1 in 12 couples will encounter difficulties falling pregnant after 12 months of actively trying to conceive. 1 in 6 couples will require some assistance to conceive. I also assist single women and same sex couples with determining appropriate fertility treatment options.
The first consultation will be spent on taking a comprehensive history and investigating for the causes of infertility. This is to be followed by discussion of your expectations and an appropriate treatment plan.
Infertility can be caused by a complex collection of different factors, and thus one treatment does not suit all. Great advances have been achieved in the field of assisted reproductive technology, and while IVF may be the best treatment for many patients, there are other fertility treatments that may be more appropriate for some patients.
I offer medical, surgical and complicated assisted fertility treatments. The majority of my medical and surgical treatments are performed through my private rooms and Franes Perry Hospital, while more complicated assisted fertility treatments such as IVF will be offered through Melbourne IVF.
Egg freezing is an established technology to provide options for women who wish or need to delay fertility either for personal or medical reasons. Freezing eggs electively at a younger age can improve your chances of having a baby when you are older, if you wish to delay fertility until after mid 30's.
For the special population of women and men who will require cancer related therapies that may threaten their long-term fertility, there are various treatments available that may decrease the chances of infertility post treatment or offer them a chance of having genetic children of their own in the future if their fertility is permanently impaired. I always aim to see them at very short notice so to be able to fully counsel regarding the options available.
I also provide counselling for fertility options for single women and same-sex-couples.
This is a very complicated and common condition which can afflict women. It has many medical, psychological and often devastating emotional implications. I strive to help women with this condition to understand and feel more in control with living with this lifelong condition.
Up to 75% of women with PCOS may present with infertility, and many respond well to the appropriate fertility treatments.
Fibroid is a very common condition. Patient with fibroids may experience no signs to severe symptoms. Whether or not you are trying to conceive, I provide individualized treatments to each patient, including both medical and surgical modalities.
Endometriosis is a generally poorly understood and under-diagnosed condition that can have long-term effects with fertility and pain. Whether or not you are trying to conceive it is very important to address this condition. I provide counselling and advice as well as medical or surgical treatments for endometriosis.
All women between 25-74 years old who have ever been sexually active should undergo regular cervical screening to prevent cervical cancer. It is a simple and short procedure every 5 years (previously 2 yearly) to check the health of your cervix. If the smear detects abnormal cellular changes or the presence of high risk human papillomavirus (HPV) is detected, then you will need a colposcopy. A colposcopy is a magnifying scope that looks at the cervix to identify abnormal cells or cervical pathology.
I can provide different options for short term to permanent contraception, including medications, implants, intrauterine contraceptive devices (IUCD), and tubal ligation.
I offer a wide variety of medical and surgical treatment modalities for menstrual disturbances such as period irregularities, heavy bleeding, or abnormal bleeding.
I provide laparoscopic (key-hole) and hysteroscopic (through the cervix) operations mainly at Francis Perry Hospital, and sometimes at Freemason’s Epworth Hospital or East Melbourne Specialist Day Hospital.
Microsurgical operations are performed under a microscope for particular procedures such as reversal of tubal ligation, or open testicular biopsies as part of fertility treatment.
Miscarriages are unfortunately a very common occurrence that can be extremely distressing. Recurrent miscarriages will require investigation for underlying causes. I also offer counselling regarding options for improving chances of a successful pregnancy next time.
There is a wide range of available contraceptive options available, be it long-term or short-term; reversible or irreversible; medical or surgical. It is important to remember that the one option is not always suited to all. I offer comprehensive counselling on the appropriate contraceptive options available.
Symptoms associated with menopause are often under-reported and the impact of which is often under appreciated. I provide counselling based on up-to-date evidence associated with symptomatic relief in menopause.