Pearl obstetrics | gynaecology


Advanced fertility treatment & IVF

  • infertility
    IVF | Advanced fertility management

IVF | ICSI | IUI | Advanced fertility treatment

Couples requiring fertility assessment are well served by our service here at Glengarry Private Hospital. Initial assessment, treatments and any surgery needed are completed here at Glengarry. Couples then needing a more advanced approach using embryological & fertility lab facilities are then managed by Dr Sillender at the PIVET medical centre, one of Australia’s leading IVF providers. Those women who subsequently achieve a pregnancy can then have all their obstetric care by Dr Sillender, who then provides expert obstetrician care. This continuity of care is very important for couples with fertility issues.

 

IUI

Interuterine Insemination (IUI) is a simpler fertility treatment. It may be suitable if you have been diagnosed with unexplained infertility, cervical hostility or with minor problems with the sperm count. IUI is also used with frozen sperm from anonymous sperm donation, with a FIFO job, or before chemotherapy or radiotherapy. IUI involves squirting the sperm into the womb at the right time in the cycle, or after stimulation of the ovaries. It’s very straightforward. The main problem with this technique are it’s relatively low success rate per IUI, and the low rebates for the treatment.

 

IVF

In-vitro fertilisation (IVF) gives the best chance of pregnancy in most infertility situations. In IVF, the ovaries are stimulated with medication to produce several eggs, which are then collected through the vagina while you’re under an anaesthetic. Prepared sperm (fresh or frozen) is placed together with the eggs & fertilises them in the laboratory. Any embryos develop over the next two to five days under extremely strict lab conditions. The best embryo is transferred to the womb – an embryo transfer. Any extra embryos are frozen and can be simply placed in the womb in later cycles.

Cost of IVF

IVF is very cost-effective in Australia. Medicare gives large rebates for IVF, and those with private insurance get even more back. Also, women having IVF enter the Medicare safety net which gives further rebates. Women with private health insurance generally have an out-of pocket of $2500 to $3000 for a fresh cycle, and lower costs for a frozen cycle. Women without private health insurance still get Medicare rebates, and would have an out of pocket cost of around $4500 for a fresh cycle, and a much lower sum for a frozen cycle.

 

ICSI

When there are male subfertility problems like a low sperm count, or lots of abnormal sperm, or after a vasectomy, or if we’ve needed to surgically retrieve the sperm, then intracytoplasmic Sperm Injection (ICSI treatment) is recommended. It is used as part of an IVF cycle. Instead of mixing the sperm with the eggs during IVF, a single sperm is delicately injected into each egg, using a microscope. There is an additional small fee for this service, which has it’s own Medicare rebate. There are some slight derivatives of ICSI, which don’t really make much of a difference to success rates.

 

Assisted hatching

This involves using a laser to thin the wall of the embryo to help it hatch. AH is occasionally used at the embryologist’s discretion when the embryo has a thick wall, and is thought to help implantation of these embryos.

 

Embryo glue

This sticky product helps the embryo stick in the womb after it’s transferred in IVF. It comes at an extra cost, with no rebate.

 

Endometrial “scratch”

This treatment enhances the implantation of an embryo via an unknown mechanism. It’s best done in the cycle before the IVF treatment.

 

Ovarian follicle modifying medications

It’s becoming quite clear that some medication can alter the environment of the follicles in the ovary, increasing the chances of pregnancy by a significant amount in those women with lower egg quality. The following have been shown to enhance egg production & quality in IVF: DHEA (inexpensive), Growth hormone (expensive), Melatonin (inexpensive), Vitamin B6 (inexpensive), Vitamin E (inexpensive).


Advanced fertility treatment | IVF

Call us to investigate and manage your fertility issues.


PEARL obstetrics | gynaecology

Our office is situated opposite Glengarry Private Hospital in Perth. We provide easy free parking. We're easily accessible from Joondalup, Hillarys, Stirling, Currambine, Ocean Reef, Beldon, Connolly, Edgewater, Wanneroo, Burns Beach, Sorrento, Padbury, Marmion, Watermans Bay, North Beach, Karrinyup, Gwelup, Carine, Balcatta, Westminster, Mirrabooka, Malaga, Hamersley, Koondoola, Girrawheen, Marangaroo, Greenwood, Warwick, Madeley, Darch, Wangara, Kallaroo, Craigie, Heathridge, Woodvale, Scarborough, Doubleview, Innaloo, Osbourne Park, Wembley Downs, Tuart Hill, Trigg, North Beach. The Western suburbs (Cottesloe, Claremont, City Beach, Floreat, Swanbourne) are all within easy reach.