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Associate Professor Alex Polyakov

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Associate Professor Alex Polyakov

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Associate Professor Alex Polyakov - Obstetrician, Gynaecologist and Fertility Specialist. Obstetrics, Gynaecology and Fertility. Andrology

Latest women's health and fertility updates from across the web and beyond IVF and Reproductive Endocrinology. Endoscopic, Laparoscopic and Micro surgery.

30/10/2026

Irregular periods are worth paying attention to, particularly when trying to conceive.

They can sometimes be part of why a pregnancy hasn't happened yet - and for some people, there may be simple treatments available.

If this is something you're concerned about, I'd suggest starting with standard fertility investigations.

25/10/2026

One of the biggest misconceptions I see as a fertility specialist is that IVF will always be an option, even if you're over 40.

In reality, the chance of pregnancy, either via IVF or natural conception, depends heavily on female age. This is because the age of the egg itself is the biggest factor in success. Some women will have success with IVF over 40, but sadly, many will not.

If you are planning to wait until your late thirties or early forties to have children, it can be a good idea to see a fertility specialist earlier to discuss freezing eggs or embryos. You can then use these 'younger' eggs or embryos at a later date.

You can never be guaranteed of a baby later as fertility treatment doesn't always work, but the chances are statistically increased by using younger eggs. I always welcome patients to come in and discuss their options around planning their families.

20/10/2026

If something doesn't feel right about your cycle or your fertility in general, it's generally a good idea to have it looked into sooner rather than later.

Come in, tell me your concerns, and we'll run some preliminary investigations and see if we can find anything, or whether we might be able to put your mind at ease.

If we find something, then we come up with a plan.

15/10/2026

If you're thinking that something is abnormal about your cycle, such as irregular or infrequent periods, it's often a good idea to seek some advice.

Irregular periods can indicate that you are not ovulating, or not ovulating as often as normal. Obviously, this will impact your ability to fall pregnant naturally.

In many cases, irregularities in ovulation respond well to medication. If you have any concerns, book an appointment either with your GP or a fertility specialist so we can run some investigations.

10/10/2026

Assessing male fertility is an important step for couples who are trying to conceive.

If a semen analysis comes back normal and there are no issues with performance, further male testing often isn't needed.

But if a result is abnormal, I'll typically re-test before discussing next steps.

05/10/2026

If you're using anabolic steroids for muscle building, it's worth knowing that these testosterone or testosterone-derived drugs can have a significant effect on s***m production.

That may not feel immediately relevant if starting a family isn't on your mind right now, but it can matter for your fertility later on.

In this video, I explain the effects of testosterone on s***m production, and what recovery may look like.

01/10/2026

If you're new here, hello!

I'm Alex. I'm an obstetrician, gynaecologist and fertility specialist practising at Genea in East Melbourne.

A big part of how I approach fertility care is looking at what the evidence actually supports, and bringing that into the decisions we make in the consulting room.

I care for patients through fertility investigations and treatment, and for some, through pregnancy and the delivery of their baby.

Outside the clinic, I've done further study in reproductive medicine, medical law and bioethics. I also teach at the University of Melbourne and graduated with a PhD from the University of Melbourne.

For me, the academic work and the clinical work belong together. One informs the other, and both shape the way I care for my patients.

01/10/2026

A big congratulations to our Medical Director, A/Prof Alex Polyakov, who has officially received his Doctor of Philosophy (PhD) from the University of Melbourne.

A PhD is a huge achievement, and seeing Alex with his diploma in hand is a proud moment for all of us at Genea.

Getting here takes years of hard work and commitment, and Alex has put in every bit of it.

We're lucky to have Alex leading our medical team at Genea Melbourne City and we are so happy to celebrate this with him.

13/08/2026

When US Congresswoman Alexandria Ocasio-Cortez shared that she was freezing her eggs, it opened up a conversation a lot of people have quietly on their own: when is the right time to think about fertility preservation, and what can it actually offer?

A/Prof Alex Polyakov, Medical Director at Genea Melbourne City, spoke to ABC News about some of the realities behind egg freezing, including why age matters, what an AMH test can and can't tell you, and why the process comes with no guarantees.

Egg freezing can offer another option for the future, but understanding its limits matters just as much as understanding the process.

Read the full piece here https://www.genea.com.au/blog/alexandria-ocasio-cortez-says-she-is-freezing-her-eggs-a-presidential-run-not-ru-MCS4J7CTVMNJCRLEOVMGBNMSNOH4

29/07/2026

A new saliva test for endometriosis has been generating buzz on social media, with its French manufacturer claiming it can accurately diagnose the condition. But before something like this makes its way to Australian clinics, it needs to hold up under real-world scrutiny.

Genea Melbourne City's Medical Director, A/Prof Alex Polyakov, shared his perspective with ABC News on why a promising result in small trials doesn't necessarily translate to a useful diagnostic tool.

"It's a probability test," he explained. "It combines all the different markers to provide a statistical assessment. It's not really designed as a diagnostic test."

He also spoke to a misconception that keeps many women waiting longer than they need to for treatment: that a "clear" ultrasound rules out endometriosis.

"If you don't see anything on ultrasound, that doesn't mean that there is no endometriosis," he said. "The next step is you treat the symptoms. You don't necessarily need surgery."

Endometriosis affects around one in seven Australian women, and many wait years for a diagnosis. The message from experts is that pain and symptoms don't need to wait on a confirmed diagnosis to be addressed.

Read the full article https://www.abc.net.au/news/health/2026-07-29/ziwig-endotest-endometriosis-australia-france-uk-health/106910202

Address

S4/320 Victoria Parade
East Melbourne, VIC
3002

Opening Hours

Monday	8am - 5pm
Tuesday	8am - 5pm
Wednesday	8am - 5pm
Thursday	8am - 5pm
Friday	8am - 5pm

Telephone

+61394860677

Website

http://www.dralexpolyakov.com.au/

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