One in six Australian couples will have a fertility issue at some point in their lives and one in 10 couples will have trouble conceiving their second child. You are not alone.
Don’t panic, your fertility journey doesn’t have to be an express service straight to IVF. Some simple changes can improve your chance of conceiving naturally.
It's important to remember the emotions, worries and thoughts you are currently trying to deal with are valid and common. You are not alone. Read on
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The World Health Organisation predicts that infertility will be the third most serious health condition in the 21st Century
We're dedicated to helping you achieve your dream - having a baby. We offer a range of services - from IVF to genetic diagnosis of pre-implantation embryos - all with the aim of easing your journey to successful pregnancy.
Are you a female struggling to conceive? Read through potential reasons why, or learn more about testing options.
With 40% of fertility issues being male related, find out what may be causing you troubles, or learn more about male fertility testing
Genea has a comprehensive suite of genetic screening and testing based on 30 years of leading fertility science. Empower yourself with our preconception through to prenatal testing.
Our intention, driven by 30 years of planning, compassion and research investment, is to put our words into action for you by providing access to high success rates.
Because of the care, technology and expertise we put into your care, we maximise the potential of having a baby.
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At Genea you will benefit from the work of the best specialists and science, which result in high success rates. Find the right specialist or the clinic that suits you today.
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If it's taking longer than you thought to have a baby, come to a free Genea fertility seminar and hear about your options.
Considering using donated sperm or eggs? Come along to our information seminar with Dr Anthony Marren at Genea Sydney City.
To help you understand what you can expect during your treatment, it's important to be aware that things don't always go according to either desire or plan.
Some of the problems we describe here are temporary setbacks or conditions; others can take a considerable emotional and physical toll but we’d rather you know all of this up front.
Your Nursing team is always on hand to discuss any concerns you may have and if you haven’t begun treatment yet, you can call Genea’s Fertility Advisor to talk things through.
When the ovaries are stimulated to increase the numbers of follicles, as occurs in IVF, the events and symptoms which occur in a natural cycle can be exaggerated.
In ovarian hyperstimulation syndrome (OHSS), the ovaries produce many follicles and fluid may leak from the blood vessels into the abdominal cavity and lungs. Usually, symptoms of OHSS are mild and resolve without any treatment. However, in severe cases, OHSS can result in very enlarged ovaries, dehydration, fatigue and the collection of large amounts of fluid in the abdomen and lungs. Very rarely (in fewer than one per cent of women undergoing egg retrieval through IVF), OHSS can lead to blood clots and kidney failure.
There are three classifications of OHSS severity:
OHSS is a self-limited condition which means it can run its course without treatment and the ovaries will almost always completely recover.
Occasionally, we find that a patient’s ovaries fail to stimulate and we may recommend cancelling the cycle. We realise it can be frustrating and upsetting for your cycle to be cancelled, but your Fertility Specialist will always make the best decision for your health during your treatment. Less than five per cent of cycles are cancelled.
Your cycle might be cancelled because:
If you're at risk of hyperstimulation or if a problem is discovered in the uterus, your Fertility Specialist might suggest that you have a freeze-all cycle rather than cancel the cycle completely. In a freeze-all cycle, the eggs are collected and fertilised then cryo-stored. Because pregnancy or further hormone injections will worsen the risk of ovarian hyperstimulation syndrome (OHSS), a freeze-all cycle is a safer option.This gives the ovaries time to settle down before attempting pregnancy at a later date. When returning for the frozen transfers there is no need to have any stimulation of the ovaries.
And, we’ve found that success rates for fresh and frozen embryo transfers are on par.
Fertilisation can fail, and fertilised eggs can fail to divide or undergo cleavage properly. The reason can lie with the sperm (usually failure to fertilise rather than cleavage failure), with the egg, or both. And sometimes it can lie with the lab.
Fertilisation can fail when not enough sperm attach to the egg's surrounding coat. This can happen because the number of healthy sperm is too low, or because there are antisperm antibodies that prevent sperm from attaching. Either way, future cycles can overcome this problem by using ICSI.
In addition, fertilisation and/or cleavage might fail if the follicles from which the eggs were extracted had begun to fail prior to egg collection. This can be an inherent problem with the ovaries, or it can result from suboptimal stimulation.
Most embryos that fail to implant and/or fail to result in a baby (even though they might look normal in the lab) fail through a combination of intrinsic and extrinsic shortcomings. Intrinsic shortcomings might be based on insufficient metabolic energy or an abnormal chromosome count. Extrinsic shortcomings might occur during follicular stimulation or during laboratory handling.
At Genea, we'd like to help you grow your family one baby at a time. So as a rule, we only transfer one embryo. The risk of a twin pregnancy after a single blastocyst transfer is around two per cent. In certain circumstances, such as older age of the woman or previous unsuccessful treatment, we will consider transferring two embryos but this would be a decision with your Fertility Specialist who will discuss the risks with you.
More than a decade ago, we undertook a study to compare the effectiveness of single embryo transfer to multiple embryo transfer. The study involved a special subset of couples who had several high quality embryos suitable for both transfer and freezing. We compared the live birth rate in women under 38 who had two embryos transferred during the fresh cycle with those who had one embryo transferred fresh. (Both groups had frozen embryo transfer cycles later if they needed them.)
The end result was the same: approximately 70 per cent of women in both groups had a baby after one stimulated cycle. However, from the group where fresh embryos had been transferred two-at-a-time, sadly five babies died from premature delivery.
We understand that if you've had trouble conceiving, the idea of having two babies at one time might seem like a blessing. However, the death rate of twins between five and nine months of pregnancy is six times higher than single baby pregnancies and the mortality rate from IVF twins following birth is 4.5 per cent or almost one in 20 so we do not recommend transfer of more than one embryo at a time.
We know that some women find IVF treatment stressful and intrusive. While we know it doesn’t mitigate the stress and intrusion, we believe it helps for you to understand what IVF treatment will involve:
Luckily, stress itself does not jeopardise the chance of IVF working but of course it helps you personally build resilience if you have techniques to manage it.
Many people have remarked that they have felt worn down by the stresses and the losses associated with infertility. It's not uncommon for people to experience grief in response to the many losses experienced, as well as other emotional responses such as depression and anxiety. With this in mind, you should be aware that Genea provides counselling services and the Mind Your Own Body program that can greatly assist in managing this emotional impact.
Process by which a fertilised egg divides repeatedly over several days, forming (for a time)...
The common phrase used to describe the process of egg retrieval. Also known as an Oocyte pick...
A small fluid-filled cyst on the ovary in which the eggs grow until released and which produce...
A chemical substance, natural or not, which acts as a signal from one part of the body to...
When an egg (oocyte) is fertilised by a sperm outside of the body it is via a...
Where male fertility infertility is significant cause of trouble conceiving, ICSI will be...
A complication of ovulation induction usually associated with excessive follicle stimulating...
The female organ that produces eggs, or oocytes. In healthy women this will be located on each...
An imaging procedure like radar, but using high frequency sound...