The IVF Journey with Dr Michael Chapman

In this episode, Prof Chapman unpacks one of the more contested questions in male fertility, whether to surgically repair a varicocele or move directly to IVF. He explains why these varicose veins around the testicle may quietly warm it beyond its optimal temperature and dampen sperm production, and why the evidence for fixing them is far more borderline than many assume. Drawing on decades of research, including a striking study tracking one man's sperm counts across 120 weeks, he shows just how much counts naturally rise and fall with illness, stress and time. His honest verdict, small varicoceles rarely need surgery, and repair is only worth considering for large ones where the count is suboptimal but not zero. A clear, myth-busting look at when intervention helps and when it simply doesn't. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman answers two listener questions that cut to the heart of some common fertility confusion. First, does the pill cause PCOS? The short answer is no, but the fuller story is more interesting, including why scientists may soon be renaming the condition PMOS, and how coming off the pill can unmask irregular periods that were there all along. Prof Chapman then turns to a listener with stage two endometriosis and a frozen embryo who has faced implantation failures before, weighing whether to pursue further surgery or suppress the endometriosis ahead of transfer. It's a warm, practical conversation for anyone trying to separate fertility fact from fear. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman unpacks extended carrier screening, the test that helps prevent some of the rarest and most serious childhood diseases before a baby is even conceived. He explains how we all carry genetic mutations without knowing it, in fact 98% of us do, and why they only become a problem when both partners happen to share the same one. Prof Chapman walks through the three most common conditions worth testing for, cystic fibrosis, spinal muscular atrophy and fragile X, and shares the good news that Australia now funds this screening through Medicare, along with the IVF needed to avoid passing these conditions on. It's a warm, clear guide to a topic that sounds daunting but offers real peace of mind for anyone planning a pregnancy. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman tackles a question many patients wonder about but rarely ask: should depression and anxiety screening be standard before starting IVF? His answer is a firm no, and he explains why, drawing on the history of mandatory counselling in Victoria that was eventually abandoned because 95% of patients simply didn't need it. But that doesn't mean the emotional side gets brushed aside. Prof Chapman walks through the psychological build up of a cycle, from the hope of a strong egg collection to the gut punch of a negative test, and why supporting patients through that drop is such a vital part of the job. It's an honest look at the real mental toll of IVF, and a reminder that for most people, resilience, not a screening form, is what carries them through. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman unpacks the reality behind delayed parenthood, a trend driven by both partners as often as by women alone. He explains how the odds of conceiving within a year fall from around 90% at 35 to roughly 60% by 40, and why declining egg quality and numbers sit at the heart of that shift. He walks through egg freezing as a hedge against the ticking clock, noting that 30 to 35 is the ideal window, and shares the sobering statistics on how many eggs are needed at different ages to give a good chance of a baby later. He also steps back to the bigger picture, looking at falling birth rates across the Western world and what governments might do, from baby bonuses to genuinely affordable childcare, to help turn the trend around. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman cuts through the tests and treatments marketed to women after recurrent miscarriage and asks a simple question: where's the evidence? He unpacks the $1,500 endometrial receptivity test shown to have no benefit, the pivot to microbiome testing, and immune treatments sold without solid proof — while separating what's genuinely useful from what he calls "bad medicine." The reframe that matters most: even after four losses, the odds of carrying a baby next time, doing nothing, are still well over 60 to 70%. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman takes a hard look at the growing menu of tests and treatments marketed to women after recurrent miscarriage — and asks a simple question: where's the evidence? He unpacks the $1,500 endometrial receptivity test that took eight years and a gold-standard trial to show no benefit, the same company's pivot to uterine microbiome testing, and the murky world of immunological treatments like steroids, intralipid and immunoglobulins. Along the way he separates the genuinely useful (spotting and treating chronic endometritis, working on smoking and weight) from what he calls "bad medicine." The number that reframes everything? Even after four miscarriages, a woman's chance of carrying a baby next time — doing nothing at all — is still well over 60 to 70%. A clear-eyed, honest conversation about knowing which interventions are worth it, and which are just being sold. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman tackles one of the most heartbreaking questions in fertility, why miscarriages keep happening. Responding to a listener who has faced four losses across natural and IVF conceptions, he walks through the biggest culprit, genetic abnormalities in the embryo, and explains why age and egg quality sit at the centre of it all. He unpacks the other hidden causes worth investigating, from chromosome translocations carried by healthy parents to fibroids, scar tissue, and abnormalities in the shape of the womb. Along the way he covers the surprising fertility effects of COVID, the global decline in birth rates, and why more women in their early 30s are choosing to freeze their eggs while quality is still on their side. Practical, honest, and deeply reassuring for anyone navigating the road to a baby. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman unpacks what specialists actually mean when they talk about egg quality. He explains that quality comes down to an egg's competency to fertilise and produce an embryo with the right number of chromosomes, and why that process becomes less reliable as women age. He describes the tiny energy-producing structures called mitochondria, the batteries inside every egg, and how their decline disrupts the delicate work of lining up chromosomes at the right moment. He also walks through the spindle, the internal structure his own team studies using polarised light at Life Fertility, and how checking it before fertilisation helps predict whether a pregnancy is likely. It is an honest, reassuring look at the uphill odds women over 40 face, why most early miscarriages trace back to the egg rather than the parents, and what the science can and cannot tell us. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explains one of fertility's biggest puzzles: why a woman's biological clock runs down so much faster than the rest of her body. Drawing on decades of experience and more than three and a half thousand babies, he walks through the remarkable journey of your eggs, from the millions laid down before you were even born, to the half a million you had at birth, to the slow decline that ends in menopause. He unpacks why older women get fewer eggs from IVF, what the AMH test can and can't tell you, and the crucial difference between egg quantity and egg quality. A clear, honest look at the science every woman deserves to understand. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman and fertility nurse Natalie tackle one of the most-asked questions on the YouTube channel: the recent renaming of PCOS to PMOS. Prof Chapman explains how the change came out of a roomful of specialists, each with their own stake in the name, and why he sees it as a positive move, not least because so many patients hear "cysts on the ovary" and immediately worry about cancer. He unpacks what the new name signals about the hormonal and metabolic sides of the condition, while making clear that the condition itself hasn't changed at all. And above everything else, he keeps the focus where it matters most for the women he sees: getting pregnant. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman is joined by fertility nurse Natalie to answer one of the most common questions from listeners: what should you do when you're in your 40s and cycle after cycle isn't working? Natalie explains why going back to basics matters — reviewing your initial workup, checking whether tests like AMH and antral follicle counts need repeating, and looking at inflammatory markers that may be overlooked. She walks through what a thorough second opinion involves, from treatment protocols and medication dosages to egg numbers, insemination methods and blastocyst outcomes, and why genetic testing (PGT-A) is often never discussed despite being valuable. If you're wondering whether to push on or pause and reassess, this episode is for you. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman answers a listener question about the future of IVF, covering what innovations are genuinely exciting and whether treatment will become more accessible and affordable. He reflects on how success rates have climbed from 10% to around 40% per embryo transfer over three decades, and gives his honest take on the current "flavours of the month": AI in embryo selection, non-invasive genetic testing, and research into environmental toxins. With a fertility nurse adding the patient perspective on accessibility and public sector options, this is a candid look at where fertility science is really heading, and why steady 1% gains may matter more than headline breakthroughs. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman sits down with fertility nurse Natalie to talk about the moments IVF patients often face alone — the late-night bleeding scare, the anxious wait after a positive test, the questions that come up between appointments. They discuss why a positive pregnancy test isn't the finish line, the reassurance of regular early-pregnancy monitoring through to 10 weeks, and how fertility care is shifting towards truly patient-centred support, where feeling informed, heard and supported matters just as much as clinical outcomes. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman is joined by a fertility nurse to unpack what should happen after a failed IVF cycle — and why so many patients are left without answers. They explore the emotional fallout of a negative pregnancy test, the delays patients face in getting support from busy clinics, and the value of having someone who can genuinely listen between appointments. Prof Chapman also shares his frustration with clinics that simply repeat the same protocol after a failed cycle, explaining why a detailed review of drug dosages, egg numbers, and fertilisation outcomes is essential before planning the next attempt — plus when it might be time to seek a second opinion. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman is joined by a fertility support nurse to explore the gaps in patient care during IVF treatment. They discuss the most common concerns women face — from needle phobia and administering that first injection, to post-egg-collection bleeding and knowing when symptoms warrant escalation. Prof Chapman offers a frank comparison of Australia's premium versus low-cost IVF clinics, and why patients often absorb only a fraction of what they're told in consultations — leaving many too embarrassed to ring their clinic with "silly" questions that deserve real answers. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

Prof. Chapman introduces Natalie from Australia IVF Concierge, highlighting the emotional and practical support gap patients face at home during fertility treatment. Focus: the psychological burden of IVF (60% first-cycle failure rate), medication management, injection anxiety, and waiting uncertainty. Natalie explains how nurse-led home visits provide reassurance, education, and holistic support beyond clinic appointments—positioning aftercare as essential to the patient journey. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explains ovarian tissue cryopreservation, including who it is genuinely suitable for, why it remains largely an experimental fertility preservation technique, and its role for women facing urgent cancer treatment.He also answers a detailed question from a patient who has received a strong positive beta hCG result following embryo transfer. Prof Chapman discusses whether repeat blood tests are necessary, what healthy hCG progression should look like, the importance of early viability scans, and how pregnancy milestones at 7, 10, and 12 weeks help predict the likelihood of a successful outcome. A reassuring discussion for anyone navigating the anxious early days of pregnancy after IVF.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explains how he approaches patients who have already spent tens of thousands of dollars on unsuccessful IVF treatment and are seeking a second opinion. He discusses the importance of reviewing previous cycles in detail, identifying anything that may have been missed, and tailoring a new treatment strategy to improve outcomes. Prof Chapman also highlights the often-overlooked role of the male partner in IVF success, including practical advice on sperm health, abstinence timing, and how partners can provide meaningful support throughout the fertility journey.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman answers a listener’s question about the success rates of IUI and IVF for a 37-year-old woman, explaining when IUI may be worth trying, why success rates drop after a few cycles, and how IVF can offer significantly higher cumulative pregnancy rates. He also shares practical advice on choosing the right fertility clinic, including what to look for in specialists, laboratory standards, clinic size, patient care, and nursing support—beyond simply comparing published success rates. This episode provides valuable guidance for anyone weighing their fertility treatment options or searching for a clinic they can trust. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explores how ethical concerns around IVF have evolved over the past four decades. He reflects on the early fears surrounding IVF, including concerns about interfering with nature and the long-term health of IVF-conceived children, and explains how decades of research have helped address many of those worries. Prof Chapman also shares his views on topics such as gender selection, genetic testing, and the likelihood of so-called “designer babies.” While he believes current fertility technologies are largely ethically sound, he highlights one growing concern: the increasing use of IVF in cases where less invasive fertility treatments may be more appropriate. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman answers a listener’s question about whether frozen embryos should be thawed, genetically tested, and refrozen for PGT. He explains the small risk of embryo loss associated with the process, how PGT can significantly improve the chances of selecting a genetically normal embryo, and why the decision often depends on age, embryo numbers, and individual fertility goals. Prof Chapman also discusses the differences between testing day-one and day-five embryos, the impact of maternal age on embryo genetics, and how PGT can reduce the emotional, financial, and physical burden of multiple unsuccessful embryo transfers. This practical discussion offers valuable guidance for anyone considering genetic testing as part of their IVF journey. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explains why human fertility is far less predictable than most people expect — and why even healthy couples may need up to 12 months to conceive naturally. He breaks down the real monthly chances of pregnancy, why IVF isn’t always the first answer, and the importance of patience when trying for a baby.Prof Chapman also shares a serious warning about anabolic steroids and gym supplements, revealing how they can dramatically reduce sperm production and sometimes cause long-term fertility problems in men. This episode is packed with practical advice for couples starting their fertility journey and highlights the key checks every couple should consider before moving to IVF.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explains how fertility specialists help couples decide between continuing to try naturally, moving to IUI, or starting IVF — without losing valuable time. He breaks down how age, fertility history, success rates, costs, and previous pelvic surgeries all influence treatment decisions. The discussion also covers IVF after endometriosis surgery, ectopic pregnancy, fibroids, and why fertility care must always be individualized. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explains the critical role mitochondrial health and energy metabolism play in egg competence and embryo development. He breaks down why egg quality declines with age, how chromosome errors happen, and the science behind popular fertility supplements like CoQ10, NADH, and DHEA. Prof Chapman also discusses emerging treatments such as PRP ovarian rejuvenation, why many therapies still lack strong clinical evidence, and what current research may hold for the future of fertility treatment. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explains how he approaches patients seeking a second opinion after a disappointing IVF experience at another clinic. He discusses the emotional toll of failed fertility treatment, the importance of reviewing previous cycles in detail, and why individualized treatment strategies can sometimes make a difference. Prof Chapman also shares the realities of IVF success rates at different ages, offering honest, compassionate guidance to help patients understand their true chances moving forward. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman answers a common and important question from patients with low ovarian response: is it worth doing two IVF stimulation cycles close together to improve results? He explains why current evidence doesn’t strongly support repeated or back-to-back stimulation as a way to boost egg numbers, and highlights the role of natural biological variation from cycle to cycle—especially for women in their late 30s and early 40s. Prof Chapman also explores alternative approaches like low-dose stimulation, the limitations of anecdotal success stories, and the practical considerations patients should be aware of when planning treatment. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explains how AMH levels and antral follicle counts are used to assess ovarian reserve—and why they don’t tell the full story about egg quality or natural conception chances. He clarifies common misconceptions, especially for women trying to conceive in their 30s and 40s, and shares when it may be time to consider IVF. Prof Chapman also discusses the growing role of AI tools like ChatGPT in fertility research, highlighting their usefulness for general knowledge—but emphasizing why personalized medical advice should always come from an experienced specialist. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explains ovarian reserve, how AMH testing works, and why low levels don’t always mean poor fertility. He highlights that egg quality depends on age—not AMH—and cautions against rushing into IVF based on misunderstood results. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman breaks down the facts about fibroids—what they are, why they form, and how they impact fertility. He explains the different types of fibroids based on their location, highlighting why submucosal fibroids are the most significant when it comes to implantation and miscarriage risk. Prof Chapman also walks through how fibroids are diagnosed, when treatment is necessary, and why most fibroids are actually harmless. This episode offers clear, practical guidance to help you understand when fibroids matter—and when they don’t.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman answers key questions from patients navigating their fertility journey—from what tests to take before starting IVF to how to interpret mosaic embryo results. He breaks down the science behind embryo genetics in simple terms, offering clarity on what mosaic embryos really mean and why they may not be as concerning as they seem. The discussion also explores when fresh vs frozen embryo transfers are appropriate, and why choosing the right fertility specialist is a crucial first step. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman addresses a challenging case of repeated frozen embryo transfer (FET) failures and explores what truly matters before trying again. He discusses why immune therapies like steroids and Clexane may not be as effective as commonly believed, and highlights the importance of embryo quality—particularly genetic testing to rule out aneuploidy. Prof Chapman also shares emerging insights on progesterone optimization before transfer, the role of ultrasound-guided embryo placement, and why choosing a highly qualified fertility specialist (CREI-certified) can make a critical difference in outcomes.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman cuts through common misconceptions in fertility treatment  explaining why a previous natural pregnancy doesn't change the diagnostic process, what "euploid" and "aneuploid" embryos actually mean for IVF success, and why the popular belief that quality always trumps quantity when it comes to eggs is more nuanced than most patients realise.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman breaks down recurrent miscarriage, including which baseline tests are truly worth doing, which findings actually change treatment, and which commonly suggested tests have weak evidence behind them. He explains the role of embryo chromosomal abnormalities, balanced translocation, uterine assessment, antiphospholipid syndrome, sperm DNA fragmentation, and when options like progesterone or IVF with genetic testing may be worth considering.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman answers two important IVF questions: whether an Ovidrel trigger can cause a rise in TSH, and why the same patient can have very different ovarian responses in back-to-back IVF cycles. He explains the biology behind temporary thyroid changes during treatment, the role of rising estrogen, and why ovarian response is never exactly the same from one cycle to the next. Prof Chapman also explores the concept of follicle “waves,” how random-start IVF works, and what doctors consider when deciding the next protocol after an unexpectedly different cycle.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explains why severe endometriosis can create a difficult fertility dilemma, especially when ovarian cysts need surgical removal. He shares how surgery for endometriomas, while sometimes necessary, can reduce ovarian reserve by damaging healthy ovarian tissue. Prof Chapman discusses why many fertility specialists now recommend doing IVF first, freezing embryos before surgery, and then transferring them later into a healthier uterine environment. He also covers when laparoscopy is still an important diagnostic tool, particularly after repeated failed embryo transfers, and outlines newer medical treatments that can help manage endometriosis symptoms once fertility is no longer the main focus.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman breaks down why endometriosis is one of the most underdiagnosed causes of infertility — affecting up to 30% of infertile women, often with no symptoms at all. He explains exactly how it damages fertility, what to watch for, and why getting the right diagnosis early can make all the difference.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman cuts through the noise to reveal what's truly moved the needle in IVF over the past decade — and it's not what most patients expect. From the quiet revolution happening in fertility lab culture mediums and incubators, to the game-changing shift in embryo freezing techniques, Prof Chapman shares the under-the-radar advances that have pushed pregnancy rates from 25% to 40%. He also tackles the growing questions around GLP-1 medications like Ozempic in fertility treatment, offering frank, age-aware guidance on when weight loss efforts help — and when waiting could cost more than it gains.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explains why selecting the right fertility specialist can significantly influence your IVF journey and outcomes. Responding to questions about failed protocols, limited embryos in storage, and embryo grading, he breaks down what classifications like “3BB” really mean and how treatment strategies can be refined to improve your chances. Drawing on over four decades of experience, Prof Chapman discusses the role of clinical intuition alongside data, the importance of staying current with evolving research, and why high-volume fertility expertise matters. He also explores how emotional readiness and resilience shape treatment decisions, reinforcing the value of truly personalised IVF care.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman answers a listener’s question about recovering from surgery before restarting IVF, and then opens up about one of the most challenging parts of his work which is the difficult conversations that follow failed embryo transfers.He explains why even in women under 38, the success rate per transfer is only around 40%, and why that still leaves so many patients searching for answers. Prof Chapman discusses the role of embryo genetics, why testing can improve outcomes, and the reality that even with a genetically normal embryo, success is never guaranteed.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman walks through the clinical pathway for couples diagnosed with unexplained infertility. He explains tubal testing, the temporary fertility boost after flushing the tubes, when to keep trying naturally, and when to move forward to IUI or IVF. Clear, step-by-step guidance to help you feel confident about your next move.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman breaks down one of the most common and confronting questions patients ask: “How much is IVF really going to cost?” He explains why IVF prices vary so widely across Australia, unpacking the difference between low-cost and premium services, and what those differences mean for patient care, laboratory standards, genetic testing, staffing, and outcomes. Prof Chapman also puts IVF costs into a broader life perspective—comparing treatment expenses with the long-term costs of raising a child—while highlighting Australia’s Medicare subsidies and how they compare globally. A practical, transparent conversation designed to help patients make informed, realistic decisions about IVF and value for money.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explains what poor fertilisation means in IVF and why it happens, despite everything appearing “normal.” He walks through expected fertilisation rates, how labs rule out technical issues, and why egg quality, age, sperm health, and DNA fragmentation are the most common underlying factors. Prof Chapman also outlines practical adjustments for future cycles, including the role of ICSI, timing changes, and realistic expectations after a disappointing fertilisation result.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman answers live audience questions on whether different IVF protocols actually lead to different results, why recurrent implantation failure is often a matter of statistics rather than a hidden condition, and what investigations truly matter. He explains the limits of protocol changes, the role of embryo genetics in success rates, when PGT can make a meaningful difference, and clears up common misconceptions around fresh vs frozen transfers and timing after hysteroscopy. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explains why there is currently no proven treatment that can reliably increase egg numbers or embryo yield in an IVF cycle, despite bold claims about supplements and therapies. He unpacks the limits of current science, addresses popular compounds like NMN, and emphasizes why lifestyle factors, realistic expectations, expert care, and emotional support matter far more than chasing unproven solutions. The discussion also explores what truly separates an excellent IVF clinic from a technically good one, personalized care, honest guidance, and support through repeated setbacks.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explains why a healthy diet and folic acid matter  and why most advertised supplements don’t improve egg or sperm quality despite bold claims online. He also discusses when donor sperm or donor eggs become a practical next step in fertility treatment, outlining the medical realities, key decision points, and how specialists support patients through what can be an emotionally complex choice.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explains why extensive immune testing in IVF almost always finds something “abnormal”  and why that doesn’t mean treatment will help. He breaks down the science behind immune markers, the lack of proven benefit from immune therapies, and how patients can be misled by results that sound concerning but change nothing clinically.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman draws on nearly 40 years of IVF experience to unpack the growing use of so-called IVF “add-ons” or adjuvants. He explains why many treatments offered after failed cycles—such as CoQ10, DHEA, and testosterone—are not supported by strong scientific evidence, despite their popularity. Prof Chapman also clarifies real IVF success rates over multiple cycles, challenges misleading claims, and offers a grounded perspective on where hope truly comes from in fertility treatment.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explains when surgery for endometriosis can improve IVF success and when it may risk reducing ovarian reserve. He unpacks the differences between mild and severe disease, why embryos are often created and frozen before surgery, and how adenomyosis, fibroids, and polyps can affect implantation and miscarriage risk. Prof Chapman also addresses common myths around IVF medications and cancer risk, offering clear, evidence-based guidance to help patients make confident treatment decisions.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode, Prof Chapman explains how IVF protocols are adjusted for women with PCOS, why PCOS patients often respond well to IVF, and how modern stimulation and antagonist protocols have significantly reduced the risks of OHSS. He also discusses when it’s worth optimizing health before treatment, why many women with PCOS may not need IVF at all, and what makes embryo transfers slightly more complex in this group—offering reassurance and clarity for patients navigating their options.Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF).Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.