Fertility

I work with individuals on all ends of the fertility spectrum - those planning for a baby, those who are about to embark on IVF, those who have been trying naturally or with assistance for many years, and those who’ve had their children and want support in the postpartum period.

By the time many of my patients find me, they have been trying for a while. Sometimes months, sometimes years. They’ve had tests. They might have been told ‘everything’s fine’ and ‘just keep trying’, or they might have received a diagnosis of ‘unexplained infertility’. This is where we reappraise. We look at what’s been explored so far and what’s been missed. We work together to implement a holistic approach, leaving no stone unturned. Infertility isn’t truly ‘unexplained’ - it’s a problem to be solved; a problem that needs further investigation.

Who I Work With

I support individuals and couples across all stages of the fertility journey, including:

  • Preparing for pregnancy (even if you’re not trying yet)

  • Trying to conceive without success

  • Unexplained infertility

  • IVF or assisted reproductive support

  • Recurrent implantation failure

  • Recurrent pregnancy loss

  • Endometriosis

  • PCOS

  • Low ovarian reserve

  • Male factor fertility

I also work with you through pregnancy and into postpartum recovery, ensuring your transition into parenthood is nourished and supported.

There’s much more to fertility than just ‘sperm meets egg’.

We need to consider the whole picture. This includes:

  • Timing

  • Considering hormones across the whole cycle, not just single tests

  • Ovulation, progesterone and the luteal phase

  • Egg quality and ovarian function

  • Sperm health (involving a comprehensive semen analysis, through a dedicated andrology lab)

  • Tubal patency

  • The health of your vaginal microbiome and cervical mucus

  • The health of the uterine lining and microbiome

  • Immune issues (including autoimmunity) and inflammation

  • Blood flow or coagulation issues

  • Thyroid function

  • Considering the body as a whole system: Nutritional status, oxidative stress, gut health, environmental factors and lifestyle

Results shouldn’t be assessed in isolation. They need to be interpreted as part of a broader pattern - how they interact, and what they’re telling us as a whole. Moreover, reference ranges are broad. Being ‘within range’ doesn’t always mean optimal for fertility, and this is often where things are missed. This level of detail allows us to be more targeted in how we support your body - rather than guessing, or relying on generalised approaches.

Start Here

If you’re trying to conceive and want a more thorough, investigative approach to understanding what may be affecting your fertility, you can start here.