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Tuesday 9am - 4:30pm Wednesday 9am - 4:30pm Thursday 9am - 6pm Friday 9am - 12:30pm

Dr Andrew Orr, Suite 1, Benson House, 2 Benson Street, Toowong, Brisbane (2025)

26/11/2025

Understanding how genetics plays a major part in fertility and reproduction is very important. Many couples are completely unaware that their inability to conceive may in fact be from genetic, or hereditary issues that have not been screened for.

When it comes to fertility and not being able to conceive, more and more couples are now struggling. Some of this is due to increased stress levels, poor diet and lifestyle, increase alcohol consumption, lack of preconception care and many other factors.

However, one key area that is not often talked about, or even known to many is genetic factors, chromosomal factors, and DNA issues passed on through our s***m and eggs.

Fertility and reproduction is one of the hardest areas of medicine to understand.
No amount of “Dr Google” searching is going to bring answers for many couples and this is something that needs to be discussed more.

Unless you have done years of study and clinical research into fertility and reproduction, you just can't understand the finer details and intricacies of conception. Even then, some answers are just not available to anyone at this present time.

One of the biggest factors in embryos not developing, is genetic & chromosomal errors at the embryo stage. Even if both parents have normal karyotype (46XX and 46XY) it does not mean that they cannot produce random chromosomal & genetic errors in their s***m and eggs. The thing is, the older we get, the more these errors occur and the harder it is to fall pregnant.

Given that 1 in 22 couples are at risk of a hereditary gene mutation, it is really important to screen couples properly and not just do the basics. To date up to 6,000 single gene disorders have been characterized and it is estimated that 14 per 1,000 people suffer from one of these conditions. A person who inherits a mutation in a single gene will carry that mutation in every cell of their body.

There are many factors to fertility & reproduction and why it is important that couples see someone who is a qualified fertility expert. If you need help with being able to conceive, contact my clinic and find out how my fertility program can assist you. Contact info@drandreworr.com.au

26/11/2025

I know many women, and persons with endometriosis, believe it is their lot in life to feel isolated, and experience pain and other symptoms daily, or often.

The thing is, nothing could be further from the truth. With the right treatment and management, you can life a normal life with a chronic illness.

Sure, there will be days that you may get flares here and there, but most people without chronic illnesses also have bad days here and there too. It is just life unfortunately.

Just like any person, you can be unwell from time to time, but overall you can life a normal life, if you really do get the right help.

The sad fact for many is that they have just seen the wrong people, and have not had proper treatment and ongoing management. Some of this is related to poor quality care and services in certain demographics, and some of it is just seeing a really incompetent healthcare provider. We have to say it as it is, because that is what is happening.

Many women have been missed and dismissed, and some will never be diagnosed, and that is something that infuriates me. So many have seen the wrong healthcare providers, and then have to deal with the consequences of not getting the proper care and attention they deserve.

The one thing that I know from my many years in clinical practice, and managing a long term health condition, is that if you do eventually get the right person to help you, and the right management moving forward, it can change your life for the better.

For anyone that said that this is not possible, I can tell you that there are people out there living their best lives, and thriving with the right care and health management.

If you do need help with endometriosis, and the associated symptoms of it as well, then contact my clinic and find out how I can help you, support you, and guide you every step of the way to better health. Contact info@drandreworr.com.au or call +61 0451 408898. In person & online consults available, no matter where you live.

25/11/2025

When it comes to reproductive medicine, two of the biggest factors affecting a couples chances of conception are:
1. Age
2. Genetic issues

As we age, our fertility diminishes, and this goes for both the male and female, not just female side of thing. Egg quality decreases, and so does s***m quality as well.
Therefore as we age, there are higher numbers of chromosomal errors that occur, which also affects embryo quality, and chances of conception. That is a well known fact!

This is why it is so important to be realistic about chances of conception as we get older, and also realise that procedures such as IVF are not a cure for an ageing body, and definitely not a cure for fertility. But, this is also why preconception care is so important to an ageing couple too. You need to get those ageing eggs and ageing s***m as healthy as they can be.

The other issue that is often very much overlooked, and often totally missed is genetic issues.

1 in 25 people are carrier of the cystic fibrosis gene, and 1 in 22 couples are at risk for serious and actionable conditions. Approximately 1 in 300 pregnancies are affected by a genetic condition, that could have been screened before conception takes place.

Most people are completely unaware on having a carrier status for a diagnosable genetic issue. This is why carrier screening is also so important to identify couples who are at risk of passing inherited disorders to their unborn children.

This is also why it is so important to seek the help of a qualified reproductive medicine expert prior to trying to conceive, or if you are having fertility issues.

If you do need help with being screened properly prior to conception, or are experiencing fertility issues, and would like to seek the help of a reproductive medicine expert, then contact my clinic and find out how my fertility program can help you. Contact info@drandreworr.com.au or call +61 0451 408 898 In person and online consults available, no matter where you live.

25/11/2025

Tonight I will be talking about the Myths and Misperceptions surrounding endometriosis. Lots of truth bombs that need to be said.

25/11/2025

Join me tonight, Tuesday 25th November 2025, at 7:15pm Brisbane QLD time, for my next Facebook/Instagram Live entitled "Let's talk about the myths and misperceptions surrounding endometriosis"

There are many myths and misperceptions surrounding Endometriosis.
Many have been missed and dismissed with regards to endometriosis and are constantly looking for something to help them. Unfortunately many often fall prey to all sorts of smoke and mirror BS out there, and this just creates a vicious cycle on repeat.

Unfortunately there is no cure for endometriosis, and especially no magic cure out there, but with proper effective management of the disease, sufferers can lead a normal life.

Nobody can manage endometriosis and associated symptoms solely on their own either, and this perception also leads to despair and heartache when things don't go to plan.

So tonight, Tuesday 25th November 2025, at 7:15pm Brisbane QLD time, I will be talking about all the myths and misperceptions surrounding endometriosis, so that people have a better understanding of what is fact versus fiction, and also the importance of seeking the right help in order to manage this lifelong disease properly.

As usual, I will be dropping all the truth bombs in order to help anyone with this disease get the right help that that need.

24/11/2025

Nearly every couple that I see that has been having troubles falling, naturally or through assisted reproduction, have not had the complete proper fertility testing done. This means both the man and the woman, not just the woman. I can honestly say that I always find at least 5 crucial investigations that have been left out for most couples.

I always get couples telling me they have had everything done, only to find out that they really haven’t had everything done at all. Quite the opposite in most cases.

Scans and bloods do not pick up everything either. Conditions such as endometriosis cannot be picked up on ultrasound and the only way to assess this properly is via a laparoscopy. Not everyone with endometriosis will know they have it either. A significant portion of women with endometriosis are asymptomatic.

As I mentioned before scans and bloods can only tell you so much about what is going on with a person, especially with reproductive issues. So many people focus on bloods and scans like they are the be all and end all of everything, when in fact they aren’t.

Nine times out of ten bloods come back with nothing and scans can only pick up minimal pathology. It doesn’t mean don’t do them, but at the same time if they come back clear, don’t focus on them, but at the same time don’t assume that they have covered everything either.

There is only one way to properly assess female’s reproductive organs properly and many times this has not been done. If you are about to start trying for a baby naturally, or start IVF, both the man and the woman, not just the woman, need to be evaluated properly.

If you need help with conceiving, or having troubles with fertility issues, then contact my clinic and find out how I can help you. Contact info@drandreworr.com.au or call +61 0451 408898. In person and online consults available, no matter where you live.

24/11/2025

Join me tomorrow night, Tuesday 25th November 2025, at 7:15pm Brisbane QLD time, for my next Facebook/Instagram Live entitled "Let's talk about the myths and misperceptions surrounding endometriosis"

There are many myths and misperceptions surrounding Endometriosis.

Many have been missed and dismissed with regards to endometriosis and are constantly looking for something to help them. Unfortunately many often fall prey to all sorts of smoke and mirror BS out there, and this just creates a vicious cycle on repeat.

Unfortunately there is no cure for endometriosis, and especially no magic cure out there, but with proper effective management of the disease, sufferers can lead a normal life.

Nobody can manage endometriosis and associated symptoms solely on their own either, and this perception also leads to despair and heartache when things don't go to plan.

So tomorrow night, Tuesday 25th November 2025, at 7:15pm Brisbane QLD time, I will be talking about all the myths and misperceptions surrounding endometriosis, so that people have a better understanding of what is fact versus fiction, and also the importance of seeking the right help in order to manage this lifelong disease properly.

As usual, I will be dropping all the truth bombs in order to help anyone with this disease get the right help that that need.

24/11/2025

The definitive diagnosis of endometriosis is via surgical intervention, along with histology. But sometimes that definitive diagnosis cannot be made either.

This all depends on the person doing the laparoscopy, and their skills and expertise, and also the skills and expertise at the labs too.

Sometimes the surgeon isn't great, and the labs can get it wrong too, or have some person with lack of skills get it wrong. I have seen that happen many times.

Regardless, even with a so called good surgeon, and best labs, endometriosis can be missed, or not seen, and therefore the definitive diagnosis cannot be made. Have a look at my posts about proper wide excision surgery.

We all have to remember that endometriosis starts off as microscopic implants, which are not visual to the naked eye.

But this does not mean that it is not there. It just means that it hasn't fully expressed yet, and is not able to be seen. It can still cause havoc at this microscopic stage. This is why wide excision surgery, along with proper histology is so important. Yet, so many have not had this done. I see this often.

So then what?

Well, as I have stated many times, Endometriosis can still be diagnosed off symptoms alone. It just won't be a definitive diagnosis. You still have to treat the person as though they have endometriosis. You can't just say... "Oh well, just keep putting up with those symptoms"

No! You still have to treat the persons pain and other associated symptoms, just as though they have had the definitive diagnosis.

This is why differential diagnosis is so important, and why you need to see an expert in this area. You also need to see an advanced trained surgeon who specialises in wide excision surgery. Many are just having small biopsies under the pretence it is excision surgery. That is a fact!

If you need help with endometriosis, or suspected endometriosis, or haven't been able to get a definitive diagnosis, and need help with managing your symptoms, then contact my clinic and find out how I can help you. Contact info@drandreworr.com.au or call +61 0451 408898. In person & online consults available.

23/11/2025

When it comes to fertility, not everything is black and white. Unfortunately fertility, and the answers to why a couple is not conceiving can be very complex.

This is why another opinion is so important. Even if it is your tenth opinion, it is still important because if it brings you success, then having someone else look over your history is so worth it.

More importantly, this is why it is important to see a reproductive medicine expert in the first place. Unfortunately the fertility profession is largely unregulated, meaning anyone can say that they have a special interest, or specialise in fertility.

Many may say that they have an interest in fertility, but there is a huge different between those people and a true expert.

A true reproductive medicine expert is not only appropriately qualified, and has the post graduate degree to back this up, but they also have years of clinical experience to know what novices can never know.

When it comes to reproductive medicine, always check that the person you are seeing has a degree, or certification in reproductive medicine. If they don't, then see someone who does.

If you need help with having a baby, and need another opinion on why you may not be conceiving, then please contact my clinic staff about how a qualified reproductive medicine expert can help you. My fertility program has helped over 12,500 babies (and counting) worldwide.

Email info@drandreworr.com.au, or call 0451 408 898. In-person, or online consultations available.

23/11/2025

We know that many women are missed and dismissed when it comes to endometriosis. It's one of things I really get angry about.

But while there are inadequacies in the healthcare profession when it comes to endometriosis, not all mismanagement can be blamed on healthcare professionals.

There are people who are not seeking proper help soon enough, and some not at all, and this can lead to long-term complications too. We also have those trying to manage their own disease. This then creates one hell of a mismanaged cycle that does not help anyone.

I can see the issues from all sides, I really do.

But as an Endometriosis Expert, what has prompted me to do this post is so that all concerned get to know what the serious side of mismanaged & unmanaged endometriosis is.

There is no doubt that this disease can be very devastating for anyone who has it, but what happens in the worst cause scenario, if it is not managed properly.

The following can be serious complications of unmanaged endometriosis:
Ruptured ovaries
Ovarian torsion
Obliterated fallopian tubes
Ruptured endometrioma
Pelvic infection/Pelvic pain
Obliteration of the pelvic cavity
Peritonitis
Sepsis
Obstructed/perforated bowel
Torsion of the bowel & intestines.
Bladder obstruction
Painful bladder syndrome
Multiple organs adhered together
Liver damage
Cardiovascular events
Stroke
Chronic nerve pain
Chronic musculosketal, or spinal pain
Chronic Migraine
Malignancies & cancers
Recurrent miscarriage
Permanent infertility
Opioid dependency & addiction
Psychotic disorders
Suicidal ideations.
Death (rare from endometriosis directly, but can be from associated factors related to endometriosis eg-taking ones own life)

This is why endometriosis needs to be managed properly, and managed by a healthcare professional that is an expert in the management of endometriosis and associated symptoms. You can't manage endometriosis on your own.

If you do need help with managing endometriosis properly, contact my clinic and find out how I can help you. Contact info@drandreworr.com.au or call +61 0451 408 898. In person & online consults available, no matter where you live.

21/11/2025

Women have been let down for centuries, and the BS narrative around hormone replacement therapy has led to one of the greatest tragedies for women’s health.

As I’ve always shared, hormone replacement therapy is crucial for preventing serious diseases in women, not just symptom management, and can help with extending their lifespan.

It’s time to ditch a 20 plus year narrative and get with the times and current research. Women deserve better from uneducated gaslighting healthcare providers, and also some need to stop gaslighting themselves as well.

Hormone replacement and nutrient replacement is crucial during the perimenopause and menopausal stages of life, physically, emotionally and with regards to longevity. Fact !

https://www.facebook.com/share/v/1Fz8NpNs5V/?mibextid=KsPBc6

21/11/2025

Many women are still under the misguided belief that menopause is just a set of symptoms that lasts for a period of time and then it is over.

Not only is this not true, it is also a dangerous belief that is affecting many women's future physical and psychological health.

Once a woman is in menopause, she is in menopause for life. Menopause is not just a set of symptoms, such as hot flushes and insomnia, and a bit of cray cray, and then it is over.

What all women need to be concerned with is not symptoms such as hot flushes etc, not that they can't be debilitating and need treatment, but women should be more concerned with prevention of serious disease states women will get if not managed properly.

Let me put it like this.
Do you want to end up with osteoporosis and brittle bones?
Do you want to end up with your va**na and surrounding organs shrivelled up like prunes, and having pain with in*******se, va**nal bleeding, or having recurrent UTI's and being incontinent?
Do you want to end up with cardiovascular disease?
Do you want to end up with dementia, being manic constantly, or having early cognitive decline?
Do you want to end up with a shorter life expectancy?

If the answer is no, then it is time to stop believing the BS that you have been hearing, or stop gaslighting yourself, and do something about it.

All those serious issues above, can, or will happen without proper prevention and ongoing management. Many can go unnoticed, or be unknown until it is too late.

There are simple and easy treatments and management help women life a normal and happy life through perimenopause and then into menopause.

These stages of life don't need to feared, but we still need to discuss the facts.

If you need with knowing the facts about perimenopause & menopause, and preventing very serious disease states that do happen without proper management, then contact my clinic and find out how I can help you.

Contact info@drandreworr.com.au or call +61 0451 408 898. In person or online consults available, no matter where you live.

Dr Andrew Orr

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