One in six couples will have a fertility issue at some point in their lives and one in 10 couples will have trouble conceiving their second child. You are not alone.
Don’t panic, your fertility journey doesn’t have to be an express service straight to IVF. Some simple changes can improve your chance of conceiving naturally.
Whether you're just starting out or you've been trying for a while, it's important to remember the emotions, worries and thoughts you are trying to deal with are valid and common. You are not alone.
The World Health Organisation predicts that infertility will be the third most serious health condition in the 21st Century
We're dedicated to helping you achieve your dream - having a baby. We offer a range of services - from counselling through to IVF & pre-implantation genetic diagnosis - all with the aim of easing your journey to successful pregnancy.
Are you a female struggling to conceive? Read through potential reasons why, or learn more about testing options.
With 40% of fertility issues being male related, it may be time to find out more.
Our intention, driven by 30 years of planning, compassion and research investment, is to put our words into action for you so that you can feel assured that there is no better care and no better chance of a healthy baby to be found. Anywhere.
Because of the care, technology and expertise we put into your care, you’ll have a better chance of taking home a baby.
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Established in February 2014, Genea Oxford Fertility offers Christchurch couples access to treatment options for all of their fertility needs.
It’s important to find the right specialist for you. Read the profiles of the Fertility Specialists here.
The first step in understanding what's happening with your sperm and finding out why it might not be performing the way you'd like is to conduct a semen analysis.
This area of medicine is called Andrology and it’s essentially the male equivalent of gynaecology. Genea Oxford’s sister organisation, Genea in Australia, has developed world class andrology diagnostic services with processes and procedures which match World Health Organisation standards. In fact, Australia's first sperm microinjection pregnancies were achieved at Genea in 1989. This level of expertise is now available in Christchurch with Genea Oxford.
Testing for male infertility is a very straightforward process and the basic analysis of your semen will examine three factors:
You can read more detailed information below about the different testing and treatment options available as well as details of Genea's Andrology expertise.
If you would like to find out more information, or would like to organise to come in for a semen analysis, you will find many of the answers you need below or on our Common questions page.
If your doctor orders a semen analysis, our scientists will examine three factors:
A semen analysis provides a relative measure of semen quality compared to the general population of proven fertile men. The sample will be assessed for unusual amounts of debris (pieces of dead cells), suspected presence of bacteria, clumping of the sperm and for the presence of cells other than the sperm.
A trial wash is conducted to provide you and your doctor with more detailed information on your sample and to help with making a decision on treatment options. Some washed samples may have very low sperm counts or very low motility and this information is valuable as it helps the lab to know what to expect on the day of treatment. Your doctor will be provided with a summary of information from the lab about the semen sample and the quantity and quality of the sperm that it contains. We will also indicate whether or not the sample quality meets the minimum established requirements for use in intrauterine insemination (IUI), in vitro fertilisation (IVF) or intracytoplasmic sperm injection (ICSI).
If sperm are going to be used for infertility treatment they must be washed in order to separate the best sperm from the semen. Our standard washing procedure for sperm has been developed to work well for most men but we do a trial wash to make sure it suits your sperm. If necessary, we can then tailor the wash for your sperm so everything goes to plan on the day of treatment.
Men sometimes produce antibodies against their own sperm. There are a number of potential causes for the production of these antibodies, such as injury to the testes or a previous vasectomy. Sometimes women produce antibodies to their partner's sperm.
Whether it’s inside your body or inside your partner’s what happens is that the antisperm antibodies bind to the sperm and can interfere with the movement of sperm through the female reproductive tract and/or interfere with the sperm's ability to fertilise the egg.
We can perform antisperm antibody testing on blood serum (male and female), seminal plasma, or directly on sperm. While the formation of antisperm antibodies cannot be stopped, the results of this testing can provide your doctor with information about which treatments may be appropriate in order to bypass the stages of the sperm's journey where the antibodies can interfere with fertility.
Sperm can be frozen (or banked) just like eggs and the reasons for considering this option are also similar:
You may also want to freeze sperm before you and your partner start assisted reproductive treatment as a backup just in case you are unable to attend due to travel or other commitments or if you have experienced difficulty collecting a sample.
SCIT is a diagnostic tool that is used to calculate fertility potential and provide your doctor with a greater prediction of pregnancy outcomes from your sperm. It tests for DNA fragmentation which can be a factor in miscarriage and male infertility.
Your doctor will receive a report showing your results in one of these ranges:
When there are no sperm in your ejaculate or if the sperm are severely affected by antisperm antibodies, we can retrieve your sperm directly from your testes (testicular sperm extraction or TESE) or directly from your epididymis, which joins the testis to the vas deferens (epididymal sperm aspiration or ESA). These two techniques can be used in conjunction with ICSI to achieve fertilisation, even when there is only one sperm per egg.
As we’ve mentioned previously, this test determines whether ejaculation is in fact retrograde and whether sperm can be successfully isolated from the urine for an assisted conception procedure.
Fructose is secreted by the seminal vesicles, the gland which contributes the major part of ejaculate volume.
If you’ve had a vasectomy your ejaculate should be checked for the presence of sperm as part of your routine follow up post surgery to verify the success of the procedure.
A semen sample is considered free and clear of sperm when it has been three months after the procedure and at least 25 ejaculations have occurred. The procedure is considered successful if the post vasectomy semen analysis shows no sperm (motile or non-motile) on the direct exam or examination of the centrifuged pellet.
A follow-up analysis is also encouraged at six months post surgery and then as advised by your doctor to rule out the possibility of a spontaneous reconnection.
If you need more info, have questions or just want some advice on your next steps feel free to ask me.
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