Why Can’t I Get Pregnant? – Melissa Luckensmeyer Obstetrics

Why Can’t I Get Pregnant?

There are many factors that may affect your fertility and success in falling pregnant, and often there can be multiple contributing reasons.

Common Causes

Infertility affects about 1 in 6 Australian couples of reproductive age who may experience trouble falling pregnant after 12 months of trying to conceive. Causes of infertility are varied and may involve male or female factors, or a combination of both. Problems with the production of sperm or eggs, the structure or function of male or female reproductive systems, or hormonal and immune conditions, may contribute to your success in achieving a natural pregnancy.

Melissa works closely with each couple to ensure she has a thorough knowledge of your medical history and will provide a comprehensive medical examination in order to understand why you may be experiencing problems having a baby.

Female Fertility

A woman’s fertility can be affected by a number of factors, including:

  • Irregular periods that may be linked to ovulation disorders
  • Gynaecological conditions such as PCOS and endometriosis
  • Fibroids
  • Blocked fallopian tubes, scar tissue or adhesions
  • Sexually transmitted diseases
  • Genetic conditions
  • Age, body mass index and general health

Male Fertility

Male fertility can be affected by:

  • Abnormal sperm production
  • Blockage of the male reproductive tract or absence of vas deferens (tubes)
  • The presence of sperm antibodies
  • Sperm DNA fragmentation or changes in the number and structure of chromosomes
  • Hormonal problems relating to the pituitary gland
  • Genetic conditions
  • Age, body mass index and general health

Who Should I Talk to First?

If you are experiencing trouble falling pregnant, you should first consult the advice of your GP who can then refer you to Melissa for a more thorough medical investigation.

You may consider seeking the help of a Fertility Specialist if you:

  • Are over 35 and have been trying to conceive for more than 6 months
  • Are under 35 and have been trying for more than 12 months
  • Are aware of a pre-existing fertility problem
  • Have experienced multiple miscarriages
  • Have irregular or absent menstrual cycles or painful periods
  • Are aware of pelvic inflammatory disease, endometriosis or other medical conditions that may affect your ability to conceive

Fertility Testing

After a thorough discussion about your medical history, Melissa may advise that you undertake certain tests to determine your fertility issues. Available options include sperm testing, blood tests, ultrasound and x-ray of reproductive tracts.

Melissa will help you establish the cause and explore appropriate treatment options to give you the best chance of achieving a successful pregnancy.

What to Expect at Your First Consultation

A comprehensive examination may be required for each partner. Melissa will ask questions about your medical history, your menstrual cycle, timing of intercourse, lifestyle factors, sexual issues and previous pregnancy history. After your initial consultation, tests may be organised and a following appointment set to discuss the results.

Melissa understands that you may have many questions or concerns relating to your fertility. She sets generous appointment times so that you don’t feel rushed or pressured in any way as you begin exploring your fertility treatment options.

The costs involved will depend entirely upon your individual circumstances, diagnosis and specific treatment plan. The costs will also depend on your private health cover rebate and whether you are eligible and registered for the Medicare Safety Net. We will discuss the estimated costs with you before you commence any treatment.
Yes. For your first fertility consultation with Melissa, please bring a referral letter with both your name and your partner’s, or two referral letters if you have different GPs.
Please bring a referral letter with both your name and your partner’s, or two referral letters if you have different GPs. Please also bring any blood results and scan reports ordered by your GP, along with your Medicare Card and Health Fund details.

We will ask you to complete a Patient Information Sheet when you arrive, or you can download one here if you’d prefer to complete this before your appointment.

Yes. Melissa welcomes every patient with the same level of respect, empathy and warmth.

Her outstanding medical expertise, combined with her friendliness and calm, caring nature, make her one of Brisbane’s most respected women’s health experts.