Services
Difficulty conceiving
A first assessment for both partners, and honest advice about what comes next.
The usual guidance is to seek assessment after a year of trying, or after six months if you are over thirty-five — but if something in your history already suggests a problem, there is no reason to wait out the clock first.
The initial work-up
Fertility is not a woman’s problem by default, and assessing only one partner wastes time. The first appointment covers a history from both of you, an examination, blood tests to confirm whether and when you are ovulating, a check of thyroid and prolactin, and a pelvic ultrasound. A semen analysis for your partner is part of the basic work-up, not an afterthought.
Ovulation induction
Where the problem is that ovulation is not happening reliably — which is common, particularly with PCOS — ovulation induction is often highly effective. It is monitored with scans so that the response is tracked rather than assumed.
Knowing when to refer
Some causes of infertility need IVF or specialist reproductive surgery. If that is what your situation calls for, I will say so and refer you on rather than keeping you in a cycle of treatment that is unlikely to work. Time matters in fertility, and it is not mine to waste.
Every case is different, and what is right for one woman is not right for another. The purpose of a first appointment is to work out which applies to you. Arrange a consultation.
Talk it through
A consultation is a conversation first. Nothing is booked in until you want it to be.