Referring to Dr Rebecca Mackenzie-Proctor

Fertility / Gynaecology / Advanced Laparoscopic Surgery

Dr Rebecca Mackenzie-Proctor is a CREI-trained fertility specialist, gynaecologist and advanced laparoscopic surgeon based in Melbourne. She works closely with GPs and referrers to provide streamlined, evidence-based care across fertility, reproductive endocrinology and benign gynaecology - supporting patients locally and regionally, including those accessing telehealth and the Riverina IVF program.

Clinical Focus

Fertility & Reproductive Medicine

Comprehensive subfertility and IVF planning, including:

  • Infertility assessment & preconception optimisation

  • Ovulation induction, IUI, IVF/ICSI

  • Recurrent implantation failure & recurrent miscarriage

  • Endometriosis and adolescent care of endometriosis 

  • PCOS, ovulatory dysfunction and endocrine conditions

  • Male factor infertility

  • Donor sperm/egg pathways & known donor arrangements

  • Fertility preservation: elective & oncological

Gynaecology & Hormonal Care

  • Endometriosis, adenomyosis & chronic pelvic pain

  • Menstrual disturbance (amenorrhoea, heavy, irregular, painful periods)

  • PCOS metabolic + reproductive management

  • Early pregnancy & miscarriage management

  • Perimenopause & menopause support

Surgery | Laparoscopic & Hysteroscopic

  • Endometriosis excision surgery

  • Ovarian cystectomy, salpingectomy, adhesiolysis

  • Hysteroscopic polyp + fibroid management

  • Septum resection & uterine adhesions (Asherman’s)

  • Fertility-preserving surgery where possible

  • Tubal Assessment

Patients receive clear communication post-operatively, including intraoperative findings, imaging and follow-up instructions.

Telehealth Services

Telehealth consultations are available for:

  • Regional & rural patients

  • Patients preparing for IVF cycles

  • Shared-care management with GPs

  • Follow-up reviews & surgical postoperative care

  • Second opinions, treatment planning, education & counselling

Telehealth enables early assessment and timely investigation, which is particularly valuable for fertility planning, cycle scheduling and pre-treatment optimisation. Local investigations can be organised through GP networks and results uploaded securely prior to review.

Many fertility treatments and management plans can be actioned remotely to reduce the need to travel to Melbourne or Wagga Wagga. 

Urgent telehealth appointments can be prioritised for:

  • Suspected ovarian insufficiency

  • Rapid fertility preservation prior to chemotherapy or surgery

  • Severe endometriosis / escalating pelvic pain

  • Recurrent pregnancy loss

  • Cycle-dependent IVF/FET planning

Riverina IVF — Wagga Wagga (NSW)

Dr Mackenzie-Proctor is available for consultations for patients undergoing Riverina IVF treatment in Wagga Wagga, offering streamlined cross-site care including:

  • Pre-treatment fertility assessment & work-up via telehealth or in-person

  • IVF cycle planning and counselling

  • Review of investigations, imaging, semen analysis and ultrasound

  • Management of complex or advanced fertility presentations

  • Ongoing care coordination between Wagga Wagga and Melbourne teams

This pathway supports Riverina and regional NSW patients in receiving high-level IVF expertise while minimising travel burden. Letters, cycle notes and plans are shared with referring GPs to maintain smooth communication and continuity.

To refer a patient for Riverina IVF involvement, please indicate this in your referral so care planning can be aligned early.

When to Refer:

Fertility

  • Pre-conception discussions and planning

  • Trying >12 months (<35 yrs) or >6 months (>35 yrs)

  • Irregular cycles/anovulation (PCOS, HA, POI concerns)

  • Suspected endometriosis or pelvic pain + infertility

  • Recurrent miscarriage or failed embryo transfers

  • Male factor infertility or abnormal semen analysis

  • Desire for fertility preservation (medical or elective)

  • Donor conception, single parent or same-sex family building

Egg Freezing

  • If patient is discussing or requesting this.

Gynaecology

  • Heavy/prolonged bleeding or post-coital bleeding

  • Chronic pelvic pain, suspected endometriosis

  • Abnormal ultrasound – fibroids, cysts, thickened lining

  • Menopause or hormonal symptoms not responding to first-line therapy

  • Miscarriage or complex early pregnancy care

Surgical Opinion

  • Endometriosis requiring excision surgery

  • Uterine polyps, septum or submucosal fibroid

  • Ovarian cyst requiring operative management

  • Hysteroscopic adhesiolysis / Asherman’s syndrome

  • Laparoscopic fertility assessment

  • Ectopic Pregnancy 

Useful Resources for Referrers