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His approach to treating infertility issues is to start by taking a thorough and comprehensive medical history for both the female and male partner. This ensures a logical framework to develop the best treatment option for your situation, resolving diagnosed fertility issues and helping you to have a baby.
Minimally invasive laparoscopic surgery
Dr Molloy has been at the forefront of advanced keyhole surgery for nearly 20 years, including laparoscopic surgery for challenging gynaecological conditions such as endometriosis. After completing the state's first laparoscopic hysterectomy in 1990, he has organised surgical workshops throughout Queensland for more than 2 decades
I'm a hands on clinician, not a research doctor, and I take a logical, structured approach to find the best treatment option for your situation As Clinical Director for QFG, I also have acknowledged experience, as well as access to the latest techniques.
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Queensland Fertility Group offers you Queensland most experienced and successful IVF and infertility clinic, egg freezing with the highest pregnancy success rate in Australia, the largest donor semen bank in Queensland for all women, bulk-billed in-house pathology service for blood and chromosomal testing, our own genetics laboratory for testing and genetics advice.
Typically, endometriosis occurs in the pelvis. The female pelvis is a space continuous with the abdominal cavity. It contains the bladder, the rectum and other bowel, and, most importantly, the female reproductive organs, including the vagina, uterus, tubes and ovaries.
In truth, nobody is really sure what causes endometriosis. As fast as one theory attempts to explain the occurrence of endometriosis, a special set of circumstances is demonstrated in a particular group of patients that negates that particular theory. The most widely accepted theories include: Retrograde menstruation and implantation Spread of Endometrial Tissue by the Blood or Lymphatic Channels Metaplasia, The Immune System and Stem Cells
To diagnose endometriosis we look for endometriosis symptoms Endometriosis can sometimes be diagnosed on pelvic examination. The gynaecologist may feel nodules of endometriosis at the top of the vagina and around the uterus or may suspect the presence of endometriosis by the fact that the uterus is tethered, rather than quite mobile, or that the ovaries are similarly tethered and perhaps tender to touch. Rarely, we may see overt endometriosis in the vagina when we do a speculum examination.
The major symptoms of endometriosis are Dyspareunia (pain on intercourse), Dysmenorrhoea (pain with periods), Pelvic and abdominal pain, Abnormal bleeding, Pelvic pain, Infertility, Feelings of pressure and discomfort in the pelvis, Occasional bowel disturbance or bowel motion pain, especially with periods.
At the end of endometriosis treatment, the patient should optimally be disease and symptom free. Treatment should be individualised to take account of the severity of each patient's endometriosis and to minimise the side effects of treatment.
Various levels of surgical treatment are available for endometriosis. The simplest type of surgery and treatment of choice is laparoscopy and various types of procedures may be done down the laparoscope to get rid of the endometriosis or its effects. A more significant form of surgery is laparotomy, where a large incision is made in the abdominal wall to actually perform a definitive surgical procedure. Obviously, this takes longer, is more painful and the patient is in hospital for longer.
There are significant risks to all surgery; the most important of which is subsequent adhesion formation. Once the patient has surgery for endometriosis she runs a significant risk of having tethering of the ovaries and the tubes to each other, with a subsequent decrease in fertility. The results of surgery can therefore be somewhat variable and can have, in fact, a deleterious effect on the patient's fertility status. Surgery should therefore be approached with caution, but has a place to play
Hormonal therapy works on the principle that endometriosis is lessened during pregnancy or by menopause. Therefore, the aim of drug therapy is to put patients into a hormonal state of pseudo-pregnancy or pseudo-menopause. Side effects that patients may sometimes experience relate to these conditions.
Today, the Queensland Fertility Group is the largest and most experienced IVF clinic in Queensland with 36 doctors, over 30 scientists and a team of counsellors, psychologists, nurses and administration staff. We have clinics in Brisbane, Toowoomba, Mackay, Townsville, Cairns and on the Gold Coast. Our experienced doctors perform many treatment cycles each year and we offer our patients the convenience and comfort of a purpose built day hospital.