Hello katiek,

The fact that your husband has had a vasectomy does not automatically mean you need IVF - reversals of vasectomy are possible. Increasing age and past fertiltiy issues due to endometrosis however do complicate the picture - so the best person to determine your treatment pathway is a fertility specialist.

From my knowledge of FS in Perth, Dr. Roger Perkins, a Fertility Specialist associated with Hollywood Fertility Centre would be experienced in all of your potential concerns. He has worked in IVF since 1996, if necessary can do a reversal of vasectomy, can complete sperm aspirations (if you need ICSI) and is experienced with endoscopic surgery for endometrosis.

Iolanda

Hello katiek,

If your FS thinks reversal of vasectomy is a viable option for you  then AI may be an option.

You raise a very important point about BMI - in the research literature there is a growing body of evidence that reports a person's weight can have a major affect on their fertility. Being too underweight or overweight can affect reproductive health. So whilst a person might not be able to personally change some fertility factors such as age or endometrosis, gradual weight loss in the direction to desired body weight (e.g. BMI between 20 -25) is one of those modifiable life factors that you do have some control over and will work in your favour. 

Good luck with your appointment with your FS.

Iolanda

Hi notsure,

All  Fertility Clinics in WA have fertility specialists who work with PCOS. PCOS is a very common referral to a  fertility clinic. The significant  point in your post is that you are currently single and therefore would need sperm donation. If it is known sperm donation that you plan to do then all the clinics can assist you however if it the anonymous sperm donor pathway that you're contemplating then there are 3 clinics in Perth who could help:

  Keogh Institute (DI only)
  Concept Fertility Centre (Will do DI, or IVF using Donor Sperm).
  Pivet Medical Centre (Will do DI or IVF using Donor Sperm)
 
If Keogh Institute have sperm supply for single women use then I would suggest you see Clinical Professor Bronwyn Stuckey who is an endocrinologist with expertise in PCOS and diabetes.
At Concept Fertility - Dr. Lucy Williams is well respected, works with PCOS and frequently treats single women.

Hope this narrows it down.

Best of luck.

Iolanda

I had 2 fresh cycle IVF/ICSI last year with FSWA with no luck. Husband had vasectomy 15 years ago and I have endometriosis, so IVF is the only way for us to conceive.After failed the last IVF, hubby decided to do a vasectomy reversal in Brisbane, still wait for magical to happen. I am wondering to do another IVF in Perth later on as we still have frozen sperm there, but I would like to change the clinic. The last cycle with 11 eggs resulted no blastocyst at all, whilst the 1 st cycle, only 6 eggs resulted 2 blastocysts.I found out my last FSH test (2nd cycle) was very high (10). I am wondering if Hollywood Clinic would do 3 days embryo transfer rather than blastocyst? Many thanks