Te Rauhanga o Te Wharetangata

Fertility Associates

Trying to become pregnant? Fertility Associates can help.

E whakaaro ana koe ki te haputanga? Kei Te Rauhanga O Te Wharetangata te awhina.

 

English Maori
When should I do something? Mo awhea au e whai mai?
The right time to seek help is when you are concerned. Often simple tests to check ovulation and sperm quality will give reassurance; so a couple may be happy to try a little longer before more intensive investigation. Some of these tests will identify a severe problem quickly, which can stop you wasting time. Kia rongo pea koe i te awangawanga, koira te wa tika mo te rapu awhina mai. Hei whakataunaki, ake ka whakahaerengia tetahi whakamatau ngawari hei ata titiro i te kounga kakano me o te keha tane; no reira tera pea, ka ahua whakamomori te tokorua mo tetahi wa, mo mua o te tirohanga hohonu ano. Ka tere kitea ana tetahi raruraru nui mai etahi o enei whakamatau, ka whakaitingia te moumou taima.
Does my age matter? E whakaaro ana koe ki te haputanga? Kei Te Rauhanga O Te Wharetangata te awhina.
Yes! A woman’s chance of becoming pregnant decreases with age, especially in the late 30s. Generally, the older you are the earlier you should seek help. Ae marika! Ka pakeke haere ana te wahine, ka iti haere te tupono o to haputanga, tuturu ki nga tau neke atu i te 35. Pakeke ana, me tere ake te rapu awhina.
Who should I see? Me haere au ki a wai?
Your GP may assist with initial tests and refer you for further fertility investigations and treatment, or you can telephone us for a consultation with a fertility specialist at any stage.  Ma to GP pea koe hei awhina ki nga timatanga whakamatau, mana ano pea koe hei tuku kia tirohia to wharetangata kia whakamaimoatia, mau ranei a tou wa hei waea mai kia tirohia koe e tetahi tohunga wharetangata.
What happens when I see a fertility specialist? Ka aha ina kitea au e te tohunga wharetangata?
Your fertility specialist will investigate the possible causes of infertility. This investigation will include a medical history of you and your partner, hormone tests for the woman and a sperm test for the man. A simple operation called a laparoscopy, or an x-ray called a hysterosalpingogram, may be needed to check the woman’s tubes. Your specialist will then outline options for treatment. We offer a full range of treatments including ovulation induction, inseminations, donor treatment, IVF, counselling, and more. Ka tirohia e ia nga take i kore ai koe e hapu. Kei taua tirohanga nei o korua ko to hitori hauora, he whakamatau taiaki mo te wahine, a, he whakamatau keha mo te tane. Tena pea, he mahi pokanga ngawari e kiia nei he laparoscopy, he whakaahua whakaroto ranei e kiia nei he hysterosalpingogram hei titiro i te wharetangata. Katahi ka whakamaramatia nga kowhiringa mo to maimoatanga. Kei a matou nga huarahi whanui o nga tumomo maimoatanga penei me te ovulation induction, inseminations, donor treatment, IVF, counselling. Kei raro ake nei nga whakamarama.
How successful is treatment? He pehea te angitu o te maimoatanga?
Recent advances in technology mean that the chance of pregnancy with IVF is 40-50% per treatment for woman 35 years or younger. Other treatments give a similar chance of pregnancy as fertile couples without infertility, which is about 20% per month for women 35 years or younger. Mai i nga ahunga whakamua o te hangarau ka 40-50% te tupono o te haputanga me te IVF mo te wahine e 35, tamariki ake ranei. He ahua rite etahi atu whakahapu maimoatanga ki nga tuponotanga o te tokorua whai tamariki, ara, 20% ia marama o te wahine e 35 nga tau, tamariki ake ranei.
Does the government pay for anything? He putea ano ta te kawanatanga?
Provided you are referred by your GP or specialist, you may be eligible for a free consultation. Many couples are eligible for some publicly-funded treatment. Ina tukua mai ana koe e to GP, rata motuhake ranei, ka watea pea ki a koe te tirohanga kore utu. He putea a iwi whanui kei te watea ki etahi tokorua.
More about the main types of treatment - He whakamarama ano mo nga tumomo maimoatanga -
  • In vitro fertilisation (IVF)
The woman takes hormone drugs to increase the number of eggs maturing in the month of treatment. The eggs are collected in a simple medical procedure using ultrasound. Sperm are added to the eggs in the clinic’s laboratory, and one or two embryos are transferred to the woman’s uterus 3 to 5 days later. If there are extra embryos, they can be frozen for another chance of pregnancy. IVF is used when the cause of infertility is blocked Fallopian tubes, endometriosis, poor quality sperm or unexplained infertility.

  • ICSI
This is a variation of IVF, where a single sperm is injected into each egg to increase the chance of fertilisation. It is used when the number of sperm is low, or sperm quality is poor. Sometimes men do not have any sperm in their semen, but still make sperm in their testes – this sperm can be retrieved using a fine needle and used for ICSI.

  • Donor insemination (DI)
Sperm from a donor is frozen, then thawed when the woman is about to ovulate. After careful preparation, the sperm is placed in the woman’s uterus. You can use a donor recruited by the clinic, or have a friend or member of your whanau. DI is used mainly when men have no sperm, and by single women and women in lesbian relationships. 

  • Donor eggs (DO)
A donor undergoes most of the steps of an IVF treatment, but the embryo(s) are transferred to the infertile woman. DO is used when women have poor quality eggs, by women who do not respond well to the drugs used in IVF, and by women in their 40s who have a low chance of pregnancy using their own eggs. You can use a donor recruited by the clinic, or have a friend or member of your whanau.

  • IVF surrogacy
The infertile woman undergoes most of the steps of an IVF treatment, but the embryos are transferred to a friend or whanau member who is called the surrogate. The infertile couple adopt the child after it is born. IVF surrogacy is usually used when a woman has lost her uterus, or when carrying a child is too dangerous to the woman’s health. 

  • Artificial insemination with partner’s sperm
After careful preparation, sperm is placed in the woman’s uterus when she is about to ovulate. Often low doses of hormone drugs are used to increase the number of eggs maturing in the month of treatment. This treatment is mainly used with less severe causes of male or female infertility. 

  • Ovulation induction
Tablets or injections are used to induce a menstrual cycle in women who have irregular menstrual cycles, or who do not ovulate. 

  • Storage of sperm
Men can store sperm before cancer treatment or vasectomy. Sperm can also be stored before fertility treatment so it is available at the time of treatment.
  • In vitro fertilisation (IVF)
Kainga ai e te wahine etahi rongoa taiaki kia maha ake nga kakano e pakari mai ana i te marama o te maimoatanga. Kohia ana nga kakano ki tetahi whakaritenga ngawari ma te ultrasound, ara te tirotiro a roto ma te porooro. E honoa ana he keha ki etahi kakano ki te taiwhanga o te whare hauora, ka 3 ki te 5 ra o muri mai ka whakawhitia nga kahu ki te wharetangata. Me he kahu ano, ka totokahia kia whai wa ano pea mo te tupono whakahaputanga. Mena ko te raruraru he haukotinga o te pu kakano, te endometriosis, te kore kounga o te keha, te kore marama ranei o te hapu kore, ko te IVF pea te rongoa.

  • ICSI
He tumomo IVF ano tenei, he weronga i tetahi keha ki roto o ia kakano kia kaha ake ai te tupono haputanga. He mahi ina ruarua noa nga keha, he kore ranei no te kounga o te keha. I etahi wa kaore i te nui te keha kei te tatea, engari kei te tupuria tonuhia ki nga raho – ka taea te tiki i aua keha ma tetahi ngira tino koi mo te ICSI.

  • Donor insemination (DI)
Totokahia ana nga keha mai tetahi kaituku, ka tata ra ano te wahine ki te tuku kakano, ka koerongia. Ka ata whakatikatikatia ana, ka whakaurua te keha ki roto o te wharetangata. Mau hei whiriwhiri i te kaituku o te whare hauora, tetahi hoa, whanaunga ranei nou ake. Ka kore he keha o te hoa tane, he wahine kaore ano kia marenatia ranei, he takatapui ranei, katahi ka tirohia te DI.

  • Donor eggs (DO)
Whaia ana e te kaituku nga upane o te maimoatanga IVF, katahi ka whakawhititia nga kahu ki te wahine takakau. Ka kore te kounga o nga kakano o te wahine, kua kore ranei e whai hua mai nga rongoa IVF, he wahine ranei kua 40 nga tau he korekore noa te tupono hapu mai o ratou kakano ake, ko te DO pea te rongoa. Mau hei whiriwhiri i te kaituku o te whare hauora, tetahi hoa, whanaunga ranei nou.

  • IVF surrogacy
Whaia ai e te wahine takakau te nuinga o nga upane o te mai moatanga IVF, engari whakawhititia ana nga kahu ki tetahi hoa, whanaunga ranei e kiia nei, he whaea whanau. Whanau mai ana te tamaiti, kua whangaia atu e te tokorua takakau ki tetahi atu. Raruraru ana te wharetangata, he mea whakawhara rawa ranei te whanau tamaiti mo te wahine, ko te IVF surrogacy pea te rongoa.

  • Artificial insemination with partner’s sperm
Ka mutu ana te ata whakatikatika, whakaurua ana te keha ki roto o te wharetangata ka tata ana tana tuku kakano. Ko etahi whangaitanga, ruarua noa te rongoa taiaki hei whakarahi ake i te tokomaha o nga kakano e pakari mai ana i roto i te marama o te maimoatanga. Whakamahia ai tenei momo maimoatanga i nga wa kaore i te tino nui te raruraru o nga take hapunga kore mo te tane, mo te wahine ranei.

  • Ovulation induction
He pire, he werohanga ranei hei whakatere i te mate o te wahine kaore i te rite tonu te rere tika o te toto, kaore ranei e tika ana te tuku kakano. 

  • Storage of sperm
Ka taea e te tane te whakaputu i ana keha mo mua o te maimoatanga mate pukupuku, o te pokanga arai tatea ranei. Ka taea hoki te whakaputu i te keha mo mua tonu o te maimoatanga whakahapu e watea mai ai mo te maimoatanga o tetahi wa ano.
About Fertility Associates Mo Te Rauhanga O Te Wharetangata

Fertility Associates was started in 1987 by Drs Freddie Graham and Richard Fisher. It is the leading provider of fertility treatment in New Zealand, with clinics in Auckland, Hamilton, Wellington and Christchurch. Our doctors also visit Whangarei, Auckland’s North Shore, East Auckland, West Auckland, Tauranga, Gisborne, New Plymouth, Hawke's Bay, Wanganui, Palmerston North, Lower Hutt, Nelson and Queenstown to see patients.

Each Fertility Associates clinic has a close-knit team of doctors, nurses, counsellors and scientists dedicated to giving you the best possible chance of having a child. Our philosophy is based on the pursuit of excellence, the recognition of each person as an individual with their own values and culture, and the appropriate use of technology.

No te tau 1987 ka kokiritia ai te kaupapa o Te Rauhanga O Te Wharetangata e Dr Freddie Graham raua ko Dr. Richard Fisher. Koia nei te kaiwhakarato matamua i te maimoatanga whakahapu huri noa i Aotearoa. He whare hauora ki Tamaki Makaurau, ki Kirikiriroa, ki Poneke, ki Otautahi hoki. Haerea ano ai e o matou rata ki Whangarei, Te Raki Paewhenua, Waitakere, Tamaki, Tauranga, Ngamotu, Turanga, Heretaunga, Papaioea, Awakairangi, Whakatu, me Tahuna kia kite matou i o matou turoro.

He kapa rata, nehi, kaitohutohu, pukenga putaiao hoki kei tena, kei tena o o matou whare hauora, e piripono ana ki te kaupapa hei whainga mou i te tino tuponotanga ki te whakawhanau tamaiti. Kei te putake o ta matou kaupapa te whai i te hiranga; te titiro ki tena, ki tena hei tino tangata, he uaratanga, he ahurea motuhake ona; me te tika o te whakamahi i te hangarau.

Glossary  
Drug rongoa
Egg kakano
Embryo kahu
Hormone taiaki
Inseminate whakato
Ovulation tuku kakano
Semen tatea 
Sperm keha
 Uterus wharetangata  
 Vasectomy pokanga arai tatea