Who We Help

Couples trying to conceive

You have been trying for a year, or six months if you are over 35, and nothing has happened. Nobody has told you why. What you need first is a diagnosis, not a treatment. Full evaluation of both partners takes one to two menstrual cycles: hormone profile, pelvic ultrasound and antral follicle count, tubal patency testing, and semen analysis in the first week. In a meaningful proportion of couples the finding is something simple and correctable.

Couples with secondary infertility

You conceived before. You cannot now. The causes are the same as primary infertility with additions: tubal damage from a previous infection or caesarean, scarring inside the uterus, new-onset thyroid or ovulation problems, deterioration in sperm parameters, weight change, and simply being older than you were the first time. The same six or twelve month thresholds apply, and the same investigation pathway.

Women with PCOS, PMOS or PCOD

Irregular periods, weight that will not shift, acne, unwanted hair, and often years of being told to lose weight without being told how or why. PCOS was formally renamed PMOS in a global consensus published in The Lancet in May 2026. The insulin resistance underneath is what needs treating, and it is also what determines long-term diabetes and cardiovascular risk long after fertility stops being the concern.

Women over 35

Egg quality and quantity decline through the thirties and more sharply after 40. Investigation thresholds shorten to six months. AMH and antral follicle count are measured early rather than later. A stepped treatment ladder that would be reasonable at 29 is often the wrong approach at 39. Egg freezing is discussed as a genuine option rather than mentioned in passing.