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Service · one of our core practices

Fertility Medicine & Assisted Conception

Infertility is not a diagnosis - it is a symptom with a cause. We investigate both partners fully, name the cause where there is one, and then match the treatment to the findings rather than to a standard package.

Request a fertility expertSee the interventions
fertility interventions performed
7
partners always investigated
Both
embryology laboratory & theatres
On site
clinical cover during treatment
24/7

How we approach it

Diagnosis first. Always.

Fertility treatment goes wrong most often not because the technology fails, but because it is started before anyone has established what is actually wrong. A couple can spend a year on ovulation induction when the problem is a blocked tube, or three insemination cycles when the semen analysis was never repeated.

So the first thing that happens here is investigation — of both partners, together, in weeks rather than months. When the results are in we sit down with you, explain what they mean in ordinary language, and set out every option including the option of waiting. Only then does treatment begin.

That order matters for a second reason. Assisted conception is emotionally and financially costly, and a cycle undertaken without correcting a treatable problem first is a cycle with the odds needlessly stacked against it. We would rather spend six weeks finding out and then treat once, well.

Male & female factorsUnexplained infertilityPCOSEndometriosisTubal factorRecurrent miscarriageAzoospermiaFibroids & polypsOvarian reserveSecondary infertility
A couple in a fertility consultation with a specialist

Both of you, in the room

Fertility is a couple’s diagnosis, not a woman’s. Both partners are invited to every consultation and both are investigated from the start.

Investigation

What we test, and why

A complete work-up, so the treatment that follows is chosen from evidence rather than assumption.

  • Assessment of the female partner

    • Full history, examination and cycle review
    • Hormone profile: FSH, LH, oestradiol, prolactin, thyroid function
    • Ovarian reserve testing, including AMH and antral follicle count
    • Transvaginal ultrasound of the uterus and ovaries
    • Tubal patency: hysterosalpingography, or laparoscopy and dye test
    • Hysteroscopy where the uterine cavity needs to be seen directly

  • Assessment of the male partner

    • Semen analysis, repeated to confirm the result
    • History, examination and scrotal ultrasound where indicated
    • Hormone profile: testosterone, FSH, LH, prolactin
    • Screening for infection and for reversible causes
    • Referral for genetic assessment where azoospermia is confirmed

  • Assessment as a couple

    • Both partners investigated together - never one alone
    • General health, weight, medication and lifestyle review
    • Infection screening for both partners
    • A written explanation of what the results actually mean
    • A treatment plan chosen from the findings, with the alternatives set out

Treatment

The seven interventions we perform

Each is set out in full: what it is, who it is for, and what it actually involves. Nothing here is offered as a package - the diagnosis chooses the treatment.

  • 1

    Intrauterine insemination (IUI)

    Least invasive
    What it is
    Prepared sperm is placed directly into the uterine cavity through a fine, soft catheter at the point of ovulation, bypassing the cervix entirely. The cycle is tracked by ultrasound, and mild ovarian stimulation is sometimes used alongside it.
    Who it is for
    Mild male-factor infertility, cervical-factor infertility, ovulatory disorders that have responded to medication, unexplained infertility, and treatment with donor sperm. It requires at least one open fallopian tube.
    What it involves
    An outpatient procedure taking a few minutes, without anaesthesia. Most patients return to normal activity the same day.
  • 2

    In-vitro fertilisation (IVF)

    Core treatment
    What it is
    The ovaries are stimulated to produce several mature eggs, which are collected and fertilised with prepared sperm in the laboratory. The resulting embryos are cultured for several days and the best is transferred into the uterus.
    Who it is for
    Blocked or damaged fallopian tubes, endometriosis, reduced ovarian reserve, unexplained infertility, failure of simpler treatments, and where age makes waiting unwise.
    What it involves
    Around two weeks of injections with ultrasound follicle tracking, egg collection under sedation as a day case, embryo transfer a few days later, then luteal support and a pregnancy test about a fortnight afterwards.
  • 3

    Intracytoplasmic sperm injection (ICSI)

    For male factor
    What it is
    A single sperm is selected and injected directly into the cytoplasm of each mature egg using a micromanipulator under high magnification. It removes every barrier the sperm would otherwise have to cross by itself.
    Who it is for
    Severe male-factor infertility - very low count, poor motility or poor morphology - previous failure of fertilisation in a conventional IVF cycle, and any cycle using surgically retrieved sperm.
    What it involves
    Identical to IVF for the female partner. The difference is entirely in the laboratory, at the moment of fertilisation.
  • 4

    Laparoscopic surgery

    Keyhole surgery
    What it is
    Surgery performed through several small incisions using a camera and fine instruments, with the abdomen gently distended so the pelvic organs can be seen and worked on directly.
    Who it is for
    Endometriosis, pelvic adhesions, ovarian cysts, fibroids, tubal disease, hydrosalpinx and ectopic pregnancy - the conditions that reduce fertility mechanically and can often be corrected.
    What it involves
    A day case or a single overnight stay for most procedures, with markedly less pain, a faster return to work and far smaller scars than open surgery.
  • 5

    Hysteroscopic surgery

    No incision
    What it is
    A fine telescope is passed through the cervix into the uterine cavity, so the lining can be inspected and abnormalities removed from inside. There is no incision anywhere on the body.
    Who it is for
    Submucous fibroids, endometrial polyps, a uterine septum, intrauterine adhesions (Asherman's syndrome), and repeated implantation failure where the cavity has not yet been examined.
    What it involves
    Usually a day-case procedure. Correcting the cavity before an embryo transfer materially improves the chance that the transfer works.
  • 6

    Laparoscopic ovarian drilling

    For PCOS
    What it is
    A laparoscopic procedure in which a small number of precise punctures are made in the ovarian cortex with diathermy, reducing the androgen-producing tissue that is blocking ovulation.
    Who it is for
    Polycystic ovary syndrome where ovulation has not resumed on clomiphene or letrozole, and as an alternative to injectable gonadotrophins.
    What it involves
    A short keyhole day-case procedure. Many patients begin ovulating spontaneously afterwards, and it avoids the multiple-pregnancy and hyperstimulation risks that come with injected stimulation.
  • 7

    Surgical sperm retrieval

    For azoospermia
    What it is
    Sperm is recovered directly from the epididymis or the testis when none is present in the ejaculate - by PESA, TESA, TESE or a microsurgical extraction, depending on the cause.
    Who it is for
    Obstructive azoospermia, including after vasectomy or infection, and selected cases of non-obstructive azoospermia where sperm production is present but limited.
    What it involves
    A short procedure under local anaesthetic or sedation. Retrieved sperm is used with ICSI, either in the same cycle or frozen for later use.

The unit

The laboratory and the instruments this depends on

Assisted conception is only as good as the laboratory behind it and the theatre beside it. Both are on site, and both are ours.

  • Embryology laboratory with controlled-atmosphere incubators
  • Micromanipulation system for ICSI under high magnification
  • Laminar flow hoods and heated stages for gamete handling
  • Laparoscopic and hysteroscopic theatre stacks with HD imaging
  • Ultrasound with transvaginal probes for follicle tracking
  • Cryopreservation for embryos, eggs and sperm
  • On-site endocrine and andrology laboratory
An embryologist performing intracytoplasmic sperm injection at a micromanipulator
Laparoscopic and hysteroscopic instruments laid out for a fertility procedure

Your pathway

From first consultation to result

Five stages. The third is the one couples tell us they were never given elsewhere: an honest sit-down with the results before any money is spent on treatment.

  1. 01

    First consultation, both partners together

    A full history from both of you, an examination, and a clear explanation of what will be tested and why.

  2. 02

    Investigation

    Hormone profiles, ultrasound, semen analysis and tubal or cavity assessment - completed in weeks, not months.

  3. 03

    Results consultation

    We sit down with the findings, name the cause where there is one, and set out every option including doing nothing yet.

  4. 04

    Treatment

    The intervention matched to the diagnosis, whether that is medication, surgery, IUI, IVF or ICSI.

  5. 05

    Follow-up and next steps

    Early pregnancy care if the cycle succeeds; an honest review of what to change if it does not.

Honesty about what treatment can and cannot do

No fertility unit anywhere can guarantee a pregnancy, and any clinic that implies otherwise is not being straight with you. What we will do is tell you what your own results mean for your own chances, before you commit to anything — and say so plainly when a treatment is unlikely to work rather than sell you the cycle.
Request a fertility expertMaternity care once you are pregnant

Questions

About fertility treatment

When to come, whether the man is tested, the difference between IVF and ICSI, surgery before a cycle, and what happens when no sperm is found.

Everything discussed in a fertility consultation is confidential, and nothing is shared with a relative or an employer without your written consent.

How we handle your information

  • The usual guidance is twelve months of regular unprotected intercourse without conception. Come sooner - after about six months - if the female partner is over 35, if periods are absent or very irregular, if there is known endometriosis, pelvic infection or previous pelvic surgery, or if there is any known problem with the male partner.

    Coming early costs you nothing but a consultation. Waiting can cost you options, because ovarian reserve declines with time and cannot be restored.

Related services

Start with an answer, not a treatment

Book a first consultation for both of you. We will investigate properly, explain the findings in plain language, and only then recommend what to do about them.

Request a fertility expertAsk a question first
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