Primary Care treatments tend to be quite general. For example, there can be a number of different reasons for weight gain, and thus a number of different treatments. The same goes for conditions such as depression, lifestyle, stress and prescription medication. Once we are certain that none of the “Primary Care” treatments are applicable to you, we will start looking at Specialist Care options.
These treatments are a lot more specific than the Primary Care treatments, and we will only embark on this journey once we are absolutely sure none of the other procedures are relevant. This will ensure that you don’t waste money on a Specialist Care treatment when a Primary Care treatment was what you really needed. Let’s analyse the Specialist Care options that are available, should you need them.
There are many known reasons for a couple’s challenges to conceive. But there are probably far more unknown reasons. Medical studies have reported that up to 20% of infertile couples have unexplained infertility. Many different things have to happen perfectly in sync for a baby to be conceived. Medical science is continually evolving, developing new procedures and treatments to assist couples to have a miracle of their own. Where the cause of infertility is unexplained IVF is most often recommended as a treatment because of its high success rate.
Men’s Clinic - treating infertility in men
In 40% of infertility cases, issues relating to men are the cause of infertility. Infertility in men can be a very private matter because of cultural stigma and other factors. We understand this and will treat it with the utmost confidentiality. First we will do a sperm analysis in order to diagnose whether there are any problems with the sperm.This way, we can measure how much semen is produced, as well as the quality of sperm. If necessary we can assist with sperm collection and selection.
Intrauterine insemination (IUI) is a fertility treatment that uses a catheter to place a number of washed sperm directly into the uterus. The goal of IUI is to increase the number of sperm that reach the fallopian tubes and subsequently increase the chance of fertilization and is a relatively "low-tech" assisted reproductive technology (ART). The IUI procedure is simple and may be performed even if the woman is not receiving medications to improve or increase her egg production. However, many physicians will encourage women to take medications to stimulate the ovaries in order to increase egg production and, hopefully, the chance of achieving pregnancy.
In Vitro Fertilisation
In vitro fertilisation (IVF) is a process by which an egg is fertilised by sperm outside the body: in vitro ("in glass"). This procedure is performed only once all other avenues have been ruled out. It is one of the more expensive fertility treatments globally, but you can rest assured that if you do need this treatment, you are in the hands of a world class organization who are leaders in our field. We provide all the support and information necessary prior to, during and post IVF.
Intracytoplasmic Morphological Sperm Injection (IMSI)
Intracytoplasmic Morphologically-selected Sperm Injection is a laboratory technique used in IVF treatments. IMSI is a real-time method where sperms are selected before the microinjection takes place. This is done using an inverted microscope that is able to provide a much greater magnifying power (around 6000 times) than those that are normally used in reproductive laboratories. With this microscope, we can see the internal morphology of sperm and discard those with abnormalities. Being able to select sperm without morphological alterations is believed to increase the chances of successful implantation of pre-embryo and decrease the likelihood of miscarriage.
Intracytoplasmic Sperm Injection (ICSI)
Intracytoplasmic Sperm Injection is a procedure that has revolutionized the treatment of male infertility. During this procedure, a single sperm is injected directly into the partner's egg. As a result, men with a failed vasectomy reversal or with a congenital (from birth) absence of the vas deferens now have a high chance of fatherhood without using donor sperm. This procedure has decreased the need for donor sperm and almost eliminated the concept of untreatable male infertility. ICSI may be performed due to failed fertilization with IVF or male infertility such as low count, low motility and poor quality of sperm.
Blastocyst Culture and Transfer
Recent advances in blastocyst culture and transfer have resulted in improved IVF pregnancy rates and reduced multiple pregnancy rates. Traditionally, embryos are transferred to the uterus on day three after fertilization and it is not uncommon to transfer three or four embryos. However, it is now possible to grow embryos in the laboratory to the blastocyst stage of development, which occurs on day five after fertilization. Typically, the strongest, healthiest embryos make it to blastocyst stage as they have survived key growth and division processes and have a better chance of implanting once transferred. The selection of potentially more viable embryos allows the embryologist to transfer fewer embryos, often one or two, lowering the risk of high order multiples while maintaining high pregnancy rates.
Premature Ovarian Decline >>
Premature ovarian decline refers to a loss of normal function of your ovaries before age 40. If your ovaries fail, they don't produce normal amounts of the hormone estrogen or release eggs regularly. Infertility is a common result. Premature ovarian failure is sometimes referred to as premature menopause, but the two conditions aren't exactly the same. Women with premature ovarian failure may have irregular or occasional periods for years and may even become pregnant. Women with premature menopause stop having periods and can't become pregnant. Restoring oestrogen levels in women with premature ovarian failure helps prevent some complications, such as osteoporosis, but infertility is harder to treat.
Referral from your gynaecologist
If you have been referred to us by a gynaecologist, we will need all the information on your condition that they have gathered, including any tests or scans. We will also need to know which procedures have already been performed and the results of those procedures. If necessary we will work with your gynaecologist to ascertain exactly what your difficulty is and how to make sure you receive the best possible chance of getting pregnant.