Female Fertility Assessment and Testing

Around 1 in 6 Australian couples are navigating fertility issues.1 If you've been having difficulty conceiving, you're far from alone, and there are pathways forward.

Female Fertility Assessment and Testing

Dr Rozen’s approach to personalised fertility care

No two patients arrive at Dr Rozen’s clinic with the same story, and no two treatment plans look the same. Her approach combines diagnostic investigation, evidence-based treatment options, and genuine attention to the lifestyle and emotional factors that can impact your fertility outcomes. Most importantly, every decision is tailored to you. 

What does female infertility mean?

Female infertility is defined as the inability to conceive after 12 months of regular, unprotected sex (or 6 months if over 35). The cause can be difficult to diagnose because there are often multiple reasons a pregnancy isn’t happening, and many patients experience more than one at the same time. There’s rarely a simple answer, and that’s where Dr Rozen’s specialised expertise and experience can make the difference.

The impact of age

Age is a significant determinant of fertility, especially for women, and it’s something Dr Rozen discusses honestly with every patient. Women in their early to mid-20s have roughly a 25-30% chance of conceiving in any given cycle. This rate begins to fall gradually from the early 30s, with the decline accelerating after 35. By age 40, the monthly chance of conception is approximately 5%.2

This happens to all women because both the number and quality of eggs decrease over time. As eggs age, the risk of miscarriage and chromosomal abnormalities that cause conditions such as Down Syndrome also increases.2

These insights are not here to cause alarm, but to give you an honest picture of how age impacts fertility and why a fertility assessment sooner rather than later can make a real difference.

Common causes of female infertility

  • Ovulatory disorders
  • Age-related factors
  • Polyendocrine Metabolic Ovarian Syndrome (previously PCOS)
  • Recurrent Pregnancy Loss (RPL)
  • Primary Ovarian Insufficiency (POI)
  • Diminished Ovarian Reserve (DOR)
  • Endometriosis
  • Tubal factor infertility
  • Hormonal imbalances
  • Fibroids
  • Lifestyle factors

What does a female fertility assessment involve?

A female fertility test in Melbourne with Dr Rozen will involve diagnostic testing, a discussion of any current conditions, and recommendations for lifestyle changes that may support your health and fertility goals. This may include:

Hormone blood tests

To assess reproductive hormone levels and identify any imbalances that may be affecting ovulation or fertility.

Pelvic ultrasound

To examine the ovaries, uterus, and fallopian tubes for any structural conditions (e.g. fibroids) that may be contributing to your fertility challenges.

Antral follicle count

An ultrasound-based measurement that estimates the number of eggs remaining in the ovaries, giving a clearer picture of ovarian reserve and helping guide treatment decisions.

Review of current conditions and medications

Dr Rozen will discuss any existing health conditions and review current medications, as some can affect fertility and may need to be addressed before treatment begins.

Lifestyle guidance

Personalised recommendations on lifestyle factors that may support fertility outcomes, tailored to your individual circumstances and goals.

Female fertility – Dr Genia Rozen fertility specialist

Treatment options

Treatment is always guided by the underlying cause, and no two patients will follow the same path. Options Dr Rozen may recommend include:

Lifestyle modifications

Addressing factors such as weight, smoking, alcohol, and stress that are known to affect fertility and can meaningfully improve treatment outcomes

Medications

To stimulate ovulation or correct hormonal imbalances

Assisted reproductive technologies

Including IVF, ICSI, egg and sperm donation, and preimplantation genetic testing

Surgical intervention

To address conditions like endometriosis or correct structural issues like fibroids

Dr Rozen’s areas of special interest in female fertility

  • Infertility diagnosis, including unexplained infertility
  • IVF and recurrent IVF failure
  • Preimplantation genetic testing (PGT) and genetic screening
  • Management of recurrent miscarriage
  • Ovulation disorders and PMOS
  • Endometriosis and adenomyosis
  • Reproductive surgery
  • Fertility preservation for age-related indications, complex medical conditions, and cancer
Patient testimonial – Dr Genia Rozen fertility specialist

“I know how isolating this journey can feel, especially when you’re not sure why it’s not happening. What I want every patient to know is that there are answers and options out there. We find the path that’s right for you, not just the one that works for most people.”

– Dr Genia Rozen, Fertility Specialist, Genea Melbourne City and Frankston

References
  1. Healthdirect Australia. (2025, December). Infertility. https://www.healthdirect.gov.au/about-infertility 
  2. Better Health Channel. (2023, September 28). Age and fertility. Victorian Government. https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/age-and-fertility
  3. Costello, M. F., Norman, R. J., Rombauts, L., Farquhar, C. M., Bedson, L., Kong, M., Boothroyd, C. V., Kerner, R., Garad, R. M., Loos, T., Flanagan, M., & Mol, B. W. (2024). Recommendations from the 2024 Australian evidence-based guideline for unexplained infertility: ADAPTE process from the ESHRE evidence-based guideline on unexplained infertility. Medical Journal of Australia, 221(8), 438–446. https://doi.org/10.5694/mja2.52437 
  4. Katz, D. J., O’Donnell, L., McLachlan, R. I., Moss, T. J., Boothroyd, C. V., Jayadev, V., & Catford, S. R. (2025). The first Australian evidence-based guidelines on male infertility. Medical Journal of Australia, 223(11), 653–663. https://doi.org/10.5694/mja2.70080

Frequently Asked Questions

Unexplained infertility is diagnosed when both partners have been thoroughly investigated, and no clear reason for the difficulty conceiving has been found. It accounts for around 30% of infertility cases with heterosexual couples3 and can be a frustrating diagnosis for patients to receive. Even though there is no clear cause, it does not mean there are no options, and Dr Rozen has a particular interest in working through this with patients who find themselves in this position.

Questions about how to improve female fertility come up regularly with Dr Rozen, and the honest answer is that it depends on what is driving the challenge in the first place. Not all causes of infertility are within a person’s control, but there are steps you can take to support your reproductive health.

For some women, making positive lifestyle changes like maintaining a healthy weight, eating well, and managing stress can make a meaningful difference. For others, they may have a condition like PMOS, endometriosis, ovulatory disorders, or hormonal imbalances that are highly treatable once properly diagnosed. This is why getting the right advice is essential to improving your fertility outcomes.

‘Why am I not getting pregnant’ is a question Dr Rozen hears from patients regularly in her clinic. The answer is rarely simple, which is why a thorough investigation of both partners is always the starting point.

There is no wrong time to seek advice, and you are welcome to see a fertility specialist at any point. As a general guide, an assessment is recommended after 12 months of trying if you are under 35, or after six months if you are 35 or older. If you have a known condition such as endometriosis, PMOS, or irregular periods, it is worth seeking a referral sooner rather than waiting.

Yes. A male factor contributes to around 50% of infertility cases, either on its own or alongside a female factor.4 Assessing both partners from the outset means nothing gets missed and the right treatment path is identified sooner.

IVF is one option among many assisted reproduction technology pathways, and it isn’t the right starting point for everyone. The recommended treatment will depend on what your diagnostic tests reveal, and for some patients, a less invasive approach is appropriate first.

Yes. Dr Rozen has significant experience supporting patients who come to Genea after a difficult experience elsewhere, including those navigating recurrent IVF failure or complex diagnoses. If you’re considering switching clinics or simply getting a second option, Dr Rozen can help.

Get started today

Book an appointment with Fertility Specialist Dr Genia Rozen at her East Melbourne or Frankston consulting rooms to begin your journey.

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