Trying to Conceive? The Value of a Second Opinion | Melbourne IVF

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The Value of a Second Opinion

The decision to see a fertility specialist or get another opinion is a difficult one, and we understand that there are a number of factors to consider.

Melbourne IVF offers you expert fertility advice by our leading team of 26 fertility specialists at our clinics across Melbourne, as well as access to the advanced science that gives you the best possible chance of having a baby.

At Melbourne IVF, we offer everything from simple non-invasive treatment options including ovulation cycle tracking, ovulation induction and insemination, through to the more advanced fertility treatments such as in vitro fertilisation (IVF) and preimplantation embryo screening (PGS).

Why aren’t we falling pregnant?

Infertility is defined as the inability to conceive after a year of unprotected intercourse.  There are various causes of infertility which may be related to female, male or a combination of male and female factors.

Female causes are usually related to the woman’s age, issues with ovulation or pelvic anatomy, such as endometriosis, fibroids or polycystic ovarian syndrome (PCOS). Many of these conditions can be overcome and sometimes all that is necessary is advice or a simple approach, whilst for others IVF may be the best option. Read more information about female fertility »

After a woman’s age, male infertility is the second biggest cause of pregnancy delay and affects almost half of all couples having trouble conceiving. Fortunately, the most common causes of male infertility are easily diagnosed through a semen analysis and most can be treated or overcome to help a couple conceive. Read more information about male fertility »

IVF isn’t the only option

A fertility specialist is the best person to investigate the possible causes of your pregnancy delay.

A fertility specialist can undertake an advanced fertility assessment including a pelvic examination, and an evaluation of your menstrual history, timing of intercourse, and previous pregnancies. They will determine whether you are ovulating and organise a semen analysis for your partner to help assist in determining the cause of your pregnancy delay.

After your assessment, your fertility specialist can help determine the best treatment plan for you and discuss your chances of success based on your age, your partner’s age, how long you’ve been trying to conceive, any pre-existing medical conditions and past treatment for infertility.

There are many treatment options available

Sometimes, treatment is as simple as medication to promote ovulation - ovulation induction - or ovulation cycle tracking to determine the best time for you to be having intercourse with your partner during your fertile window.

For some couples, having sex at the right time isn’t always possible. Our fertility specialists can help by offering insemination – treatment that involves inserting your partner’s sperm into your uterus immediately before ovulation.

A supportive approach to fertility care

If you’re in the position where you are unsure of your options or would like another opinion, our fertility specialists will undertake a personalised fertility assessment to determine the most appropriate treatment program to suit your needs.

We believe in the importance of supporting your general well-being throughout your fertility journey. Our fertility specialists are supportive of a holistic approach with some of our doctors working alongside well known complementary and alternative therapy practitioners. Melbourne IVF is currently engaged in a national acupuncture trail to determine acupunctures effectiveness and role in improving pregnancy rates for women undergoing IVF. Read more information about our acupuncture trial »

Our fully integrated network of dedicated nurses, counsellors and support staff along with your fertility specialist means that we can take care of every step of your journey for you, including tests, procedures and counselling support, as well as a strong commitment to improving outcomes through our investment in research and development in the field of fertility treatment.

What if we do need IVF?

Once you reach your mid-30s your chance of conceiving naturally is halved compared to in your early 20s. IVF and other assisted reproductive technology can increase your chance of falling pregnant. If you are aged 36 to 40, your chance of conceiving in an IVF cycle is 25 per cent to 45 per cent, compared with 8 per cent in any given month if you’ve been trying to conceive naturally for more than six months. Many factors influence your chance of success and your fertility specialist will discuss these with you.

If your fertility specialists advises IVF or IVF with Intracytoplasmic Sperm Injection (ICSI) as the best option for you, our flexible approach at Melbourne IVF to IVF treatment utilises both cleavage stage (day 2 or 3) and blastocyst stage (day 5) embryos, to achieve the best possible result for you. That is why, almost half of our patients aged less than 40 years will have a baby from their first stimulated IVF cycle (using both fresh and frozen embryos) and almost 70-80% of women undergoing treatment at Melbourne IVF will take home a baby within three stimulated IVF treatment cycles. Read more about IVF treatment »

Improve your chances of IVF success

If you're not happy with your current IVF treatment and would like a second opinion, our Melbourne IVF fertility specialists can help by investigating alternative reasons why you may not be falling pregnant as quickly as you hoped. This may involve considering advanced embryo screening technology or investigating immunological treatment strategies through testing for Natural Killer Cells. 

Increasing IVF Success with Improved Embryo Selection

Advanced Embryo Selection technology at Melbourne IVF screens all 24 chromosomes in an embryo prior to implantation, and has more than doubled our pregnancy rates since it's introduction five years ago in women aged 38 and over, and in women with implantation failure. Advanced Embryo Selection may be suitable if:

  • You are aged 38 or more
  • Have a history of recurrent miscarriage
  • Had five or more embryos replaced in an IVF cycle without success
  • There has been a previous pregnancy with a chromosome abnormality

Melbourne IVF is regarded as one of the world leaders in Preimplantation genetic diagnosis (PGD) offering an internationally recognised program and is a leader in the development of PGD testing in Australia. As the only Victorian IVF unit with an in-house genetic laboratory capable of advanced testing, our PGD program performs the majority of PGD cases in Victoria and is helping a broader range of patients achieve success than ever before. Read more information about Advanced Embryo Selection »

Investigating Natural Killer Cells

Natural Killer (NK) cells play an important role in the immune system responses to viral infections as well during implantation. Some women who have fertility problems and specifically recurrent miscarriage or failed IVF, are more likely to have higher levels of activity of NK cells than other women.

NK Cell activity testing may be considered if you have experienced:

  • recurrent miscarriage (three successive miscarriages if aged less than 35 years, two successive miscarriages if aged over 35 years)
  • repeated IVF failure (defined as two or more unsuccessful fresh IVF cycles)

Read more information about Natural Killer Cells»

When should we see a fertility specialist?

If you haven't fallen pregnant and have been trying to conceive for twelve months or more without success (or six months if you are over 36) we recommend a fertility assessment with a Melbourne IVF fertility specialist.

If you are already seeing a fertility specialist and are interested in a second opinion, call our Community Liaison Administrators on 1800 111 483 for a confidential chat about your situation and options.

Book a fertility assessment today

To request an appointment with a fertility specialist or to have a confidential chat about your options, please call our Community Liaison Administrators on 1800 111 483 or complete the form below:

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