Fertility Treatments

Fertility Treatment

As a fertility doctor I see many couples seeking treatment and advice. Many are very anxious and often think there is something ‘wrong’ with them, or that they may never conceive. The good news is most do not need fertility treatment and eventually conceive a family naturally. However if you do need some form of fertility treatment don’t feel disheartened ….get pro active and arm yourself with all the appropriate information on the varying treatments available as this will help empower you.

With the help of a fantastic team at IVF Australia www.ivf.com.au who are supportive and friendly, there are a variety of fertility treatments I can offer to help people like yourselves have a baby. Read through and if you would like to discuss any of these further then please call to make an appointment.

Maroubra rooms: ph 02-93495111, or St George Private Hospital: ph 02-95537555

Ovulation / menstrual cycle Monitoring

Your menstrual cycle can be monitored for follicle growth and time of your ovulation to get the timing of intercourse precise. This is ideal for couples where cycles can be variable leading to uncertainty and stress about the appropriate timing for a family.

Ovulation Induction treatment

Ovulation induction fertility treatment is recommended if you do not ovulate regularly. The aim is to encourage your ovaries to develop the follicles needed to produce and release a mature egg. Inducing the egg to grow and mature can be done using a tablet called Clomiphene Citrate or daily injections with follicle stimulating hormone (FSH). We will teach you or your partner to administer the injections at home.

Your treatment will be monitored using scans and blood tests to establish when your follicles are ready. When your follicles are the right size, you will need to inject yourself with Human Chorionic Gonadatrophin, a hormone that helps the eggs to mature. You should ovulate 36 – 48 hours later, and have timed intercourse. If you would like to discuss this treatment further make an appointment either :

Maroubra rooms: ph 02-93495111, or St George Private Hospital: ph 02-95537555

Intra-uterine insemination treatment – IUI

IUI is a fertility treatment for “unexplained infertility”, that means…. there is no obvious medical reason found for your difficulty conceiving.

You will be given hormones to stimulate your ovaries to produce an egg. On the day of ovulation the actual IUI takes place. We will need a semen sample from your husband or partner. We will then prepare the sperm and pass it through your cervix and into your womb, using a fine straw. During IUI, The hope is that the sperm will meet the egg and that fertilisation will take place in the fallopian tube, just as it does in a natural pregnancy.

Intra-uterine insemination treatment image - IUI FertilityTreatment

Reproductive Surgery

Some women may need to have surgery to correct any problems that could be causing pain or infertility. This involves keyhole surgery called a laparoscopy and/ or hysteroscopy. Keyhole surgery is used for repairing endometriosis, ovarian cysts, adhesions, uterine fibroids and polyps.

If you have any of the above problems I may recommend this surgery for you.

The diagram below: represents a laparoscopy:

Fertility Treatments and laparoscopy surgery image

Donor sperm and Donor Egg program

IVF Australia has an egg and sperm donor program available.

With sperm donation we help with both known sperm donors and unidentified sperm donors. Make an appointment if you would like to discuss this further

Maroubra rooms: ph 02-93495111, or St George Private Hospital: ph 02-95537555

Advanced reproductive fertility treatment with IVF and ISCI

IVF is a fertility treatment that has been around for 30 years now. Most couples I see after organising comprehensive tests do not need to have IVF, however around 10% will need IVF to greatly improve their chances of a baby.

I work with a great supportive and friendly team of nurses and scientists at IVF Australia whose aim is to help you have a baby.

A standard IVF cycle normally takes about 4 weeks, where the first 2 weeks involve stimulating your ovaries with hormones to produce a number of eggs. Your eggs are collected from your ovaries using a fine needle. On the same day that your eggs are collected, we combine the eggs with your partners sperm in the laboratory.

Advanced reproductive fertility treatment with IVF and ISCI image

Your eggs are monitored closely in the lab to confirm whether they fertilise and become embryos. Once fertilisation has taken place, I will put an embryo back into your uterus 5 days later when it is a blastocyst, using a simple catheter procedure that feels much like having a pap smear. The benefit of IVF is that if you have any remaining, good quality day 5 embryos these can be frozen for your future use.

An extra technique during IVF called ICSI -intra -cytoplasmic sperm injection involves us injecting sperm directly into your egg to improve the chance of fertilisation.

ICSI - intra-cytoplasmic sperm injection image

You may be offered ICSI as part of your IVF treatment if the sperm numbers and/or activity are very low. In such cases, there is a significant risk that very few eggs (or even no eggs at all) would fertilise during the standard IVF treatment. Fertilisation rates are similar or slightly better than those achieved with standard IVF.

Maroubra rooms: ph 02-93495111, or St George Private Hospital: ph 02-9553755

Polscope

The Polscope is technique that helps to assess your egg quality under a special polarised light microscope. Your eggs are collected and assessed during an IVF cycle

Polscope image for increasing fertility

Microsurgical laser assisted hatching

Microsurgical assisted hatching involves making a small hole in the zona pellucida (shell) around the embryo with a laser. This creates a weak spot which makes it easier for the embryo inside to ‘hatch’ and implant in your womb. If the embryo cannot escape from the zona it will never be able to implant no matter how good it is. The procedure is performed in the laboratory on day three of an IVF treatment cycle.

The procedure is not beneficial for all patients. Recommendation for this is only after a history of repeated failure of implantation. The procedure is safe and very quick to perform and there is no greater risk of harm to the embryo.

High magnification of sperm

Using a high powered microscope our team of scientists at IVF Australia can magnify the sperm around 7000 times. This allows us to see in great detail how the sperm looks and to select the best sperm for the ICSI procedure. It is very effective for men with high levels of sperm DNA fragmentation.

Genetic Testing Of The Embryo Called Preimplantation genetic diagnosis PGD

PGD is a method of testing embryos for specific genetic and chromosomal disorders, thereby allowing selection of healthy embryos to be transferred back to the womb. In the IVF Australia laboratory one or two cells are removed from an embryo and tested for disorders such as Cystic Fibrosis, Down’s syndrome, Fragile X, Duchenne muscular dystrophy and many others.

IVF Australia also has developed the world’s fastest and most precise embryo selection test called Advanced Embryo Selection. This test screens all the chromosomes in a developing embryo, which can then allow us to precisely select the best embryo that will have the greatest chance of a pregnancy success. This genetic test is best suited for

  • Couples where there is a history of miscarriages
  • Where women are over the age of 38 years
  • Those who have a hereditary chromosomal condition
  • Those couples who have experienced unsuccessful IVF

If you would like to enquire and discuss this further please make an appointment

Maroubra rooms: ph 02-93495111, or St George Private Hospital: ph 02-95537555

Preimplantation genetic diagnosis PGD image for genetic testing

Egg and Ovarian Tissue freezing

With the great team at IVF Australia I can offer women egg and ovarian tissue freezing.

This new technology is for assisting women undergoing medical treatments such as chemotherapy, or removal of the ovaries, but can also be used for freezing eggs for social reasons. If you would like to discuss this further please call the rooms.

Maroubra rooms: ph 02-93495111, or St George Private Hospital: ph 02-95537555

 

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