There are many different fertility treatments that can be used to help you start your family.
During a consultation, I’ll take the time to thoroughly assess your situation and discuss in detail the treatment options that are available to you, the likelihood of success from each treatment, and any other advantages and disadvantages. There will be plenty of time for questions and you’ll leave being able to make an informed decision about how you want to proceed.
These are all done through my rooms, and include:
- Cycle tracking
- Ultrasound to check for ovulation, ovulation trigger injection, and ‘timed intercourse’ meaning having sex at home at the correct time
- Ovulation induction with Clomid
- Involves taking Clomid tablets to bring on ovulation, usually in patients with polycystic ovary syndrome (PCOS), then cycle tracking as above
- The most efficient and effective way to use Clomid
- Ovulation induction with FSH injections
- The same process as with Clomid above, but using injections instead
- Requires considerable expertise from an experienced doctor, and close monitoring
- Endometrial scratch
- Biopsy of endometrial lining
- Shown to increase natural pregnancy rates.
These are done under anaesthetic in a surgical centre, and include:
- Hysteroscopy, dilatation and curettage (D&C), laparoscopy and tubal flushing
- Can be diagnostic and therapeutic
- Tubal flushing with lipiodol (‘poppyseed oil’)
- Done in conjunction with hysteroscopy or laparoscopy
- Rinses out the fallopian tubes
- Results in 60% more natural pregnancies compared to flushing with water
- Ovarian drilling for PCOS
- Surgical correction of anatomical issues (polyps, fibroids, uterine septum)
- Tubal reanastomisis (reconnection of the fallopian tubes after a tubal ligation).
Laboratory treatments – IVF
I perform IVF (in vitro fertilisation) at Monash IVF in Hawthorn.
Monash IVF is committed to offering the best possible outcomes to its patients. It is a full service IVF laboratory, meaning it offers ALL recognised treatment options, including standard IVF, ICSI, HA-ICSI, surgical sperm extraction (PESA, TESA, micro-TESE), PGS, PGD, egg freezing, sperm freezing, donor egg program (TWEB) and donor sperm program.
Monash IVF’s pregnancy rates are consistently excellent. It was the first laboratory in Melbourne to routinely grow embryos to the blastocyst stage (day 5–6) and freeze all embryos by vitrification.
There are cheaper clinics in Melbourne, but they do not offer the full suite of services offered by Monash IVF.
Most fertility specialists in Melbourne are contracted with an IVF company, and have non-compete clauses preventing them from leaving the company or providing IVF services elsewhere. I do not, and deliberately so – I am not a contracted doctor with Monash IVF, and have no restrictions on my practice. I send my patients to Monash IVF because I believe they offer my patients the highest chance of pregnancy.
Other laboratory treatments
Aside from IVF, I also perform intrauterine inseminaton.
Other specialised treatments
I offer endometrial receptivity analysis, a novel investigation that checks whether a woman’s endometrial lining is mature enough to accept an embryo at the time of implantation.
Overseas donor egg programs
I am experienced in initially discussing then preparing women to travel overseas to undergo treatment with donor eggs. I do the initial work-up, arrange all investigations and necessary prescriptions, then take over care on the patient’s return.
Patients commonly travel to Greece (embryoland) or South Africa (Cape Fertility Clinic).