Reproductive Endocrinology

Assisted reproductive technology has existed in numerous forms, from basic guidance to high-tech procedures, for decades now. Clinical and laboratory specialists have worked to improve their techniques and skills to the point that pregnancy is a very real option for most people seeking treatment. But Dr Tang wants people to know, "Seeking early consultation for fertility assessment is being proactive about your family's health care." She has great respect for Traditional Chinese Medicine and alternative therapy.

Early assessment does not mean that you will need treatment. Dr Tang will find out your needs and is happy to guide you to conceive naturally if possible, or engage in the more natural fertility treatment, such as IUI (intra-uterine insemination). Of the patients who decide that their situation would be better served by in vitro fertilization (IVF), Dr Tang will explain and guide you through a potentially stressful process towards the best route to pregnancy.

Women Aged Less Than 35

Dr Tang recommend that women who are younger than 35 years old and who have been trying to conceive ( or unprotected intercourse) for 6-12 months should see their family doctor for a referral for an appointment to see her for further advice and treatment options.

Some components of a basic fertility evaluation can be performed by family doctors. DrTang will organise other fertility testing includes specific fertility blood tests and a tube test, e.g. HyCoSy or even a laparoscopy to assess the woman's fertility, and a semen analysis for the man.

Women Aged 35 to 40

Women who are 35 to 40 and have been trying to conceive for 6 months should be seen by a fertility specialist. Even for women who have no infertility factors, the chances of falling pregnant may starts to decrease rapidly within these years. The more time passes, the less likely are her chances that natural, unassisted conception will occur.

Women Aged More Than 40

Women above 40 should see a fertility specialist immediately. Measurement of FSH on day two of a woman's menstrual cycle, an AMH reading (Anti-Mullerian Hormone) is used to give some indication of how her ovaries may be working. If the fertility assessment turns up an issue that treatment may help, Dr Tang will advise the best treatment option for you to improve your chances.

Another group that needs to consider immediate fertility assessment are those with identified risk factors, including:

  • History of irregular menstrual periods or absence of periods
  • Previous abdominal or gynecological surgery
  • Pelvic inflammatory disease (PID) or other sexually transmitted disease
  • Known structural abnormalities of the uterus or other reproductive organ
  • Hormonal disorders such as thyroid disease, PCOS
  • Pituitary tumors or hyperprolactinemia

How people view their role in health care has changed drastically in recent decades. The amount of health and medical information available is phenomenally different now than even just several years ago. Internet research on fertility may be confusing and it is best to see a fertility specialist like Dr Tang, who will take the time to explain to you what is relevant and specific to your circumstance.