Ovulation Induction and Intra-Uterine Insemination (OI/ IUI)
OI uses medication to stimulate egg release, while IUI places prepared sperm directly into the uterus at the most fertile time. Together, they improve the chance of conception in a simple, minimally invasive way, often recommended for ovulation issues, mild male infertility, or unexplained fertility challenges.
In Vitro Fertilisation (IVF)
IVF stimulates the ovaries to produce multiple eggs, which are collected and fertilised in a lab. Embryos are then transferred to the uterus to achieve pregnancy. IVF is one of the most effective treatments available and is often used when other options haven’t worked, or in cases of blocked tubes or male infertility.
Intracytoplasmic Sperm Injection (ICSI)
ICSI involves injecting a single sperm directly into an egg to aid fertilisation. It’s especially useful for low sperm count, poor sperm motility, or when sperm must be surgically retrieved. This precise technique improves fertilisation outcomes and increases the chance of healthy embryo development.
Frozen Embryo Transfer (FET)
FET transfers an embryo previously frozen from an earlier IVF cycle. It allows flexibility to align with your natural or medicated cycle, making it a reliable option when multiple embryos are available, or when a delay is needed for medical or personal reasons.
Testicular Sperm Aspiration (TESA)
TESA retrieves sperm directly from the testicle when none are present in the ejaculate. Performed under local anaesthetic, it’s quick, low-risk, and often paired with IVF or ICSI. TESA provides men with obstructive or non-obstructive azoospermia the opportunity to achieve a biological pregnancy.
Pre-implantation Genetic Testing (PGT)
PGT screens embryos during IVF to detect genetic or chromosomal conditions before transfer. By selecting embryos with the best chance of leading to a healthy pregnancy, PGT helps reduce miscarriage risk and offers greater reassurance for patients with genetic concerns, advanced maternal age, or repeated IVF attempts.
Discover each treatment in more detail
- OI & IUI
- IVF
- ICSI
- TESA
- FET
- PGT
Ovulation Induction and Intra-Uterine Insemination (OI/ IUI)
Ovulation induction and IUI are common first-line fertility treatments. They are designed to gently support the natural reproductive process by stimulating ovulation and improving the timing and placement of sperm. These options are less complex than IVF and are often recommended when the underlying causes of infertility are mild or unexplained.
Advantages
- Less invasive and simple – No anaesthetic or surgery; performed in-clinic with minimal discomfort.
- Lower cost – Significantly cheaper than IVF or other options.
- More natural process – Fertilisation still occurs within the body.
- Flexible stimulation options – Can use tablets (letrozole, clomiphene) or low-dose FSH to tailor follicle growth.
- Useful first-line approach – Especially for younger couples, shorter infertility duration, or mild issues.
Limitations
- Lower success rate – Typically 10–20% per cycle (depends on age, diagnosis, and medication).
- Less Information – Fertilisation and early embryo development cannot be observed or optimised.
- Multiple pregnancy risk – Especially if several follicles develop; careful ultrasound monitoring minimises this.
- Cycle cancellations – May occur if zero or too many follicles grow (to avoid multiple pregnancy).
- Not suitable for everyone – Not effective for certain conditions such as severe male factor and tubal blockage.
Treatment Roadmap
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01
Initial consultation
We begin with a comprehensive fertility assessment, including hormone testing, pelvic ultrasound, and review of your medical history.
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02
Cycle monitoring
Your natural or medicated cycle is tracked through bloodwork and ultrasound to monitor follicle growth and predict ovulation.
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03
Ovulation trigger (if needed)
When the lead follicle is ready, we may use a trigger injection to ensure ovulation occurs at the ideal time.
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04
Sperm preparation
A semen sample is collected and processed in our on-site lab to isolate the healthiest and most motile sperm.
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05
Insemination
At the optimal time, the sperm is gently inserted into the uterus in a simple and painless procedure performed at our clinic.
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06
Follow-up
A follow up is scheduled two weeks later to determine if the treatment was successful and make any necessary modifications.
Ready to take the first step?
Book a consultationIn Vitro Fertilisation (IVF)
IVF is one of the most effective and widely used fertility treatments worldwide. It involves combining eggs and sperm in a laboratory to create embryos, which are then transferred into the uterus at the optimal time for implantation. At Coastal IVF, this process is carried out entirely in our state-of-the-art on-site facility by a team of specialists who support you at every stage.
Advantages
- Highest success rates – Compared to other fertility treatments, IVF offers the greatest chance of pregnancy per cycle.
- Comprehensive insight – Provides valuable information about fertilisation, sperm and egg quality, and embryo development.
- Bypasses major barriers – Can overcome many conditions such as tubal blockage, moderate–severe male factor, and advanced endometriosis.
- Advanced treatment options – Allows use of specialised techniques such as ICSI and preimplantation genetic testing (PGT).
- Embryo freezing – Surplus embryos can be frozen for future use.
Limitations
- More invasive – Requires daily injections, frequent monitoring and often anaesthetic for egg collection.
- Higher cost and time commitment.
- Medication side effects – Bloating, mood changes, and rarely ovarian hyperstimulation syndrome (OHSS).
- Emotional intensity – The physical and psychological load can be significant.
- Variable success – Success declines with advancing age and certain conditions.
Treatment Roadmap
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01
Initial consultation
We begin with a full fertility workup, including blood tests, ultrasound, and a review of your medical and reproductive history.
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02
Ovarian stimulation
You will take daily hormone injections for 10 to 12 days while we monitor your response with bloodwork and ultrasounds.
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03
Egg collection
When your follicles are ready, eggs are retrieved under light sedation or anaesthetic. This is a short and low-risk procedure.
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04
Fertilisation and embryo growth
A suitable embryo is selected and transferred into the uterus. Remaining embryos can be frozen for future use.
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05
Embryo transfer
At the optimal time, the sperm is gently inserted into the uterus in a simple and painless procedure performed at our clinic.
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06
Pregnancy test and follow-up
Ten days after transfer, we confirm the outcome with a pregnancy blood test and review next steps together.
Ready to begin IVF with personalised care?
Book a consultationIntracytoplasmic Sperm Injection (ICSI)
ICSI is an advanced laboratory procedure used as part of IVF to assist with fertilisation. It involves injecting a single healthy sperm directly into a mature egg, increasing the chances of fertilisation when sperm quality or quantity is limited.
Advantages
- Overcomes severe male-factor infertility – Effective when sperm count, motility, or morphology are poor, or following surgical sperm retrieval (e.g. TESA).
- Helpful after previous low fertilisation – Can significantly improve outcomes for patients who have previously undergone IVF with lower-than-expected fertilisation results.
- Reduces risk of complete fertilisation failure – Minimises the chance of no embryos developing after egg collection.
Limitations
- More laboratory manipulation – Involves micromanipulation of eggs, which may slightly increase handling risk (though rare with modern technology).
- Does not guarantee fertilisation or embryo quality – It bypasses sperm entry but can’t overcome poor egg quality or underlying genetic issues.
- Limited benefit in non-male-factor cases – When sperm parameters are normal, ICSI may not improve outcomes over standard IVF.
Treatment Roadmap
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01
IVF preparation
Your IVF cycle begins with assessment and ovarian stimulation, as per a standard IVF protocol.
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02
Egg collection
Eggs are retrieved from the ovaries and taken directly to our lab where they are prepared for insemination.
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03
Sperm selection and injection
Our skilled embryologists select the healthiest appearing sperm and gently inject them into the eggs using precise ICSI techniques.
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04
Embryo development
Fertilised eggs are monitored closely over the next few days to assess their development into healthy embryos.
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05
Embryo transfer
A suitable embryo is selected and transferred into the uterus. Remaining embryos can be frozen for future use.
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06
Pregnancy test and follow-up
A blood test is done ten days later to confirm the result, followed by a review with your specialist.
Want to explore ICSI as part of your IVF plan?
Book a consultationTesticular Sperm Aspiration (TESA)
TESA is a minor surgical procedure used to collect sperm directly from the testicle when sperm are not present in the ejaculate. It is most commonly used for men with obstructive or non-obstructive azoospermia, including those who have had a vasectomy.
Advantages
- Minimally invasive – Performed under local anaesthetic or light sedation; no incision required.
- Quick and low-risk – The procedure is brief, with minimal discomfort and a fast recovery time.
- Enables fertility treatment – Allows men with no sperm in the ejaculate to father a child using ICSI.
- Diagnostic value – May help identify a cause of azoospermia.
Limitations
- Requires ICSI – Sperm retrieved from the testicle usually cannot fertilise eggs through standard IVF or IUI.
- Variable sperm yield – The number of viable sperm may be limited, particularly in non-obstructive azoospermia.
- Possible discomfort or bruising – Mild testicular pain or swelling may occur for a few days post-procedure.
- Does not correct underlying cause – It enables sperm retrieval but does not treat the cause of azoospermia.
Treatment Roadmap
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01
Consultation and assessment
A fertility specialist conducts a thorough assessment, including hormonal testing and a physical exam, to determine the cause of azoospermia.
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02
Treatment planning
We coordinate TESA with the IVF cycle. In most cases, the procedure is scheduled on the day before egg collection.
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03
Sperm retrieval
Under local anaesthetic, sperm is extracted using a fine needle. This is a short, low-discomfort procedure carried out in our clinic.
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04
Sperm processing and use
The retrieved sperm is examined and processed in our lab. If viable, it is used for ICSI as part of the IVF cycle.
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05
Embryo transfer planning
Fertilised embryos are monitored in the lab, and the strongest are transferred in line with the IVF roadmap.
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06
Follow-up and results
We review the success of the procedure and next steps, with ongoing support throughout the process.
Need support with surgical sperm retrieval?
Book a consultationFrozen Embryo Transfer (FET)
A frozen embryo transfer involves thawing previously frozen embryos and transferring one into the uterus during a carefully prepared cycle. This approach is often chosen after an IVF cycle where multiple embryos were created, or when transfer was deferred for medical or personal reasons.
Advantages
- Less invasive – No need for egg collection; only a simple embryo transfer procedure is required.
- High success rates – Comparable to or higher than fresh transfers when carefully timed and monitored.
- Embryo safety – Modern vitrification techniques achieve excellent survival rates after thawing.
- Efficient use of embryos – Allows additional embryos from previous IVF cycles to be used without repeating stimulation or egg collection.
- Reduced risk of OHSS – Deferring transfer avoids exposure to high hormone levels from ovarian stimulation.
Limitations
- Requires hormonal or monitored natural cycle preparation – Additional medication or monitoring may be needed to optimise uterine lining.
- Emotional and time investment – Still requires coordination, monitoring, and waiting, which can be stressful.
- Potential thaw loss – Although rare, not all embryos may survive the freezing and thawing process.
Treatment Roadmap
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01
Initial review and planning
We review your medical history, previous IVF cycles, and embryo storage status to plan your FET cycle.
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02
Cycle tracking or preparation
Depending on your situation, we either track your natural cycle or use medication to prepare the uterine lining.
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03
Embryo thawing
The selected embryo is carefully thawed in our laboratory, with high survival rates using modern vitrification techniques.
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04
Embryo transfer
The embryo is transferred into the uterus in a quick, comfortable procedure often guided by ultrasound.
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05
Pregnancy test and follow-up
A blood test is done ten days later to confirm the result, followed by a review with your specialist.
Ready to continue your journey with FET?
Book a consultationPre-implantation Genetic Testing (PGT)
PGT is an advanced test performed during IVF to assess the genetic health of embryos before transfer. It helps identify embryos that are chromosomally normal or free from specific inherited conditions, improving implantation rates, reducing miscarriage risk, and supporting a healthy pregnancy.
Advantages
- Improved embryo selection – Identifies embryos with normal chromosome numbers or without specific genetic conditions.
- Higher success rates – Increases the likelihood of implantation and a healthy ongoing pregnancy.
- Reduced miscarriage risk – By avoiding the transfer of chromosomally abnormal embryos.
- Useful for genetic carriers – Enables the selection of embryos unaffected by known familial conditions.
Limitations
- Does not improve embryo quality – PGT identifies normal embryos but cannot make an abnormal embryo normal.
- Not always conclusive – Some embryos may yield inconclusive results or show mosaic patterns.
- Embryo loss risk – Rarely, an embryo may not survive the biopsy or thaw process.
- Cost considerations – Adds additional laboratory and testing costs to an IVF cycle.
Treatment Roadmap
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01
PGT planning
We assess your medical history and determine whether PGT is appropriate for your needs.
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02
IVF and embryo culture
Following stimulation and egg collection, embryos are grown in our lab until the blastocyst stage (usually day 5-6).
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03
Embryo biopsy
A small number of cells are carefully removed from the outer layer of an embryo (the trophectoderm) and sent for genetic testing.
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04
Embryo freezing and analysis
After biopsy, embryos are frozen using vitrification while the results are processed.
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05
Result review and selection
Your specialist reviews the findings and selects the best embryo for transfer.
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06
Frozen embryo transfer
A healthy embryo is transferred into the uterus during a future FET cycle.
Considering PGT as part of your IVF plan?
Book a consultationBook an Appointment
Please note that you require a referral from your GP to one of our doctors in order to access Medicare rebates.
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