27.01.2021

Fertility

Our doctors understand the anxiety and frustration that commonly occurs when couples are unable to conceive. It can be a painful and lonely experience – especially when other friends or family are falling pregnant around you.

We offer a range of services to help those suffering problems with their fertility, commencing with a thorough medical assessment of the couple, through to specific, tailored, and comprehensive investigations into any underlying problems that may be impairing their ability to fall pregnant.

Such fertility investigations may include:

  • Full blood examinations including hormonal essays and thyroid studies.
  • Assessment of ovarian function and ovarian follicular reserve.
  • Thorough analysis of any pre-existing underlying medical problems and physician referral when required.
  • Detailed pelvic ultrasounds, hysterosalpingograms, or saline sonohysterograms.
  • Semen analysis and hormonal profile for the male partner.
  • Laparoscopy to assess tubal function and the presence of any peritoneal disease.

Ongoing management of impaired fertility following such investigations will depend on any cause identified, with basic treatments including:

  • Stimulation of ovarian egg release with medications such as clomiphene citrate.
  • Treatment of endometriosis, pelvic adhesions or tubal damage with minimal invasive surgery.
  • Restoration of ovulatory cycles with ovarian surgery (laparoscopic ovarian drilling or wedge resection).

Finally, referrals can be organised for more specialised treatment such as in vitro fertilisation (IVF), intrauterine insemination (IUI) and intra-cytoplasmic sperm injection (ICSI), which will be performed at specialist fertility centres. We have strong relationships with such providers in order to facilitate any care you should require.

Total Laparoscopic Hysterectomy

Hysterectomy is the removal of the uterus with surgery. There are many reasons a hysterectomy can be performed such as fibroids, heavy or irregular menstrual bleeding, prolapse, chronic uterine pain, pelvic inflammatory disease, pre-cancerous conditions, cancer and endometriosis.

Dr. Brad Armstrong and Dr. Heng Tang can perform total laparoscopic hysterectomy depending on the clinical circumstances.

A hysterectomy can be performed using a laparoscope, which is a thin keyhole camera that allows the surgeon to see the pelvic organs. The laparoscope and other instruments are inserted through small incisions in the skin and then used by the surgeon to remove the uterus.

Carbon dioxide gas is blown into the abdominal cavity to allow a clear view of the pelvis. The uterus is removed through the vagina.

This procedure generally takes no longer than an abdominal or vaginal hysterectomy, but does not involve a large incision on the skin.

There are a number of criteria that need to be met before a laparoscopic hysterectomy can be undertaken including the size of the uterus, previous surgery and so on. We will discuss this with you during a consultation.

Like every operation, there are risks which need to be discussed pre-operatively. There is a risk of converting from a laparoscopic procedure to an open procedure if there are technical difficulties and it is in the best interest of the patient’s safety.

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