生殖医学

馬偕記念病院の生殖医学センターは1986年に設立されました。過去30年にわたり、私たちは最先端の技術で患者に優れたヘルスケアサービスを提供することを目指しています。

私たちは台湾厚生省の評価を通過し、また台湾の人工生殖技術訓練センターとしてこの分野に興味を持つ将来の医療専門家を育成するために働いています。

現在当院は不妊治療専門家5人、胚培養士5人、国際医療ケースマネージャー5人、および不妊カウンセラーがチームとして最も専門的な医療技術で不妊患者をサポートしています。

いわゆる不妊とは

避妊することなく、 12 ヶ月以上の性生活を経て未懐妊の状態であることをいいます。年齢 35 歳以上の女性は妊娠能力の下降が顕著になりますので、半年を過ぎて未懐妊のときは、早めに受診されることをすすめます。

治療法

体外受精 — 利用者は人工生殖法の規定により合法的な夫妻に限ります(証明書を添付すること)。

  1. 人工授精 (IUI)

    排卵誘発剤を注射し、超音波で卵胞の数量と大きさを観察して薬剤の量を調整し、予期された排卵日に 精液を洗浄、濃縮後、子宮腔に注入して授精する方法。

  2. 試験管内受精 (IVF)

    排卵誘発剤を注射し、超音波で卵胞の数量と大きさを観察して 薬剤の量を調整し、 採卵日を定めて卵子を取得して試験管内で受精させてから三日から五日後、胚を子宮腔内に移植し、黄体ホルモンを投与します。

  3. 卵細胞質内単一精子注入法 (ICSI)

    顕微授精顕微手術の装置を利用し、単一精子を直接卵子に注入して卵子の受精率を高め、受精卵が発育して胚になった後、 子宮腔内に移植します。
    * 精子数量が少ない、活動力不足、奇形精子症など男性不妊症の場合。
    * 男女患者が体内に抗精子抗体を持っており、精子の卵子に対する透過力が大幅に下降する場合。
    * 精子の数量または活動力は正常だが、試験管内受精の失敗が繰り返されている場合。
    * 男性患者の精管が閉塞している無精子症の場合でも、手術により副睾丸または睾丸から少数の精子を取り出せます。

  4. 卵子透明帯レーザー切断による孵化補助法 (AH)

    試験管内受精で、体内に移植された良好な胚が子宮内に着床しなかった場合、胚の外殻透明帯をレーザーで切断してから再び体内に移植し、胚の孵化と着床を補助します。
    * 試験管内受精二回以上失敗の場合。
    * 胚の外殻透明帯が厚く硬い場合。
    * 年齢 38 歳以上。

必要書類の準備

♪ ご夫婦とも海外の方の場合
1. ご二人とも身分証明書を2つ(居留証やパスポートや運転免許証に限ります)
2. 結婚関係証明書(台北経済文化代表処で認証済戸籍謄本や戸籍抄本など)
3. 事前にお手持ちの排卵に関するホルモンの血液検査や子宮卵管造影検査や超音波検査や精液検査など、今までに受けた不妊とに関する検査の提出をお願いします。

♫ ご夫婦のいずれは台湾人の場合
1. 台湾の身分証を持つ方は配偶者欄を記載するものが必要となります。
2. 外国の方の場合は身分証明書は2つ(居留証とパスポートなど)。
3. 結婚関係証明書(台北経済文化代表処で認証済戸籍謄本や戸籍抄本など)。
4. 事前にお手持ちの排卵に関するホルモンの血液検査や子宮卵管造影検査や超音波検査や精液検査など、今までに受けた不妊とに関する検査の提出をお願いします。

💕 ストーリー共有 💕

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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サービス項目

★ 人工授精 (IUI/AIH)
★ 体外受精 (IVF)
★ 顕微授精 (ICSI)
★ アシストハッチングと胚接着剤
★ タイムラプスインキュベーター
★ 卵子凍結、妊孕性温存
★ 精子染色体検査、抗精子抗体検査
★ 精液凍結、胚凍結
★ 着床前遺伝診断(PGS/PGD)
★ 子宮鏡検査、腹腔鏡検査
★ 顕微鏡下精巣内精子採取術(Micro-TESE)

治療プロセス
受診検査:
1. 超音波 — 子宮、卵巣の大きさ、子宮筋腫、エンドメトリオーシス

2. 血液抽出 — 甲状腺機能、プロラクチンおよび AMH* 濃度
AMH(抗ミューラー管ホルモン) — 卵巣予備機能を知るための 重要な指標で、現在最も正確度の高い最新検査項目です。

3. 精液検査および精子染色検査-精子を染色後 1000 倍に拡大して正常な形態の精子比率から卵子受精の確率を予測(一般精液検査は 100 倍までで、しかも無染色)

4 子宮卵管撮影 — 卵管が二本とも閉塞、詰まり、炎症がないか、また子宮腔に狭窄、癒着がないかを検査します。

5. 基礎体温計測

6. 再び受診に訪れたとき、報告結果をみて医師がいずれの治療法を採用するかをすすめます。

💖 成功率( 38 歳以下)💖

.人工授精(IUI)—妊娠率は20%
.体外受精(IVF)—妊娠率は50%
.凍結融解胚移植(FET)—妊娠率は55%
.体外受精後の累積分娩率—57%

チーム

★ 不妊症治療専門医
★ 泌尿器科医師
★ 胚培養士
★ 国際医療ケースマネージャー
★ および不妊カウンセラーがチー

特別チーム


林明輝 医師

現職
馬偕記念病院産婦人部部長
馬偕記念病院不妊科主任
馬偕紀念醫院婦產部主任医師
台湾生殖医学協会理事
馬偕医科大学臨床医学准教授

得意分野
不妊症、人工生殖(体外受精)
生殖内分泌、腹腔鏡および子宮鏡手術

学歴
高雄医科大学卒業
馬偕記念病院産婦人部研修医
馬偕記念病院産婦人部担当医
The Jones Institute for Reproductive Medicine, Eastern Virginia Medical School, Norfolk, U.S.A.研究員
日本川崎病院研修

言語
台湾語/中国語/英語

李國光 医師

現職
馬偕紀念醫院婦產部主任医師
台北医科大学医学部准教授
教育部認定准教授

得意分野
不妊症、人工生殖(体外受精)
生殖内分泌

学歴、経歴
高雄医科大学卒業
Long Beach Medical Center, Irvine Medical School, University of California研究員
台湾生殖医学協会理事長、理事
馬偕記念病院不妊科主任
馬偕記念病院産婦人部部長

言語
台湾語/中国語/英語

李日升 医師

現職
馬偕記念病院不妊科担当医
人工生殖体外受精施術医師
台湾産婦人科医学協会専門医師

得意分野
不妊症、人工生殖(体外受精)
卵子凍結、一般産婦人科

学歴、経歴
台北医科大学医学部卒業
馬偕記念病院産婦人部研修医
馬偕記念病院産婦人部チーフレジデント
馬偕記念病院不妊科研究医

言語
台湾語/中国語/英語

洪子渝 医師

現職 馬偕紀念病院不妊科担当医師

得意分野 生殖内分泌、卵子凍結、妊孕性温存、不妊症、人工生殖(体外受精)、腹腔鏡および子宮鏡手術、一般産婦人科

学歴、経歴 陽明大学医学部卒業 馬偕紀念病院産婦人部研修医とチーフレジデント 馬偕紀念病院不妊科研究医

言語
台湾語/中国語/英語

邱上琪 医師

現職 淡水馬偕紀念病院不妊科担当医師

得意分野 生殖内分泌、卵子凍結、妊孕性温存、不妊症、人工生殖(体外受精)、子宮鏡手術、一般産婦人科

学歴、経歴 カナダトロント大学理学士 ポーランドポズナン医科大学医学士 馬偕紀念病院産婦人部研修医 馬偕紀念病院産婦人部チーフレジデントトレーニング 馬偕紀念病院不妊科研究医トレーニング

言語
台湾語/中国語/英語