There are many factors, both male and female, that can reduce fertility. At your initial evaluation, we discuss your personal circumstances to identify any aspects that may explain your difficulty conceiving. It may be as simple as not having intercourse at the appropriate time of the month, or an irregular menstrual cycle in which you are not ovulating regularly. If the former is the case, up to three free cycles of ovulation tracking (for patients with Medicare) can be arranged. If the latter is the case, ovulation induction can be conducted. We also conduct numerous investigation to identify any issues of which you may not be aware, such as blocked fallopian tubes or a low sperm count. Seeing a fertility specialist doesn’t necessarily mean IVF, however should you require it, you can be reassured that a full range of scientifically advanced treatments are available (IVF, ICSI, PGD/PGS, etc) through our partnership with Genea.
Whatever the cause of your difficulty conceiving we’ll work through it together to find the optimal solution for you.
One common thing couples that I meet say is that they weren’t sure how long they should have continued to try and conceive naturally before they arranged an appointment with a fertility specialist. There’s no right or wrong answer here. Many people say that couples in which the female partner is under 35 years should try to conceive for 12 months before they seek assistance, and couples in which the female is 35 years or over should try to conceive for 6 months before they seek advice. This is fine as a general rule, but it can be emotionally gruelling to try for this long without success. So my advice is this – come and see me at whatever time point you think you need to, just don’t try for a prolonged length of time (ie, years) without success before you seek an evaluation (especially if you are over 35 years of age or have any reason to suspect you have a low ovarian reserve), as egg quality and quantity decline with age. You can even come for an appointment prior to attempting to conceive, especially if you have any concerns regarding genetic conditions that run in your family, or if you have a reason to suspect you may have difficulty falling pregnancy, eg, due to irregular periods or another gynaecological condition such as endometriosis.