Call 1800 111 483 to book an appointment with Dr Chapman
Prof. Chapman offers phone consultations to those not based in Sydney
Call +61 1800 111 483 to book an appointment with him.
SERVICES
SERVICES PROVIDED
Consultation
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Your First Consultation
Step 1: Meeting your Fertility Specialist
At your first appointment with one of our fertility specialists, your doctor will review your medical history, assess your general health, and arrange initial tests and investigations for you and your partner.
Please bring a doctor’s referral from a GP (valid for 12 months) or specialist gynecologist or obstetrician (valid for three months). Ensure the referral includes both partners' names. This will also ensure you are eligible for Medicare rebates.
You can download and print our referral form and take it to your GP or medical specialist to sign.
For women, depending on the level of testing already performed, the fertility specialist may order further pathology tests. For men, a blood test for hepatitis B and C, HIV and a semen analysis are all routinely conducted.
Pre-pregnancy screening for some genetic conditions such as cystic fibrosis is available and can be discussed with your specialist.
Other diagnostic tests may include some or all of the following:
Blood tests for women
- Rubella immunity (German measles),
- Chicken pox,
- Hepatitis B and C,
- HIV,
- Full blood count, checking your blood group, your thyroid status and
- Current pap smear (within last 2 years);
Other fertility tests for women
- Vaginal ultrasound to check for fibroids, polyps, ovarian cysts, and to act as a ‘baseline’ for reference during your treatment
Blood tests for men
- HIV
- Hepatitis B and C
Other fertility tests for men
- Semen analysis to check for antibodies and any possible infection
Once we have the results of these tests, your fertility specialist will meet with you again to explain in detail your recommended treatment plan.
At IVFAustralia, all of our fertility specialists are supported by our experienced scientific staff who undertake the detailed sperm analysis. For particularly challenging cases we have a dedicated male infertility clinic for diagnosis, investigations or surgery (including microsurgery). You may wish to meet with Dr David Golovsky, our male infertility and urology specialist; he consults from IVFAustralia’s city clinic.
Meet our fertility specialists...
Find out more about female infertility tests...
Find out more about male infertility tests...
Step 2: Preparing for treatment
After your fertility specialist appointment, you will then meet with a nurse and administration team member, as well as being informed of the counselling services available to you, before you begin treatment.
Your fertility nurse will explain what to expect in your upcoming IUI/IVF/ICSI treatment cycle, including any specific treatments, injection techniques and medications. Generally, It is best to arrange for the appointment to be about a week before you expect your period in the month that you plan to commence treatment, though a nurse will advise you of this ahead of time.
Our administration team will explain the costs associated with your treatment, and answer any questions you have related to these and the timing of payment. This will help you understand the fees involved and explain the complexities of the Medicare Safety Net, Medicare rebates and your final, out-of-pocket expenses.
A fertility counsellor is available to meet with you and your partner, to discuss the physical and emotional implications of your treatment. You may have already faced many frustrations, disappointments and investigations before coming to IVFAustralia. Your counsellor is here for you at every stage of your treatment, even at short notice, if you need to discuss things or explore ways of coping.
A fertility counsellor is available to meet with you and your partner, to discuss the physical and emotional implications of your treatment. You may have already faced many frustrations, disappointments and investigations before coming to IVFAustralia. Your counsellor is here for you at every stage of your treatment, even at short notice, if you need to discuss things or explore ways of coping.
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Learn about Fertility Treatments...
Fertility Investigation
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Fertility Tests
One in six Australian couples experience trouble conceiving. A good first step is to see a Fertility Specialist who can assess your overall reproductive health and conduct some simple tests to identify any underlying causes of pregnancy delay. These fertility tests typically include:
Female Infertility Tests
A combination of blood tests and ultrasound scans to help identify any specific issues such as PCOS or endometriosis and to check ovulation is occurring each month. Find out more about female infertility tests…
Egg count (AMH) Test
A simple blood test that measures the level of Anti-Mullerian Hormone (AMH) in the blood and provides a good indication of ovarian reserve. Find out more about the AMH test…
Semen Analysis
The most important male fertility test which measures the number of sperm in a sample as well as their motility and morphology. Find out more about a semen analysis including how to book a semen analysis…
Genetic Testing
For patients who are at risk of a variety of inheritable conditions we offer sophisticated scientific techniques to test for genetic disorders including pre-implantation genetic diagnosis, Karyomapping, Advanced Embryo Selection and non-invasive prenatal testing. Find out more about genetic testing…
Natural Killer Cells
A simple blood test to measure that number and activation levels of the Natural Killer Cells, the main immune-cell type found in the uterus involved in the implantation of an embryo. Find out more about Natural Killer Cell testing …
Ovulation Induction
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What is ovulation induction?
Ovulation induction involves taking medication to induce ovulation by encouraging eggs to develop in the ovaries and be released, increasing the chance of conception through timed intercourse or artificial insemination
IUI
Artificial Insemination (IUI)
A technique that involves inserting prepared sperm into the female’s uterus close to the time of ovulation. Find out more about artificial insemination…
IVF
IVF Treatment
After a course of ovarian stimulation, eggs are collected from the ovaries and fertilised with sperm in a laboratory. One of the resulting embryos is then transferred back into the uterus. Read more about IVF treatment…
PCOS Care
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There are a number of options available, depending on the main issue you are experiencing.
- Weight loss can be more difficult because of the higher levels of testosterone, but it has a very beneficial effect on balancing hormones and restoring regular periods in obese women. So exercise and a change of diet could have a significant impact.
- Insulin sensitisers, such as Metformin, reduce the impact of insulin resistance and can also assist in weight loss.
- Ovulation inducing drugs such as Clomiphene (Serophene or Clomid) can stimulate the ovaries.
- If you do not respond to Clomiphene, injectable drugs (FSH) can be used, but these require specialist facilities and close monitoring of the response to avoid severe side effects and multiple pregnancies.
- IVF treatment may be necessary in very difficult situations.
SPECIALTIES
Endocrine disorders
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Polycystic ovary syndrome (PCOS) is one of the most common female endocrine disorders. PCOS is a complex, heterogeneous disorder of uncertain etiology, but there is strong evidence that it can to a large degree be classified as a genetic disease.
Women over 38 yrs of age
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- for a woman aged 35 or under, one stimulated cycle would result in the collection of 10 – 12 eggs of which 7 – 9 would be suitable for vitrification and storage
- Approximately 80-90% if eggs would survive warming in the future
- Approximately 50-80% of surviving eggs would fertilise
- Approximately 80-90% if fertilised eggs would develop into embryos
- A single embryo would have a 20-35% change of developing into a pregnancy
Success rates are lower for women over 35 and egg freezing in women over the age of 38 is unlikely to lead to a pregnancy.
The expected success of the procedure can be ascertained from an initial assessment of the ovarian reserve using a blood test for anti-Mullerian hormone (AMH) and an ultrasound scan of the ovaries and uterus. The AMH test can provide insight into the quantity of eggs remaining, although it does not give information about the quality of the eggs.
Egg freezing cannot ever be guaranteed to lead to a pregnancy and birth of a healthy baby later in life. Women who freeze their eggs may not know the outcome for many years and may lose the opportunity to have a baby naturally.
Endometriosis
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The presence of the normal lining of the uterus [called the endometrium] in abnormal locations in the body such as the Fallopian tubes, ovaries and peritoneal cavity.
Recurrent miscarriages
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Coping with miscarriage
Sadly, miscarriages are a common occurrence, with one in six pregnancies ending before week 20. This is little consolation when you have lost a baby through miscarriage, and you may want to find out why it occurred and if you can reduce the risk of it happening again.
The vast majority of patients who have experienced a miscarriage will go on to achieve a healthy family, so it’s important to stay positive. However, a small percentage of couples will experience more than one consecutive miscarriage. If you have three or more consecutive early pregnancy losses this is called recurrent miscarriage, and affects about 2% of women trying to have a baby.
Polycystic Ovarian Syndrome
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Symptoms of PCOS include irregular periods (or no periods at all), increased hair growth, acne, obesity and difficulty falling pregnant. You might experience very heavy yet infrequent periods, along with pain, bloating and tenderness.
Imbalances in hormonal production affect ovulation, which may occur irregularly or not at all. There may also be a mild increase in testosterone levels, causing darker and thicker hair growth and acne.
Hormonal imbalances also cause problems with sugar metabolism, leading to weight gain - and a higher risk of gestational diabetes if you fall pregnant.