IVF Fertility Treatment

The IVF process involves the fertilisation of an egg with sperm, performed in an incubator. The highest quality embryo from this process is then placed back into the uterus to increase the chances of pregnancy.

The decision to undergo IVF should occur after specific steps are taken to avoid it. These include ovulation induction or IUI (intrauterine insemination), two treatments that may be a suitable solution depending on your fertility issue.

A fertility specialist like Dr Joseph will review previous investigations, organise tests and ask questions to outline a management plan suited to the patient’s condition before recommending IVF. Roughly 80-90% of women under the age of 35 conceive within one year of trying; for those over 35, this time frame is six months, at which point you should contact Dr Joseph if you are yet to conceive.

Infertility can also be due to:

• A low sperm count in the male
• Irregular or absent menstrual cycles
• Painful periods
• A history of endometriosis or pelvic inflammatory disease
• Previous miscarriages
• Previous chemotherapy or cancer treatment

An IVF clinic can diagnose infertility via blood tests, biopsies, ovarian reserve testing, imaging studies, laparoscopic evaluation and hysterosalpingography viewing.

Both IVF and ICSI are forms of assisted reproductive treatment (ART) used to fertilise eggs outside of the body. The primary differences between the two are:

• IVF is used for female or unexplained infertility
• ICSI is used for male infertility

ICSI may be recommended when there is no male cause of infertility, but this will not affect the chance of having a baby. The steps involved in IVF and ICSI treatment are similar; however, during the embryo development stage, sperm from the male is added to the eggs in IVF; with ICSI, a single sperm is injected via a microscopic needle into each egg.

Before treatment, Dr Joseph will arrange any necessary investigations to best optimise your fertility. This may include:

For females:

• Hormonal Tests
• Checking ovulation
• Blood tests before pregnancy
• Pelvic Ultrasound +/- Tubal Patency Testing
• Antimullerian Hormone Assay
• Chromosomal Testing and Genetic Screening (if required)
• Diagnostic Laparoscopy or Hysteroscopy (if required)

For males:

• Hormonal Tets
• Semen Analysis
• Chromosomal Testing and Genetic Screening (if required)

The steps involved in IVF and ICSI treatment are as follows:

1. The woman’s ovaries are stimulated via injectable fertility drugs
2. The eggs are retrieved when mature; the woman is under a light anaesthetic during this
3. The sperm is added to the eggs for fertilisation and then kept for 2 to 5 days in the clinic to allow the embryos to develop
4. If the embryos develop, one or two will be placed in the woman’s uterus (or frozen for a later embryo transfer procedure)
5. Two weeks after the embryo transfer, a blood test will be run to see if pregnancy has occurred

If the test is negative and a decision is made to attempt the process again, frozen embryos can be utilised, avoiding the need to stimulate the ovaries a second time.

When managed by an experienced expert like Dr Joseph, IVF and ICSI are safe procedures that rarely experience complications. However, all medical procedures risk certain health effects that you must consider before undergoing treatment.

For IVF and ICSI, the rare but possible risks include:

• Ovarian hyperstimulation syndrome)
• Birth of twins or triplets
• Premature labour/low birth weight
• Increased risk of congenital disabilities
• Caesarean delivery

It is also important to consider that IVF and ICSI are demanding physical and emotional treatments. Therefore, counselling services are available, and you will receive full support from Dr Joseph and his team to ensure the experience is as positive as possible.

If you are considering IVF or ICSI treatment or have any questions about the procedures, contact Dr Joseph Sgroi. As a well-known obstetrician and gynaecologist, Dr Joseph can assist in all aspects of infertility and IVF treatment.

The first step down the path of IVF treatment is to arrange an appointment with Dr Joseph by calling (03) 9416 1586. Dr Joseph and his team will determine the right path forward for you, supporting you every step of the way.

• Guide to Fertility
• Ovarian Reserve Testing
• Abnormal Sperm Count
• Ovulation Induction
• IUI
• ICSI
• Egg Freezing
• Fertility Screen Tests
• Fertility Preservation
• Recurrent Miscarriage