Fertility

Fertility medicine encompasses various medical interventions and treatments aimed at assisting individuals and couples in achieving pregnancy.

These treatments address a wide range of fertility conditions, which can be caused by various factors.​

Dr James Brown has significant expertise managing couples experiencing fertility issues.

Below is a comprehensive list of fertility conditions, their causes, symptoms, and common treatments.

  • Cause: Hormonal imbalance, often involving high levels of androgens.
  • Symptoms: Irregular menstrual cycles, excessive hair growth, acne, weight gain, and ovarian cysts.
  • Treatments: Lifestyle modifications (diet and exercise), oral contraceptives, fertility medications (clomiphene citrate, letrozole), and assisted reproductive technologies (ART) like in vitro fertilisation (IVF).
  • Cause: Presence of endometrial tissue outside the uterus.
  • Symptoms: Pelvic pain, painful periods, heavy bleeding, and infertility.
  • Treatments: Pain medication, hormonal therapies (birth control pills, gonadotropin-releasing hormone agonists), laparoscopic surgery to remove endometrial tissue, and ART.
  • Cause: Hormonal imbalances, such as irregular or absent ovulation.
  • Symptoms: Irregular menstrual cycles or lack of menstruation.
  • Treatments: Fertility medications (clomiphene citrate, letrozole) to induce ovulation, lifestyle changes, and ART if other treatments fail.
  • Cause: Reduced number or quality of eggs in the ovaries, often related to aging.
  • Symptoms: Irregular menstrual cycles, difficulty conceiving.
  • Treatments: Fertility medications (gonadotropins) to stimulate egg production, IVF with donor eggs, or other ART options.
  • Cause: Abnormal sperm production, function, or delivery.
  • Symptoms: Usually no apparent symptoms, but infertility may be present.
  • Treatments: Assisted reproductive techniques such as intracytoplasmic sperm injection (ICSI), in vitro fertilisation (IVF) with intracytoplasmic sperm injection (ICSI), surgical interventions, and lifestyle changes.
  • Cause: Blocked or damaged fallopian tubes, often due to pelvic inflammatory disease or endometriosis.
  • Symptoms: Often no apparent symptoms, but infertility may be present.
  • Treatments: Surgical interventions to repair or unblock the fallopian tubes, ART (IVF) if the tubes cannot be repaired.
  • Cause: Abnormalities of the uterus, such as uterine fibroids, polyps, or structural abnormalities.
  • Symptoms: Menstrual irregularities, recurrent miscarriages.
  • Treatments: Surgical interventions to remove or correct uterine abnormalities, hysteroscopy, or ART.
  • Cause: The cause of infertility remains unknown despite thorough evaluation.
  • Symptoms: No apparent symptoms, but inability to conceive.
  • Treatments: Fertility medications, ART (IVF, ICSI), and other techniques to improve chances of conception.

It’s important to note that the treatments mentioned above are not exhaustive, and the appropriate course of action may vary depending on individual circumstances.

Please contact our rooms to book an appointment and receive personalised guidance and treatment options tailored to your specific fertility issue and individual circumstances.

Have a question or would like to make an appointment?

We are here to provide you with clinical expertise and to support your needs.

Get In Touch

Copyright © 2023, Dr James Brown