Can a Gynaecologist Treat Infertility?

Trying to conceive can be an exciting time. But when pregnancy doesn’t happen as expected, it may also bring uncertainty and questions about where to turn for help.

For many people, a gynaecologist is one of the first practitioners involved in investigating fertility concerns and understanding what factors may be affecting conception.

In this article, we explore how a gynaecologist may help assess infertility, the conditions they may diagnose, and how they may treat it.

Thinking about fertility treatment? Dr Hugo Fernandes is a local gynaecologist in Melbourne. He offers experienced, compassionate care to help you understand your options. Book an appointment today.

Understanding Infertility

Infertility generally refers to difficulty becoming pregnant after 12 months of regular, unprotected intercourse. For women aged 35 and over, medical advice is often recommended after six months, as fertility naturally declines with age.

In Australia, infertility is relatively common, affecting around 1 in 6 couples, according to the Australian Government’s Your Fertility program. These fertility challenges may arise from a range of factors involving either partner.

In women, this may include ovulation disorders, endometriosis, polycystic ovary syndrome (PCOS), or structural issues affecting the uterus or fallopian tubes.

The Role of a Gynaecologist in Fertility Care

A gynaecologist may play an important role in assessing and managing infertility. Because they focus on the female reproductive system, they may help investigate potential causes of fertility difficulties and guide patients through appropriate next steps.

A gynaecologist may assist with fertility concerns by:

• Reviewing medical history and symptoms that may affect reproductive health
• Investigating potential conditions that may cause infertility.
• Ordering diagnostic tests, including blood tests, ultrasound scans, or ovulation tracking
• Discussing treatment options that may support fertility, depending on the underlying cause
• Referring patients to a fertility doctor if advanced treatment, such as IVF, may be appropriate

In many cases, seeing a gynaecologist may be an important first step in understanding fertility concerns and identifying the most suitable pathway forward.

What Fertility Problems may a Gynaecologist Treat?

A gynaecologist may help diagnose and manage several conditions that could affect fertility. Because these conditions involve the female reproductive system, identifying and treating them may sometimes improve the chances of conception.

Some common fertility-related conditions a gynaecologist may investigate include:

• Ovulation Disorders: When the ovaries do not release eggs regularly, this may make conception more difficult.
• Polycystic Ovary Syndrome (PCOS): A hormonal condition that may interfere with ovulation and menstrual cycles.
• Endometriosis: A condition where tissue similar to the uterine lining grows outside the uterus and may affect fertility in some cases.
• Uterine Fibroids: Non-cancerous growths in the uterus that may sometimes affect implantation or pregnancy.
• Hormonal Imbalances: Conditions affecting hormones, such as thyroid disorders or elevated prolactin levels, which may influence ovulation.

In many situations, identifying these conditions early may help guide appropriate treatment and fertility planning.

Fertility Treatments a Gynaecologist may Provide

Depending on the underlying cause of infertility, a gynaecologist may recommend different treatments aimed at supporting reproductive health and improving the chances of conception.

The most suitable approach will vary based on the results of fertility investigations and each person’s individual circumstances.

Ovulation Induction Medications

For people who do not ovulate regularly, medications may be prescribed to help stimulate ovulation. These treatments are commonly used for conditions such as polycystic ovary syndrome (PCOS) or irregular menstrual cycles.

Hormonal Treatments

If fertility concerns are linked to hormonal imbalances, such as thyroid disorders or elevated prolactin levels, treatment may focus on addressing these hormonal issues to help regulate ovulation and menstrual cycles.

Surgical Treatment for Reproductive Conditions

Minimally invasive procedures may sometimes be recommended to treat conditions that may affect fertility, such as endometriosis, fibroids, or ovarian cysts. Treating these conditions may improve reproductive health in some cases.

Lifestyle and Preconception Support

A gynaecologist may also offer advice on factors that may influence fertility, including nutrition, weight management, smoking cessation, and general reproductive health. Optimising overall health may support fertility and pregnancy planning.

IVF and Assisted Reproductive Treatments

If pregnancy does not occur with initial treatments, or if more complex fertility issues are identified, a gynaecologist may refer patients for assisted reproductive technologies such as in vitro fertilisation (IVF).

IVF treatment involves fertilising an egg with sperm in a laboratory before transferring the embryo into the uterus.

The Importance of Early Fertility Assessment

Seeking medical advice early may help identify potential fertility issues and guide appropriate next steps.

While many couples conceive naturally within the first year of trying, ongoing difficulty may indicate an underlying reproductive health concern that may benefit from assessment.

Age may also play an important role in fertility. Female fertility generally begins to decline in the early 30s and more significantly after age 35. Early assessment may help identify any contributing factors and allow patients to explore suitable options sooner.

When Should You see a Gynaecologist About Fertility?

You may consider seeing a gynaecologist about fertility if you:

• Have been trying to conceive for 12 months without success
• Are aged 35 or over and have been trying for six months
• Have irregular or absent periods, which may indicate ovulation issues
• Have been diagnosed with conditions such as endometriosis or PCOS
• Have experienced recurrent miscarriage
• Have had previous pelvic infections or surgery that may affect reproductive organs

Take the Next Step Towards Understanding Your Fertility

If you’ve been trying to conceive without success, it’s natural to feel uncertain or concerned about what to do next. Fertility challenges can be complex, and seeking medical guidance may help you gain a clearer understanding of your reproductive health and the options available to you.

Dr Hugo Fernandes is an experienced Melbourne gynaecologist who works closely with patients. He may investigate fertility concerns, diagnose underlying conditions, and discuss personalised treatment pathways where appropriate.

If you’re unsure about your fertility or would like clarity on your next steps, reach out to Dr Hugo today.