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Pregnancy Planning & Fertility
Around 20% of women giving birth in Australia are over 35 years old. However, female fertility declines from 35 years of age at a faster rate than it does before this time. This means that women need to think proactively and in advance of conception in order to maximise the chances of conception. 1
Our services include:
- Pregnancy planning
- Fertility Health Check
- Fertility Treatment Options
- Fertility Support
Your Evoca doctor can provide comprehensive and clear information about what’s to be expected with each option, and ensure you are truly empowered in making the right contraceptive choice for you.
Pregnancy planning
In this consultation your GP will discuss with you your plans for conception, your timeline, how many children you would like to plan, and even explore genetic carrier testing for you and your partner to identify if either of you carry genes for significant genetic disorders. This is accompanied by a review of your menstrual cycle and current and past contraceptive choices. Your GP will advise and investigate as needed, as well as incorporating any contraceptive or lifestyle changes necessary to enable optimal readiness for conception.
Fertility health check
An optimal fertility health check may involve an assessment of the individual or, in some cases, both partners.
In women, a fertility health check involves reviewing the menstrual cycle, conducting a full STI check, conducting a pelvic scan to check for ovarian follicle count, as well as checking hormones including the AMH. These tests are conducted over the course of several weeks as some of these tests need to be done at particular times in your cycle. Depending on findings, your Evoca doctor will be able to arrange some additional and more in depth investigations where required.
In men, the fertility check involves hormone tests as well as semen analysis, alongside a full review of past medical history and lifestyle habits. As with women, more in depth testing can be arranged if required based on the preliminary findings.
Fertility treatment options
Once the fertility health check is complete, your GP will be able to summarise the findings and suggest a strategy going forward. For those where there are identifiable limitations in fertility, we can offer advice and referrals in the following areas of fertility treatment:
- Ovulation induction and tracking
- Intrauerine insemination (IUI)
- Intracytoplasmic sperm injection
(ICSI) - In vitro fertilisation (IVF)
References
1 https://www.pregnancybirthbaby.org.au/trying-for-pregnancy-after-35
How to prepare for your visit:
Come with a menstrual diary of the last 3-6 months
Advise us of your most recent contraceptive choices
Explore goals and timelines for your family planning in advance of your appointment
Critically, come and see us in advance of when you would like to start trying for a baby
Dr Alicia Altson
General Practitioner
Highett, VIC 3190
Dr Alison Clarke
General Practitioner
Norwood SA 5067
Dr Amatun Rashid
General Practitioner
Craigieburn, VIC 3064
Dr Arthikka Kirupal
General Practitioner
Blacktown NSW 2148
Dr Aseel Marioud
General Practitioner
Fairfield, NSW 2165
Dr Bindi Sethi
General Practitioner
Ringwood, VIC 3134
Dr Brenda Nathanson
General Practitioner
Bondi Junction, NSW 2022
Dr Cindy Sun
General Practitioner
Narre Warren, VIC 3805
Dr Donna Nobleta
General Practitioner
Moonee Ponds VIC 3039
Dr Elahe Arbabiaval
General Practitioner
Werribee, VIC 3030
Dr Fairuz Osman
General Practitioner
Dapto, NSW 2530
Dr Faiza Mehfooz
General Practitioner
Ballarat, VIC 3350
Dr Farisha Begum
General Practitioner
Blacktown NSW 2148
Dr Garry McInerney
General Practitioner
Highett, VIC 3190
Dr Gayathri Kosaka
General Practitioner
Oxley QLD 4075
Dr Grace Abdukeyum
General Practitioner
Charlestown, NSW 2290
Dr Jenny He
General Practitioner
Maroubra, NSW 2035
Dr Jessica Murphy
General Practitioner
Leichhardt, NSW 2040
Dr Jolly Dutta
General Practitioner
Blacktown NSW 2148
Dr Loba Haque
General Practitioner
Ballarat, VIC 3350
Dr Mahua Sharmin Huq
General Practitioner
Ballarat, VIC 3350
Dr Mar Mar Thet
General Practitioner
Highett, VIC 3190
Dr Mark Green
General Practitioner
Brookvale, NSW 2100
Dr Mokhlesur Rahman
General Practitioner
Ballarat, VIC 3350
Dr Myra Kamene Mpungu
General Practitioner
Werribee, VIC 3030
Dr Nicola Cahill
General Practitioner
Ballarat, VIC 3350
Dr Olivia Waturuocha
General Practitioner
Springfield, QLD 4300
Dr Parastoo Eijadi
General Practitioner
Ringwood, VIC 3134
Dr Priya Murugiah
General Practitioner
Phillip, ACT 2606
Dr Rahul Verma
General Practitioner
Werribee, VIC 3030
Dr Rashida Perveen
General Practitioner
Springfield, QLD 4300
Dr Richard Sacks
General Practitioner
Brookvale, NSW 2100
Dr Rita Almohty
General Practitioner
Campsie, NSW 2194
Dr Salina Ahmed
General Practitioner
Charlestown, NSW 2290
Dr Sanda Bonchis
General Practitioner
Springfield, QLD 4300
Dr Sheila Manmathan
General Practitioner
Frankston VIC 3199
Dr Shoma Chowdhury
General Practitioner
Narre Warren, VIC 3805
Dr Sid Viswanath
General Practitioner
Rockingham, WA 6168
Dr Sidra Imtiaz
General Practitioner
Ballarat, VIC 3350
Dr Sophie Vavladelis
General Practitioner
Bondi Junction, NSW 2022
Dr Sudhish Sudhan
General Practitioner
Craigieburn, VIC 3064
Dr Sue-Ann Steer
General Practitioner
Highett, VIC 3190
Dr Susan Pan
General Practitioner
Chatswood, NSW 2067
Dr Sushma Chaparala
General Practitioner
Melton VIC 3337
Dr Sushma Chaparala
General Practitioner
Moonee Ponds VIC 3039
Dr Swati Sharma
General Practitioner
Springfield, QLD 4300
Dr Syeda Bushra
General Practitioner
Blacktown NSW 2148
Dr Tania Altaf
General Practitioner
Belconnen, ACT 2617
Dr Thandar san
General Practitioner
Frankston VIC 3199
Dr Vecerka Skovrlj
General Practitioner
Brookvale, NSW 2100
Dr Yliana Dennett
General Practitioner
Brookvale, NSW 2100
Dr Zulaiha Ghazaly
General Practitioner
Werribee, VIC 3030
Dr. Caroline van der Vlugt
General Practitioner
Robina, QLD 4226
Dr. Clare Oliver
General Practitioner
Werribee, VIC 3030
Dr. Dzung Do
General Practitioner
Campsie, NSW 2194
Dr. Farhat Jehan
General Practitioner
Caringbah, NSW 2229
Dr. Fatima Elnaggar
General Practitioner
Victoria Point, QLD 4165
Dr. Frances Pengelly
General Practitioner
Rouse Hill, NSW 2155
Dr. Gagandeep Kundal
General Practitioner
Rockingham, WA 6168
Dr. Hana Sandrik
General Practitioner
Maroubra, NSW 2035
Dr. Imelda Te
General Practitioner
Preston, VIC 3072
Dr. Jennifer Cortez
General Practitioner
Robina, QLD 4226
Dr. Jin Gao
General Practitioner
Preston, VIC 3072
Dr. Jody Waters
General Practitioner
Victoria Point, QLD 4165
Dr. Kalyanie Kuruppuarachchi
General Practitioner
Maroubra, NSW 2035
Dr. Lily Han
General Practitioner
Belconnen, ACT 2617
Dr. Liyana Jayaweera
General Practitioner
Chatswood, NSW 2067
Dr. Momotaj Begum
General Practitioner
Belconnen, ACT 2617
Dr. Nitya Krishnamurthy
General Practitioner
Dapto, NSW 2530
Dr. Palmyra de Banks
Clinical Director - VIC
General Practitioner
Preston, VIC 3072
Dr. Rekha Jayaram Rao
General Practitioner
Campsie, NSW 2194
Dr. Shilpi Wahi
General Practitioner
Victoria Point, QLD 4165
Dr. Sneha Wadhwani
General Practitioner
National Clinical Director – Evoca women’s health
Bondi Junction, NSW 2022
Dr. Sneha Wadhwani
General Practitioner
Rouse Hill, NSW 2155
Dr. Vidya Prabhu
General Practitioner
Epping Plaza, VIC 3076
Enas Al Shahabi
General Practitioner
Phillip, ACT 2606
Dr Priya Murugiah
General Practitioner
Phillip, ACT 2606
Dr Tania Altaf
General Practitioner
Belconnen, ACT 2617
Dr. Lily Han
General Practitioner
Belconnen, ACT 2617
Dr. Momotaj Begum
General Practitioner
Belconnen, ACT 2617
Enas Al Shahabi
General Practitioner
Phillip, ACT 2606
Dr Arthikka Kirupal
General Practitioner
Blacktown NSW 2148
Dr Aseel Marioud
General Practitioner
Fairfield, NSW 2165
Dr Brenda Nathanson
General Practitioner
Bondi Junction, NSW 2022
Dr Fairuz Osman
General Practitioner
Dapto, NSW 2530
Dr Farisha Begum
General Practitioner
Blacktown NSW 2148
Dr Grace Abdukeyum
General Practitioner
Charlestown, NSW 2290
Dr Jenny He
General Practitioner
Maroubra, NSW 2035
Dr Jessica Murphy
General Practitioner
Leichhardt, NSW 2040
Dr Jolly Dutta
General Practitioner
Blacktown NSW 2148
Dr Mark Green
General Practitioner
Brookvale, NSW 2100
Dr Richard Sacks
General Practitioner
Brookvale, NSW 2100
Dr Rita Almohty
General Practitioner
Campsie, NSW 2194
Dr Salina Ahmed
General Practitioner
Charlestown, NSW 2290
Dr Sophie Vavladelis
General Practitioner
Bondi Junction, NSW 2022
Dr Susan Pan
General Practitioner
Chatswood, NSW 2067
Dr Syeda Bushra
General Practitioner
Blacktown NSW 2148
Dr Vecerka Skovrlj
General Practitioner
Brookvale, NSW 2100
Dr Yliana Dennett
General Practitioner
Brookvale, NSW 2100
Dr. Dzung Do
General Practitioner
Campsie, NSW 2194
Dr. Farhat Jehan
General Practitioner
Caringbah, NSW 2229
Dr. Frances Pengelly
General Practitioner
Rouse Hill, NSW 2155
Dr. Hana Sandrik
General Practitioner
Maroubra, NSW 2035
Dr. Kalyanie Kuruppuarachchi
General Practitioner
Maroubra, NSW 2035
Dr. Liyana Jayaweera
General Practitioner
Chatswood, NSW 2067
Dr. Nitya Krishnamurthy
General Practitioner
Dapto, NSW 2530
Dr. Rekha Jayaram Rao
General Practitioner
Campsie, NSW 2194
Dr. Sneha Wadhwani
General Practitioner
National Clinical Director – Evoca women’s health
Bondi Junction, NSW 2022
Dr. Sneha Wadhwani
General Practitioner
Rouse Hill, NSW 2155
Dr Gayathri Kosaka
General Practitioner
Oxley QLD 4075
Dr Olivia Waturuocha
General Practitioner
Springfield, QLD 4300
Dr Rashida Perveen
General Practitioner
Springfield, QLD 4300
Dr Sanda Bonchis
General Practitioner
Springfield, QLD 4300
Dr Swati Sharma
General Practitioner
Springfield, QLD 4300
Dr. Caroline van der Vlugt
General Practitioner
Robina, QLD 4226
Dr. Fatima Elnaggar
General Practitioner
Victoria Point, QLD 4165
Dr. Jennifer Cortez
General Practitioner
Robina, QLD 4226
Dr. Jody Waters
General Practitioner
Victoria Point, QLD 4165
Dr. Shilpi Wahi
General Practitioner
Victoria Point, QLD 4165
Dr Alison Clarke
General Practitioner
Norwood SA 5067
Dr Alicia Altson
General Practitioner
Highett, VIC 3190
Dr Amatun Rashid
General Practitioner
Craigieburn, VIC 3064
Dr Bindi Sethi
General Practitioner
Ringwood, VIC 3134
Dr Cindy Sun
General Practitioner
Narre Warren, VIC 3805
Dr Donna Nobleta
General Practitioner
Moonee Ponds VIC 3039
Dr Elahe Arbabiaval
General Practitioner
Werribee, VIC 3030
Dr Faiza Mehfooz
General Practitioner
Ballarat, VIC 3350
Dr Garry McInerney
General Practitioner
Highett, VIC 3190
Dr Loba Haque
General Practitioner
Ballarat, VIC 3350
Dr Mahua Sharmin Huq
General Practitioner
Ballarat, VIC 3350
Dr Mar Mar Thet
General Practitioner
Highett, VIC 3190
Dr Mokhlesur Rahman
General Practitioner
Ballarat, VIC 3350
Dr Myra Kamene Mpungu
General Practitioner
Werribee, VIC 3030
Dr Nicola Cahill
General Practitioner
Ballarat, VIC 3350
Dr Parastoo Eijadi
General Practitioner
Ringwood, VIC 3134
Dr Rahul Verma
General Practitioner
Werribee, VIC 3030
Dr Sheila Manmathan
General Practitioner
Frankston VIC 3199
Dr Shoma Chowdhury
General Practitioner
Narre Warren, VIC 3805
Dr Sidra Imtiaz
General Practitioner
Ballarat, VIC 3350
Dr Sudhish Sudhan
General Practitioner
Craigieburn, VIC 3064
Dr Sue-Ann Steer
General Practitioner
Highett, VIC 3190
Dr Sushma Chaparala
General Practitioner
Melton VIC 3337
Dr Sushma Chaparala
General Practitioner
Moonee Ponds VIC 3039
Dr Thandar san
General Practitioner
Frankston VIC 3199
Dr Zulaiha Ghazaly
General Practitioner
Werribee, VIC 3030
Dr. Clare Oliver
General Practitioner
Werribee, VIC 3030
Dr. Imelda Te
General Practitioner
Preston, VIC 3072
Dr. Jin Gao
General Practitioner
Preston, VIC 3072
Dr. Palmyra de Banks
Clinical Director - VIC
General Practitioner
Preston, VIC 3072
Dr. Vidya Prabhu
General Practitioner
Epping Plaza, VIC 3076
Dr Sid Viswanath
General Practitioner
Rockingham, WA 6168
Dr. Gagandeep Kundal
General Practitioner
Rockingham, WA 6168
FAQ’s
Up to 50% of couples will take 6 months to conceive naturally1, so it’s worth remembering that half will actually take longer than this. Patience and persistence is key, while also being aware of limiting factors such as age or co-existing medical conditions which may make it harder for fall pregnant
1. 80-90% of couples will fall pregnant within one year of trying. The rest will take longer or require some help to conceive.
Reference: https://www.healthdirect.gov.au/getting-pregnant
AMH is commonly misunderstood. AMH (Anti Mullerian Hormone) is a hormone released by ovarian follicles (potential eggs). As such it can be used as an indicator of egg count but is not absolute in this regard. Furthermore, it doesn’t tell us the quality or calibre of the eggs released and as such only gives one part of the story. Additionally, multiple factors contribute to overall fertility, so while AMH measurement is very useful, there are many components which make up your fertility picture.
1 Reference: https://www.ivf.com.au/planning-for-pregnancy/female-fertility/ovarian-reserve-amh-test
Egg freezing was once an option out of reach for many women, and often isolated for use in women post chemotherapy, or who have other medical conditions or receive treatment which may affect fertility. Now, egg freezing is more accessible and more affordable, and thus is an option to women who may want children in the future, but not be in a position to start trying to conceive. Critically, age at the time of egg collection for freezing is important. We know that egg quality declines with age, and studies have shown us that optimal egg thawing for fertility treatment occurs with eggs retrieved from women under the age of 35 years old. 1
1 Reference: https://www.pregnancybirthbaby.org.au/trying-for-pregnancy-after-35#fertility
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