IVF & Fertility Treatments at Demeter

Ovulation monitoring is a vital aspect of many fertility treatments, including IUI or IVF. It involves tracking a woman's menstrual cycle to pinpoint the most fertile days when ovulation occurs. This can include tracking via blood tests testing hormone levels, ultrasounds to measure follicle growth or using some mild fertility medications to increase chances.

By closely monitoring ovulation, couples can optimise the timing of intercourse or fertility treatments, supporting their chances of successful conception. Ovulation monitoring has close to the same success rates as natural conception and may not be effective for those with more complex fertility challenges. Your doctor will discuss the option suited for your situation.

Intrauterine insemination (IUI) is a common fertility treatment designed to enhance the chances of conception for couples facing difficulties getting pregnant. During an IUI procedure, sperm is collected from the male partner (or donor) and carefully prepared in the lab before being inserted directly into the woman’s uterus in an attempt to increase the likelihood of sperm reaching and fertilising the egg.

IUI is not a substitute for IVF or ICSI treatments but can be offered to same-sex couples with no known fertility issues when using donor sperm or single women in a similar situation.

Our fertility and nursing team can guide patients through every step of the IUI process, from initial consultation and ovulation monitoring to the insemination procedure itself. With our personalised care and state-of-the-art facilities, we strive to maximise the chances of a successful pregnancy and help couples achieve their dream of parenthood.

In vitro fertilisation (IVF) is an advanced reproductive technology that has helped millions of couples worldwide overcome infertility and achieve pregnancy. IVF involves a series of carefully coordinated steps to facilitate conception outside the body. Initially, the woman undergoes ovarian stimulation to support egg production, which is then retrieved via a minor surgical procedure. These eggs are fertilised with sperm in a laboratory, resulting in the formation of embryos.

The embryos are cultured and monitored for three to five days, after which one or more healthy embryos are selected for transfer into the woman's uterus and the rest are frozen for storage and potential future use.

IVF is a highly effective option for couples facing various fertility challenges, including tubal factor infertility, male factor infertility, endometriosis, and unexplained infertility.

Demeter Fertility offers comprehensive IVF services, including pre-cycle evaluations, ovarian stimulation protocols, embryo culture and transfer, and support throughout the fertility journey, with the goal of helping every patient achieve a successful pregnancy.

Intracytoplasmic sperm injection (ICSI) is a specialised technique used in conjunction with in vitro fertilisation (IVF) where male factor infertility and sperm health are a challenge and where conventional IVF may not be effective.

During ICSI, a single sperm is directly injected into the centre of a mature egg using a fine needle, bypassing the natural fertilisation process. This method may allow for higher chances of successful fertilisation, even in cases of low sperm count, poor sperm motility, or abnormalities in sperm morphology.

ICSI is also beneficial for couples who have previously undergone IVF without successful fertilisation or for those using frozen sperm samples. At Demeter Fertility, our team of obstetricians and gynaecologists perform ICSI as part of our comprehensive fertility treatment options, ensuring that couples facing male factor infertility or other challenges have the possible chance of achieving a successful pregnancy and fulfilling their dream of parenthood.

Testicular Sperm Aspiration (TESA) is a minimally invasive surgical procedure commonly used in conjunction with assisted reproductive technologies, like IVF, for couples facing male infertility issues.

During a TESA procedure, a small needle is inserted into the testicle to aspirate sperm directly from the testicular tissue. This procedure is particularly beneficial for men with obstructive azoospermia, a condition where sperm is produced but is blocked from reaching the ejaculate.

A TESA allows obstetricians and gynaecologists to retrieve viable sperm directly from the testicles, which can then be used for procedures such as intracytoplasmic sperm injection (ICSI) during IVF treatment. Demeter Fertility offers TESA as part of our comprehensive range of fertility services, providing personalised care and expertise to help couples overcome male infertility challenges and achieve their dream of starting a family.

Endometrial Receptivity Analysis (ERA) is an advanced diagnostic test offered at Demeter Fertility to assess the receptivity of the endometrium (the lining of the uterus) for embryo implantation. This test is particularly beneficial for couples undergoing in vitro fertilisation (IVF) who have experienced recurrent implantation failure or miscarriages.

The ERA test involves taking a small biopsy of the endometrial tissue and analysing the expression of specific genes that are critical for embryo implantation. Based on the results, obstetricians and gynaecologists can determine the optimal timing for embryo transfer during an IVF cycle, ensuring that the endometrium is in the most receptive state for successful implantation. By personalising the embryo transfer window based on individual endometrial receptivity, the ERA test may improve the chances of a successful pregnancy.

Demeter Fertility offers comprehensive ERA testing as part of our commitment to providing cutting-edge fertility options and personalised care to help couples achieve their goal of parenthood.

Multi-COS is a one-of-a-kind treatment plan developed by our medical director, Dr David Knight, based on extensive research  and innovative services to support women with low AMH. It consists of numerous egg collection procedures within one menstrual cycle window and is an extension of the DuoStim or Latiteal stimulation protocol that Dr Knight has been using over the past 10 years.

This treatment is a very specific and unique approach, which is not appropriate for everyone. It is usually offered and recommended to patients who are undergoing or have undergone ovarian rejuvenation therapy to support new egg development and follicular growth. This is to ensure when new follicles grow, we are still able to collect them even if you have passed your natural ovulation window.

For more information about Multi-COS, it is imperative you speak to Dr David Knight and make an appointment, you can also call our dedicated team if you have more questions on 1300 899 850.

Recurrent Implantation Failure (RIF) is a condition experienced by some couples undergoing in vitro fertilisation (IVF) where multiple embryo transfers fail to result in a successful pregnancy. This condition is characterised by the repeated inability of embryos to implant and grow in the uterine lining despite normal embryo quality and transfer techniques.

RIF can be attributed to various factors, including maternal age, uterine abnormalities, immunological issues, genetic factors, and embryo quality. At Demeter Fertility, we understand the emotional toll of RIF and offer comprehensive diagnostic evaluations to identify its underlying causes.

These evaluations may include tests such as endometrial receptivity analysis (ERA), hysteroscopy, immunological testing, genetic screening, and others. Based on the findings, our obstetricians and gynaecologists can develop personalised treatment plans tailored to address specific factors contributing to RIF. We aim to optimise the chances of successful implantation and pregnancy for couples experiencing recurrent implantation failure, providing them with the support and expertise they need on their fertility journey.

Embryo glue, also known as transfer medium with hyaluronan, is a specialised solution used during the embryo transfer stage of in vitro fertilisation (IVF) treatment for some patients. This solution contains a high concentration of hyaluronan, a substance naturally found in the female reproductive tract and plays a crucial role in embryo implantation.

Embryo glue is designed to support the chances of successful implantation in women with implantation issues by providing an optimal environment for the embryo to adhere to the uterine lining. The hyaluronan in the glue helps create a sticky, supportive matrix that improves the attachment of the embryo to the endometrium, potentially increasing the likelihood of pregnancy.

At Demeter Fertility, we offer embryo glue as part of our advanced IVF procedures, aiming to maximise the chances of successful implantation and, ultimately, a healthy pregnancy for our patients.

Ovarian Rejuvenation and Platelet-Rich Plasma (PRP) is an innovative fertility treatment offered at Demeter Fertility to help improve ovarian function and enhance the chances of successful conception, especially for women with diminished ovarian reserve or premature ovarian aging.

During the ovarian Rejuvenation and PRP procedure, a small sample of blood is drawn from the patient and processed to isolate the platelet-rich plasma. This PRP is then carefully injected into the ovaries under ultrasound guidance. Dr David Knight usually recommends three PRP procedures based on the most up to date research , with the initial procedure to be undertaken under General Anaesthetic via laparoscopic procedure.

The growth factors in PRP stimulate the ovarian follicles and may improve ovarian blood flow and function, potentially leading to the development of healthier eggs and increased fertility.

Ovarian PRP is often used in conjunction with other fertility treatments such as in vitro fertilization (IVF) to optimise outcomes for women struggling with ovarian issues. Demeter Fertility offers ovarian PRP as part of our comprehensive fertility services, providing personalised care and advanced techniques to support our patients on their journey to parenthood.

Ovarian Preimplantation Genetic Diagnosis (PGD) and Preimplantation Genetic Screening (PGS) are advanced techniques offered at our IVF clinic to assess the genetic health of embryos after creation in our lab and before implantation. These procedures are particularly beneficial for couples at risk of passing on genetic disorders or those experiencing recurrent miscarriages or implantation failure during IVF.

Ovarian PGD involves testing embryos created through IVF for specific genetic conditions or chromosomal abnormalities. This allows obstetricians and gynaecologists to select embryos that are free from genetic defects for transfer, increasing the chances of a successful pregnancy and reducing the risk of passing on genetic disorders to offspring.

Ovarian PGS, on the other hand, involves screening embryos for chromosomal abnormalities, such as aneuploidy, which may lead to miscarriage or developmental issues. By identifying and selecting chromosomally normal embryos, ovarian PGS can help the success rates of IVF cycles. At Demeter Fertility, we offer comprehensive ovarian PGD and PGS services, utilising cutting-edge genetic testing technologies to provide our patients with the possible outcomes and help them build healthy families.

Poppyseed oil flushing is a natural substance derived from poppy seeds, and has gained attention in the field of reproductive medicine for its potential benefits in fertility treatments.

Research  suggests that flushing the fallopian tubes with poppyseed oil during an HSG (hysterosalpingography) procedure may help improve fertility by clearing any blockages or debris from the fallopian tubes, thus enhancing the chances of conception. This technique, known as the "poppyseed oil test," not only provides valuable information about the condition of the fallopian tubes but may also have a therapeutic effect by promoting tubal patency.

At Demeter Fertility, we offer the poppyseed oil flushing as part of our comprehensive fertility evaluation and treatment options, providing personalised care and utilising innovative techniques to optimise our patients' chances of achieving successful pregnancies.