Create Fertility

Author: Dr Tom Manley

  • Endometriosis and Fertility: A Q&A With Fertility Specialist Dr Tom Manley

    Endometriosis and Fertility: A Q&A With Fertility Specialist Dr Tom Manley

    Endometriosis affects around 1 in 9 women and remains one of the most underdiagnosed conditions in women’s health. Up to 30–50% of people with endometriosis experience fertility challenges, and diagnosis is often delayed, taking an average of 7 to 10 years. For some, infertility is the first sign that something isn’t right.

    To mark Endometriosis Awareness Month, we spoke with Create Fertility co-founder, fertility specialist and fertility surgeon, Dr Tom Manley, about how endometriosis affects fertility, why diagnosis can take so long, and what really matters when planning a family.

    How can endometriosis affect fertility even when it doesn’t cause severe pain?

    Dr Tom: Endometriosis is often silent, progressive, and underestimated. It’s not just about pain. At its core, the condition creates a chronic inflammatory environment in the pelvis, which can interfere with ovulation, egg quality, sperm function, and implantation. Over time, it can also alter pelvic anatomy, affecting the ovaries, fallopian tubes, and surrounding structures in ways that make conception more difficult.

    From a fertility perspective, the key challenge is that endometriosis doesn’t need to be severe or painful to have a significant impact.

    Why is it so hard to diagnose endometriosis?

    Dr Tom: Because endometriosis doesn’t behave predictably. Symptoms vary widely, some women experience significant pain, while others have very few or no obvious symptoms at all. Imaging such as ultrasounds and MRIs can also miss endometriosis, particularly in early or more subtle forms of the condition.

    At the moment, the most reliable way to diagnose endometriosis is through laparoscopy, which is a form of keyhole surgery. This means that for some patients, it can take time before all the pieces come together. In those cases, a diagnosis may only become clear later, sometimes when fertility challenges prompt a closer look.

    What are the stages of endometriosis?

    Dr Tom: Endometriosis is usually described in four stages. The stages are based on what we see during surgery, such as how much endometriosis is present, where it’s located and whether there’s scarring or distortion of the pelvis.

    What’s important to know is that the stage doesn’t tell the whole story. Someone with early-stage endometriosis can have real fertility challenges, while someone with more advanced disease may have very few symptoms. That’s why we don’t treat a stage number, we treat the person.

    What happens if the first symptom of endometriosis is infertility?

    Dr Tom: This is more common than people realise. When infertility is the first sign, the disease has often been present for years. In these cases, our focus shifts quickly to understanding ovarian reserve, tubal function, sperm factors and timing. We also consider whether surgical treatment may improve natural fertility or IVF outcomes. The key is not to panic, but also not to delay.

    How does endometriosis impact fertility?

    Dr Tom: Endometriosis can affect fertility in a few different ways, and it’s rarely just one thing. The condition creates ongoing inflammation, which can affect egg quality, sperm function and implantation. It can also lead to scarring around the ovaries and fallopian tubes or subtle changes in pelvic anatomy that interfere with how everything works together.

    On top of that, endometriosis can influence hormonal and immune function. So even when things look mild on the surface, the biology underneath can still make conception more difficult. That’s why the impact on fertility is often a combination of factors rather than a single cause.

    Can I still get pregnant with endometriosis?

    Dr Tom: Yes, many people do. But the pathway to pregnancy may look different. Some will conceive naturally, others may need surgery, ovulation support or IVF. The most important thing is having a clear, personalised plan.

    What is the endometriosis fertility index (EFI)?

    Dr Tom: The EFI is a scoring system used after surgery to estimate the likelihood of natural pregnancy. It takes into account age, fertility history, surgical findings and how well the anatomy has been restored.

    I use it as a guide, not a guarantee. It helps us decide whether it’s reasonable to try naturally, or whether moving more quickly to assisted reproduction will give the best chance.

    Can having a baby fix endometriosis?

    Dr Tom: This is a common myth, but no. Pregnancy may suppress symptoms temporarily. However, it doesn’t cure endometriosis. The disease can return, and symptoms can recur. Long-term management still matters, even after a successful pregnancy.

    Can you prevent endometriosis?

    Dr Tom: Unfortunately, at the moment, no. We don’t fully understand why endometriosis develops in the first place. But what we can do is recognise it earlier, take symptoms seriously and manage it appropriately. That can make a real difference, particularly when it comes to protecting fertility over the long term.

    What should you do now if you’re not trying yet?

    Dr Tom: If you’re not trying yet, the most important thing is information, not intervention. That means understanding your diagnosis, your ovarian reserve and what your realistic timelines look like. You don’t need to rush into treatment, but you also don’t want to ignore it. Having a plan early gives you options later.

    Should you consider egg freezing with endometriosis?

    Dr Tom: For some people, yes, it can be a really sensible option. Endometriosis can affect egg quality and ovarian reserve over time, so egg freezing can help preserve options, particularly if pregnancy is a few years away. It’s not right for everyone, but it’s a conversation worth having sooner rather than later.

    How long should you try before getting help?

    Dr Tom: If you have endometriosis, I wouldn’t usually recommend waiting the full year. If you’ve been trying for six months without success, or sooner if you’re over 35, it’s reasonable to get some guidance. Early advice doesn’t mean early IVF. It just means smarter timing.

    Does surgery help or harm fertility?

    Dr Tom: It can do both, which is why timing and expertise really matter. Surgery can improve fertility by reducing inflammation and restoring anatomy, but unnecessary or repeated surgery can also affect ovarian reserve. The goal is always to operate when it’s likely to help, not just because endometriosis is there.

    Does endometriosis reduce IVF success?

    Dr Tom: Endometriosis can affect IVF outcomes, particularly in more advanced disease, but many people with endometriosis still do very well with IVF. Success depends on factors like age, egg quality and prior treatment. The key is tailoring IVF to the individual, rather than treating everyone the same.

    What do you want patients to know most?

    Dr Tom: That you’re not overreacting, and you’re not alone. Endometriosis is complex, but there are good options and real reasons for optimism. The most important thing is being heard, getting clear advice and having a plan that fits you, not just your diagnosis.

  • Should You Have Genetic Carrier Screening?

    Should You Have Genetic Carrier Screening?

    Planning to start a family is an exciting time filled with many decisions and things to consider. In the midst of that busyness, reproductive carrier screening might not feel like the top priority, but it is still an important step we encourage couples to take.

    What is genetic carrier screening?

    Carrier screening is a form of genetic testing used during preconception to determine whether someone carries a gene for a variety of different genetic disorders. Using either a sample of blood or saliva, we can identify whether a patient carries the gene for hundreds of different genetic conditions, including cystic fibrosis, spinal muscular atrophy, or Fragile X syndrome. This information is important because it helps prospective parents understand how likely they might be to have a baby born with a genetic condition, giving them more information during their family planning.

    Why patients should consider getting screened

    There are a variety of advantages of genetic screening. Every parent’s genetic information is passed on to their children, and understanding it can reduce uncertainty and help couples make more informed decisions about their reproductive options. Depending on the type of information that carrier screening reveals, couples may opt for treatments like IVF with further genetic testing on embryos, adoption, or even using donors.

    Additionally, parents with information on their genetics are better able to prepare for a child that may be born with a condition. This gives them more time to consult with a fertility specialist or genetic counsellor and get all the information they need. Receiving prompt care for any conditions they may have as soon as they are born can better set children up for a healthy life.

    Who should get a carrier screening test?

    Essentially, any individual or couple that is planning to start a family would benefit from screening. The information provided is helpful as part of the planning process, and when preparing for a baby to arrive once pregnant. On top of this, there are some people we strongly recommend undergo carrier screening tests, including people with a family history of genetic disorders, and those currently undergoing fertility treatment.

    Screening process

    The preconception carrier screening process is quite straightforward and quick, with two methods of collecting a sample. We can either use a swab to collect some saliva, or use a simple blood test. Our team then assesses your sample, letting you know your results a couple of weeks later. Once you have your results, we will help you understand everything and discuss all of your options going forward. Patients are encouraged to be screened before falling pregnant, but genetic screening tests can be completed through the first trimester of pregnancy as well.

    Unfortunately, the reproductive genetic carrier screening cannot test for every possible condition, with some genetic variants unable to be analysed by the test. However, these variants are incredibly rare, and we will report on every indication of increased risk.

    What if I find out that I’m a carrier?

    It’s surprising for a lot of people to find out, but most individuals are a carrier for one or a few genetic conditions! In most cases, this doesn’t have an effect on your health, and is unlikely to be passed to your baby unless both parents carry the same abnormal gene. When you get your results, we encourage you to go through genetic counselling to learn more about the risks, testing options, and potential treatments.

    If both partners find out they are a carrier, we are with you to help you decide on the best path forwards. Couples may opt for IVF treatment, where they can have their embryos tested for the presence of a genetic condition before they are implanted in the uterus.

    Helping you make sense of it all

    Your fertility journey can be a complex enough time, especially when you begin thinking about genetics. Create Fertility is here to help you through all of it, explaining information clearly and with compassion, and ensuring you know all your options. We’re committed to helping you find the best path forwards, and giving you the best chance of growing your family.

    Get in touch to learn more about our comprehensive carrier screening and other fertility treatment options.

  • Fertility Recipes & Diet: What to Eat When You’re Trying to Conceive 

    Fertility Recipes & Diet: What to Eat When You’re Trying to Conceive 

    Are you trying to conceive but unsure about the foods you should or shouldn’t be eating? Keeping track of the types of food you eat can play a role in your fertility and your overall health and wellbeing.

    How food can impact fertility

    Picking the right foods, providing your body with essential nutrients, and adopting clean eating habits can significantly enhance your overall wellbeing. These factors influence your fertility because eating healthily can lower your stress levels and improve your reproductive regulation, which greatly influences your fertility. It’s important to ensure your fertility diet maintains a healthy balance of critical nutrients.

    What to include in your fertility meal plan

    Optimising your diet while you’re trying to get pregnant is an important step. Consulting with your fertility team can help you understand the types of foods to prioritise. These are some of the best foods to eat when trying to conceive.

    Leafy greens

    Leafy greens help to strengthen your bones, create healthy muscles, and assist with nerve function and oxygen transport. Spinach, kale, and swiss chard are rich in fibre and also folate, which is essential for preventing birth defects and promoting overall reproductive health. It can be as easy as adding a handful of spinach into your egg scramble or smoothie!

    Healthy fats

    Nuts and seeds do wonders for your health! Almonds, walnuts, flaxseeds, and chia seeds provide essential fatty acids and protein, promoting hormonal balance and supporting reproductive functions. Omega-3 fatty acids can also be found in olive oil, avocado, and seafood like salmon and sardines. These fats are crucial for reducing inflammation, encouraging blood flow to your reproductive organs, and protecting egg and sperm quality.

    Fruits, especially berries

    Blueberries, strawberries, and raspberries are high in fibre, vitamin C, and antioxidants, which help protect your eggs from damage and support overall fertility health. They also help prevent heart disease, high blood pressure, and lower the risk of Type 2 diabetes. Berries can be easily added into a yoghurt bowl for breakfast or as a snack on the side.

    Lean proteins

    Lean protein contains a lower amount of saturated fat and cholesterol. Including lean protein in your diet when trying to conceive is essential for creating and repairing all body tissues. Chicken, turkey, tofu, and lean cuts of beef are excellent sources of protein and iron, which are vital for ovulation and maintaining energy levels.

    Wholegrains

    To help prevent spikes and crashes in your blood sugar, eating brown rice, oatmeal, quinoa, and whole wheat bread or cereals provides complex carbohydrates that help regulate blood sugar levels and maintain a healthy weight. If you’re trying to conceive, the extra fibre found in these foods naturally contains B vitamins, which are crucial for the development of a baby’s body.

    Dairy products

    Full-fat yoghurt, cheese, and milk can support fertility by providing calcium and vitamin D, which are important for reproductive health. Research suggests that women who eat full-fat dairy, over skim or reduced-fat, are more likely to get pregnant potentially due to the positive effects of these fats on ovulation.

    Legumes

    Lentils, beans, and chickpeas are great sources of protein, fibre, and iron, all of which are important for fertility and keep you feeling fuller for longer. They contain antioxidants and minerals such as folate and magnesium, great for a baby’s health.

    What foods to avoid when trying to conceive

    Unfortunately, there are a number of foods that can have a negative impact on your health and fertility. These are the foods you should try and avoid in your fertility diet plan.

    • Trans Fats: Found in processed and fried foods, including most takeaway meals, as well as desserts like biscuits and cakes. While it is important to still enjoy what you eat, these should ideally be limited to promote a healthy pregnancy.
    • Refined Carbohydrates and Sugar: White bread, pasta and sugary snacks can cause blood sugar spikes and prompt weight gain, which can disrupt fertility. It’s also healthy to avoid aspartame and other artificial sweeteners, which may interfere with hormone balance.
    • Processed Meats: While lean meats are beneficial, processed meats and excessive amounts of red meat can negatively impact fertility. Avoid sausages, bacon and high-mercury fish, which contain additives and preservatives, and may harm foetal development.
    • Excessive Caffeine and Alcohol: High caffeine consumption has been linked to decreased fertility and wellbeing. Additionally, it’s best to cut out alcohol when you decide to start trying, as it can affect your hormones and may have a negative impact on your baby if you are pregnant without realising.

    Lifestyle tips for increasing fertility

    As you go through the process of trying to conceive or waiting to become pregnant, it’s important to maintain a balanced lifestyle and ensure you are in good health to support the creation of a newborn baby.

    1. Have everything in moderation. As you are prepping meals and adding in daily movement, it’s important to keep it all in moderation. It’s not recommended to start doing high-intensity workouts or to completely limit your body to specific food groups. Instead, find a happy medium with your fertility nutrition that makes you feel great and keeps you healthy.
    2. Stay hydrated: Drink plenty of water to support overall health and ensure that your body is functioning optimally. Females need about 8 cups (2 litres) of fluids a day.
    3. Maintain a healthy weight: Being underweight or overweight can affect hormone levels and ovulation. Try to aim for a balanced diet and regular exercise which will lead to a healthy weight.
    4. Take prenatal vitamins: Consider taking a prenatal vitamin that includes folic acid, iron, and other essential nutrients to support reproductive health. It’s recommended to start taking folic acid 3 months before becoming pregnant to make sure your body has healthy red blood cells.

    Fertility diet recipes

    With a good understanding of how to eat a balanced diet and maintain a good lifestyle, you are now ready to make a change and start living healthier. If you’re looking for fertility friendly recipes, here are ten of our favourites!

    Overall, the best fertility diet is the one you can comfortably stick to, while still prioritising the right nutritional elements. Have a chat to a doctor or fertility specialist for more fertility diet meal plan ideas and tips to give yourself the best chance of a healthy pregnancy.

  • IVF Due Date Calculator

    IVF Due Date Calculator

    If you have conceived through in vitro fertilisation, also known as IVF, you may be wondering when your baby will arrive. While pregnancies conceived naturally estimate due dates based on the last menstrual period, IVF due dates are calculated from the exact date of embryo transfer. Because of this, IVF pregnancies may provide a more accurate due date estimation.

    Our IVF due date calculator is designed to estimate your baby’s due date based on your embryo transfer date, assisting you to plan ahead and track key milestones. For personalised advice, contact our team at Create Fertility today.

    Try our due date calculator

    What Is an IVF Pregnancy Due Date?

    An IVF pregnancy due date is the estimated date of delivery for a baby conceived through IVF. It is calculated based on the date an embryo was transferred into the uterus, rather than the date of the last menstrual period.

    Most IVF pregnancies use either fresh embryos (transferred three or five days after fertilisation) or frozen embryos (from a previous cycle). The method of IVF does not change the length of the pregnancy, but it does affect how the due date is calculated.

    Why are Due Dates Important?

    Regardless of which method of IVF you and your doctor used, knowing your due date is key, as it is in any pregnancy. Your due date is useful for tracking fetal development, scheduling appointments, and preparing for your baby’s arrival. While due dates are only estimates and are not guaranteed, they provide a useful guideline for your medical team to monitor your, and your baby’s, progression.

    How are IVF Due Dates Calculated?

    Since IVF pregnancies do not rely on the natural ovulation cycle, due dates are calculated differently. In addition to the embryo transfer date, due dates are calculated according to the embryo’s developmental stage at transfer.

    1. Three-Day Embryo Transfer

    To calculate the due date for a three-day embryo transfer, add 263 days (or subtract three days from a standard 266-day pregnancy) to the embryo transfer date.

    2. Five-Day Embryo Transfer

    To calculate the due date for a five-day embryo transfer, add 261 days (or subtract five days from a standard 266-day pregnancy) to the embryo transfer date.

    For example, if your three-day embryo transfer occurred on January 1, your estimated due date would be September 21. If you had a five-day embryo transfer done on January 1, your due date would be September 19.

    3. Frozen Embryo Transfer

    For frozen embryo transfers, the due date is calculated the same way as fresh embryo transfers— by adding 263 days for a three-day embryo transfer or 261 days for a five-day embryo transfer.

    How Accurate are IVF Due Dates?

    IVF due dates are generally more precise than those based on natural conception because fertilisation and implantation are carefully controlled. However, no due date is 100% certain, and babies are often born before or after their due date.

    While IVF due dates may offer a slightly more predictable timeline, it is important to remember that every pregnancy is unique, and your baby may arrive sooner or later than expected. In Australia, most babies are born between 37 and 41 weeks of pregnancy, which is considered ‘at term’.

    Calculate Your IVF Due Date With Our IVF Due Date Calculator

    One way to estimate your baby’s due date is with an IVF due date calculator. Using factors such as the date of your embryo transfer and whether it was a three-day or five-day embryo transfer, IVF due date calculators are able to instantly estimate your due date.

    As with any due date estimate, no IVF due date calculator can 100% guarantee the date a baby will be born. However, you may find an IVF due date calculator helpful for tracking milestones and planning your pregnancy and your baby’s arrival.

    You should always continue to attend regular appointments to monitor your baby’s fetal development. Your doctor may adjust your due date throughout your pregnancy due to findings in medical assessments and ultrasound scans.

    Try our IVF due date calculator here:

    Contact Us at Create Fertility

    Wherever you are on your IVF journey, our experienced and caring team of fertility specialists is here for you. From considering your fertility assistance options through to birth and beyond, we are proud to be a part of your family planning. To find out more, contact our friendly team today.

    CONTACT US

  • Fertility Myths 

    Fertility Myths 

    When it comes to fertility and pregnancy, there is a lot of information out there, but unfortunately not everything you see will be correct. It can be hard to know the differences between the truths and the misconceptions, which adds unnecessary confusion when you’re trying to fall pregnant. We believe in empowering individuals and couples with accurate, clear information to help them understand all they need to know about fertility. Let’s explore some of the most common fertility myths, and reveal the truth.

    1. Male fertility is not affected by age

    It is more commonly known that female fertility is significantly affected by age, but it is also true for men. Because men are able to continually produce sperm throughout their lives, many people might believe this means that their fertility does not change with time. However, while they can still produce sperm at older ages, the quality of sperm declines over the years. After 40 years old, it is common for men to experience lower sperm motility and an increased risk of abnormalities, which can affect their ability to fertilise an egg.

    2. Stress can lead to infertility

    While for many it feels like this would be the case, there is actually no evidence that suggests stress plays a role in affecting fertility. That isn’t to say that it’s not worth trying to manage or reduce your stress where possible; stress relief goes a long way to improving your overall health and helping you manage the difficult emotions of trying.

    It’s worth noting that infertility itself can be a major cause of stress for many people, and it’s important to be thoughtful to the feelings of others. It’s not unusual for people to offer the advice of ‘just relax, it’ll happen’ to those who are struggling to fall pregnant, but not only is this not backed up by evidence, it can also create even more hardship.

    3. Infertility is typically caused by female partners

    While infertility in many cases can be attributed to female factors, the proportion of cases where it is attributed to male factors is roughly identical. There is also a significant portion that comes down to a combination of factors from both partners, and also a portion for unexplained infertility. If you have been trying and struggling to fall pregnant for some time, it is important for both male and female partners to get checked to identify any potential underlying causes of infertility.

    4. There’s nothing you can do to improve your fertility

    While there may be some factors that affect your fertility level that are out of your control, there are plenty of lifestyle choices you can make that will have a positive effect. We recommend that everyone trying to fall pregnant should eat a balanced diet with plenty of nutrients, commit to regular exercise, and try to maintain a healthy weight. Quitting smoking and avoiding alcohol will also have a positive benefit.

    5. You can get pregnant at any point in your cycle

    This one is a bit complicated, because while technically true, it is very misleading. It is theoretically possible to fall pregnant at any time in your cycle, but it is nearly impossible to conceive outside of your fertile window. This refers to the period including the five days leading up to ovulation, the day itself, and the day after.

    Because sperm can remain in the fallopian tubes for up to 5 days, they can still successfully fertilise the egg in this period. We recommend having sex at least every two to three days during your fertile window. It is best to have sex prior to ovulation as well, not only during or after.

    6. Sperm function is better after abstinence

    There is some belief that abstaining from ejaculation for an extended period can make sperm more potent, and more likely to fertilise an egg. However, ‘storing up’ your sperm can actually be detrimental; a long interval can result in producing damaged sperm which will not be able to fertilise. Regular ejaculation is actually beneficial so that high quality sperm are continually ready to fertilise the egg, which is why we recommend having sex every two to three days during the fertile window.

    7. Infertility means you’ll never have children

    While we can understand why people may feel this way, with how difficult and painful infertility can be, many individuals and couples who experience infertility are still able to have children. Experiencing infertility does not mean being sterile, and it is still possible to fall pregnant, though it may take help from a fertility specialist.

    8. If you’ve already had a successful pregnancy, you won’t struggle with infertility

    Difficulty conceiving after having one or more previous children is a real issue, and not uncommon to see. This is known as ‘secondary infertility’, and it can occur due to many of the same factors as primary infertility, like ageing, changes in overall health, and lifestyle factors. Secondary infertility doesn’t mean you won’t be able to fall pregnant again though, with many lifestyle changes and medical interventions able to help you overcome the difficulties.

    Clear, honest help when you need it

    Trying to navigate all of the fertility information out there on your own can be incredibly overwhelming, and add a lot of unnecessary stress. At Create Fertility, our priority is always on helping you understand your fertility, and giving you clear, easy to understand information. If you’re looking for a partner who is truly there for you, get in touch to find out more about our team and organise a consultation. We can’t wait to help you.

  • What You Need to Know About Getting Pregnant with Endometriosis

    What You Need to Know About Getting Pregnant with Endometriosis

    Endometriosis is a condition that affects millions of women globally and is often associated with fertility challenges. However, while it can make conception more difficult, it does not make pregnancy impossible. With the right medical care, lifestyle changes, and fertility treatments, many women with endometriosis successfully achieve their dream of parenthood.

    In this comprehensive guide, we’ll delve into how endometriosis impacts fertility, the steps you can take to improve your chances of conceiving, and the support options available to you.

    What is Endometriosis?

    Endometriosis is a chronic condition where tissue similar to the lining of the uterus (endometrium) grows outside the uterine cavity. These growths, often called lesions or implants, are most commonly found on the ovaries, fallopian tubes, and the lining of the pelvis.

    These lesions can cause inflammation, scar tissue (adhesions), and even cysts known as endometriomas. The condition is often painful and can significantly impact daily life, including fertility.

    Symptoms of Endometriosis

    While symptoms vary in severity, common indicators include:

    • Painful periods (dysmenorrhea)
    • Chronic pelvic pain
    • Pain during intercourse (dyspareunia)
    • Heavy or irregular menstrual bleeding
    • Bowel or bladder issues, such as pain during urination or bowel movements
    • Fatigue
    • Difficulty conceiving

     

    If you suspect you have endometriosis, it’s essential to consult a healthcare provider for an accurate diagnosis.

    How Does Endometriosis Affect Fertility?

    Around 30-50% of women with endometriosis may experience infertility. The condition can interfere with conception in several ways:

    1. Inflammation: Chronic inflammation can alter the environment of the reproductive organs, making it less conducive for fertilisation and implantation.
    2. Adhesions: Scar tissue can distort pelvic anatomy, affecting the movement of the egg and sperm.
    3. Ovarian Function: Endometriomas can reduce ovarian reserve (the number and quality of eggs).
    4. Fallopian Tube Blockage: Lesions can block the fallopian tubes, preventing the egg and sperm from meeting.

     

    It’s important to note that many women with endometriosis conceive naturally, especially if the condition is mild.

    Diagnosing Endometriosis and Fertility Issues

    Diagnosing endometriosis can be challenging because symptoms often overlap with other conditions. Common diagnostic methods include:

    • Pelvic Exam: A doctor may feel for abnormalities like cysts or scars.
    • Ultrasound: An imaging test can detect cysts associated with endometriosis, but it may not reveal smaller lesions.
    • Laparoscopy: A minimally invasive surgery is the gold standard for diagnosing and treating endometriosis. It allows doctors to see and potentially remove lesions

     

    If you’re trying to conceive, additional fertility evaluations may be recommended, such as ovulation tests or an assessment of your partner’s sperm health.

    Tips for Getting Pregnant with Endometriosis

    1. Seek Early Support

    If you’ve been trying to conceive for six months or longer without success, consider consulting a fertility specialist. Early intervention can help identify potential challenges and provide a roadmap for your fertility journey.

    2. Optimise Your Lifestyle

    While lifestyle changes won’t cure endometriosis, they can improve your overall health and create a supportive environment for conception:

    • Diet: Focus on an anti-inflammatory diet rich in whole foods, such as fruits, vegetables, lean proteins, and healthy fats. Limit processed foods, sugar, and trans fats
    • Exercise: Engage in gentle activities like yoga, swimming, or walking to improve blood circulation and reduce stress.
    • Stress Management: Chronic stress can negatively affect fertility. Consider relaxation techniques such as mindfulness, meditation, or acupuncture.

     

    Read related article: Lifestyle Choices: Factors that Affect Fertility

    3. Understand Your Fertility Window

    Track your ovulation to identify your most fertile days. Tools like ovulation predictor kits, basal body temperature charts, and fertility tracking apps can help.

    4. Explore Medical Treatments

    Depending on your situation, your doctor may recommend one or more of the following:

    • Medications: Hormonal treatments like birth control pills or GnRH agonists can help manage endometriosis symptoms, although they are not typically used when trying to conceive.
    • Laparoscopic Surgery: Removing endometriosis lesions may improve fertility, especially in moderate to severe cases.
    • Fertility Treatments: Options such as ovulation induction, intrauterine insemination (IUI), or in vitro fertilisation (IVF) can significantly enhance your chances of conception.

    Endometriosis and Pregnancy

    Once pregnant, many women with endometriosis find relief from their symptoms due to the hormonal changes of pregnancy. However, some risks may be higher, including:

    • Miscarriage
    • Preterm birth
    • Placenta previa

     

    Regular prenatal care is essential to monitor and manage any potential complications.

    Emotional Support During the Journey

    The journey to parenthood with endometriosis can be emotionally challenging. Consider these steps to maintain emotional well-being:

    • Join Support Groups: Connecting with others who share similar experiences can provide comfort and understanding.
    • Therapy: A mental health professional can help you navigate feelings of frustration, grief, or anxiety.
    • Open Communication: Share your feelings with your partner, family, or close friends to foster a supportive environment.

    When to Seek Help

    If you’re struggling to conceive or suspect endometriosis is affecting your fertility, don’t hesitate to reach out for help. A tailored fertility plan can make all the difference.

    At Create Fertility, our team of fertility specialists is here to guide you every step of the way. Whether you’re exploring treatment options or seeking emotional support, we’re committed to helping you achieve your dream of parenthood.

    Final Thoughts

    Endometriosis may present unique challenges, but it doesn’t have to define your journey to parenthood. By seeking the right care, staying informed, and maintaining hope, you can take meaningful steps toward building your family.

    If you’re ready to take the next step, contact Create Fertility today to schedule a consultation. Together, we’ll create a plan that’s as unique as your journey.

     

  • Ovulation Calculator: Find Your Fertile Window

    Ovulation Calculator: Find Your Fertile Window

    For anybody aiming to fall pregnant, understanding your menstrual cycle and fertile window is crucial. Your fertile window plays a large role in your chances of conceiving, so being able to recognise when this is for you may assist in increasing your chances of falling pregnant.

    However, for some people, this part of your cycle may be difficult to recognise. Whether your cycle is irregular or if you are unfamiliar with what ovulation typically looks and feels like, tools such as ovulation calculators may be able to help.

    We have designed an ovulation calculator that aims to assist you in your fertility journey. For personalised advice, contact our team at Create Fertility today.

    Try our due date calculator

    What is Ovulation?

    Ovulation is a part of the menstrual cycle and generally occurs about midway between periods. For a person with an approximately 28-day cycle, ovulation tends to occur around day 14.

    Ovulation occurs when one of the ovaries releases a mature egg through the fallopian tubes. If the mature egg is fertilised by sperm, the egg travels to the uterus, where it may implant and develop into a pregnancy. If fertilisation does not take place, the egg disintegrates, and hormone levels shift to signal the onset of menstruation (a menstrual period).

    Common Ovulation Signs and Symptoms

    Some people who menstruate may notice ovulation more than others. Some people may have no noticeable signs or symptoms, while others may experience symptoms such as:

    • Breast tenderness

    • Mood changes

    • Increased basal body temperature (BBT)

    • Light spotting

    • Heightened libido

    • Changes in cervical mucus

    • Ovulation pain

    Ovulation and The Fertile Window

    Ovulation and the fertile window are closely related. Your fertile window is the period of time during your cycle when you are most likely to fall pregnant.

    Ovulation itself— the process where the egg is released from the ovary— lasts approximately 24 hours, whereas your fertile window typically lasts about six days. While this varies from person to person, your fertile window is typically five days before ovulation, the day of ovulation, and the day after ovulation. This is because sperm have the ability to survive this length of time in the reproductive tract, waiting for an egg to be released.

    If you have sexual intercourse during your fertile window, you are generally more likely to fall pregnant than at other times during your cycle. As such, for many people aiming to fall pregnant, tracking both ovulation and your fertile window may improve your chances of conceiving.

    Tracking Ovulation

    Tracking your cycle, including ovulation, may be helpful in determining when your most fertile period of each month may be.

    To do this, track your menstrual cycle by noting when your period begins each month. The first day of your period will be day one of your cycle, and your cycle continues until the day before your next period.

    Once you have an idea of how long your cycle is (generally 28 days, though this varies from person to person and sometimes month to month), subtract 14 days from the total number of days of your cycle. This will most likely be your ovulation day. However, keep in mind that this is an average and your ovulation day may not be the same every month.

    What If My Cycle is Irregular?

    If your cycle is irregular, predicting ovulation may be more challenging, but it is generally still possible. An irregular cycle means that the time between your periods varies, often making it harder to use standard calendar methods to track ovulation.

    However, there are other ways you may be able to identify your fertile window. For example, ovulation predictor kits (OPKs) may help detect an increase in luteinising hormone (LH) that occurs just before ovulation. Tracking your cervical mucus and monitoring your basal body temperature over several months may also provide valuable insights.

    Ovulation Calculator

    For people looking for a simpler way to estimate their fertile window, our ovulation calculator may be a useful tool. By inputting details about your cycle, such as the first day of your last period and your average cycle length, ovulation calculators such as ours may help to predict when you are most likely to ovulate.

    While no ovulation calculator can confirm ovulation completely, it may provide a helpful starting point for understanding your cycle so that you can time intercourse accordingly. Using an ovulation calculator alongside other tracking methods may improve accuracy and give you a clearer picture of your fertile windows.

     

    Try our ovulation calculator here:

    Helping You Through Your Fertility Journey

    Understanding your cycle, especially your ovulation and fertile window, is often a valuable tool in your fertility journey. While no method is 100% precise, our ovulation calculator is designed to help predict your most fertile window based on your cycle details.

    At Create Fertility, we are dedicated to assisting couples and singles alike to expand their families. For further information or to speak with one of our renowned fertility specialists, contact our friendly team today.

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  • Is It Worth Getting Private Health Insurance for IVF? 

    Is It Worth Getting Private Health Insurance for IVF? 

    For couples struggling to fall pregnant, fertility treatments like IVF can help them overcome their issues and still realise their family dreams. IVF helps women become pregnant by taking eggs from their ovaries, fertilising them with sperm in a lab, and transferring them back into the uterus, with the hopes of creating a baby. However, as with any fertility treatment, an IVF cycle can cost a significant amount of money, and it is important to thoroughly consider whether it would be the right decision.

    Thankfully, there are different ways to manage the financial side of IVF and fertility treatment, including private health insurance. But is getting private health necessary, or worthwhile?

    Financial options

    Australians have the option of taking out private health insurance if they wish, but it is not a compulsory requirement to access much of the healthcare system. Australia’s universal healthcare scheme, Medicare, ensures that everyone can receive care and treatment they need. This doesn’t extend to every specialty type of treatment though, with some exempt from the system’s coverage.

    Many people will opt for private health insurance if they require treatments that fall outside of Medicare’s coverage to help them manage the cost. The cost of IVF treatment is partially covered by both systems.

    Is IVF covered by Medicare?

    Medicare actually helps to cover quite a lot of the cost associated with IVF and other fertility treatments. While not covering everything, patients eligible for Medicare receive a rebate for a portion of the costs of the IVF procedure and associated consultations. Patients may also access an additional Medicare rebate for IVF if their costs go over an annual threshold, known as the Extended Medicare Safety Net. The EMSN threshold for 2024 is $2544.30. Patients are required to have a referral letter from a GP or specialist gynaecologist/obstetrician to access the Medicare rebates.

    Is IVF covered by private health insurance?

    Most steps in the IVF process are not actually covered by private health insurance, but patients can receive coverage if their procedures are performed in a day hospital. In these cases, health insurance can make it much easier to manage a variety of associated costs that are not covered by Medicare. These include anaesthetist fees, theatre fees or accommodation where necessary.

    Private health insurers all offer differing levels of coverage, so if you are exploring IVF, it is important to clarify with them exactly what they cover. In most cases, patients will require a higher tier of hospital coverage. Additionally, most providers will require a waiting period before being able to access the benefits.

    How much does IVF cost?

    The overall IVF cost will vary for different patients, based on the specific treatments they need and how many cycles they go through. The current out-of-pocket costs of treatment at Create Fertility (excluding the Medicare rebate) are:

    • Initial IVF cycle: $3889.70
    • Initial IVF cycle with ICSI: $4309.95
    • Subsequent IVF cycle: $3209.20
    • Subsequent IVF cycle with ICSI: $3629.45
    • Frozen Embryo Transfer: $1386

    Is health insurance for IVF worth it?

    Private health insurance for IVF is not a necessity, and many people go through treatment without having cover. However, it can be beneficial to reduce your out-of-pocket costs and make treatment more accessible. If you are seriously considering IVF, we recommend doing research into how much the treatment could cost you, factoring in that it may take you multiple cycles to successfully conceive. With this in mind, you can better evaluate your financial situation and whether you would require the cover of private health insurance.

    As we’ve outlined, many patients will go through treatment using just the benefits of Medicare. Other financial supports include accessing part of your super or using a buy-now-pay-later service like ZipMoney. Overall, the decision to get private health or not depends on your unique financial and personal situation, but it is not absolutely necessary.

    To learn more about IVF or chat through your options, get in touch with our friendly fertility specialist and we will help you navigate everything to do with your fertility journey.

  • Reasons to Consider IVF 

    Reasons to Consider IVF 

    If you’re at a stage in life where you’re ready to have a baby but find yourself unable to conceive, there could be several factors affecting your fertility. If you’re looking for assistance, consulting with a healthcare professional to explore potential reasons and discuss possible solutions might just be the next step. For many people, this may lead them to starting IVF treatment.

    How does IVF work?

    As an overview, IVF is a series of procedures where a sperm fertilises an egg in a laboratory instead of inside the body. A female patient uses medication to stimulate her ovaries and encourage the production of multiple eggs, which are collected and manually combined with a sperm sample from their partner or a donor. These are incubated in the hopes of producing as many viable embryos as possible. If the process leads to an embryo, it is implanted directly into the uterus, with the patient waiting two weeks before testing to see if it has led to a successful pregnancy.

    To learn more, you can read our comprehensive guide to IVF, with more details about the treatment timeline, success rates and preparation

    5 reasons to consider IVF

    IVF has brought hope and happiness to countless couples. When deciding to begin the IVF process, careful consideration is crucial to ensure it is the right choice for you, your partner, or your situation. Our fertility specialists can help you understand all of your options. Here are 5 reasons why you might want to consider IVF treatment:

    1. Parenthood later in life

    Age plays a role in fertility for women. As women age, the quality and quantity of their eggs decline, which makes becoming pregnant in one’s 30s or 40s much harder. Women over 35 who have been trying for over six months without success may want to consider IVF.

    2. Unsuccessful attempts

    If a couple has been trying to conceive for over a year and hasn’t seen any positive results, it may be time to look into underlying fertility issues. There are many fertility issues that could cause infertility, whether it be in the male or female partner’s reproductive system. Speaking to a fertility specialist is the best way to find out.

    3. Medical issues

    There are a variety of medical issues, such as cancer or endometriosis, which can cause scar tissue on women’s fallopian tubes and ultimately create infertility problems. IVF is a great solution to these issues, with fertilisation able to occur outside of the body, bypassing these difficulties.

    4. Genetic disorders

    If you or your partner have a family history of one or more genetic disorders that you don’t want to pass on to your children, IVF gives you the opportunity to test the genetic make-up of your embryos before implanting them. This ensures that only healthy embryos are implanted, reducing the risk of you having a child with a genetic condition.

    5. Ovulation issues

    Being able to track a regular ovulation cycle is important in finding the right time to conceive, but can be difficult for women who ovulate irregularly or abnormally. They may also have higher than normal levels of androgens or multiple cysts on the ovaries. The IVF process helps the ovaries to produce multiple eggs in a given menstrual cycle compared to the single egg that is produced in a natural cycle. These extra eggs provide more opportunity for fertilisation, and extra embryos can be frozen for future use.

    IVF advice before you start treatment

    If you’re struggling to get pregnant and considering the decision to start IVF, make sure that you and your partner are ready to take on the emotional and physiological side of it as well. It’s difficult to raise your hopes only to face disappointment. There are multiple procedures and wait times for results, which can be stressful and overwhelming. Success may require multiple cycles, and unfortunately for some couples IVF may not work at all.

    If IVF is something you’re considering, get in touch to request an appointment with one of our fertility specialists, who can help you understand the ins and outs of treatment, and what it will mean for you. Our specialists will also detail all of your available treatment options, helping you decide the best course of action for you. They can help you prepare your emotions and give you confidence in the decision you’re making.

    IVF is also a significant financial commitment, and while we try to make it as affordable as possible, it is still important to consider this aspect. You can find out more about our IVF costs on our Fees page.

    How Create Fertility can help

    IVF is a wonderful treatment that has helped millions of couples grow their families. If you want some more information, or you feel prepared to move forward with IVF, our specialists are ready to assist you. Our experienced team is here to guide you through every stage of the process.

    Get in touch with us to request a consultation with one of our experienced IVF doctors in Melbourne and take the first step with us.

  • How to Cope During the Two Week Wait

    How to Cope During the Two Week Wait

    For those trying to become pregnant, the two week wait can be a period of anxiety and frustration, waiting to see if you’ve been successful. It can be particularly difficult for people going through IVF or other fertility treatments, with the wait sometimes feeling never-ending. This in-between phase can be difficult, but there are many steps you can take to make it that little bit easier.

    What is the two week wait?

    For individuals and couples trying to fall pregnant, it typically takes around two weeks for a fertilised egg to travel to the uterus, implant in the uterine lining, and begin producing human chorionic gonadotropin (hCG) — the hormone used to identify pregnancy. The two week wait, sometimes referred to as TWW, refers to this period of time immediately following ovulation. This can be deeply nerve wracking though, with people unsure if they have achieved a successful pregnancy.

    Importantly, the two week wait is based on an average 28 day menstrual cycle. This means that the actual time you have to wait could be shorter or longer, depending on the average length of your cycle. Based on a regular menstrual cycle, the wait will either end with a positive pregnancy result or a period, indicating that there unfortunately is no pregnancy. If an embryo has implanted in the uterus, your body will begin producing hCG which is then detected during a pregnancy test.

    Emotions, stress, and support

    Waiting for the news can be an emotional rollercoaster, especially if you’re navigating fertility treatment or you’ve been diagnosed with infertility. Building up ideas of what could happen or interpreting any small symptom as a sign can become exhausting. It’s very normal to experience mood swings, hormone changes, anxiety, or stress. Know that your emotions are valid and acknowledge that this period is tough, but remember that how you feel is healthy and okay.

    It’s also important to acknowledge that your experience of the two week wait will be unique to you, and may look completely different from others you know. You don’t need to feel alarmed if your experience doesn’t match up to others you’ve heard about, because everyone responds differently and has different emotions. If you are concerned about anything, get in touch with your doctor or fertility specialist to get more information and find out where things stand.

    Advice on what to do during the two week wait

    During this two week wait, it’s important to find ways to keep your mind occupied to ease anxiety and pass the time instead of dwelling on possible outcomes. We recommend trying the following:

    • Social time: If you feel comfortable, scheduling time with your partner, friends or family and trying to find support from your close community can be a great way to help the days go easier.
    • Speak about it: Speaking with people who are going through the same situation as you, or anyone you know who has before, can be a good way to receive useful advice, but their empathy and understanding alone can help to lift the weight off your shoulders. You can also consider speaking to a therapist if you need some help.
    • Stay active: It’s recommended to take part in low to moderate exercise during the two week wait, such as walking, swimming, yoga, and aerobics. Try to exercise for about 30-45 minutes a day. Mild activity will keep you active and in a good headspace.
    • Take a multivitamin: A daily prenatal multivitamin, such as 400 mcg of folic acid, will help prepare your body for pregnancy.
    • Look after your physical health: Whether you are pregnant or not, it’s essential to keep caring for your body through healthy, balanced eating and sufficient sleep. Keeping your body healthy will also improve your mental health and mood.

    What not to do during the two week wait

    It’s hard to predict how difficult the wait will be for every individual, but there are a number of things we recommend avoiding to try and ease the mental burden. In particular, we recommend steering clear of purchasing or using pregnancy tests until your period would normally be scheduled to begin. Testing too early can unfortunately lead to a negative result even if you have had a successful embryo implantation.

    Additionally, try to avoid reading into any symptoms or changes you feel. Many of the symptoms of early pregnancy mimic what you may feel prior to the onset of your period. However, you shouldn’t ignore any anxieties or worries you might be feeling. Voicing them or writing them down can help you better process what you’re feeling and feel more confident while you wait.

    Can you have sex during the two week wait?

    In most cases, there is no need to abstain from sex while you wait, as it will not have a negative impact on the chances of conception. If you have been going through fertility treatment, your specialist may suggest avoiding sex after particular procedures, and it is important to follow any advice they provide. However, it is ok to continue having sex while you wait as long as you feel physically and emotionally comfortable.

    Two week wait symptoms

    As mentioned, many of the symptoms and bodily changes you might feel during the two weeks are the same as what you would feel before a new period. It can be hard not to read too heavily into these symptoms, but try your best not to spend a lot of energy thinking about them, and communicate with people you trust about what you’re feeling.

    These are some of the most common TWW symptoms that you might notice:

    • Bloating
    • Increased urination
    • Mild to severe cramping
    • Moodiness and fatigue
    • Head and body aches
    • Breast sensitivity

    Knowing these symptoms are not definitive may help you better manage your thoughts and feelings while you wait to find out.

    Easing the burden

    At Create Fertility, our aim is to support all couples or individuals throughout the two week wait, and every step of their overall fertility journey. If you would like to chat with one of our specialists, please contact us on 03 9873 6789 or email info@createfertility.com.au. We’re here to help.

Endometriosis & Your Fertility

Trying to conceive with endometriosis? This webinar is for you.

Date: Tuesday 17 March 2026

Time: 7:00 PM AEDT

Location: Live via Microsoft Teams

Cost: Free

Register Now
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