1. GENERAL ENQUIRIES
Yes, you will need a referral to be seen by our Doctors. If you have a partner, both names will need to be on the referral or you will need separate referrals.
Please bring a copy of any of your test results to your first appointment. Some tests may need to be repeated or updated, however we do aim not to repeat tests unnecessarily.
We understand that the infertility journey may be very stressful. Several resources are available to help you.
You are welcome to contact our clinic and speak with our Nurse Manager, who are always available to listen and advise.
Our clinic also provides a counselling service which specialize in infertility.
Please do not hesitate to contact us if you need to speak with someone about the way you are feeling.
As part of preparing for your pregnancy, we suggest: Light exercise, healthy foods, vitamins and rest. It is best to abstain from alcohol, smoking and other harmful substances. Your PIVET Doctor will also be able to provide you with more information at the time of your initial consult.
In Vitro Fertilisation (IVF) is a procedure whereby eggs are removed from a woman’s ovaries and inseminated outside the body. Embryo(s) that result are then placed in the woman’s uterus where they may implant and grow.
Your treatment cycle is based around your menstrual cycle, so each treatment cycle takes roughly the same amount of time to complete.
At PIVET, sperm can usually be obtained by needle aspiration and used in an IVF Cycle to achieve a pregnancy. The Doctor would be able to address all your questions at initial consult.
2. FERTILITY TREATMENTS FOLLOWING “DAY PROCEDURES”
Following your procedure and until your pregnancy test, we ask that you avoid any strenuous exercise where you become short of breath.
Strenuous exercising elevates your core body temperature, and following egg collection, could lead to increased swelling, torsion or heavy bleeding of the ovaries. Likewise do not use saunas or have very hot baths. Also try to avoid heavy lifting.
- Light exercise / light duties only.
- It is advisable to avoid alcohol and smoking during the time also.
- Drink 6 – 8 glasses of water a day.
- Take a supplement containing Folic Acid.
- Avoid herbal / Chinese medicines.
- Check with your doctor or pharmacist before starting other medications.
- Avoid very hot baths / saunas.
- Eat a well balanced diet.
- Abstain from sexual intercourse for 7 days following your embryo transfer.
Yes, you may have acupuncture during your treatment cycle, and following your embryo transfer.
Paracetamol medications such as Panadol, Panamax and Panadeine are safe to take should you need it. It is not recommended to take more than 8 tablets within 24 hours. If these medications are not providing relief, please contact the clinic (or after-hours doctor) for further advise.
There is some thought (although unproven) that non-steroidal anti-inflammatory (NSAIDs) pain killers (e.g. Nurofen, Naprogesic, Iboprofen etc.) may interfere with the process of embryo implantation, so it’s advisable to avoid these following your egg collection and embryo transfer.
All of the hormones that your body has produced in response to your medications can make your ovaries larger than what they normally are, as well as more active than usual.
Therefore, you may experience “period like” discomfort that varies from patient to patient, as well as from one treatment cycle to another. You may also experience some abdominal bloating. These symptoms are common, but please contact us with any concerns.
- Increased fluid intake.
- High fibre diet.
- If no relief “Lactulose” (according to product directions).
To participate in a Surrogacy Arrangement, there is an extensive process that includes medical assessments, legal consultations, psychological assessment and implications counselling. Upon completion of all these requirements, an application is made to the RTC (Reproductive Technology Council) for approval. Only when approval given can a Surrogacy treatment cycle commence.
PIVET will manage a Gestational or a Traditional Surrogacy Arrangement.
Currently there is no Medicare or Private Health Insurance rebates for Surrogacy. A Surrogacy arrangements could cost up to $50,000 (including legal fees, medical expenses for all parties, psychology assessment fees, private hospital delivery, court fees for parenting order etc). The Arranging Parents must bear all costs for themselves as well as the Birth Parents. This may include loss of wages, childcare etc for the Birth Mother.
In the first instance you should contact the clinic via phone (94225400 and ask for Donor Co-ordinator) or email (email@example.com) and request an information package. Once you have read and understood all the information provided, you should complete the paperwork also included and return to the Donor Co-ordinator. This will be reviewed and if there are no issues identified, appointments will be made for you to attend the clinic to begin the “donor suitability” assessment process.
All donations of human material are to be of an altruistic nature. We are however, permitted to reimburse “reasonable out-of-pocket expenses”. This reimbursement is for your time, travel and inconvenience to attend the clinic for the assessment and donation process.
Unfortunately due to the shortage of and high demand for donor eggs, sperm and embryos, there is a waiting list. To place your name on this list you must become a PIVET patient/s. To become a PIVET patient/s you will need a referral from your GP.
For eggs, the waiting list can be up to 2 years (egg are usually the most difficult to acquire). For sperm 12 -18 months and embryos up to 12 months.
NB: These times are approximations only and the clinic cannot be held to these.
All donors at PIVET Medical Centre are put through a rigorous assessment process. All donors must complete a full medical and family checklist and are made aware of the ramifications of withholding vital information. Full infectious screening blood tests, along with some Genetic screening is undertaken. All donations are quarantined for 6 months (180 days), followed by clearance screening bloods, before being offered to prospective recipients. PIVET donors all attend for a consultation with the Clinical Geneticist who prepares a family genetic history report and this report is included in the donor profile.
All recipients of donor material must see a Counsellor. This is to make them aware of the rights and responsibilities of the donor and also their rights and responsibilities as a recipient of the donation. Also discussed in this session is the belief that all donor conceived offspring have a right to be made aware of their genetic origins. Advice relating to the why, how and when of relaying this information is discussed with potential recipients.
In the case of “known donation”, as well as the previous, the Counselling manages the compulsory “cooling off” period; 6 months (180 days) for sperm donations & 3 months (90 days) for egg/embryo donations.
Donors must also see the Counsellor, again, to advise them of their rights and responsibilities and to discuss any conditions they may wish to place on the donation ( e.g. social status, religion, ethnicity).
5. Egg Freezing
Some patients have raised the question of the number of oocytes that need to be frozen. This is a difficult question to answer since it is not known how many oocytes will be needed to achieve a pregnancy. In many cases the number of oocytes needed maybe more than can be recovered in single stimulated cycle.
Therefore depending on why you are considering oocyte freezing, more than one IVF collection cycle may be necessary.
Success is based on a number of factors, including the age of the patient at the time of egg collection.
Around 85% of all eggs (ova) collected are mature and suitable for freezing. At PIVET only mature oocytes are frozen. This proportion however does vary. There is a risk that some oocytes may not survive thawing and that some oocytes once thawed will remain unfertilised even after ICSI. The reported average survival rate over many recent publications is that 69% of oocytes will remain intact after thawing. The initial results from the developmental work at PIVET is that we anticipate our survival is around 80-85%.
Globally, 63% of all injected eggs will develop signs of fertilisation. This rate is similar to that observed when fresh oocytes are injected. In other words, once the oocyte has survived thawing, its chance of fertilisation and development is the same as for routine IVF. Taking the two risks together, about half of all oocytes frozen will be fertilised. You need to understand therefore that the number of potential embryos is related to the number of oocytes initially frozen.
Please be aware that there is a risk that none of the oocytes may survive thawing or all may fail to fertilise.
While there are no laws within the Human Reproductive Technology Act (HRT Act) governing the freezing of oocytes, there are laws that govern their storage and use. The HRT Act has prescribed that the maximum period of storage of gametes (either eggs or sperm) is 15 years after which they must be discarded. Continued storage will require a specific approval for an extension from the Reproductive Technology Council.
There are also laws that restrict the creation of embryos in Western Australia to infertile couples only. One may anticipate that if you need to use the frozen oocytes in the future, then you have been unsuccessful in your normal means at conception. However, if you are not infertile, then the HRT Act laws prohibit IVF.
If you wish to discuss this further, please contact the clinic.