When should I see a fertility specialist?

Infertility is defined as being unable to fall pregnant after:

  • 12 months of regular unprotected sex if you’re under 35
  • 6 months if you’re over 35.

Women over the age of 40 should talk to a specialistafter 3 months of trying.

When to see a fertility specialist straight away

Females

For females, see your fertility specialist if you’ve been diagnosed with or treated for:

  • irregular or absent periods
  • PCOS or endometriosis
  • tubal damage (or previous tubal ligation surgery)
  • recurrent miscarriage
  • premature menopause
  • known genetic concerns.

Males

For males, see your fertility specialist if you’ve been diagnosed with:

  • low sperm count
  • poor sperm shape (morphology) or movement (motility)
  • antisperm antibodies
  • ejaculatory concerns
  • absence of sperm (azoospermia)
  • known genetic concerns
  • issues from a prior vasectomy.

Making an appointment

You need a referral from your GP to see a fertility specialist to be eligible for Medicare rebates. Please ask for your referral to be addressed to Monash IVF or your fertility specialist, and for it to include your name and your partner’s name (if applicable).

Free call 1800 628 533 to speak to an IVF Nurse or fill out the enquiry form »

What are the first steps?

Your fertility specialist will start with a review of your general health and medical history, before deciding on which routine test or procedures are appropriate.

For females, tests may include:

  • pelvic ultrasound
  • a blood tests on day 2-5 of your cycle to measureFollicle-stimulating hormone (FSH), Luteinizing Hormone (LH), Thyroid-stimulating hormone (TSH), Prolactin
  • screening for HIV, Hep B and Hep C (blood test).
  • Rubella (German measles) and varicella (chickenpox) immunity (blood test)
  • ovarian reserve blood test.

For males, tests may include:

  • semen analysis to check for sperm antibodies and possible infections
  • screening for HIV, Hep B and Hep C (blood test).

Some men need to have 2 semen analyses. At least 1 of these tests should be done through Australian Clinical Labs (our affiliate lab).

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