speak fluent English.  Although the hospital is always full of people, everyone was so efficient that we didn’t have to wait long for injections, check-ups, ultrasounds, etc. This efficiency displayed by the staff at MacKay I think, makes the biggest difference compared to hospitals or clinics in the Philippines. 

 The accommodation extended by the staff of MacKay was not just limited to the IVF treatment. They also happily answered all my queries such as other things to do in Taipei and good restaurants to eat at. I truly felt comfortable with this supposedly uncomfortable procedure because of the general warmth, compassion, and helpfulness of everyone at MacKay. All these definitely made my 1st IVF experience less stressful which I think contributed a lot in helping me achieve a positive result.

Jasslyn Tan

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Bernadine’s sharing from Manila

I am a proud mother to 3 IVF babies. My eldest was made in the Philippines while my twins were made in Taiwan. I am equally grateful to both doctors and institutions for making it possible for us to become parents.

My first pregnancy came 8 years after marriage and after countless pregnancy work-ups.  My daughter who is now 8 years old was conceived thru the help of Dr. Irene Sy of Center for Reproductive Medicine in Manila. It was a fresh IVF cycle and our first attempt.  Following this, I have had 2 failed frozen embryo transfers.  Since we already have a child, we were torn between being contented with one child and giving our child a sibling companion.  Obviously, it was the benefit of our daughter that pushed us to try IVF in Taiwan.

My cousin, who underwent a successful IVF procedure in Taiwan, recommended to us Mackay Memorial Hospital.

Mackay Memorial Hospital has an International Medical Service Center that caters to international patients.  This makes it easy for foreigners who cannot speak Chinese to communicate with them, as they are fluent in English.  With the help of electronic mails, all inquiry can also be addressed.

After 6 years of trying, we were again new parents to twins, a boy and a girl.  Twice the blessings, twice the fun!  Two miracles instead of one!

Our twins are now at their terrible twos.  It is such a joy seeing two little kids greet you as you come home from work but it is also a challenge to us in so many aspects. Good luck to us!

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Deborah’s sharing from Philippinesa

After 8 years of waiting and countless fertility treatments, God has finally answered our prayers with a healthy baby girl last June 13, 2013.  She was a living proof that miracles do happen.

We would like to thank Dr. Robert Lee Kuo-Kuang of MacKay Memorial Hospital for the successful IVF.  Out of 7 eggs retrieved, only 4 were fertilized.  Of the 4 embryos, there were 2 grade 5, 1 grade 4 and 1 grade 3 embryos.  Not the best odds.  The day of the transfer, I was crying already.  I can clearly recall Dr. Lee telling me, “You only need 1 good embryo and you have one, so don’t worry.”  I held on to these words all throughout the waiting period. It served as my strength and hope.  True enough, I only need one and she is here with me now, my bundle of joy.

Thank you Dr. Lee, and to all the nurses and staff of MacKay Memorial Hospital for being an instrument in the conception of this little miracle.  This wouldn’t be possible without you.  Thank you very very very much.

Deborah Jayne Yu

infertilityphilippines.blogspot.com

This is the most frequently asked question in my blog and emails – Why did you have IVF? Why in Taiwan and why in MacKay Memorial Hospital? Here’s my answer.

These are some of the reasons why I chose to have IVF in MacKay Memorial Hospital in Taipei:

  1. Proximity wise, Taiwan is nearer to the Philippines.
  2. It was way cheaper to have IVF done in Taiwan compared to the Philippines, Singapore or US in terms of medical expenses, food and accommodation.
  3. Taiwan has a higher success rate in terms of their IVF.
  4.  I have personally spoken to quite a number of people who were successful with their IVF with Dr. Robert Lee as their ob-gyne.
  5. I find Dr. Robert Lee very professional. He knows what he is doing and I feel comfortable with him.
  6. The system in the hospital is very organized.
  7. They have an International Medical Service team that will assist you with all the things that you need. They are prompt in answering all your queries through email and they are also the ones who will help you arrange your accommodation there.
  8. Love the food in Taipei… and shopping as well!!
  9. I also felt that a change of environment would be healthy for us as we were able to escape the stress we have here in the Philippines.  We were able to rest and unwind. It was like our second honeymoon and the IVF was like our side trip instead of the other way around.  We enjoyed the trip very much and the baby is our bonus 🙂

Why IVF?

It was recommended to me by my OB then after 3 consecutive failed IUI from her, though prior to this we have also tried IUI 2x with another OB.

Given our case, the success rate was 50% according to our ob in Taiwan. That’s a 50-50 chance for us and since we have tried everything already, ivf was our last resort.

Plus the fact that my biological clock was ticking and was not getting any younger, I was determined to give ivf a try even just once only. I wouldn’t want to wake up one day and regret the fact that I did not do something when I could have done something.

To quote from Mark Twain: “Twenty years from now, you will be more disappointed by the things that you didn’t do than by the ones you did do.  So throw off the bowlines.  Sail away from the safe harbor.  Catch the trade winds in your sails.  Explore.  Dream.  Discover.”

IVF was indeed worth a try… especially with our dream of having a baby as the prize.

Deborah Jayne Yu

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Vivian and Andrian‘s story

Year 2007, the day we promised forever.

After years of trying and waiting with all our heart and with all our faith and trust to God. Mackay Taipei here we come!

It was seven o’clock in the morning. We had our first pregnancy test. For the first time it has TWO RED LINES! Thank you lord!

36 weeks, Friday, 30th of March 2012. The day we held our precious twins for the first time. At 9:44 AM Harry Adrian was born after 2 minutes at 9:46AM Philippa Viviene was born. Praise God! Twins, two little blessings sent from above. Every perfect gift is from above. James 1:17

James 1:7
Every good and perfect gift is from above, coming down from the Father of the heavenly lights, who does not change like shifting shadows.

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At Mackay Medical Services for Reproductive Medicine, we offer:

★ Intrauterine insemination (IUI)
★ In vitro fertilization (IVF)
★ Microscopic technique (ICSI)
★ Time-lapse Incubator
★ Laser Assisted Hatching (AH) and Embryo Glue
★ Sperm staining examination, sperm antibody test
★ Oocyte cryopreservation, Sperm cryopreservation, embryo cryopreservation
★ Preimplantation Genetic Screening (PGS)/
Preimplantation Genetic Diagnosis (PGD)
★ Hysteroscopy, Laparoscopy
★ Micro-Testicular Sperm Extraction (Micro-TESE)
★ Anti-Mullerian Hormone (AMH) level
★ Hysterosalpingography (HSG X-ray)

Treatment Procedures
Clinical examinations:

  1. Ultrasound examinations of uterus, ovary, and other pelvic structures, as well as lesions such as myoma, endometrioma.
  2. Blood analysis for thyroid function, prolactin and AMH
    AMH(anti-Mullerian hormone): for prediction of the ovarian follicle reserve. Presently AMH has the highest accuracy among all blood tests for ovarian reserves.
  3. Semen analysis and sperm staining examination— Sperm are stained and enlarged up to 1000 times to assess the normal morphological proportion, to predict the probability of oocyte fertilization ( General sperm analysis only checks up to 100-fold amplification, and staining is not performed )
  4. Hysterosalpingography—To assess the patency and function of the fallopian tubes, and to evaluate the contour and the shape of uterine cavity, as well as the presence of polyps or intra-uterine adhesions.
  5. Basal body temperature measurement
  6. Return to clinic for report and recommendation by doctor for treatment options.

Special team for Reproductive Medicine Center


★ Experienced infertility specialist
★ Urologist
★ Embryologist
★ International medical case manager
★ Professional team for consultation

💖 Success Rates (under 38 years old) 💖

.Intrauterine Insemination(IUI)—The pregnancy rate was 20%
.In Vitro Fertilization (IVF)—The pregnancy rate was 50%
.Frozen-thawed Embryo Transfer (FET)—The pregnancy rate was 55%
.Cumulative Live-Birth Rates after In Vitro Fertilization—57%

Our Special Team


Dr. Ming-Huei Lin

Current Position
1.Director 0f Division of Infertility and Reproductive Endocrinology, Department of Obstetrics & Gynecology, MacKay Memorial Hospital
2.Senior Attending Physician, Division of Infertility and Reproductive Endocrinology, Department of Obstetrics & Gynecology, MacKay Memorial Hospital

Professional Specialty
1. Infertility
2. Assisted Reproductive Technique (test tube baby)
3. Reproductive Endocrinology
4. Hystroscopy & Laparoscopy

Education & Experience
1. Kaohsiung Medical University, Taiwan
2. Obstetrics & Gynecology, Mackay Memorial Hospital, Taiwan
3. Advanced Reproductive Technologies, The Jones Institute for Reproductive Medicine, Eastern Virginia Medical School, Norfolk, U.S.A.
4. Director of Taiwan Society of Reproductive Medicine
5. Hysteroscopic Surgery, Kawasaki Municipal Hospital, Japan

Language
Taiwanese / Mandarin / English

Dr. Emerson Ryh-Sheng Li

Current Position
Attending Physician, Division of Infertility and Reproductive Endocrinology, Department of Obstetrics & Gynecology, Mackay Memorial Hospital

Professional Specialty
1. Infertility
2. Assisted Reproductive Technique (test tube baby)
3. Egg freezing
4. General Obstetrics & Gynecology

Education & Experience
1. MD degree of Taipei medical university
2. Residency of Department of Obstetrics & Gynecology, Infertility and Reproductive Endocrinology, MacKay Memorial Hospital

Language
Taiwanese / Mandarin / English

Dr. Robert Kuo-Kuang Lee

Current Position
Senior Attending Physician, Division of Infertility and Reproductive Endocrinology, Department of Obstetrics & Gynecology, Mackay Memorial Hospital

Professional Specialty
1. Infertility
2. Assisted Reproductive Technique (test tube baby)
3. Reproductive Endocrinology

Education & Experience
1. MD degree of Kaohsiung Medical University
2. Residency of Obstetrics & Gynecology, MacKay Memorial Hospital
2. Long Beach Medical Center, Irvine Medical School, University of California. Research fellow of Reproductive Medicine
3. Director 0f Division of Infertility and Reproductive Endocrinology, Department of Obstetrics & Gynecology, MacKay Memorial Hospital
4. President of Taiwan Society of Reproductive Medicine

Language
Taiwanese / Mandarin / English

Dr. Tzu-Yu, Hung

Current Position
Attending Physician, Division of Infertility and Reproductive Endocrinology, Department of Obstetrics & Gynecology, Mackay Memorial Hospital

Professional Specialty
1. Infertility
2. Egg freezing
3. oncofertility
4. Assisted Reproductive Technique (test tube baby)
5. Hysteroscopy & Laparoscopy
6. General Obstetrics & Gynecology

Education & Experience
1. MD degree of National Yang-Ming University in Taipei, Taiwan.
2. Residency of Department of Obstetrics & Gynecology, Infertility and Reproductive Endocrinology, MacKay Memorial Hospital

Language
Taiwanese / Mandarin / English

Dr. Christine Shan-Chi Chiu

Current Position
Attending Physician, Division of Infertility and Reproductive Endocrinology, Department of Obstetrics & Gynecology, Mackay Memorial Hospital, Tamsui Branch

Professional Specialty
1. Infertility
2. Egg freezing
3. oncofertility
4. Assisted Reproductive Technique (test tube baby)
5. Hysteroscopy
6. General Obstetrics & Gynecology

Education & Experience
1. Bachelor of Science with Honours, University of Toronto, Canada
2. MD degree of Poznan Medical University, Poland
3. Residency of Department of Obstetrics & Gynecology, Infertility and Reproductive Endocrinology, MacKay Memorial Hospital

Language
Taiwanese / Mandarin / English