We take a systematic, step-wise approach to treatment. Our aim is to optimise your fertility cycle. To do this we use a combination of prescribed medication, lifestyle factors and where appropriate surgical referral. We monitor treatment with blood tests, ultrasound scans and your fertility chart. Neo Fertilty is usually not an instant or quick-fix approach, it does take time to optimise your health and fertility and improve the pre-conception environment. Our intention is to improve your overall health as well as try to help you conceive and maintain a successful pregnancy.
Neo Fertility Treatment
In Phase 1, we take some time to identify the issues and problems with your fertility. This can take 1-2 months. During this time we advise lifestyle changes if needed and prescribe supplements.
Alcohol 7 units per week
Exercise – too much or too little
You will also be learning to track your cycle with one of our Fertility Advisors and getting timed blood tests done.
Assessment of the male factor is an important part of our approach and this is often considered during Phase 1.
During Phase 2, we are aware of the problems identified in phase 1 and we prescribe medication in order to optimise your cycle.
If your hormone levles are sub-optimal, we normal-stimulate your cycle in order to achieve a mature follicle. We also prescribe medication to ensure ovulation occurs. We monitor treatment carefully with a combination of scans and blood tests as well as your fertility chart.
In addition to typical prescription treatments with clomiphene, Letrozole and HCG, we use some innovative treatments which improve your responsiveness to follicle stimulating treatment.
Low Dose Naltrexone
Lenograstim – GCSF
Thyroid System Dysfunction
If it is apparent that a surgical component is part of your picture we refer to one of our surgical colleagues for Laparoscopy and hysteroscopy.
In Phase 3, we have reached our target of hormone levels within the optimum range, a normal chart, and proven follicle rupture by ultrasound.
At this stage we know that it is normal for conception to take up to 1 year. At this point of our programme when the medical issues have been successfully corrected it is important to acknowledge the impact of the heart and mind.
If conception has not occurred after 6 good cycles, we consider surgical referral at this stage.
During pregnancy, we commence progesterone support immediately and bloods are monitored weekly. We do an early pregnacy scan at 7 weeks to accurately date your pregnancy. The first seven weeks of pregnancy are the most vulnerable time and we want to monitor your pregnancy closely at this stage. If either oestradiol or progesterone levles are low we prescribe medication to reduce the risk of miscarriage. After your scan we monitor with blood tests every 2-3 weeks and continue hormone support while needed.
Advancing Female Age
It is well know that fertility declines with advancing female age. In recent times we have a greater appreciation of the negative effect age has on male fertility as well.
If you are reaching your forties and are eager to conceive, we advise initial treatment with Neo even if you have no diagnosis of infertiliy or no history of miscarriage. With Neo Fertility we have an “Anti-Ageing” treatment strategy for both men and women to optimise the pre-conception environment and reduce the risk of infertility and adverse pregnancy outcomes such as miscarriage, ectopic pregnancy premature delivery and possibly reduce the risk of birth defects. We have growing clinical experience to suggest we can reduce these risks, but more research is needed before we can confirm our treatment is effective