Infertility & Subfertility

At the Surrey Park Clinic we understand that subfertility and recurring miscarriage can be frustrating and distressing for those involved, yet subfertility is common and affects one in seven couples in the UK. Our experienced team can advise on and manage your fertility treatment to help guide you along the path to conception.

Patients requesting advice or management of fertility are seen by Nick Elkington a highly qualified Consultant.

infertility & subfertility IVF open evening

Infertility & Subfertility

Around 15% of couples of reproductive age have difficulty in conceiving which can be due to one of several reasons:

  • Problems with egg production including Polycystic Ovaries
  • Problems with sperm production
  • Fallopian tube blockage or uterine problems
  • Endometriosis
  • Implantation of the embryo and miscarriage
  • Hormonal and immune disorders in both men and women
  • Long term use of some medication including long-term use of non-steroidal anti-inflammatory drugs (NSAIDs), the medicines used with chemotherapy, and some illegal drugs such as marijuana and cocaine

In addition, infertility in women is also linked to their age, the biggest decrease in fertility begins during a woman’s mid thirties.

In a third of infertile couples the problem is due to the male, in a third it is due to the female and in the remaining third there may be a joint problem or the cause may be unexplained.

Other factors affecting fertility

  • Being overweight reduces both male and female fertility
  • Smoking
  • Stress
  • Sexually transmitted infections

How is it diagnosed?

Ideally both partners in the relationship should attend the initial consultation though you can be seen separately. Initial investigations include assessment of both partners. Women require blood tests and an ultrasound including assessment of their fallopian tubes with a HyCoSy or Hysterosalpingogram (HSG). Men require assessment of their semen (semen analysis) and possibly some blood tests.

Once the results of these fertility tests are available Mr Elkington will advise couples on what type of fertility treatment may be indicated. Sometimes couples will be encouraged to continue to try and conceive naturally before embarking on fertility treatment.

Fertility assessment for Women

At the initial consultation a detailed history will be taken and examination tailored to your history.
Investigations are individualised but will include:

  • FBC/HORMONE PROFILE/Rubella/MLP progesterone/early follicular phase
  • FSH, LH, Oestradiol, testosterone, AMH

Additional investigations may include:

  • Blood Tests: Blood Glucose/ GTT, TFT’s/Prolactin/Chromosomal analysis
  • Recurrent miscarriage profile (antiphospholipid/ACL antibodies, factorV)
  • Leiden, factor II (prothromobin), gene mutation and protein S deficiency.
  • Cervical smear if required
  • Chlamydia screening if appropriate/required/requested
  • TVUS – to look at AFC as well as pelvic organs
  • Hysteroscopy/Laparoscopy and dye insufflation to assess tubal potency maybe required

Fertility assessment for Men

At the initial consultation a detailed history will be taken and the examination tailored to your history.

Investigations will also be individualised but will include:

  • FBC/HORMONE PROFILE/TFT’s/Prolactin, testosterone.
  • Semen analysis

Additional investigations can include:

phone
At the Surrey Park Clinic we specialise in the treatment of Infertility & IVF and offer personalised care at our friendly clinic at a time to suit you. Please call 01483 454 016 to arrange your consultation.

Infertility and subfertility treatments available:

  • Surgery to unblock fallopian tubes
  • Tracking with ultrasound to identify optimum fertility
  • Simple follicle stimulation and ovulation induction

Assisted Conception and IVF

The results of tests and investigations will determine whether assisted conception is required. We offer this service at the Surrey Park Clinic with specific procedures carried out at Guy’s and St Thomas’.

Related topics Fertility Clinic: IVF & Assisted Conception, Fertility Scans, Miscarriage, Blood Tests



Highly trained and respected consultants

Our fertility consultants are highly trained and respected to help you to discover what is preventing you from conceiving and find the most effective treatments.
Call 01483 454 016 to book your consultation or complete the contact form: