Management of infertility including IVF
(in vitro fertilisation)
Infertility is more common than one thinks. In fact, one in six couples in Australia suffers infertility.
Infertility is defined as the inability to achieve conception after a year of unprotected intercourse, or the inability to carry pregnancies to a live birth. The good news is, many couples suffering infertility problems can be successfully treated with medical or surgical techniques, or lifestyle changes.
Dr Low is the longest serving fertility specialist at Genea Canberra. She has extensive experience in managing all forms of infertility. Infertility services provided include fertility counselling and assessment, ovulation tracking, artificial insemination and IVF (in vitro fertilisation). Tween also has a particular interest in managing endometriosis related fertility issues.
For patients who are undergoing cancer treatment, and therefore at risk of premature menopause, or those who are concerned about their age and wanting to preserve fertility, the option of egg freezing is available through Genea Canberra. Tween is happy to discuss the pros and cons of fertility preservation with you.
For couples who suffer recurrent miscarriages, and for those who are affected by or have a family history of genetic condition, IVF with PGD (pre-implantation genetic diagnosis) may be an option to avoid passing on the inherited genetic condition. Genea is a world leader in PGD, their page on PGD Genetic Testing explains the process clearly. Otherwise, come and talk to Tween, and she will explain the science and know how to you.
For more information about infertility and artificial reproductive treatment, please visit Genea, World leader in Fertility: Trying to Conceive
For more details on artificial reproductive treatment please visit Genea, World Leaders in Fertility .
Endometriosis and laparoscopic
excision of endometriosis
Endometriosis is a debilitating yet common gynaecological condition. It often leads to menstrual problems and infertility. Management of endometriosis ranges from lifestyle advices to medical therapy through to surgical treatment.
Dr Low specialises in laparoscopic (key-hole) removal of endometriosis and management of infertility associated with endometriosis. For further information on endometriosis you might like to visit the visit the global forum for endometriosis.
Early Pregnancy Monitoring
Dr Low offers early pregnancy monitoring to existing patients of the practice.
There are several reasons to monitor pregnancies during the first few weeks after conception. These may include:
- bleeding in early pregnancy
- possible ectopic pregnancy
- recurrent miscarriage
- anxiety due to previous pregnancy loss.
Dr Low’s early pregnancy monitoring protocol includes regular Beta HCG levels and ultrasounds to determine viability of the pregnancy and provide you with reassurance. Our early pregnancy monitoring continues until 12 weeks when you are referred back to your GP, midwife or obstetrician for ongoing antenatal care.
Management of common gynaecological conditions
Some of the gynaecological conditions that are commonly managed by Dr Low include:
- recurrent pregnancy losses
- menstrual disorders including heavy and painful periods
- irregular/abnormal vaginal bleeding
- uterine fibroids, ovarian cysts and pelvic pain
- outpatient insertion of intrauterine devices such as Mirena or Copper IUD.
Colposcopy and management of abnormal pap smears
Colposcopy is a detailed examination of the cervix (the neck of the womb) and vagina. A colposcopy is commonly performed when a pap smear has returned an abnormal result or when there is abnormal bleeding.
Although it sounds confronting, a colposcopy is performed in a respectful and non-threatening atmosphere.
If required, treatment of the cervix can be performed under either general or local anaesthetic. This decision will depend on individual patient’s preference.
Management of urinary incontinence and and prolapse
Surgeries for urinary incontinence and uterovaginal prolapse are most successful when they are performed by surgeons experienced in prolapse surgery. Tween will assess the degree and severity of your prolapse and incontinence, and fit you with a ring pessary if it is suitable. However, should surgery be required, she will refer you on to the appropriate surgeon.
Periconceptual medicine is a burgeoning field in medicine. Doctors are now realising that the outcomes of pregnancy are largely determined around the time of conception. The focus is now on optimising early pregnancy and pre-pregnancy health.
Management of any pre-existing medical condition should also be reviewed before attempting pregnancy, be it through natural conception or artificial reproductive treatment.
Couples with family or known history of genetic conditions can be seen for pre pregnancy counselling and a discussion regarding IVF with pre implantation genetic diagnosis (PGD).
What Dr Low doesn’t do
As of October 2013, Tween retired from practising obstetrics. This is to allow her to better concentrate on her infertility and gynaecology patients.