International reports show that uterine fibroids significantly reduce the chance of pregnancy and increase pregnancy losses whether the fibroids are situated in the sub-mucus position or an intra-mural location. Outcomes of fertility treatment siginificantly improved when the fibroids are removed.
Laparoscopic myomectomywas pioneered in Western Australia in 1991 by Dr John Yovich, Medicla Director. PIVET now has extensive experiencein a range of laporoscopic myomectomy techniques. These are currently being performed regularly by four laporoscopic surgeons, essentially as day cases.
Apart from improved fertility, benefits include reoulution of menorrhagia and avoidance of hysterectomy.
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Laporoscopic extraction of fibroid |
Electronic morecellation of fibroid |
Electronic morecellation of fibroid |
Sperm quality has refocused on the health of the DNA packaging with recent suggestions that the degree of sperm DNA fragmentation is associated with reduced fertility and poor success in IVF. PIVET has recently introduced the Sperm Chromatin Structure Assay or SCSA as a test for DNA integrity. Since it introduction about 8% of men have been identified with elevated fragmentation.
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| Standard semen morphology | Normal SCSA | Abnormal SCSA |