Fertility

Whether you have polycystic ovary syndrome, an abnormal sperm count, unexplained subfertility, are single or in a same sex relationship, there are many treatments available that can help you start your family. We offer a full range of services to treat complex problems related to fertility.

If you have spent a long time trying for a baby but haven’t yet been successful, it may be time to consider assisted conception treatments. Assisted conception means using a medical intervention to help you conceive. The type of treatment you receive will depend on what’s causing the problem, and how much help you and your partner need.

The success rates of fertility treatments have improved. The younger you are, the greater your chance of conceiving. Assisted conception treatments include:

  • Intrauterine insemination (IUI):
    • Sperm cells are inserted directly into the uterus (womb) at the time of ovulation.
  • In vitro fertilisation (IVF):
    • Eggs are gathered from the ovaries and fertilised with your partner’s sperm in a laboratory dish. The resulting embryos are transferred to the uterus Ovulation induction (OI).
  • Ovulation induction (OI):
    • Regular ovulation is associated with regular menstruation. If you have irregular or absent cycles, it may be due to a problem with ovulation.  This may require medication to induce normal follicle development and ovulation.

For at least 50% of couple undergoing IVF, there are surplus embryos frozen from the initial stimulation cycle. These healthy embryos are used in future cycles, without needing to go through the stimulation process. Approximately 90% of all frozen embryos survive the thawing process in good condition.

Age is not something we can control and while it is not a barrier to achieving many things, it can reduce the chance of a woman getting pregnant and having a healthy baby. In fact, a woman’s age is the single most important factor affecting her fertility.

This is because women are born with all the eggs they will ever have and as a woman ages, the eggs diminish in quantity and quality. The age of the male can also impact greatly on chance of conception, time to pregnancy, risk of miscarriage and the health of the child.

Some figures about women, age and fertility decline without fertility treatment:

  • Starting at about age 32, a woman’s chances of conceiving decrease gradually but significantly
  • From age 35, the fertility decline speeds up
  • At 30, the chance of conceiving each month is about 20%. At 40 it’s around 5%.

Pregnancy and birth risks for older mothers:

  • Complications such as pre-eclampsia, gestational diabetes, placenta praevia, and placenta abruption increase with age.
  • Genetic abnormalities and birth defects are more common in babies of older mothers.

While there are many things women cannot control, finding more about your fertility and options available to you, can be extremely helpful. Wherever you may be in your fertility journey, you may wish to speak to Dr Rozen about an assessment of your reproductive health, ovarian reserve and pre-conception genetic screening.

Having a male contribution to infertility is common and there are many successful treatments available. Embarking upon fertility treatment is a big decision and Dr Rozen is committed to providing you with a personalised management plan, using the latest techniques to ensure the best possible chance of conception.

There may be an abnormality in the semen analysis, a laboratory test in which the sperm is examined with a microscope. Or perhaps vasectomy or history of sexual dysfunction. Further investigation and treatment options are individually tailored.

These may include:

  • Intrauterine insemination (IUI)
  • IVF with intracytoplasmic sperm injection (ICSI) where a single best sperm is selected to inject in to the egg
  • Advanced sperm selection techniques such as Intracytoplasmic Morphologically Selected sperm Injection (IMSI) and Physiological Intra-cytoplasmic Sperm Injection (PICSI)
  • Testicular sperm retrieval techniques, such as testicular sperm aspiration (TESA), percutaneous epididymal sperm aspiration (PESA),testicular sperm extraction (TESE)
  • Sperm function tests, such as anti-sperm antibodies
  • Sperm DNA fragmentation
  • Semen freezing may be used for male fertility preservation
  • Hormonal treatment to assist with sperm production.

Holistic management of fertility, health and wellbeing are crucial. There may be lifestyle issues to consider and Dr Rozen will discuss these with you.

Together with Melbourne IVF we provide a comprehensive fertility service, with cutting edge science and research at the forefront of what we do. Our services include:

  • Donor conception
  • Intrauterine insemination (IUI)
  • In-vitro fertilisation (IVF) and (ICSI)
  • Pre-implantation genetic testing (PGT) for aneuploidy and monogenic disorders
  • Non-invasive embryo selection techniques, embryoscope
  • Egg and embryo freezing
  • Ovulation induction
  • Pre-conception genetic screening.

Have Questions?

You can make an appoint in two ways:

  1. Request an Appointment via this website, by clicking here
  2. Call us on (03) 8376 6230.
  • A referral letter from your GP (couples trying to conceive may use a joint referral: this must name both partners)
  • Copies of any blood tests your GP has recently arranged for you
  • Copies of imaging reports and ideally the images themselves of any investigations you have recently undertaken
  • Copies of your medical records/operation reports from any gynaecological surgery you have had in the past
  • A completed new patient registration form
  • A signed consent form for a transvaginal ultrasound (if required).

Sometimes it can be helpful to take a family member or friend with you when you meet with a specialist. You may feel more confident if someone else is with you, a relative or friend can help remind you about things you planned to share with or ask the doctor, and he/she also can help you remember what the doctor says.