{"id":2,"date":"2013-07-23T10:27:45","date_gmt":"2013-07-23T10:27:45","guid":{"rendered":"https:\/\/www.cityfertility.com.au\/?page_id=2"},"modified":"2023-05-23T11:24:11","modified_gmt":"2023-05-23T01:24:11","slug":"gp-information","status":"publish","type":"page","link":"https:\/\/cityfertility.coconutlab.io\/zh-hans\/gp-information\/","title":{"rendered":"GP Information"},"content":{"rendered":"<h1><strong>GP Resources<\/strong><\/h1>\n<ul>\n<li><a title=\"Fact Sheets\" href=\"https:\/\/cityfertility.coconutlab.io\/information\/fertility-resources\/fact-sheets\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-event-cat=\"GP Page\" data-event-action=\"Fact Sheets-GP\" data-event-label=\"Fact Sheets-GP\">Fact Sheets<\/a><\/li>\n<li><a href=\"https:\/\/cityfertility.coconutlab.io\/specialist-team\/\">Fertility Specialist List<\/a><\/li>\n<li><a href=\"https:\/\/cityfertility.coconutlab.io\/wp-content\/uploads\/2017\/04\/LF89-1216-CFC-Andrology-Form-All-locations-Interactive.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" data-event-cat=\"GP Page\" data-event-action=\"Semen Analysis-GP\" data-event-label=\"Semen Analysis-GP\">Semen Assessment Referral Form &#8211; Andrology Request Form<\/a><\/li>\n<li><a href=\"https:\/\/cityfertility.coconutlab.io\/wp-content\/uploads\/2018\/08\/LF030-Semen-Collection-Instructions.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" data-event-cat=\"GP Page\" data-event-action=\"Semen Collection\" data-event-label=\"Semen Collection\">Semen Collection Instructions<\/a><\/li>\n<li><a title=\"Forms\" href=\"https:\/\/cityfertility.coconutlab.io\/information\/fertility-resources\/forms\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-event-cat=\"GP Page\" data-event-action=\"Other Forms\" data-event-label=\"Other Forms\">Other Forms<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h1><strong>A Guide for GPs<\/strong><\/h1>\n<p>At City Fertility, we understand that as a GP you are generally the first point of contact for patients with questions regarding their fertility. To help you provide your patients with the best possible understanding and guidance, we have put together some key information.<\/p>\n<p>&nbsp;<\/p>\n<h2>What is Infertility?<\/h2>\n<p>Infertility is defined as the inability to conceive after\u00a012 months of\u00a0unprotected intercourse. A normal fertile couple in their mid-20s, having regular sex, have a one-in-four chance of conceiving each month. This means that\u00a0about nine out of\u00a010 couples trying for a baby will conceive within a year. In addition, age plays an extremely important part as the fertility of a female will continue to decline significantly over the age of 35.<\/p>\n<p>To put this into perspective:<\/p>\n<ul>\n<li>60 per cent of fertile people conceive within six months.<\/li>\n<li>80 per cent of fertile people will have conceived within the first year.<\/li>\n<li>95 per cent\u00a0of fertile people,\u00a0where the women are under the age of 35,\u00a0will have conceived within two years.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Common Causes of Infertility<\/h2>\n<p>In recent years, the trend of\u00a0delaying starting a family has led to increasing infertility rates, with age being the most common and significant fertility factor in females. However,\u00a0a\u00a0number of other factors\u00a0can play a part in causing infertility, the breakdown being:<\/p>\n<ul>\n<li>30 per cent\u00a0of infertility is due to female factors such as tubal or ovulatory problems.<\/li>\n<li>30 per cent is due to male factors such as problems with sperm quality or lack of sperm.<\/li>\n<li>30 per cent\u00a0is due to a combined male and female factor.<\/li>\n<li>10 per cent\u00a0remains unexplained.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Ovulatory problems<\/strong> may be indicated by irregular cycles. A way to\u00a0determine whether this may be the cause of infertility\u00a0is to confirm ovulation with a mid-luteal serum progesterone\u00a0about seven days\u00a0before the expected onset of menses.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Tubal problems<\/strong> may be caused by previous lower-abdominal operations,\u00a0IUD usage,\u00a0PID or lower-abdominal pain. However, tubal problems may also be asymptomatic, such as chlamydia.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Semen problems<\/strong> may be caused by childhood hernia operations, orchidopexy, adult mumps or constant exposure to toxic substances. However, most have no predisposing factors or are genetically determined. In circumstances associated with semen problems, it is advisable to arrange a semen assessment.<\/p>\n<p>&nbsp;<\/p>\n<h2>When to refer to a fertility specialist<\/h2>\n<p>You should refer a person\u00a0to one of our specialists if the patient has the following:<\/p>\n<ul>\n<li>No success after 12 months of unprotected sex for women aged under 35, and\u00a0six months for women over 35.<\/li>\n<li>Indicated PCOS.<\/li>\n<li>Irregular cycles.<\/li>\n<li>Endometriosis or a history suggestive of tubal damage.<\/li>\n<li>Recurrent miscarriage (two or more consecutive pregnancy losses).<\/li>\n<li>Premature menopause.<\/li>\n<li>Poor semen quality.<\/li>\n<li>Genetic conditions such as Turner syndrome, cystic fibrosis and Klinefelter syndrome.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3><strong>Oncology patients<\/strong><\/h3>\n<p>Oncology patients should be referred as soon as possible, before treatment begins, to enable us to give them the best chance of future fertility. Cryopreservation of sperm, eggs or embryos provides them with a more optimistic prognosis.<\/p>\n<p>&nbsp;<\/p>\n<h3><strong>Fertility management after vasectomy or tubal ligation<\/strong><\/h3>\n<p>If patients have undergone a vasectomy or tubal ligation, City Fertility Centre\u00a0can provide treatments to achieve a pregnancy. Surgical aspiration and microinjection of sperm (ICSI) offers an alternative to vasectomy reversal, and standard IVF treatment offers an alternative to female sterilisation reversal.<\/p>\n<p>&nbsp;<\/p>\n<h2>Counselling<\/h2>\n<p>City Fertility Centre has a counselling service accessible to outside referrals (at no cost to the patient) for specialised infertility advice and support.<\/p>\n<p>&nbsp;<\/p>\n<h2>Private Health Insurance<\/h2>\n<p>It is not necessary for patients to have private medical insurance for an appointment or treatment at any of our units.<\/p>\n<p>&nbsp;<\/p>\n<h2>Patient Resources<\/h2>\n<p>We offer a range of support services and information to assist your patients in their fertility journey.<\/p>\n<p>They can access information and support via:<\/p>\n<ul>\n<li><a title=\"Free Fertility Information Pack\" href=\"https:\/\/cityfertility.coconutlab.io\/information\/fertility-resources\/free-fertility-information-pack\/\" target=\"_blank\" rel=\"noopener noreferrer\">Free fertility information packs<\/a><\/li>\n<li><a title=\"Free Fertility Seminars\" href=\"https:\/\/cityfertility.coconutlab.io\/information\/fertility-resources\/free-fertility-seminars\/\" target=\"_blank\" rel=\"noopener noreferrer\">Free fertility information sessions<\/a><\/li>\n<li><a title=\"Patient Information Booklets\" href=\"http:\/\/cityfertility.fertilityportal.com.au\/home\/patient-information-booklets.html\" target=\"_blank\" rel=\"noopener noreferrer\">Patient information booklets<\/a><\/li>\n<li><a title=\"Fact Sheets\" href=\"https:\/\/cityfertility.coconutlab.io\/information\/fertility-resources\/fact-sheets\/\" target=\"_blank\" rel=\"noopener noreferrer\">Fact sheets<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>GP Resources Fact Sheets Fertility Specialist List Seme [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":307,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"category-page":[],"class_list":["post-2","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/cityfertility.coconutlab.io\/zh-hans\/wp-json\/wp\/v2\/pages\/2","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cityfertility.coconutlab.io\/zh-hans\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cityfertility.coconutlab.io\/zh-hans\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cityfertility.coconutlab.io\/zh-hans\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/cityfertility.coconutlab.io\/zh-hans\/wp-json\/wp\/v2\/comments?post=2"}],"version-history":[{"count":0,"href":"https:\/\/cityfertility.coconutlab.io\/zh-hans\/wp-json\/wp\/v2\/pages\/2\/revisions"}],"wp:attachment":[{"href":"https:\/\/cityfertility.coconutlab.io\/zh-hans\/wp-json\/wp\/v2\/media?parent=2"}],"wp:term":[{"taxonomy":"category-page","embeddable":true,"href":"https:\/\/cityfertility.coconutlab.io\/zh-hans\/wp-json\/wp\/v2\/category-page?post=2"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}