FERTILITY SURGERY AND ADVANCED REPRODUCTIVE TECHNOLOGY

One in six couples are diagnosed with infertility, defined as the inability to conceive a baby naturally after six months of trying. However, thanks to advances in medical and surgical fertility treatment, many go on to have healthy families.

Infertility can be a physically and emotionally demanding condition, and it needs specialist skills and care. Dr Haider Najjar understands how important it is for you to fall pregnant and have a baby, and as a Melbourne IVF fertility specialist, he brings advanced science and techniques to develop a personalised approach to your journey.

What causes infertility?

Age, and specifically the age of the woman’s eggs, is the most common factor affecting fertility. Many of Dr Najjar’s patients also have conditions such as Polycystic Ovarian Syndrome (PCOS) or endometriosis. As many as 40% of the couples he looks after have a male factor issue as well.

What treatment options are available?
  • Endometriosis and fibroids – Surgical removal of these pathologies, through a minimally-invasive laparoscopy to preserve the fertility organs, can make it possible to fall pregnant naturally, or with some help through Ovulation Induction (OI)
  • PCOS – If there are no other causes for infertility, medication is used to induce ovulation.
  • Male infertility – some can be resolved with surgery. In other cases, Intracytoplasmic Sperm Injection (ICSI) is used in an IVF cycle to overcome issues with sperm quality. Melbourne IVF’s specialist andrologists and male fertility urologists will support your care.
Fertility surgery

If laparoscopy surgery is required for diagnosis and treatment, Dr Najjar is now using a modern technology that uses a single incision technique. In the past, two or three cuts would need to be made to carry out this surgery, but now he can pass all instruments through the umbilicus. This emerging technology means no scarring, with better cosmetic outcomes.

There are only a few specialists in Australia trained to use this technique, and Dr Najjar is one of them.

Fertility treatment at Melbourne IVF

Melbourne IVF believes in looking after patients individually and providing continuity of care, with your chosen specialist involved in every procedure and the entire journey.

Melbourne IVF is also one of the leading fertility units in Australia, with access to the latest technologies and techniques, and a network of IVF pioneers. You’ll also have the reassurance of state-of-the-art laboratories, experienced scientists and caring nurses and counsellors.

As a member of Melbourne IVF, Dr Najjar provides an honest appraisal of your treatment options based on your test results. He’ll encourage you to take an active role in your treatment, taking the time to explain the choices you have and the possible outcomes.

Diagnosing the causes of infertility

Sometimes surgery is needed as an investigation for female infertility, and Dr Najjar’s minimally invasive approach allows you to go back to work quickly, with less pain and scarring during recovery. Surgical correction for endometriosis and fibroids can also make it possible for you to conceive naturally or with IVF.

Other tests include a comprehensive semen analysis, ovulation and hormonal tests, and anatomical assessments (ultrasound, diagnostic and operative laparoscopy and hysteroscopy). Dr Najjar can also test for causes of recurrent miscarriage.

Your individualised fertility treatment plan could involve:

  • Ovulation induction (OI)
  • Intra Uterine Insemination (IUI)
  • Assisted reproduction (IVF, ICSI, sperm, egg, and embryo cryopreservation, testicular sperm extraction)
  • Pre-implantation genetic diagnosis (PGD)
  • Advanced endoscopic surgery, including removal of pelvic adhesions, endometriosis, fibroids, ovarian cysts and polyps
  • Your first fertility appointment

Dr Najjar will take your medical history (both partners) and discuss your general health, any previous pregnancies and how long you’ve been trying to conceive. He will then perform a general examination, gynaecological examination and ultrasound to look at the fertility organs.

Your GP or other specialist may have already asked you to have some blood or imaging tests, so Dr Najjar will look at those results and determine if further investigations are necessary. The subsequent treatment plan could include:

  • Keep trying to conceive naturally, with advice on maximising your chances of success
  • Medications to regulate ovarian function
  • Surgery to correct any issues such as endometriosis
  • Assisted reproductive technology (IUI, IVF or ICSI)
The results can be swift and life-changing. In one recent case, my patient had PCOS and her partner had some sperm quality issues so I recommended IVF. They fell pregnant after the first cycle, and I delivered their baby 9 months later. They are now pregnant again with a frozen embryo from their first cycle.Dr Haider Najjar

For more information and resources, please click here for patient booklets.