First Visits

It is crucial that you visit a specialist as soon as possible if you are experiencing fertility issues.

This is largely because female fertility is known to decrease with age. Therefore, any other issues that may be preventing you from conceiving, should be dealt with at the earliest opportunity.

It’s also important to plan your visit between the 10th and 25th day of the menstrual cycle, when bleeding does not occur, as your doctor will usually perform an intravaginal ultrasound examination during your first appointment.

If menstruation does occur during the visit, then the diagnosis will be limited to a transabdominal ultrasound.

Before the first visit it is a good idea to get all your documents ready and prepare what information you are going to share, as this will help you to stay calm and stress-free as your appointment approaches.

Your doctor will make more time for your first appointment as during the course of it, he will ask for quite a large amount of information.

This information will include the date of your last period, the regularity of your period and the length of your cycles. They will also ask about any previous treatment you may have had. Your doctor will usually be aware of the results of already performed tests, however it may still be a good idea to have these available.

It is very important to take identification with you to your appointment, as without it the visit may not be able to go ahead. This can include a driving licence or passport.

Along with this a medical questionnaire, that will be emailed to you, should be completed by you and your partner to prepare for your visit.

As the doctor will be forming an assessment of your medical background, you should bring all of your medical test results and be ready to provide information about any previous medical treatments. This includes the current history of your fertility treatment, which involves the results of any hormonal tests, semen analysis, imaging tests, descriptions of performed procedures and operations (including histopathological examinations) or information cards from hospital stays.

Your partner’s medical history should also be provided for a full assessment of your situation.


The cost of all of our treatments is listed on our prices page. The amount you pay may differ on the different aspects of treatment you need.

Before the egg retrieval procedure you will undergo several different tests and screenings, so it is important that you have your medical records ready.

A few days before the procedure, your midwife will verify that your medical records contain all the necessary results. These will include morphology, virology, electrolytes, blood group and APTT – coagulation system.

If these records aren’t all available, then you may be asked to bring them on the day of the procedure.

You will also be asked to remove all nail decorations, including varnish before the day of the procedure. This is due to the fact that during the procedure, they may cause an incorrect saturation reading, which is generated by a sensor placed on your nail.

In the weeks before the procedure your ovaries will be stimulated to prepare them for egg retrieval. You can read more about how your body will be prepared for the procedure on our egg freezing page.

Due to the in-depth nature of the procedure, IVF is one of the most successful fertility treatments available.

For more information, feel free to visit our success rates page.

Psychologist care

The length of time that passes before you see a specialist will largely depend on your individual circumstances. For example, if there are certain parts of your medical history which could be affecting your fertility then you may want to seek support sooner rather than later.

As well as this, age will play a part in your decision, as fertility is known to decrease with age. Therefore, older people may be encouraged to employ professional help sooner than others.

Alongside our incredibly supportive methods of fertility treatment, a healthy lifestyle is a great way to ensure your body is functioning correctly and improve natural fertility. This includes healthy eating, exercise and finding effective ways to manage stress.

There are several different screening processes that can be used to check your fertility.

For men, this will involve checking the quality, mobility and amount of semen produced. For women, these will involve tests on the ovaries, tubes and eggs.

The best way to get accurate guidance on your individual fertility situation is to book a consultation with one of our specialists, who will be more than happy to help you.

Semen analysis

Improving low sperm quality, like most fertility problems, will depend largely on the individual.

Sperm abnormalities can occur for a variety of reasons, which can range from previous medical treatment, medications that you are taking or increased temperature of the testes.

Because of this, the best way to find out how to improve your personal situation is to book in for a consultation.

To prepare for the insemination procedure, it is important to have any relevant medical information ready to provide.

As well as this, you should aim to abstain from sexual activity for three to five days, to ensure the correct concentration of sperm.

A sperm analysis may be required if a couple are having trouble conceiving. This should be carried out at the beginning of infertility diagnosis, preferably before the first visit to the infertility treatment clinic.

However, there are other situations during which a sperm analysis may be required, these include before or after a surgical procedure involving the reproductive system or when considering preserving male fertility.

The latest sperm quality standards from the World Health Organization (WHO) are as follows:

WHO standards from 2010 

  • Ejaculate volume: ≥ 1.5 mL pH: 7.0 – 8.0
  • Sperm count: ≥ 15 million / mL
  • Sperm count in ejaculate ≥ 39 million / mL
  • Percentage of sperm with normal mobility: ≥ 32% with progressive mobility
  • Morphology (structure): ≥ 4% sperm in the correct shape
  • Viability:> 58% sperm
  • Leukocytes in semen: <1 million / mL
  • Agglutination test (MAR, IBT): <50% sperm


While insemination can help some to achieve pregnancy, there are a few circumstances when it is not recommended as a method of treatment. These situations include:

  • Inflamed genital organs
  • Uterine fibroids are present
  • Obstructed fallopian tubes
  • Cancer may be present
  • Evidence of severe systematic diseases
  • Presence of bacteria or other problems with the semen

If the insemination process is unsuccessful, it can be safely repeated several times. However, if the process is unsuccessful on multiple occasions, further consultations to find a treatment which may fit your needs better may be advised.

The IUI procedure is especially effective in cases where the fertility problem is found during intercourse, such as premature ejaculation, as it gives the sperm an extra level of help to reach the egg.

However, as with all fertility treatments, the effectiveness will depend on your individual situation. The effectiveness of insemination varies from 10 to 25% per cycle, depending on the quality of the semen, the age of the woman and the amount of mature follicles available after stimulation.

While no specific preparation is needed for the insemination process, as it is usually quite a straightforward procedure, it is a good idea to ensure that your consultants have all of your relevant medical history.

Along with this, ensuring that you are hydrated during the procedure can make the process a little easier.

If you would like to find out more about RHG, our facilities or treatments, you can contact us online here.  Alternatively, you can call us on 01925 202180, and we will be more than happy to assist you with any other advice.