Common Challenges and Pathways

The path to parenthood can look very different from one person to the next. Some people seek help as a couple, others wish to become single parents, and others need support with more complex factors such as immune or genetic considerations.

At the Centre for Infertility Solutions (CIS), we focus on understanding your individual circumstances and working alongside you and your health team to explore appropriate investigations and care pathways. The sections below outline some of the more common situations in which people may seek additional guidance and support.

FusionFertility represents an integrative model of care, combining aspects of conventional (Western) and complementary (Eastern) medicine.
This approach provides a broader framework for supporting reproductive wellbeing, recognising that fertility is influenced by physical, emotional, and psychosocial factors.

At CIS, we focus on the whole person — not only the reproductive system — and support patients through every stage of their fertility care journey.

Common Challenges and Pathways
Heterosexual Couples

For many heterosexual couples, conception occurs naturally within about a year of regular, unprotected intercourse.
However, approximately one in six couples may experience difficulty conceiving or maintaining a pregnancy.
Infertility is clinically defined as the inability to conceive after 12 months of regular, unprotected intercourse.

If this applies to you, it may be appropriate to consider a fertility assessment.
At the Centre for Infertility Solutions (CIS), we understand the emotional and physical challenges that can accompany infertility.
Our multidisciplinary team, led by Dr Nick Lolatgis, provides a comprehensive and evidence-informed approach to investigate potential contributing factors — including age-related, hormonal, genetic, immune, and uterine health considerations — to help guide next steps in care.

We recognise and support the diverse family-building goals of LGBTQIA+ individuals and couples.
For some, assisted reproductive technologies (ART) such as IVF, donor eggs, donor sperm, or surrogacy may form part of the fertility journey.

Our team provides assistance with:

  • Pre-treatment medical and reproductive assessments

  • Coordination of donor screening and counselling

  • Preparation for treatment pathways in Australia or, where applicable, overseas

Every care plan is developed in collaboration with patients, ensuring inclusivity, informed consent, and compliance with Australian legal and ethical standards.

An increasing number of single women are choosing to pursue parenthood independently.
Depending on individual health and reproductive factors, this may involve the use of donor sperm, and in some circumstances, donor eggs.

At the Centre for Infertility Solutions (CIS), we provide comprehensive medical assessment, counselling, and clinical coordination for women seeking fertility care and guidance in creating their own pathway to pregnancy.
Each plan is developed with a focus on individual goals, informed consent, and compliance with Australian legal and ethical standards.

In some fertility cases, immune system activity may influence how the body interacts with an embryo during implantation or early pregnancy.
Historically, fertility challenges were often attributed mainly to embryo quality, but emerging research suggests that reproductive immunology can also play a role in certain individuals.

At the Centre for Infertility Solutions (CIS), Dr Nick Lolatgis and our team incorporate immune-related investigations as part of a comprehensive fertility assessment, when clinically indicated.
Understanding potential immune interactions helps inform an individualised, evidence-informed care plan, designed in collaboration with each patient’s fertility specialist.

All investigations and any recommended therapies are undertaken only after full clinical evaluation, with decisions guided by current evidence, patient safety, and professional standards.