As one of Queensland’s most experienced fertility specialists, Dr John Esler is renowned for offering services that are at the forefront of the latest and most significant advances in fertility science.
His focus is on providing expert treatment based on best practice science to ensure his fertility patients have the best chance of falling pregnant as quickly as possible. His success rates are well above the national average.
Dr Esler provides a comprehensive range of fertility services including options for the simplest of problems through to the most complex fertility issues.
He also offers options for singles and same-sex couples.
Dr Esler has been appointed Medical Director for Genea Fertility Queensland recently opened in new rooms in the state-of-art Herston Private Hospital, 5-7 Wren Street Brisbane.
Car parking is available for your convenience.
Dr John Esler – Fertility Services
Expertise, knowledge and experience ensure results
If your dream is to start or expand your family – Dr Esler has one aim – to help you achieve that dream. As one of Australia’s leading fertility specialists, he has the experience, knowledge, science and technology to give you the best chance of success.
Dr Esler’s reputation for pursuing excellence is well known in IVF circles. His services incorporate the latest evidence-based, best practice techniques, and treatments (including advanced embryo selection) that have been clinically and scientifically proven to give you the best chance of producing a viable pregnancy. He is widely regarded as a pioneer in “day-five freeze all” cycles, which includes the use of agonist triggers that eliminate the risk of ovarian hyperstimulation syndrome (OHSS). His pioneering techniques eliminated Ovarian Hyperstimulation Syndrome (OHSS) and his clinic was the first Ovarian Hyperstimulation Syndrome (OHSS) free clinic in Australia.
Dr Esler’s experience and excellent success rates ensure you are also spared from the stress and expense of undergoing unnecessary cycles.
Services offered
Dr Esler provides a comprehensive range of fertility services including options for the simplest of problems through to the most complex fertility issues.
He also offers options for singles and same-sex couples.
Fertility Preservation
Dr Esler also offers fertility preservation for patients diagnosed with cancer and certain diseases, disorders, and life events that affect fertility. Those who might benefit from fertility preservation include:
– Patients about to undergo treatment for cancer (male and female)
– Patients with medical conditions (auto-immune diseases such as lupus)
– Patients with genetic diseases that affect future fertility
– Women delaying having children (women who cannot see themselves becoming pregnant for a few years).
Donor eggs, sperm and embryos are available for couples needing to access these services.
Ovarian Hyperstimulation Syndrome (OHSS)
OHSS is a serious complication from IVF, which is completely avoidable. If you have had OHSS but still need IVF and are concerned about it, or if you are simply concerned about OHSS, please contact the office – we will explain how it is avoidable.
What is involved?
The most important step for any patient considering fertility treatment is to have a thorough medical investigation to identify if there really is an underlying problem that is impacting on their fertility – this includes investigating male factor fertility.
Dr Esler is committed to helping hopeful patients become parents. He will perform a thorough examination (including a series of tests) to identify if and what the problem is that is affecting your fertility.
It is Dr Esler’s policy to genetically test all new patients to identify if any chromosomal abnormalities might be affecting their fertility. Once the investigation is complete, Dr Esler will recommend the most suitable treatments that meet your specific needs. Patient preferences for specific treatment modalities are accommodated, to the best of our ability.
Success rates
Dr Esler’s fertility practice has excellent success rates that are amongst the best in the country.
For women having completed their first egg retrieval cycle with Dr Esler, their chance of a live birth from all fresh and frozen embryo transfer procedures is as follows:
<35 years = 59.5% … the national average is 50.2%
35 – 42 years = 32.1% …the national average is 30.3%
The chance of a live birth from all fresh and frozen embryo transfer procedures resulting from a complete egg retrieval with Dr Esler, is as follows:
< 35 years = 53.7% … the national average is 44.7%
32 – 45 years = 31.4% …the national average is 23.9%
As you can see, Dr Esler’s success rates are well above the national average.
Call us today.
There will be fees for the initial consultation, which includes a thorough medical assessment and relevant tests (separate fees apply to these), and a follow-up consultation where the results of the tests are presented and treatment recommendations discussed.
1. Initial consultation
An initial fee will be charged for the first consultation which includes a thorough medical assessment of both parties to determine if there are any underlying problems affecting their fertility. Medicare rebates do apply. Further diagnostic tests will be ordered at this appointment. Separate costs are associated with these tests, and you will be informed of the costs of these tests when you make the appointment for the initial consultation.
Test results will be discussed at the follow-up appointment.
2. Follow up appointment
At the follow-up consultation, Dr Esler will discuss the results of the tests ordered during your initial consultation. He will also explain to you the various treatment options he recommends will ensure you have the best chance possible of achieving your dream of starting or expanding your family.
Once these options have been outlined, Dr Esler’s experienced staff will provide a full itemised listing of the costs involved for each of the options discussed. You and your partner can then make an informed decision about which option best suits you and your circumstances.
All costs will be discussed with you BEFORE you commit to a particular treatment.
A GP referral will be required
Your questions answered
Is fresh best when it comes to IVF?
Dr Esler is a pioneer of state-of-the-art “day five freeze all” cycles. If IVF is recommended as the treatment that will give you the BEST chance of achieving a pregnancy and having a baby, Dr John Esler and an increasing number of leading international fertility experts will recommend a “day five freeze-all” cycle.
This recommendation is supported by scientific evidence that shows:
1. Embryos frozen after day 2 or 3 have a 70% risk of failure. If they are transferred and fail to produce a viable pregnancy, the patient is required to undergo another transfer cycle.
2. Embryos that survive to day 3 and continue to survive out to day 5 before being frozen have a 50% risk of failure; therefore, embryos frozen at day 5 are the ones more likely to survive to lead onto a viable pregnancy.
As such, Dr Esler recommends “day 5 freeze all” process as the most beneficial for his patients, given the higher likelihood of success and the reduced emotional, physical and financial burden that would be incurred if treatments need to repeated in order to achieve a pregnancy.
The “day five freeze all” IVF technique, is now widely accepted as the gold standard in high quality, patient focussed IVF services that give patients the BEST chance of achieving a pregnancy1. So in short – fresh is not best when it comes to IVF. If you are being advised to have a fresh transfer – ask why?
How long should I keep trying to conceive before I seek medical help?
If you suspect there is a problem – Dr Esler advises you to seek advice early – it is never too early but can often be too late.
Fertility problems are highly distressing for a couple and the sooner a problem is diagnosed the better. Knowing if there is a problem and knowing what the problem is (if there is one) can save you time, money and angst.
Always choose an experienced fertility specialist for that initial consultation – fertility should be treated as a couple. It is vitally important to identify the extent of the medical issues in both parties in order to make appropriate treatment recommendations.
How do I choose a fertility specialist?
Here are some important questions to ask to help you choose your fertility specialist.
1. Are you a recognised fertility specialist and what is your experience, reputation and how much time do they spend in the fertility area.
Dr John Esler has more than 20 years’ experience in IVF. He is widely acknowledged as an Australian leader in “day five freeze-alls” and was the first Australian IVF specialist to use agonist triggers, effectively eliminating ovarian hyperstimulation syndrome (OHSS) in the patients he treats.
His practice offers a comprehensive range of fertility services and the live births from his practice currently stand at 1400 babies.
2. Will you fully investigate us to see if a cause can be found for our infertility that might avoid complicated treatment and advise us on whether waiting longer has a good chance of working?
All patients (and their partner) are thoroughly investigated before treatment
3. What options are open to us other than IVF, and what can we do to avoid treatment or maximise our chances of success?
Once Dr Esler has your results he will discuss with you the range of options available to you.
4. If we undergo IVF, what are our chances of having a single healthy baby from one started treatment cycle?
Fresh is not best when it comes to IVF.
If IVF is the recommended treatment that will give you the BEST chance of achieving a pregnancy; Dr John Esler recommends a “day five freeze-all” process.
International research has found the “day five freeze-all” process is the most efficient and timely A) because the “day five freeze all” produces the highest pregnancy rates, and B) because the higher success rates, spare patients the emotional, physical and financial burden incurred when treatments are repeated in order to achieve a pregnancy.
5. What will the real financial and emotional costs be if I undergo treatment?
Whatever the recommended treatment options are – all costs will be discussed with you BEFORE you commit to a particular treatment.
Why does Dr Esler advocate “day five freeze all” as the best treatment for me?
Dr Esler has one aim – to help his patients achieve a pregnancy.
Dr Esler acknowledges that some specialists prefer freezing embryos at day 2 or day 3; however, he and an increasing number of leading international fertility experts recommend a “day five freeze all” process. These recommendations are supported by scientific evidence that shows:
1. Embryos frozen after day 2 or 3 have a 70% risk of failure. If they are transferred and fail to produce a viable pregnancy, the patient is required to undergo another transfer cycle.
2. Embryos that survive to day 3 and continue to survive out to day 5 before being frozen have a 50% risk of failure; therefore, embryos frozen at day 5 are the ones most likely to survive to lead onto a viable pregnancy.
As such, Dr Esler recommends “day 5 freeze all” process as the most beneficial for his patients, given the higher likelihood of success, and the subsequent emotional, time and financial savings associated with the process.
Is there after-hours support?
Afterhours help and support is available. You will be supported at every step of your fertility journey by one of Dr Esler’s experienced fertility team which includes counsellors, experienced administration staff and fertility nurses who are on call to provide after-hours advice.
Fertility services are supported by an onsite laboratory run by highly experienced locally-based IVF scientists.
What tests should I have done before I visit a fertility specialist?
Dr Esler will perform a thorough medical assessment during your initial consultation – this assessment will include ALL the relevant tests needed to determine if there is an underlying problem that is affecting your fertility – therefore it is not necessary to have any tests done prior to your appointment with Dr Esler.
Do fertility problems only occur in females?
The short answer is no; however, couples should always be examined together so that an accurate assessment of potential problems can be made. Male fertility can be affected by childhood illnesses such as mumps or cancer treatment; injury; steroid use; or simply genetics. Female fertility can be affected by any number of issues, which makes it vitally important for the couple to be checked out by an experienced fertility specialist.
Is surgery indicated if endometriosis is affecting my fertility?
There is no question endometriosis can affect your fertility; however, if you are exploring a surgical treatment option in order to treat your endometriosis to improve your fertility – think again and seek the advice of an EXPERIENCED fertility specialist!
The most recent evidence suggests your best option would be to consider IVF first.
Why?
Well the evidence shows that surgical treatment for endometriosis will give you no greater chance of getting pregnant than you would achieve at home (naturally) i.e. the natural rate for pregnancy for women under the age of 38 is approximately 10% per month; a laparoscopy to treat endometriosis will never achieve a pregnancy rate above 10% per month; indeed surgery can diminish your chances.
On the other hand, an IVF cycle will give you up to a 60% chance/embryo transfer of achieving a pregnancy (if you are under the age of 38) … which means your greatest chance of achieving a pregnancy lies with IVF rather than a surgical treatment for endometriosis.
Once you have completed your IVF cycles you can, of course, continue with surgery to treat endometriosis if required (but with no adverse effects on your chances of achieving pregnancy). In short- endometriosis does not negatively impact on IVF success rates!
Does BMI affect my chances of getting pregnant?
The answer is yes and no. Excess weight and abdominal fat can have an adverse effect on your fertility. The good news is that losing weight can improve your chance of getting pregnant. However, if you are concerned your window of opportunity to start a family is closing and you might not be able to lose weight quickly enough – IVF could be an option for you. Depending on your weight, you might be able to undergo an IVF cycle to harvest and freeze your eggs/embryos. You can then pursue your weight loss plans, in preparation for pregnancy with the knowledge your “fertility” has been preserved. For more information, please ask your GP for a referral to Dr Esler, who can make an expert assessment of your situation. We have associations with expert dieticians who specialise in this area and Dr Esler will be happy to refer you for further advice.
Can you help me access donor eggs, donor sperm or donor embryos?
The answer is yes – Dr Esler can organise all the above for you.
Can you help me with surrogacy?
The answer is yes. Dr Esler deals with surrogacy on a regular basis and can help you. Call us!
Dr John Esler has the experience, skills and commitment to excellence to ensure you have the best chance possible to achieve a successful outcome.
Infertility is not just a female problem .
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