While many women conceive easily, around 1 in 7 couples face challenges in achieving pregnancy.
The information provided in this article is for educational purposes only and is based on NHS recommendations. It is not a substitute for professional medical advice. Always consult your doctor or a qualified healthcare provider for advice on medical conditions or treatments.
Fertility refers to a couple's ability to conceive naturally, but for some, this process can be difficult. Infertility is diagnosed when a couple cannot get pregnant despite having regular unprotected sex for a year or more. Causes of infertility vary widely and can include ovulation problems, fallopian tube damage, or low sperm count. Understanding the underlying cause is crucial for selecting the appropriate treatment, which may range from lifestyle changes and medication to assisted reproductive technologies like IVF. Early consultation and assessment are vital to improving the chances of conception.
You (and your partner) should discuss the options with your GP if you are not pregnant after having one year of unprotected sex two to three times a week. Early intervention is vital if you're a woman aged 36 or older, as fertility declines more rapidly with age. It's crucial if you have concerns related to past cancer treatments or suspected sexually transmitted infections (STIs). Early assessment is vital because fertility tests can be time-consuming, and female fertility decreases with age. During your initial consultation, we may refer you to a specialist if needed. We encourage both partners to attend, as fertility issues can affect either or both.
Following your initial consultation, we may conduct a physical examination or refer you for additional tests. For women, this may include checking body mass index (BMI), examining the pelvic area for conditions like fibroids or endometriosis, and assessing for infections. For men, we may examine the testicles and penis for abnormalities.
You and your partner may be referred to a gynaecologist specialised in fertility investigations and treatments. When seen at a fertility clinic, you may have additional tests and investigations such as ultrasounds, X-rays, and keyhole surgery. Once a diagnosis of sub-fertility has been established, treatment falls into three main categories:
During your consultation, we will review your medical and sexual history thoroughly. We will discuss previous pregnancies, any complications, and children from prior relationships. We’ll also explore how long you’ve been trying to conceive, since over 80% of couples where the woman is under 40 will conceive within a year. If you haven’t, seeking advice sooner is advisable. We’ll ask about the frequency of sexual activity, any difficulties experienced, and the type of contraception used and when it was discontinued, as some methods can temporarily affect fertility. We will also assess your past medical conditions, symptoms, medications, and lifestyle factors such as smoking, alcohol consumption, weight, drug use, and stress levels, as these can influence fertility. We will give you advice on how to stay healthy and improve your chances of getting pregnant. This may include advice on alcohol, smoking and getting to a healthy weight, taking folic acids and vitamin D.
For more information or to book a consultation about your fertility concerns, please contact us at Spital Clinic today. The Human Fertility and Embryology Authority (HFEA) regulate IVF/ICSI clinics, and their website contains useful information for patients: www.hfea.gov.uk.
We provide a comprehensive range of services, from private GP consultations and specialised men's and women's health care to advanced ultrasound scans and proactive health screenings, all within a reassuring and state-of-the-art environment.
You have a question about Infertility? We have an answer.
A woman's fertility naturally declines with age, particularly after 35. This is due to decreasing egg quantity and quality. By age 40, fertility has significantly reduced. Eggs become more prone to chromosomal abnormalities, increasing the risk of miscarriage and birth defects. Ovarian reserve tests can assess remaining egg supply. Your GP can discuss age-related fertility decline and its implications for conception. They might recommend earlier fertility investigations for women over 35 trying to conceive. Remember, while age affects fertility, many women still conceive naturally in their late 30s and 40s.
Hormonal imbalances can significantly impact female fertility by disrupting ovulation. Conditions like PCOS or thyroid disorders can lead to irregular or absent ovulation. Elevated prolactin levels may also interfere with normal ovarian function. Hormonal imbalances can affect the menstrual cycle and uterine lining preparation for pregnancy. Your GP can arrange blood tests to check hormone levels. They might recommend hormonal treatments to regulate ovulation if imbalances are detected. Remember, treating underlying hormonal issues often improves fertility outcomes.
Both underweight and overweight conditions can affect female fertility. Being underweight can lead to irregular periods and ovulation problems. Obesity can cause hormonal imbalances and increase the risk of pregnancy complications. Achieving a healthy BMI often improves fertility and pregnancy outcomes. Your GP can provide advice on healthy weight management for fertility. They might recommend lifestyle changes or referral to a nutritionist. Remember, even small changes in weight can have significant impacts on fertility.
Male fertility primarily depends on the quantity and quality of sperm. Factors affecting sperm production include hormonal imbalances, genetic issues, and certain medical conditions. Lifestyle factors like smoking, excessive alcohol consumption, and obesity can also impact sperm health. Environmental factors, such as exposure to certain chemicals or high temperatures, may affect fertility. Your GP can arrange semen analysis to assess sperm quality and quantity. They might recommend lifestyle changes or further tests if issues are identified. Remember, male fertility issues contribute to about half of all infertility cases.
While men can produce sperm throughout their lives, fertility does decline with age. Sperm quality tends to decrease after age 40, with increased DNA fragmentation. Older fathers face higher risks of certain genetic disorders in offspring. Age can also affect sperm motility and morphology. Your GP can discuss age-related changes in male fertility. They might recommend semen analysis to assess sperm quality if you're concerned. Remember, while age affects male fertility, many men father children well into their 40s and beyond.
Hormonal imbalances can significantly impact male fertility by affecting sperm production. Low testosterone levels can lead to reduced sperm count and quality. Thyroid disorders or elevated prolactin levels may also interfere with normal testicular function. Hormonal issues can affect libido and erectile function, indirectly impacting fertility. Your GP can arrange blood tests to check hormone levels. They might recommend hormonal treatments if imbalances are detected. Remember, treating underlying hormonal issues often improves fertility outcomes.
Common causes of male infertility include low sperm count, poor sperm motility, and abnormal sperm shape. Varicoceles (enlarged veins in the scrotum) can affect sperm production. Genetic factors or chromosomal defects may also lead to infertility. Certain medical conditions or treatments, like chemotherapy, can impact fertility. Your GP can help identify potential causes through semen analysis and other tests. They might refer you to a urologist or fertility specialist for more complex investigations. Remember, male factor infertility is just as common as female factor infertility.
Infertility treatments depend on the underlying cause and individual circumstances. Options range from medication to surgical procedures. Fertility drugs can stimulate ovulation in women with ovulatory disorders. Intrauterine insemination (IUI) places sperm directly into the uterus. In vitro fertilisation (IVF) involves fertilising eggs outside the body. For male factor infertility, treatments may include hormone therapy or surgical sperm retrieval. Your GP can explain different treatment options and their suitability for your situation. They might refer you to a fertility specialist for advanced treatments. Remember, success rates vary, and multiple treatment cycles may be necessary.
Proper nutrition is crucial for fertility in both men and women. A balanced diet rich in fruits, vegetables, whole grains, and lean proteins supports reproductive health. Certain nutrients like folic acid, omega-3 fatty acids, and antioxidants may enhance fertility. Avoiding processed foods and excessive caffeine or alcohol can improve fertility chances. Your GP can provide dietary advice tailored to your fertility needs. They might recommend specific supplements or refer you to a nutritionist. Remember, dietary changes can take several months to impact fertility, so consistency is key.
Several lifestyle changes can enhance female fertility. Maintaining a healthy weight through balanced diet and regular exercise is crucial. Quitting smoking and limiting alcohol consumption can significantly improve fertility chances. Reducing stress and ensuring adequate sleep also play important roles. Tracking ovulation can help time intercourse for optimal conception chances. Your GP can provide tailored advice on lifestyle changes to boost your fertility. They might recommend specific dietary changes or stress management techniques. Remember, these changes often take time to impact fertility, so patience is key.
For men maintaining a healthy weight and regular exercise can boost sperm production. Quitting smoking and limiting alcohol consumption often improve sperm quality. Avoiding excessive heat to the testicles, such as from hot tubs, can help maintain sperm health. Reducing stress and ensuring adequate sleep also play important roles. Your GP can provide tailored advice on lifestyle changes to boost fertility. They might recommend specific dietary changes or stress management techniques. Remember, it takes about three months for these changes to affect sperm quality.
At Spital Clinic, in partnership with the London Pregnancy Clinic fertility team, we are dedicated experts in women's health and fertility. Our team uses advanced ultrasound technology, the most powerful tool available for fertility screening, to provide you with the most accurate and thorough assessments.
Fertility Ultrasound Services:
Follicle Tracking Scan - £150
Monitored by our specialist Fertility Sonographer to track ovulation and follicle development.
Baseline Scan - £120
A comprehensive initial assessment with our Fertility Sonographer to evaluate your reproductive health.
Pelvic Ultrasound Experts:
2D and 3D Ultrasound - £260
We utilise the latest state-of-the-art ultrasound equipment to give you the clearest insights into your fertility health.
Specialised Scans and Procedures:
HyCoSy Scan - £550
A detailed examination of your fallopian tubes with our Consultant Gynaecologist, ensuring you receive the best possible care.
Hysteroscopy - £1,780
An expert procedure conducted by our Consultant Gynaecologist to investigate and treat uterine conditions with precision.
Blood Tests:
AMH Test - £80
A key indicator of ovarian reserve, giving you valuable information about your fertility potential.
Beta HCG Pregnancy Test - £60
Fast and reliable pregnancy confirmation, with some results available on the same day
According to verified reviews from platforms such as Doctify, TrustPilot and Google - 99% patients have a positive experience at Spital Clinic.
"Great experience. Frustratingly we had 3 NIPTs come back with no result so had to do 3 blood redraws but thanks to LPC’s persistence we finally got a result on the 4th draw. After the 3rd no result they also kindly offered us a free anomaly scan."
"I had a surprisingly positive experience. The most friendly and helpful staff, clean and beautiful premises. The visit was smooth and quick but never felt rushed and I was able to ask all the questions I had. Thanks so much!"
"The service was exceptional from the moment we booked to the moment we left the building post our appointment. The lovely colleagues at the main desk were great and approachable. They made the whole process very comforting."
"I really recommend this clinic, everything was smooth and perfect. All staff are helpful and our sonographer Miss Shaz is an expert on her job, she is very kind and explained everything that we asked. I am glad to choose LPC."
Our medical centre is at 36 Spital Square, E1 6DY, City of London.
