Introduction

One of the most common assumptions I hear from patients is: “If I’m not getting pregnant, I probably need IVF.”

But the truth is, IVF is not always the first step in fertility treatment—nor is it always necessary. In fact, many of my patients successfully conceive using simpler methods.

If you’re trying to conceive, or just starting to investigate your fertility options in Melbourne or Victoria, this blog will help you understand what your choices are, how I personalise care, and when IVF may or may not be needed.

 

💡 Note: This blog is general educational information only and does not constitute personalised medical advice. Please consult with a fertility specialist to discuss your individual situation.

 

Understanding the Fertility Workup

Before deciding on any treatment, the first step is a comprehensive fertility assessment. This is how we understand the root causes of any difficulties you may be having.

What this usually includes:

– Blood tests to check hormone levels (AMH, FSH, LH, oestradiol, progesterone, thyroid function)

– Pelvic ultrasound to assess your ovarian reserve, uterus, and follicles

– Semen analysis (if applicable)

– Review of medical and menstrual history

 

💡 Understanding your individual fertility profile helps us recommend the least invasive, most effective approach for you.

 

Fertility Treatments Before IVF

Depending on the results of your assessment, your age, and how long you’ve been trying, there are often several treatment options before we consider IVF.

 

1. Lifestyle Modification and Cycle Optimisation

Sometimes, small changes can make a big impact. I may recommend:

– Tracking ovulation with urine ovulation LH kits or ultrasound monitoring

– Timing intercourse more accurately

– Supporting your health with sleep, exercise, stress reduction, and nutrition

This approach can be especially helpful if you’re younger (under 35), have regular cycles, and no major fertility concerns.

 

2. Ovulation Induction

Ovulation induction involves taking oral or injectable medications to stimulate your ovaries to release eggs. It’s ideal for women who:

– Have irregular or absent ovulation (such as PCOS)

– Have ovulatory cycles but not predictable every month

I monitor my patients undergoing ovulation induction with ultrasounds to determine when ovulation is likely to occur, and intercourse is timed accordingly.

 

💡 It’s a relatively low-intervention first step that works well for many women.

 

3. Intrauterine Insemination (IUI)

IUI, or artificial insemination, involves placing specially prepared sperm directly into your uterus around the time of ovulation.

IUI can be helpful in cases of:

– Mild male factor infertility

– Unexplained infertility

– Same-sex couples or single women using donor sperm

It’s often combined with ovulation induction and has success rates of around 10–20% per cycle depending on age and other factors.

 

When IVF May Be the Right Option

While simpler treatments can be highly effective, there are circumstances where IVF offers the best chance of pregnancy.

 

You may be recommended IVF if:

• You have severe male factor infertility (very low sperm count or motility)
• You have blocked fallopian tubes or tubal damage
• You’ve had multiple failed IUI or ovulation induction cycles
• You require preimplantation genetic testing (PGT) for genetic conditions or recurrent miscarriage
• You’re a same-sex couple or single woman using donor sperm and other treatments haven’t worked
• You’re considering egg freezing or fertility preservation

 

💡 IVF also gives us more control over fertilisation, embryo development, and selection—especially when combined with Genea’s advanced Geri incubator and patented culture media.

 

Personalised Treatment Plans: It’s Not One-Size-Fits-All

Every patient’s journey is different. That’s why I spend time getting to know your medical history, lifestyle, goals, and concerns.

My approach: – Start with the least invasive treatment that is likely to be effective – Adjust based on your age, ovarian reserve, and previous treatments – Use evidence-based protocols and the latest technology in partnership with Genea Melbourne City

Together, we’ll create a plan that supports your timeline and long-term goals—whether that’s conceiving now or preserving options for later.

 

Final Thoughts

If you’re feeling overwhelmed by the idea of IVF, know that you may not need it to grow your family. Many women and couples conceive with simpler options like ovulation induction or IUI—especially when treatment is started early.

As a fertility specialist in Melbourne, I’m here to help you explore every available pathway and choose the one that’s right for you.

 

 

📍Dr Alice Huang – Fertility Specialist Melbourne
Book a consultation today and let’s take the first step together.

Disclaimer: This information is general in nature and does not replace medical advice. Please consult with your treating specialist for individualised guidance.