Here at RHG we are following the Governments advice on the COVID-19 outbreak, which is based on the very latest scientific and medical research. This is in line with Public Health England, the NHS guidance and the Department of Health and Social Care.

Adam Davies

Adam Davies, Quality & Compliance Manager

The safety and wellbeing of staff, patients and visitors is paramount and at the heart of our approach.

At RHG we have well-developed policies and procedures in place to manage outbreaks of infectious diseases. This means we are well prepared to take immediate action whenever cases or suspected cases are identified, including isolating staff where necessary, and asking certain members of staff to work from home.

We have a procedure in place to monitor the temperature of any staff member or patient accessing the building. Anyone found to have a temperature higher than 37.5oC is currently being refused access to the building, and asked to phone, email or video call the clinic instead.

All unnecessary visitors to clinic have been asked not to visit at this time, and to use electronic means of contact to the clinic.

Basic hygiene is a key part of tackling the virus and good practice is being promoted on posters throughout the clinic. Handwashing facilities are available to all staff and patients at reception and throughout the clinic.

There is a huge amount of work taking place, all our staff here at RHG are working tirelessly to ensure patients are receiving advice, support and contact with the clinic at this time. We have altered our plan to have patient open evenings and instead we will be offering webinars to provide information to prospective and returning patients. This will be until a time when the general state of the situation changes.

Adam Davies
Quality & Compliance Manager

Here at Reproductive Health Group we appreciate that many of our existing and prospective patients have questions about the impact of the current situation on fertility treatment.

On Friday 27th March at 3.30pm our Clinical Director, Professor Luciano Nardo, and Laboratory Director Karen Schnauffer presented a live briefing on the most up to date advice and guidance.

Coronavirus Update

 

Further to the updated guidance issued by the Prime Minister on the evening of 23/03/30, RHG’s strategy for the provision of services has been amended accordingly. The following will apply until further notice:

  • Suspension of the initiation of new treatment cycles, including IUI, IVF and FET as well as egg freezing, unless for emergency fertility preservation cases.
  • Continuation of care for patients who are currently ‘in treatment cycle’.
  • Recommendation made to all patients due to have an embryo transfer whether fresh or frozen to defer treatment.
  • Suspension of all elective surgical sperm retrievals.
  • Minimisation of face to face consultations and interactions by increasing the use of remote and virtual consultations (telehealth).
  • Maintenance of stringent measures to minimise any risk of infection.
  • Regular informational webinars to take place.

The priority of RHG is to maximise the wellbeing of patients, staff and society at large. The above decisions have certainly not been taken lightly, however I recognise that it is our social responsibility, as an organisation and as a community of quality healthcare providers, to comply with public health recommendations and apply them during this sad and unprecedented time.

Should you wish to discuss this further please do not hesitate to contact me directly at any time by email at LNARDO@reproductivehealthgroup.co.uk

Professor Luciano Nardo
Clinical Director

In light of the current situation we are all faced with, RHG are pleased to now offer video consultations with Professor Luciano Nardo. Our available slots are as follows:

  • Tuesdays: 10am-12pm & 6pm-8pm
  • Wednesdays: 6pm-8pm
  • Thursdays: 10am-12pm & 6pm-8pm
  • Fridays: 6pm-8pm
  • Saturdays: 10am-2pm
  • Sundays: 10am-2pm

Consultations are available for the following:

  • IVF/Fertility (new and follow up appointments)
  • Gynaecology (new and follow up appointments)
Benefits of combining IVF & Pre-implantation Genetic Testing

The new Pre-implantation Genetic Testing (PGT-ai 2.0 platform) enables increased confidence in the selection of euploid (ie, chromosomally normal) blastocysts for transfer in to the uterus and further reduces the risk of miscarriage. Therefore, the clinical advantage of combining IVF and PGT-ai is to produce, screen and select euploid blastocysts that can create live births.

At the Reproductive Health Group we strongly believe that only the best quality genetically tested euploid blastocysts should be transferred to shorten the time to a healthy and uneventful pregnancy.

When should Pre-implantation Genetic Testing be used?

PGT-ai is potentially suitable for anyone undergoing IVF treatment but may be of particular benefit in the following scenarios:

  • For women over the age of 35
  • In cases where there have been several failed cycles of IVF already (recurrent implantation failure) or recurrent miscarriages
  • Where there is a known family history of chromosomal problems
  • The male partner’s sperm has been identified as containing a high number of chromosomal abnormalities.

Talk to us about PGT-ai

If you would like to learn more about PGT-ai, please call us on 01925 202180 or contact us online here.

 

Andrology & Men’s Health

Phimosis is narrowing of the foreskin. It can occur commonly in adults and is caused by recurrent balanitis, inflammation and trauma.

The presenting symptoms are variable and include poor stream, spraying, ballooning, recurrent attacks of balanitis and pain, although sometimes patients may present because of cosmesis concerns. A phimosis itself can lead to recurrent infections and also predisposes to penis cancer, which is rare. Additionally it can cause problems with sexual function, especially intercourse.

The foreskin itself, but not phimosis, predisposes to HIV infection. Randomised controlled trials have shown circumcision to reduce the risk of contracting HIV but only in heterosexual males; this has led to widespread circumcision programmes in Africa, led by the WHO. In the UK this is currently NOT recommended because of the lower incidence. In cases of symptomatic phimosis a circumcision is commonly undertaken.

If you have problems with the foreskin we can advise you on what treatment is best. This may include topical treatments, frenuloplasty, preputioplasty and circumcision.

Learn more about our Andrology & Men’s Health services.

Professor Vijay Sangar, Consultant Urological Surgeon

Advice regarding Coronavirus

In light of the updated advice from the Government, I would like to provide you with the current guidance for staff and patients with regards to Coronavirus. We are required to risk assess staff and patients travelling from potentially affected areas and attending the Reproductive Health Group.

If you have returned to the UK from any potential affected areas within the last 14 days and develop symptoms of cough and/or fever and/or shortness of breath, then the individual should stay indoors, avoid contact with other people and call NHS 111 to discuss the recent travel history. If the above symptoms develop in the workplace then the individual should isolate themselves, inform their Line Manager and go home.

I would encourage everyone to follow the updates on the Public Health England website which offers sensible and unbiased information to anyone who may be worried. Based on the current evidence from the World Health Organisation and the Public Health England, there is no immediate cause for concern; however, I would like to take the following precautions:

  1. Confirm that no staff or patient attending the Reproductive Health Group has been to China, in the Wuhan region since the outbreak.
  2. All are aware of the signs and symptoms of the novel Coronavirus and should they experience any of these, they will not attend work and return home immediately.

The wellbeing of our staff and patient community is of the upmost importance at this time and I am sure that you will all join me in supporting the culture for a healthy and safe work environment. I will certainly continue to keep you informed as the situation and official advice changes but if you have any questions please do not hesitate to contact me.

Professor Luciano Nardo
Clinical Director | Reproductive Health Group

Fertility and Chronic Conditions

It is a matter of little debate that some chronic conditions may affect fertility potential. There is some growing evidence to suggest that thyroid disorders, for instance, can affect fertility as well as impact pregnancy outcome.

Generally speaking, the impact of chronic conditions can be systemic or more often localised to the reproductive organs, such as the uterus in the case of endometritis or the fallopian tubes in the case of hydrosalpinx. Of note, chronic conditions which may affect the body systemically are either hormonal or autoimmune. These may affect the ability to conceive but also affect the stages of pregnancy.

Pregnancies achieved by women with underlying chronic conditions may be at higher risk and as such should be overseen by a dedicated team of Fetal Maternal Medicine Specialists, linked with a wider Multidisciplinary Team.

Not all chronic conditions negatively affect the reproductive outcome of IVF-ICSI cycles, however appropriate investigations should be carried out before women are advised to embark on fertility treatment and where appropriate tailored treatment strategies should be employed.

In this day and age the advances in embryo cryopreservation allow for deferred embryo transfer procedures, so to ensure that the endometrial environment is optimal for successful implantation in women that have a chronic condition which may impact on the ability of an embryo to successfully implant.

Innovations in the field of assisted conception have also helped to overcome some seemingly insurmountable barriers to enhance the chances of successful pregnancy outcome. The introduction of surgical sperm retrieval procedures associated with ICSI have provided effective treatment for male infertility. The advent for preimplantation genetic testing has provided couples with genetic linked diseases and those at increased risk of having aneuploid embryos with the possibility to have healthy children.

Expanded access to international data sets will further enhance the knowledge on the impact that certain chronic diseases have on fertility outcome and the potential benefits of IVF based techniques in creating healthy children.

Professor Luciano Nardo
Clinical Director | Reproductive Health Group

Egg Freezing FAQs

The likelihood is that you already know what egg freezing is, however, it can be quite overwhelming researching and making the decision to go ahead with the process. 

We’ve had hundreds of patients walk through our doors with many questions and rightly so! This is a big decision but the possible end outcome is the same for each and every one.  

Here at Reproductive Health Group HQ, we’ve put our heads together following patient feedback and answered the most frequently asked questions on egg freezing to help you with your decision process. Have a look:

 

Why should I freeze my eggs?

Egg freezing allows you to preserve your eggs at a time when your fertility is at a higher level. Although you may not be interested in starting your journey to motherhood now, that doesn’t mean you can’t start to plan. 

With age being a major factor in fertility, doing this earlier gives you more options in the future if you decide to start your journey to parenthood.  

 

What can I expect when freezing my eggs?

The method used can be broken down into five simple separate steps found on our egg freezing page found here: 

http://bit.ly/2Rgu0dp

 

Is the egg freezing procedure painful?

The procedure of removing your eggs is not painful and is carried out under intravenous sedation. 

However, the hormone injection that takes place 9-12 days into the process can hurt, but this depends on how sensitive you are to injections. 

 

How many eggs are frozen?

This number can be dependent on several factors, and one of the most important is age.

If you are 34 years or younger you’re likely to be able to freeze between 10-20 eggs. If you are older then we’ll work with you to aim for the optimum amount of eggs possible to help you on your journey to parenthood.

 

How much will freezing my eggs cost?

Egg Freezing costs £3,200, this includes counselling, monitoring scans, medications, egg collection, egg freezing and the first follow up consultation.

Egg storage is priced separately. For each year this will cost £300 where your eggs will be stored in our state of the art lab until you are ready to use them.

 

How long can my eggs be stored for?

Your eggs can currently be stored for 10 years, but if you are ready to start your journey to motherhood earlier then the eggs are ready when you are.

 

What happens when I want to use my eggs?

When you’re ready, we will work with you to put together a treatment plan unique to you.

 

Within our onsite embryology lab, your eggs are thawed out for fertilisation and with the sperm of either your partner or a donor, your eggs will then be fertilised to create embryos.

The embryos will then be transferred to your uterus and will hopefully implant. We’ll monitor you following this and advise you to take a pregnancy test. 

Although we’ve answered quite a few questions, we know you may have more questions unique to your personal situation. Why not contact our specialists on 01925 202 180 or fill in our contact form to speak to a specialist and start your egg freezing journey with Reproductive Health Group.

Premature ejaculation

Premature ejaculation is common. It is when ejaculation occurs too soon during intercourse. The normal duration of intercourse is between 5 and 6 minutes, but this can vary.

It is not unusual to have premature ejaculation once in while. If it occurs frequently then you may need help. Premature ejaculation can be caused by prostate problems, medications, anxiety, stress and relationship issues.

It is important to seek help to ensure there are no underlying medical conditions.

We now offer new therapies for premature ejaculation including Fortacin Spray. To find out more about our Andrology and Mens Health services, please call us on 01925 202180 or email us at info@reproductivehealthgroup.co.uk