At Spital Clinic, we provide comprehensive fertility health assessments and expert, personalised guidance. Book your consultation today and take a confident first step towards understanding and caring for your fertility.

Our Trying To Concieve Screening Procedure is a comprehensive fertility assessment of your reproductive health. Ideal for women planning pregnancy or concerned about fertility, it covers ovarian reserve, hormone levels, infection screening, and personalised pre-conception advice.
To start, book a GP appointment. Any additional screenings can be added at an extra cost. Follicle Tracking (AFC), if selected as an add-on, will be offered at a discounted rate and can be booked during your GP appointment or online. Spital Clinic, near Spitalfields Market in London, offers top-notch, accessible healthcare.
What Is Included?
•Day 2–5 Follicle-Stimulating Hormone (FSH )
•Day 2–5 Luteinizing Hormone (LH )
•Day 2–5 Oestradiol
•Anti-Müllerian Hormone (AMH)
•Prolactin
•Thyroid Function Tests: TSH with/without Free T4
•Vitamin D
•Rubella IgG
•Day 21 Progesterone (done on the follow-up appointement)
Vaginal or Cervical Swab
•Chlamydia Trachomatis (CT)
•Neisseria Gonorrhoeae (NG)
•Height, Weight & BMI
•Blood Pressure
•Abdominal Assessment
•Pelvic Examination (with consent)
•Follicle Tracking Scan (AFC)
Add-Ons / If Reffered
•Discounted Pelvic Ultrasound Scan (Transvaginal or Abdominal): Transvaginal Scan for Antral Follicle Count (AFC)
•HyCoSy
•HIV
•Hepatitis B
•Hepatitis C
•Syphilis
•Cervical Smear
•HPV
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.
Whether you're planning a pregnancy or have recently started trying to conceive, understanding your reproductive health early on can be invaluable. Our Trying to Conceive Consultation offers a structured, evidence-based assessment of key fertility indicators, delivered in a streamlined, personalised setting - giving you faster, clearer, and more comprehensive insight into your fertility status so you can make informed decisions about your next steps with confidence.
Before pursuing more complex or costly fertility treatments, a comprehensive screening can help guide your next steps. At Spital Clinic, we offer expert fertility screening and personalised treatment plans. Our experienced GPs and specialist sonographers use advanced technology to support your fertility journey. Our fertility services include Follicle Tracking Scans, Endometrial Lining scans, and a targeted laboratory investigation panel, including day 2-5 Follicle-Stimulating Hormone (FCH) and Anti-Müllerian Hormone (AMH). We also offer specialised procedures such as HyCoSy scans to assess fallopian tube potency. Each treatment is tailored to your unique needs, ensuring the best possible outcome.
Starting with GP-led consultation, we thoroughly examine your medical and fertility history, assess your menstrual cycle and ovulation patterns, and explore any symptoms or concerns alongside your general and pre-conception health. Where appropriate, a general or pelvic examination may also be offered.
As part of your assessment, we arrange cycle-timed hormonal blood tests and infection screening. Key markers such as Anti-Müllerian Hormone (AMH) offer valuable insight into your ovarian reserve and overall reproductive health, with additional tests recommended where appropriate based on your individual profile.
Once your results are available, you’ll receive a clear, structured report along with a follow-up consultation to walk you through your results and next steps—so you leave with real clarity, not uncertainty.
At Spital Clinic, we provide a range of fertility treatments tailored to your specific needs. Our services include medication to stimulate ovulation, intrauterine insemination (IUI), and in-vitro fertilisation (IVF). Each treatment plan is designed to maximise your chances of conception. We also offer supportive treatments such as lifestyle and dietary advice to enhance fertility. Regular follow-up appointments ensure that your progress is monitored and any necessary adjustments are made. Our goal is to support you every step of the way on your fertility journey.
Several factors can affect fertility, including age, lifestyle, and medical conditions. Women over 35 and men over 40 may experience reduced fertility. Lifestyle factors such as smoking, excessive alcohol consumption, and obesity also play a role. Additionally, gynecological conditions like Polycystic Ovary Syndrome (PCOS) and Endometriosis can impact fertility.
Fertility issues can have a profound emotional and physical impact. They may cause stress, anxiety, and strain on relationships. The uncertainty and challenges of trying to conceive can be overwhelming. At Spital Clinic, we provide compassionate support to help you navigate these challenges and improve your fertility.
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 Fertility? We have an answer.
Ovulatory Disorders: Issues with ovulation can lead to irregular or absent menstrual cycles. Conditions like polycystic ovary syndrome (PCOS) and primary ovarian insufficiency (POI) are common.
Tubal Blockage or Damage: Blocked or damaged fallopian tubes prevent sperm from reaching the egg. Causes include pelvic inflammatory disease and sexually transmitted infections.
Endometriosis: Tissue similar to the uterine lining grows outside the uterus, causing cysts and scar tissue that can affect fertility.
Uterine or Cervical Abnormalities: Issues with the cervix or uterus, such as fibroids, can impact fertility.
Early Menopause: Some women experience menopause before 40, reducing egg production and estrogen levels.
Pelvic Adhesions: Scar tissue from surgeries or infections can bind organs and affect fertility.
Thyroid Problems: Hyperthyroidism or hypothyroidism can disrupt menstrual cycles and cause infertility.
Cancer and Cancer Treatments: Reproductive cancers and treatments like chemotherapy can impair fertility.
Other factors include medical conditions like diabetes and lifestyle choices such as smoking and obesity. Sometimes, the cause remains unexplained despite thorough investigation.
Male fertility primarily depends on the quantity and quality of sperm. Unlike women, men produce new sperm continuously throughout adulthood. However, sperm quality can decline with age. Male fertility issues often involve low sperm count, poor motility, or abnormal shape. Hormonal imbalances or structural problems can also affect male fertility. Your GP can arrange semen analysis to assess male fertility. They might recommend lifestyle changes or further tests if issues are identified. Remember, fertility problems are equally likely to stem from male or female factors. Both partners should be assessed when investigating fertility concerns.
Several lifestyle modifications can enhance fertility for both men and women. Maintaining a healthy weight through balanced diet and regular exercise is crucial. Quitting smoking and limiting alcohol consumption can significantly improve fertility. Reducing stress and ensuring adequate sleep also play important roles. For men, avoiding excessive heat to the testicles can help maintain sperm quality. 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.
If you're under 35 and haven't conceived after a year of regular, unprotected intercourse, consult your GP. For women over 35, seek advice after six months of trying. Immediate consultation is advisable if you have irregular periods, pelvic pain, or known fertility issues. Men should seek advice if they have erectile dysfunction, low libido, or previous testicular problems. Your GP can provide initial fertility assessments and advice. They might recommend tracking ovulation or arrange basic fertility tests. Remember, early intervention can improve your chances of successful conception.
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 - £190
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 - £5700
A detailed examination of your fallopian tubes with our Consultant Gynaecologist, ensuring you receive the best possible care.
Hysteroscopy - £1,850
An expert procedure conducted by our Consultant Gynaecologist to investigate and treat uterine conditions with precision.
Blood Tests:
AMH Test - £85
A key indicator of ovarian reserve, giving you valuable information about your fertility potential.
Beta HCG Pregnancy Test - £65
Fast and reliable pregnancy confirmation, with some results available on the same day
Age significantly impacts fertility, particularly for women. Female fertility starts declining in the early 30s, with a sharper drop after 35. This is due to decreasing egg quantity and quality. Men's fertility also declines with age, but more gradually. Older parents face increased risks of pregnancy complications and genetic disorders in offspring. Your GP can discuss age-related fertility decline and its implications. They might recommend earlier fertility investigations for older couples trying to conceive. Remember, while age affects fertility, many people still conceive naturally in their late 30s and 40s.
Stress can impact fertility by affecting hormone levels and ovulation in women. In men, severe stress may lower sperm count and quality. Stress can also reduce libido and frequency of intercourse. However, moderate stress alone rarely causes infertility. Stress management techniques like meditation or counselling may help. Your GP can advise on stress reduction strategies and their potential impact on fertility. They might recommend counselling or support groups for couples dealing with fertility stress. Remember, while managing stress is important, it's not a cure-all for fertility issues.
Our medical centre is at 36 Spital Square, E1 6DY, City of London.